Abbott has decided to discontinue the production of Mivacron - too little demand. The drug is off-patent, so any manufacturer is welcome to make generic version, but don't hold your breath.
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no more mivacron
Started by Monty Python
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No worries. We stopped carring it years ago.
I routinely used the stuff to facilitate intubation in short cases- tonsils etc. Now what the hell do I do? Sux I guess. It is nice to have a drug that lasts longer than sux and doesn't need reversal. Perhaps this will be another reason to get the new reversal agent when it comes out...
kmurp said:
I use it rather frequently on pediatric dental rehab (45 minutes per case) just for intubation. I guess it's back to intubation on deep Sevo alone. I reconfirmed that Abbott has decided to stop manufacturing mivacron. Supplies will be present for a while, but won't be replaced.
I hear from a lot of attendings that this stuff is weak, you have to use so much for any real effect, and that dose dependent histamine release makes hypotension a common occurrence.
Induc(junc)tion said:
True, and I rarely used it .... but in a few specific cases it had it's place.
Especially pediatric dental rehab:
-- sometimes trying to nasally tube just deep on sevo was not graceful, shall we say
-- didn't want to use sux unless absolutely necessary
-- a smidge of mivacron worked wonders, was needed only for the intubation and not required by the dentist for his purposes, and was long-gone when the throat pack came out
I would also occasionally use it on GETA tubal ligations just for the heck of it. That's about it.
