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TRACRIUM 10 mg /Ml Injectable Solution And Perfusion Solution

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Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION

Contents of the leaflet

  1. Introduction
  2. What is Tracrium and what is it used for
  3. What you need to know before you use Tracrium
  4. How to use Tracrium
  5. Possible side effects
  6. Storage of Tracrium
  7. Contents of the pack and further information

Introduction

Package Leaflet: Information for the User

Tracrium 10 mg/ml Solution for Injection and Infusion

Atracurium, Besylate

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Tracrium and what is it used for
  2. What you need to know before you use Tracrium
  3. How to use Tracrium
  4. Possible side effects
  5. Storage of Tracrium
  6. Contents of the pack and further information

1. What is Tracrium and what is it used for

Tracrium belongs to a group of medicines called muscle relaxants.

It is used to relax muscles during many surgical operations, as well as in Intensive Care Units. It may also be used to help insert a tube into the trachea if mechanical assistance is required to breathe.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use Tracrium

Do not use Tracrium

  • If you are allergic (hypersensitive) to atracurium, cisatracurium or benzenesulfonic acid or any of the other ingredients of Tracrium or any other muscle relaxant such as suxamethonium (listed in section 6).

Warnings and Precautions

Tell your doctor if you or a member of your family has had an unusual reaction to an anaesthetic (e.g. an unexpectedly long action), or if you or any member of your family has a warning card indicating that this has happened in the past.

During the administration of Tracrium, there is a possibility that histamine (a substance involved in allergies) may be released in susceptible patients. Caution should be exercised when administering Tracrium to patients with a history suggesting increased sensitivity to the effects of histamine.

Before starting treatment with Tracrium, tell your doctor if you have or have had:

  • Muscle weakness, tiredness or difficulty coordinating your movements (myasthenia gravis).
  • Heart disease or low blood pressure.
  • Asthma.
  • Hay fever or other allergies that cause rash, itching or shortness of breath.
  • A severe burn that required medical attention in the last 2 or 3 months.
  • A disease that causes muscle wasting, paralysis, motor neuron disease or cerebral palsy.
  • Electrolyte disturbances (changes in the usual blood levels of certain chemicals in the body).

Tell your doctor:

  • If you have ever had an allergic reaction to other muscle relaxants that you have been given during an operation.

Using Tracrium with other medicines

Tell your doctor or pharmacist if you are using or have recently used other medicines, including those obtained without a prescription.

Tracrium may interact with other medicines. It is important that you tell your doctor before receiving this medicine if you know you are taking any of the following medicines (consult your doctor if you are in doubt):

  • Antibiotics.
  • Medicines for treating heart rhythm disturbances.
  • Medicines for treating high blood pressure.
  • Medicines that help to lose body fluids (diuretics).
  • Other muscle relaxants such as pancuronium and suxamethonium.
  • Medicines for arthritis or myasthenia gravis.
  • Corticosteroids.
  • Chlorpromazine (for treating certain mental illnesses).
  • Lithium and medicines containing lithium salts (e.g. for treating depression).
  • Medicines containing magnesium (such as those used for treating indigestion or heartburn, etc.).
  • Inhaled anaesthetics (ketamine).
  • Phenytoin (antiepileptic medicine).
  • Medicines for Alzheimer's disease (anticholinesterases, e.g. donepezil).

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

Driving and using machines

It may be dangerous to drive or operate machinery immediately after being operated on. Your doctor will tell you how long you should wait before you can drive and use machinery.

3. How to use Tracrium

Tracrium should only be administered under carefully controlled conditions, under the supervision of an experienced doctor familiar with the use and action of muscle relaxants.

Your doctor will decide on the dose and duration of treatment with Tracrium that he considers suitable for your operation.

Use in Children

Tracrium is not recommended for use in children under 1 month of age.

The dose of Tracrium is determined based on body weight expressed in kilograms, the amount and duration of muscle relaxation desired, the expected response of the patient to the medicine, and the way the medicine is to be administered. During muscle relaxation, your doctor will monitor neuromuscular function (nerves and muscles) to confirm that the dose being administered is correct.

If you use more Tracrium than you should

The effects of Tracrium are carefully controlled throughout the surgical procedure, and in the unlikely event that too much medicine is administered, corrective actions will be taken immediately.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, Tracrium can cause side effects, although not everybody gets them.

The side effects that may appear during or after the operation are as follows (those marked with the symbol # are attributed to the release of histamine):

Common side effects (may affect between 1 and 10 in every 100 people)

  • Decrease in blood pressure (mild, transient) #, flushing of the skin #.

Uncommon side effects (may affect between 1 and 10 in every 1,000 people)

  • Difficulty breathing #.

If these effects appear, they will not last long and will be controlled by your doctor during the procedure.

Rare side effects (may affect between 1 and 10 in every 10,000 people)

  • Urticaria.

Very rare side effects (may affect up to 1 in every 10,000 people)

  • Anaphylactoid and anaphylactic reactions (severe allergic reactions) including anaphylactic shock, in patients receiving Tracrium together with one or more anaesthetic agents.

Side effects with frequency not known

  • There have been reports of seizures in patients in Intensive Care Units who have been receiving atracurium simultaneously with other medicines. These patients generally had a condition that predisposed them to having seizures, such as head trauma or brain disease.
  • There have been reports of muscle weakness and/or inflammatory muscle disease after prolonged use of muscle relaxants in critically ill patients in Intensive Care Units. Most patients were receiving corticosteroids at the same time. These effects have been reported rarely in association with Tracrium, and no causal relationship has been established.

If you think any of the side effects you are experiencing are serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Medicines and Healthcare Products Agency (AEMPS) website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Tracrium

Keep out of the sight and reach of children.

Store in a refrigerator (between 2°C and 8°C). Do not freeze.

Store in the original packaging to protect from light.

Any remaining Tracrium in opened ampoules should be discarded.

Do not use this medicine after the expiry date which is stated on the packaging. The expiry date refers to the last day of the month shown.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and further information

Composition of Tracrium

  • The active substance is atracurium besylate.
  • The other ingredients are benzenesulfonic acid and water for injections. It does not contain antimicrobial preservatives.

Appearance and packaging of the product

Tracrium is a solution for injection, presented in 2.5 ml or 5 ml ampoules.

Each pack contains 5 ampoules.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Aspen Pharma Trading Limited

3016 Lake Drive,

Citywest Business Campus,

Dublin 24, Ireland

Tel: +34 952 010 137

Manufacturer

Aspen Bad Oldesloe GmbH,

Industriestrasse 32-36,

23843 Bad Oldesloe,

Germany

Or

GlaxoSmithKline Manufacturing S.p.A.

Strada Provinciale Asolana, 90

43056 San Polo di Torrile (Parma)

Italy

Or

Aspen Pharma Ireland Limited

3016 Lake Drive, Citywest Business Campus

Dublin 24, Ireland

Local Representative:

ASPEN PHARMACARE ESPAÑA, S.L.

Avenida Diagonal, 512,

Planta Interior 1, Oficina 4,

Barcelona, 08006, Spain

This information is intended only for healthcare professionals:

Tracrium is compatible with the following infusion solutions for the times shown below:

Infusion Solution

Stability Period

Intravenous infusion of sodium chloride British Pharmacopoeia (BP) (0.9% w/v)

24 hours

Intravenous infusion of glucose (5% w/v) BP

8 hours

Ringer's injection USP

8 hours

Intravenous infusion of sodium chloride (0.18% w/v) and glucose (4% w/v) BP

8 hours

Intravenous infusion of compound sodium lactate BP

(Hartmann's solution)

4 hours

When diluted in these infusion solutions to achieve concentrations of atracurium besylate of 0.5 mg/ml and above, the resulting solutions will be stable at temperatures up to 25°C, under daylight, and for the periods shown.

Date of last revision of this leaflet:September 2023

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) http://www.aemps.gob.es/

Online doctors for TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION

Discuss questions about TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION is atracurium. This information helps identify medicines with the same composition but different brand names.

TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION is manufactured by Aspen Pharma Trading Limited. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy TRACRIUM 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (atracurium) include ATRACURIUM BESILATE KALCEKS 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION, ATRACURIUM BESILATE HAMELN 10 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION, CISATRACURIO ACCORDPHARMA 2 mg/ml INJECTABLE SOLUTION AND PERFUSION SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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