Succinylcholine (Anectine) is a medication that relaxes your muscles. It can be used before surgery with general anesthesia, during intubation, and while you're on a breathing machine. This medication is only available in the hospital, and is given as an intravenous (IV, or into the veins) or intramuscular (IM, or into the muscle) injection by a trained healthcare provider.
Succinylcholine (Anectine) is a neuromuscular blocker. It works by blocking your brain from sending certain signals to your muscles. This causes your muscles to relax. Succinylcholine (Anectine) is given along with general anesthesia to help relax and keep your body still during surgery. It's also given to help relax your vocal cords during intubation or while you're on a breathing machine.
Succinylcholine (Anectine) is typically injected into a vein by a healthcare provider. Sometimes, if it's difficult to find your veins, your provider might inject this medication into the muscle instead. Succinylcholine (Anectine) is usually given in a hospital that has the staff and equipment needed to respond to any life-threatening allergic reactions or side effects right away. It's given after you've gone under anesthesia so you don't feel uncomfortable during the injection. The dose for succinylcholine (Anectine) depends on body weight, age, health conditions, and the reason it's being used.
One side effect of succinylcholine (Anectine) is raised eye pressure. Tell your provider if you have a history of glaucoma or any recent eye injury before receiving this medication. Other potential side effects include change in heart rate, change in blood pressure, drooling, and muscle pain after surgery. Talk with your provider if you have any concerns about receiving succinylcholine (Anectine).
In some rare cases, succinylcholine (Anectine) can cause allergic reactions, which can be life-threatening. During your procedure, your provider will watch for any signs and symptoms of allergic reactions (rash, hives, trouble breathing, low blood pressure, fast heart rate, or swelling of your lips, tongue, throat, or face) to make sure this medication is safe for you. Let your provider know if you've had allergic reactions to other muscle relaxers in the hospital during previous surgeries or procedures.
Rarely, succinylcholine (Anectine) can lead to a deadly medical condition that leads to muscle breakdown and high potassium levels in the body, especially in children. High potassium levels can affect heart rhythm, causing the heart to beat irregularly or stop suddenly. The risk is higher for children 8 years and younger with muscle problems. Succinylcholine (Anectine) can put you at higher risk for another life-threatening condition called malignant hyperthermia. Your provider will watch for symptoms that include rapid heart rate, fever, shortness of breath, jaw spasm, or muscle stiffness.
People with recent injury or burns, long-term stomach infections, or a history of nerve problems might not be able to receive succinylcholine (Anectine) since they're more likely to have high potassium levels which can affect the heart. Your provider might have you do blood tests beforehand to make sure this medication is safe for you. Also, succinylcholine (Anectine) can cause muscle weakness and difficulty breathing for a long period of time. The risk is higher if you're pregnant, have been receiving this medication for a long time, or have medical conditions such as kidney, liver, or heart problems. Some medications (e.g., oral birth controls, corticosteroids, metoclopramide (Reglan)) can also interfere with how your body responds to succinylcholine (Anectine).
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Succinylcholine (Anectine) will not be safe for you to take.