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Doxacurium

Neuromuscular Blocker

Neuromuscular Blocker
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
11 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 11
  • AmikacinSevereDatabaseDDInter
  • Botulinum Toxin Type ASevereDatabaseDDInter
  • Botulinum Toxin Type BSevereDatabaseDDInter
  • ColistimethateSevereDatabaseDDInter

Mechanism

Doxacurium is a nondepolarizing (competitive) neuromuscular blocking agent. It acts at the end plate of skeletal muscle fibers where it competitively blocks acetylcholine receptors, thereby inhibiting neuromuscular transmission and causing muscle relaxation. It is noted for being more selective in terms of not causing significant ganglionic blockade compared to older agents.

Indications

To provide muscle relaxation for surgeryAdjuvant in surgical anesthesia to obtain relaxation of skeletal muscleLong duration surgeries

Dosing

Adult
0.03–0.06 mg/kg (initiation)

Pharmacokinetics

Onset
Rapid onset with intravenous administration
Duration
Long acting
Bioavailability
Very poorly absorbed from the GI tract; adequate absorption from intramuscular sites; rapid onset with intravenous administration
Excretion
Renal elimination

Side effects

Serious
  • Less ganglionic blockade

Drug interactions

Amikacin
Severe
Database

Clinical effect not specified

Source: DDInter

Botulinum Toxin Type A
Severe
Database

Clinical effect not specified

Source: DDInter

Botulinum Toxin Type B
Severe
Database

Clinical effect not specified

Source: DDInter

Colistimethate
Severe
Database

Clinical effect not specified

Source: DDInter

Kanamycin
Severe
Database

Clinical effect not specified

Source: DDInter

Netilmicin
Severe
Database

Clinical effect not specified

Source: DDInter

Paromomycin
Severe
Database

Clinical effect not specified

Source: DDInter

Plazomicin
Severe
Database

Clinical effect not specified

Source: DDInter

Polymyxin B
Severe
Database

Clinical effect not specified

Source: DDInter

Streptomycin
Severe
Database

Clinical effect not specified

Source: DDInter

Tobramycin
Severe
Database

Clinical effect not specified

Source: DDInter

1 additional low-confidence interaction hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Neuromuscular Blocker drugs

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Sources: KD Tripathi 7e, Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team