Drug interactions
Cisatracurium + Minocycline
Severity: Moderate
Cisatracurium and Minocycline: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Tetracyclines have weak neuromuscular blocking effects and may modestly augment blockade from cisatracurium. Documented clinical cases are scarce, so the effect is mainly anticipated.
What this interaction means in plain words
Cisatracurium and Minocycline can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Cisatracurium belongs to Musculoskeletal; Minocycline belongs to Anti Bacterial.
Why it happens
Possible additive neuromuscular blockade, potentially through calcium chelation and effects on neuromuscular transmission.
What to do
Monitor neuromuscular blockade with train-of-four and adjust cisatracurium dose to response. Verify full recovery before extubation.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Cisatracurium
Other interactions of Minocycline
- Acitretin + Minocycline Contraindicated
- Isotretinoin + Minocycline Contraindicated
- Cholera vaccine + Minocycline Major
- Methoxyflurane + Minocycline Major
- Minocycline + Palovarotene Major
- Minocycline + Pexidartinib Major
Frequently asked questions
Can I take Cisatracurium with Minocycline?
MediHelp rates the interaction as moderate. Cisatracurium and Minocycline can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Tetracyclines have weak neuromuscular blocking effects and may modestly augment blockade from cisatracurium. Documented clinical cases are scarce, so the effect is mainly anticipated.
How serious is the interaction between Cisatracurium and Minocycline?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor neuromuscular blockade with train-of-four and adjust cisatracurium dose to response. Verify full recovery before extubation.
What other medicines interact with Cisatracurium?
MediHelp also lists interactions of Cisatracurium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Benzhydrocodone / acetaminophen. The full list is on the Cisatracurium page.
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