Atracurium besylate brands and prices in Pakistan
Follow price changesAtracurium besylate · ATC M03AC · Anesthesia & critical care · Neuromuscular blockers
Atracurium besylate brands in Pakistan
17 brands of Atracurium besylate are registered in Pakistan, from 17 companies, in 29 presentations (strength, form and pack size). The most common are 10 mg/mL injection (10 brands), 50 mg/5 mL injection (5 brands) and 25 mg/2.5 mL injection (3 brands). For Atracurium besylate 10 mg/mL injection, the lowest official price is PKR 168 per vial (Relocurium by Bajwa Pharmaceuticals (Pvt.) Ltd), the middle (median) price is PKR 269 per vial and the highest is PKR 283 per vial (Atrium Injetion). Prices are the official maximum retail prices in DRAP records. Brands with the same strength and form contain the same medicine; ask your doctor or pharmacist before you switch brands.
Atracurium besylate price in Pakistan by strength and form
| Strength and form | Brands | Lowest price | Median price | Highest price |
|---|---|---|---|---|
| 10 mg/mL injection | 10 | PKR 168 / vialRelocurium | PKR 269 / vial | PKR 283 / vialAtrium Injetion |
| 50 mg/5 mL injection | 5 | PKR 217 / vialAcuria | PKR 262 / vial | PKR 283 / vialEfacurium |
| 25 mg/2.5 mL injection | 3 | PKR 188 / vialEfacurium | — | — |
| 30 mg/3 mL injection | 2 | PKR 186 / vialRelocurium | — | — |
| 50 mg/5 mL (10 mg/mL) infusion | 1 | PKR 279 / unitSatracur | — | — |
| 50 mg/mL infusion | 1 | PKR 279 / unitBiocurium | — | — |
About Atracurium besylate
Atracurium is a muscle relaxant (a neuromuscular blocking medicine). It temporarily stops muscles from moving. It is a hospital-only injection or drip into a vein, given by an experienced doctor, usually an anaesthetist, under carefully controlled conditions. It is never given into a muscle and you cannot take it yourself.
What it is used for
- Relaxing the muscles during an operation or other procedure, together with general anaesthesia
- Making it easier to put a breathing tube into the windpipe (intubation)
- Helping a machine breathe for you (controlled ventilation) during surgery or in intensive care
What it is not for
- It does not make you sleep and does not stop pain. You must also be given anaesthetic or sedation, because you could otherwise be awake but unable to move.
- It is not a medicine for use at home or for muscle cramps or muscle pain.
Common side effects
- Skin flushing or redness
- A fast or slow heartbeat
- A temporary drop in blood pressure
- Wheezing
- A mild skin rash or itching
- Soreness where the injection goes in
Get medical help straight away if
- You will be watched closely while you are given it. Tell the care team straight away if you feel any swelling of the face, lips, tongue or throat, trouble breathing, or a rash.
- Severe allergic reactions can happen, sometimes with shock or the heart stopping. The care team is trained to treat these.
- Fits (seizures) have been reported, mostly in very ill patients in intensive care.
- Spasm of the voice box (laryngospasm), or muscle weakness that lasts longer than expected.
Who should not take it, or should take care
- You should not be given it if you are allergic to atracurium or any other ingredient.
- Tell the care team if you have had an allergic reaction to another muscle relaxant or anaesthetic before.
- Tell the care team if you have asthma, allergies or a past history of wheezing or breathing spasm (bronchospasm).
- Tell the care team if you have myasthenia gravis, Eaton-Lambert syndrome or another nerve and muscle disease.
- Tell the care team if you have a severe salt or mineral (electrolyte) imbalance, burns, widespread cancer, or heart or circulation problems.
- Babies in their first month of life should not be given it.
- Pregnancy: it is given only after a doctor has weighed the benefits and risks. The UK leaflet says it can be used during a caesarean section.
- Breastfeeding: advice is given on when to resume feeding after treatment. Ask the care team.
Medicines and drinks that can interact
- Inhaled anaesthetic gases, which make it stronger
- Some antibiotics, such as aminoglycosides, polymyxins and vancomycin
- Heart rhythm medicines, such as lidocaine and quinidine
- Water tablets (diuretics), such as furosemide
- Blood pressure and heart medicines, such as propranolol and verapamil
- Epilepsy medicines, such as carbamazepine and phenytoin
- Magnesium, lithium, ketamine, quinine, chlorpromazine, dantrolene and steroid medicines
- Other muscle relaxants
- Tell the care team about every medicine, vitamin and herbal product you take before your operation.
Always tell your doctor and pharmacist about every medicine, supplement and herbal product you take.
Using it safely
- The care team chooses and manages this medicine. You do not need to do anything except tell them about your health, allergies and medicines before the operation.
- After anaesthesia, do not drive, use machines or do anything risky until the care team says it is safe. Have an adult take you home, and avoid alcohol until you are fully recovered.
- Report any side effects to a doctor, nurse or pharmacist.
Common questions
Will I be awake when I am given atracurium?
No. It is only used together with general anaesthesia or sedation, because it relaxes muscles but has no effect on consciousness or pain. The anaesthetist watches you throughout.
Why can't I get this medicine at a pharmacy?
It is a hospital medicine. It stops the muscles used for breathing, so it must be given only by doctors who can look after your airway and breathing with equipment ready.
Can I drive afterwards?
Not straight away. UK leaflets advise against driving or using machines after treatment, and the care team will tell you when it is safe.
Is it safe in pregnancy?
It is given in pregnancy only if the doctor decides it is needed. The UK leaflet says it can be used during a caesarean section. Tell the care team if you are or might be pregnant.
Sources (5)
- emc (electronic medicines compendium, UK). Atracurium Besilate 10mg/ml solution for Injection/Infusion - Patient Information Leaflet (PIL) - (emc) | 6297 (2026).
- emc (electronic medicines compendium, UK). Atracurium Besilate 10mg/ml solution for Injection/Infusion - Patient Information Leaflet (PIL) - (emc) | 6297 (medicine page) (2026).
- HPRA (Health Products Regulatory Authority, Ireland). Package Leaflet: Information for the User, Atracurium 10 mg/ml Solution for Injection or Infusion (atracurium besilate).
- Drugs.com (ASHP AHFS DI professional monograph). Atracurium (Monograph).
- Pfizer Medical (US). atracurium besylate injection, USP WARNINGS | Pfizer Medical - US.
Prepared from the sources listed by the MedInfoBase team. General information, not medical advice: it gives no doses. Your doctor or pharmacist decides the medicine and dose for you.
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Available brands
One brand is shown once per manufacturer; strengths, forms, packs and DRAP registrations remain visible as separate presentations.Official price changes for Atracurium besylate
3 official price changes across 29 tracked presentations (records from 1 Jul 2025); median change +4.9%; largest +4.9% (Biocurium 50 mg/mL)
Each bar shows how many packs had an official DRAP price change in that month (amber: increase, teal: decrease). The figure above a bar is the median change. Hover or tap a bar for detail; the table below lists the largest changes.
| Brand | Pack | Effective | Old to new | Change |
|---|---|---|---|---|
| Biocurium 50 mg/mL | 1's x5ml Ampoule | 17 Aug 2026 | PKR 265.71 to 278.84 | +4.9% |
| Atorium 10 mg/mL | 5mlx1's Ampoule | 20 Aug 2026 | PKR 256.62 to 269.30 | +4.9% |
| Biocurium 50 mg/mL | 5's x5ml Ampoules) | 17 Aug 2026 | PKR 1,328.55 to 1,394.18 | +4.9% |
All 17 Atracurium besylate brands in Pakistan
- Acuria Getz Pharma (Pvt) Limited · 25 mg/2.5 mL injection, 30 mg/3 mL injection, 50 mg/5 mL injection
- Atorium Biogen Pharma · 10 mg/mL injection
- Atrac Pharmatec Pakistan (Pvt.) Limited · 10 mg/mL injection
- Atrac The Schazoo Pharmaceutical Laboratories (Pvt.) Ltd · 10 mg injection, 10 mg/mL injection
- ATRELAX Abbott Laboratories (Pakistan) Limited · 10 mg/mL injection
- Atrium Injetion The Searle Company Limited · 10 mg/mL injection
- Bestrax-50 Bosch Pharmaceuticals (Pvt) Ltd · 50 mg/5 mL injection
- Biocurium Biogen Life Sciences · 50 mg/mL infusion
- Efacurium Surge Laboratories (Pvt.) Ltd · 25 mg/2.5 mL injection, 50 mg/5 mL injection
- Elicurium Elite Pharma (Pvt) Ltd · 10 mg/mL injection
- MUSLAX Ophth Pharma (Pvt.) Ltd · 10 mg/mL injection
- NUMBAIX 25 mg MS SIZA INTERNATIONAL PVT LTD · 25 mg/2.5 mL injection
- Relaxtron Zafa Pharmaceutical Laboratories (Pvt) Ltd · 10 mg/mL injection
- Relocurium Bajwa Pharmaceuticals (Pvt.) Ltd · 10 mg/mL injection, 30 mg/3 mL injection, 50 mg/5 mL injection
- Satracur Solaris Life Sciences Private Limited · 50 mg/5 mL (10 mg/mL) infusion
- Tardax Pharmasol (Pvt) Ltd · 10 mg/mL injection
- Veerium VENUS PHARMA · 50 mg/5 mL injection
Atracurium besylate in Pakistan: common questions
How many Atracurium besylate brands are available in Pakistan?
17 brands of Atracurium besylate are registered in Pakistan, made or imported by 17 companies.
What is the price of Atracurium besylate 10 mg/mL injection in Pakistan?
The lowest official price is PKR 168 per vial (Relocurium by Bajwa Pharmaceuticals (Pvt.) Ltd), the middle (median) price is PKR 269 per vial and the highest is PKR 283 per vial (Atrium Injetion). These prices are for 3 brands with an official price. The cheapest pack is Relocurium 1 x 2.5ml at PKR 168.
What is the price of Atracurium besylate 50 mg/5 mL injection in Pakistan?
The lowest official price is PKR 217 per vial (Acuria by Getz Pharma (Pvt) Limited), the middle (median) price is PKR 262 per vial and the highest is PKR 283 per vial (Efacurium). These prices are for 4 brands with an official price. The cheapest pack is Acuria 5ml x 1's at PKR 217.
What is the price of Atracurium besylate 25 mg/2.5 mL injection in Pakistan?
The lowest official price is PKR 188 per vial (Efacurium by Surge Laboratories (Pvt.) Ltd). The cheapest pack is Efacurium 5's at PKR 942.
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