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Title: Sugammadex: the first selective binding reversal agent for neuromuscular block. Author: Kovac AL. Journal: J Clin Anesth; 2009 Sep; 21(6):444-53. PubMed ID: 19833281. Abstract: Sugammadex is a novel cyclodextrin, the first in a new class of selective binding reversal agents that terminates neuromuscular block (NMB) with the steroidal nondepolarizing agents, rocuronium and vecuronium. Sugammadex can reverse a moderate or deep NMB. The dose required depends on the level of NMB that needs to be reversed. Smaller doses are sufficient for a moderate versus deep NMB. In October 2007, a new drug application for sugammadex was submitted to the U.S. Food and Drug Administration (FDA). The FDA issued a not-approvable letter in July 2008. The manufacturer continues clinical trials.[Abstract] [Full Text] [Related] [New Search]