Drugplain

BRIDION 100 mg/mL

sugammadex · INJECTION, SOLUTION · Merck Sharp & Dohme LLC

No Recall History
Plain English

BRIDION is a injection, solution containing sugammadex at 100 mg/mL, taken intravenous. Manufactured by Merck Sharp & Dohme LLC.

Key Facts

Brand Name
BRIDION
Generic Name
sugammadex
NDC Code (Product)
0006-5423
Manufacturer
Merck Sharp & Dohme LLC
Strength
100 mg/mL
Dosage Form
INJECTION, SOLUTION
Route
INTRAVENOUS
Marketing Status
Application #
NDA022225
Marketing Start
12/15/2015

Recall History

No Recall History

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

anaphylactic reaction299 reports
bradycardia281 reports
cardiac arrest187 reports
anaphylactic shock171 reports
bronchospasm168 reports
hypotension159 reports
drug ineffective138 reports
recurrence of neuromuscular blockade107 reports
off label use93 reports
oxygen saturation decreased93 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE BRIDION ® is indicated for the reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide in adult and pediatric patients undergoing surgery. BRIDION is indicated for the reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide in adult and pediatric patients undergoing surgery. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Dosing is based on actual body weight ( 2.1 ) Monitor for twitch responses to determine the timing and dose for BRIDION administration. ( 2.1 ) Administer as a single bolus injection. ( 2.1 ) For rocuronium and vecuronium: 4 mg/kg is recommended if spontaneous recovery of the twitch response has reached 1 to 2 post-tetanic counts (PTC) and there are no twitch responses to train-of-four (TOF) stimulation. ( 2.2 ) 2 mg/kg is recommended if spontaneous recovery has reached the reappearance of the second twitch in response to TOF stimulation. ( 2.2 ) For rocuronium only: 16 mg/kg is recommended if there is a clinical need to reverse neuromuscular blockade soon (approximately 3 minutes) after administration of a single dose of 1.2 mg/kg of rocuronium. Immediate reversal in pediatric patients has not been studied. ( 2.2 ) 2.1 Important Dosing and Administration Information BRIDION dosing is based on actual body weight. BRIDION (sugammadex) injection, for intravenous use, should be administered by trained healthcare providers familiar with the use, actions, characteristics, and complications of neuromuscular blocking agents (NMBA) and neuromuscular block revers

Contraindications

4 CONTRAINDICATIONS BRIDION is contraindicated in patients with known hypersensitivity to sugammadex or any of its components. Hypersensitivity reactions that occurred varied from isolated skin reactions to serious systemic reactions (i.e., anaphylaxis, anaphylactic shock) and have occurred in patients with no prior exposure to sugammadex [see Warnings and Precautions (5.1) , Adverse Reactions (6) ] . Known hypersensitivity to sugammadex or any of its components. ( 4 )

Drug Interactions

7 DRUG INTERACTIONS Toremifene : Concomitant use can delay recovery. ( 7.2 ) Hormonal contraceptives : Patients must use an additional, non-hormonal method of contraception for 7 days following BRIDION administration. ( 5.6 , 7.3 ) 7.1 Summary The information reported in sections 7.2 – 7.4 is based on binding affinity between BRIDION and other drugs, preclinical experiments, clinical studies and simulations of a pharmacokinetic-pharmacodynamic (PK-PD) model. Based on these considerations, no clinically significant pharmacodynamic interactions with other drugs are expected, with the exception of toremifene and hormonal contraceptives. 7.2 Interactions Potentially Affecting the Efficacy of BRIDION Toremifene For toremifene, which has a relatively high binding affinity for sugammadex and for which relatively high plasma concentrations might be present, some displacement of vecuronium or rocuronium from the complex with BRIDION could occur. The recovery to TOF ratio to 0.9 could therefore be delayed in patients who have received toremifene on the same day of surgery. 7.3 Interaction Potentially Affecting the Efficacy of Hormonal Contraceptives In vitro binding studies indicate that BRI

Adverse Reactions

6 ADVERSE REACTIONS The following serious adverse reactions are described elsewhere in the labeling: Anaphylaxis and Hypersensitivity [see Contraindications (4) , Warnings and Precautions (5.1) ] Marked Bradycardia [see Warnings and Precautions (5.2) ] Most common adverse reactions (reported in ≥10% of adult patients at a 2, 4, or 16 mg/kg BRIDION dose and higher than the placebo rate): vomiting, pain, nausea, hypotension, and headache. ( 6.1 ) Most common adverse reactions (reported in ≥10% of pediatric patients 2 to <17 years of age at BRIDION doses of 2 or 4 mg/kg) were pain, vomiting, and nausea. ( 6.1 ) Most common adverse reaction (reported in ≥10% of pediatric patients from birth to <2 years of age at BRIDION doses of 2 or 4 mg/kg) was procedural pain. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Merck Sharp & Dohme LLC at 1-877-888-4231 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed

Frequently Asked Questions

What is BRIDION used for?

BRIDION contains sugammadex. It is a injection, solution taken intravenous. Consult your doctor for specific uses.

Is BRIDION a controlled substance?

BRIDION is not classified as a controlled substance by the DEA.

What is the generic name for BRIDION?

The generic name for BRIDION is sugammadex. There are no other listed brand versions of sugammadex.

What is the NDC code for BRIDION 100 mg/mL?

The NDC (National Drug Code) for BRIDION 100 mg/mL is 0006-5423, listed by Merck Sharp & Dohme LLC.

Product NDC

0006-5423

Package NDC

0006-5423-12

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

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