Kabivec 10mg Injection (Vecuronium): Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or shortness of breath after receiving this medicine
- Swelling of the face, lips, tongue, or throat
- Severe rash, hives, or itching
- Chest pain or irregular heartbeat
- Prolonged muscle weakness or inability to move after the expected duration
- Decreased urine output or signs of kidney problems
- Yellowing of the skin or eyes (jaundice)
If experiencing severe symptoms, call emergency services immediately.
What is survec 10mg injection used for?
This medicine is a non-depolarizing muscle relaxant used during surgery and in intensive care to paralyze skeletal muscles for intubation and mechanical ventilation. It works by blocking nerve signals to muscles and must be given by a trained anesthesia provider.
- Generic Name: Vecuronium (10mg)
- Manufacturer: Gland Pharma Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 survec 10mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा वेक्यूरोनियम का एक इंजेक्शन है जिसका उपयोग सर्जरी के दौरान और आईसीयू में मांसपेशियों को ढीला करने के लिए किया जाता है। यह मांसपेशियों को पूरी तरह से पक्षाघात (paralysis) कर देती है ताकि डॉक्टर आसानी से सांस की नली में ट्यूब डाल सकें और मरीज को वेंटिलेटर पर रख सकें। यह दवा केवल अस्पताल में प्रशिक्षित एनेस्थीसिया विशेषज्ञ द्वारा ही दी जाती है। यह दर्द या बेहोशी नहीं देती, इसलिए इसके साथ अन्य दवाएं दी जाती हैं। इसे घर पर या खुद से कभी नहीं लगाया जाना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मांसपेशियों में कमजोरी, धीमी हृदय गति, निम्न रक्तचाप और चेहरे पर लालिमा शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, सांस लेने में कठिनाई, या लंबे समय तक पक्षाघात हो सकता है। इन्हें अस्पताल में डॉक्टर द्वारा प्रबंधित किया जाता है।
सुरक्षा सलाह: यह दवा केवल अस्पताल में विशेषज्ञ डॉक्टर द्वारा ही दी जानी चाहिए। इसे घर पर कभी न लगाएं। इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी बीमारियों और दवाओं के बारे में बताएं। इस दवा को लेने के बाद जब तक डॉक्टर पूरी तरह से ठीक न होने की पुष्टि न करें, तब तक वाहन न चलाएं। गर्भवती महिलाएं डॉक्टर को सूचित करें।
💊 survec 10mg injection Uses & Benefits
[{"condition":"General anesthesia","description":"Used as an adjunct to general anesthesia to provide skeletal muscle relaxation during surgery.","evidence":"Well-established"},{"condition":"Endotracheal intubation","description":"Facilitates intubation by relaxing the vocal cords and skeletal muscles of the airway.","evidence":"Well-established"},{"condition":"Mechanical ventilation","description":"Provides muscle paralysis to facilitate mechanical ventilation in critically ill patients.","evidence":"Well-established"},{"condition":"Surgical procedures requiring muscle relaxation","description":"Used in abdominal, orthopedic, and other surgeries where muscle relaxation is necessary.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Management of tetanus","description":"Occasionally used to control muscle spasms in severe tetanus, though not a first-line treatment.","evidence":"Limited"},{"condition":"Treatment of severe spasticity","description":"Rarely used in specialized settings for severe spasticity when other treatments fail.","evidence":"Limited"}]
Primary treatment for: Surgical anesthesia
Also treats: Mechanical ventilation, Endotracheal intubation, Tetanus (off-label)
📋 Drug Information
| Generic Name(s) | Vecuronium (10mg) |
| Brand Name | survec 10mg injection |
| Manufacturer | Gland Pharma Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | Skeletal muscle relaxant- Peripherally acting |
| Route of Administration | Parenteral (intravenous) |
| Storage | Store under refrigeration at 2°C to 8°C (36°F to 46°F). Protect from light. Do not freeze. After reconstitution, the solution should be used immediately or stored as directed by the manufacturer. Keep out of reach of children. |
| Shelf Life | Refer to the manufacturer's packaging for the expiration date. Typically, the shelf life is 24 to 36 months from the date of manufacture when stored properly. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine is a non-depolarizing neuromuscular blocking agent that acts by competitively antagonizing acetylcholine at nicotinic receptors on the motor endplate of skeletal muscle. By binding to these receptors, it prevents acetylcholine from depolarizing the muscle membrane, thereby inhibiting muscle contraction. This results in flaccid paralysis. The block is reversible by increasing the concentration of acetylcholine at the neuromuscular junction, such as with acetylcholinesterase inhibitors like neostigmine. This medicine has no effect on the central nervous system and does not alter consciousness or pain perception.
Mechanism Steps
💡 How to Take survec 10mg injection
Strength: Injection: 10 mg per vial (lyophilized powder for reconstitution)
Dosage Information
| Adult Dosage | The dosage of this medicine must be individualized by a qualified clinician based on the patient's clinical condition, body weight, renal and hepatic function, and the desired depth and duration of neuromuscular blockade. For endotracheal intubation, a typical initial dose is 0.08 to 0.1 mg/kg intravenously, which usually provides adequate relaxation within 2 to 3 minutes. Maintenance doses of 0.01 to 0.015 mg/kg may be administered as needed. In obese patients, dosing should be based on ideal body weight. Continuous infusion may be used in intensive care settings, with doses titrated to neuromuscular monitoring. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. In general, pediatric doses are weight-based and must be determined by a qualified pediatric anesthesiologist. Neonates and infants may be more sensitive to the effects of this medicine. |
| Elderly Dosage | Elderly patients may have reduced renal and hepatic function, which can prolong the effects of this medicine. Doses should be carefully titrated based on neuromuscular monitoring. No specific dose adjustments are established, but caution is advised. |
| Renal Impairment | Renal impairment can significantly prolong the elimination half-life and duration of action of this medicine. Dose reduction and close monitoring of neuromuscular function are recommended. In patients with severe renal impairment, alternative neuromuscular blocking agents may be preferred. |
| Hepatic Impairment | Hepatic impairment may prolong the effects of this medicine due to reduced metabolism and altered distribution. Dose reduction and careful monitoring are advised. In severe hepatic impairment, alternative agents may be considered. |
| Maximum Daily Dose | Not established from the available information. Dosing is individualized and titrated to effect under close monitoring. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of survec 10mg injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Gentamicin | Major | |
| Magnesium sulfate | Major | |
| Isoflurane | Major | |
| Lidocaine | Major | |
| Verapamil | Moderate | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Neostigmine | Minor | |
| Azathioprine | Minor | |
| Phenytoin | Moderate |
🚨 Major Interactions
- Aminoglycoside antibiotics (e.g., gentamicin, tobramycin)
- Magnesium sulfate
- Inhalational anesthetics (e.g., isoflurane, sevoflurane)
- Local anesthetics (e.g., lidocaine)
⚡ Moderate Interactions
- Calcium channel blockers (e.g., verapamil)
- Diuretics (e.g., furosemide)
- Corticosteroids
🍷 Alcohol Interaction
Alcohol may enhance the central nervous system depressant effects of co-administered anesthetics and sedatives, but it does not directly interact with this medicine. Patients should avoid alcohol before and after surgery as advised by their doctor.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to vecuronium or any component of the formulation","Hypersensitivity to bromide (if formulation contains bromide)","Inability to provide adequate airway management and ventilation","Use in patients who are not under the care of a qualified anesthesia provider"]
⚠️ Warnings & Precautions
["This medicine should only be administered by experienced clinicians in a setting with immediate access to airway management equipment and resuscitation drugs.","It does not provide sedation, analgesia, or amnesia; appropriate co-administration of these agents is essential.","Prolonged use may lead to muscle weakness and prolonged paralysis, especially in critically ill patients.","Use with caution in patients with renal or hepatic impairment; dose reduction may be necessary.","Use with caution in patients with cardiovascular disease, as it may cause bradycardia and hypotension.","Use with caution in patients with electrolyte imbalances, as these may alter the response to this medicine.","This medicine may cause histamine release, leading to flushing, hypotension, and tachycardia.","Reversal agents should be readily available to counteract neuromuscular blockade if needed.","This medicine should be stored under refrigeration and protected from light; follow manufacturer instructions."]
🤱 Lactation Safety
Not established from the available information. It is not known whether this medicine is excreted in human breast milk. Because it is used during surgery, breastfeeding is typically not a concern immediately after a single dose, but mothers should consult their doctor.
💊 Overdose Management
Overdose of this medicine results in prolonged neuromuscular blockade, leading to extended muscle paralysis and respiratory failure. Management includes continued mechanical ventilation and monitoring until full recovery of neuromuscular function. Reversal agents such as acetylcholinesterase inhibitors (e.g., neostigmine) may be administered once signs of recovery appear. Supportive care for cardiovascular and respiratory functions is essential. There is no specific antidote other than reversal agents and supportive measures.
⏰ Missed Dose
This medicine is administered by healthcare professionals in a controlled setting, so missed doses are not applicable to patients. If a scheduled dose is missed in a hospital setting, the medical team will determine the appropriate action based on the patient's condition and the timing of the next dose.
Additional Safety Advice
This medicine must only be administered by or under the direct supervision of a qualified anesthesia provider or intensive care specialist. It should never be used outside a hospital or surgical setting where immediate access to airway management equipment, oxygen, and resuscitation drugs is available. Before receiving this medicine, inform your doctor about all your medical conditions, especially if you have kidney or liver problems, heart disease, electrolyte imbalances, or a history of allergic reactions to muscle relaxants. Also, tell your doctor about all medications you are taking, including over-the-counter drugs, supplements, and herbal products, as many can interact with this medicine. After receiving this medicine, you will be closely monitored until you fully recover from muscle paralysis. Do not attempt to move or drive until your doctor confirms it is safe. If you experience any difficulty breathing, swelling of the face or throat, or severe skin rash after receiving this medicine, seek emergency medical help immediately. Pregnant women should inform their doctor, as the use of this medicine during pregnancy requires careful consideration of risks and benefits. This medicine is not for home use and should be stored and handled only by healthcare professionals.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced renal and hepatic function, which can prolong the effects of this medicine. Doses should be carefully titrated based on neuromuscular monitoring. Caution is advised, and alternative agents may be considered.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before receiving this medicine. It is used only when necessary during surgery. There is no evidence that it affects fertility. Use during pregnancy should be based on the benefit-risk assessment by your healthcare provider.
🏥 Post-Surgery Considerations
After surgery, you will be monitored until the effects of this medicine wear off. You may experience muscle weakness and will need assistance with movement. Follow your doctor's instructions for pain management and activity. Report any unusual symptoms, such as difficulty breathing or prolonged weakness, immediately.
🦷 Dental Procedures
This medicine is not typically used for dental procedures, as they usually require only local anesthesia or sedation. If you are scheduled for dental work and have received this medicine recently, inform your dentist. It is unlikely to affect dental procedures, but your dentist should be aware of your medical history.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
After receiving this medicine, you may experience muscle weakness for some time. Do not engage in any strenuous activity or exercise until your doctor confirms it is safe. Start with light activities and gradually increase as tolerated.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is used during surgery or in the ICU, so its impact on work and daily life is temporary. You will need to rest and recover after the procedure. Do not drive or operate machinery until your doctor says it is safe. Most patients can resume normal activities within a few days, depending on the surgery and their overall health.
🛑 When to Stop This Medicine
This medicine is stopped by the healthcare team once the surgical procedure is complete or when muscle relaxation is no longer needed. Reversal agents may be given to speed up recovery. Do not attempt to stop or adjust this medicine yourself; it is always managed by a qualified clinician.
📅 Long-Term Use Effects
Long-term effects of this medicine are not well established for single-dose use. Prolonged use in intensive care settings may lead to muscle weakness and prolonged paralysis, especially when combined with corticosteroids. Monitoring of neuromuscular function and gradual weaning are recommended. There is no evidence of long-term organ damage with typical use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another neuromuscular blocker with a faster onset and similar duration.
Evidence: Well-establishedAlternative for patients with renal or hepatic impairment due to organ-independent elimination.
Evidence: Well-establishedSimilar to atracurium, with predictable elimination.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, vaccination should be scheduled outside of surgical periods to avoid confusion with any post-operative symptoms.
📦 Storage Guide
✅ DO
Store under refrigeration at 2°C to 8°C (36°F to 46°F).
❌ DON'T
Do not freeze.
✅ DO
Protect from light by keeping in the original carton.
❌ DON'T
Do not expose to direct sunlight.
✅ DO
Reconstitute as per manufacturer instructions and use immediately.
❌ DON'T
Do not use if the solution is discolored or contains particles.
✅ DO
Keep out of reach of children.
❌ DON'T
Do not store in bathroom cabinets or areas with high humidity.
✈️ Traveling with This Medicine
This medicine is administered only in a hospital setting by healthcare professionals, so travel advice for patients is not applicable. Healthcare facilities transporting this medicine should ensure it is kept refrigerated at 2°C to 8°C, protected from light, and carried in its original packaging with proper documentation. Customs may require a prescription or medical order for controlled or prescription-only medications.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 1 to 3 minutes after intravenous injection.
A: This medicine does not provide pain relief. You will receive other medications to ensure you are asleep and comfortable.
A: No, this medicine causes temporary paralysis of your muscles. You will not be able to move until its effects wear off or are reversed.
A: Pediatric dosing is not established from available information. Consult a pediatrician. It may be used in children under the supervision of a pediatric anesthesiologist.
A: Tell your doctor about all your medical conditions, especially kidney or liver problems, heart disease, and any allergies. Also, inform them of all medications you are taking.
🤔 Common Patient Concerns
🔄 Substitutes for survec 10mg injection
View AllAlternative brands with exact same active ingredient:
-
veroni 10mg injectionChandra Bhagat Pharma Pvt Ltd ₹100.00 54.4% CHEAPER
-
samvec 10mg injectionSamarth Life Sciences Pvt Ltd ₹109.90 49.9% CHEAPER
-
vibro 10mg injectionCelon Laboratories Ltd ₹118.75 45.9% CHEAPER
-
neovec 10mg injectionNeon Laboratories Ltd ₹122.75 44.1% CHEAPER
-
lyvec 10mg injectionHetero Drugs Ltd ₹130.62 40.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for pain relief.
Fact: This medicine is a muscle relaxant and does not provide pain relief or sedation. It must be used with anesthetics and analgesics. - Myth: This medicine can be taken orally.
Fact: This medicine is only effective when given intravenously. It is not absorbed orally. - Myth: This medicine is safe for home use.
Fact: This medicine is a potent paralyzing agent and must only be used in a hospital setting with proper monitoring and resuscitation equipment.
🔄 Alternative Options
Generic Alternatives
- Vecuronium bromide
Brand Alternatives
- Kabivec 10mg Injection