Penn State Hershey Medical Center home Penn State Hershey Medical Center home Penn State Hershey: Patient Care home Penn State Hershey: Education home Penn State Hershey: Research home Penn State Hershey: Community home
Penn State Hershey Health Information Library
  Library Home
  Find A Physician
  Find A Practice
  Request An Appointment
  Search Clinical Studies
  Classes and Support Groups
  Ask A Health Librarian
  Subscribe to eNewsletters

Penn State Hershey Health Information Centers
  Bone and Joint

        Follow Us

Rocuronium (By injection)

Rocuronium (roe-kure-OH-nee-um)

Relaxes muscles during surgery or other medical procedures.

Brand Name(s):

PremierPro Rx Rocuronium Bromide, Rocuronium Bromide Novaplus

There may be other brand names for this medicine.

When This Medicine Should Not Be Used:

This medicine is not right for everyone. You should not receive it if you had an allergic reaction to rocuronium or similar medicines.

How to Use This Medicine:


  • Your doctor will prescribe your dose and schedule. This medicine is given through a needle placed in a vein.
  • A nurse or other health provider will give you this medicine.
  • You will receive this medicine while you are in a hospital or emergency room.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • Some medicines can affect how rocuronium works. Tell your doctor if you are using any of the following:
    • Lithium, procainamide, quinidine
    • Antibiotics (such as amikacin, bacitracin, colistin, gentamicin, polymyxin, sodium colistimethate, streptomycin, tetracycline, vancomycin)
    • Magnesium salts
    • Medicine for seizures
    • Steroid medicine (such as dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone)

Warnings While Using This Medicine:

  • Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, heart or blood vessel disease, heart rhythm problems (such as QT prolongation), high blood pressure, myasthenia gravis, or Eaton-Lambert syndrome. Tell your doctor if you or a family member has a history of malignant hyperthermia (dangerous increase in body temperature) during surgery.
  • This medicine may cause muscle problems when used for a long time in intensive care unit (ICU). Talk to your doctor if you have concerns about this.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Extreme or ongoing muscle weakness
  • Fast or uneven heartbeat, high fever, rigid muscles
  • Pain, itching, burning, swelling, or a lump under your skin where the needle is placed
  • Trouble breathing

If you notice these less serious side effects, talk with your doctor:

  • Muscle weakness or stiffness in the days after you receive this medicine

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Last Updated: 5/1/2020

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites.

All rights reserved

A.D.A.M. content is best viewed in IE9 or above, Firefox and chrome browser.