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What the FDA labels say about taking them together

Nitrous oxide and rocuronium

Rocuronium's FDA label of July 16, 2025 names nitrous oxide in its drug interactions section; the nitrous oxide labels PlainMeds reads (4) do not name rocuronium. The rocuronium label: “… average infusion requirement of rocuronium bromide by 40% compared to opioid/nitrous oxide/oxygen anesthesia.”

Check it at the source: the nitrous oxide FDA label on DailyMed (effective December 2, 2025, Machine & Welding Supply Company dba Arc3 Gases South); the rocuronium FDA label on DailyMed (effective July 16, 2025, Fresenius Kabi USA, LLC).

What does the nitrous oxide label say about rocuronium?

Nitrous oxide's label (effective December 2, 2025) and its 3 other brand-application labels do not name rocuronium in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Nitrous Oxide), Machine & Welding Supply Company dba Arc3 Gases South, effective December 2, 2025 (SPL set a5070767-c36a-4131-aa09-1bccfa24aa71), via openFDA; the full label on DailyMed

What does the rocuronium label say about nitrous oxide?

Rocuronium label, drug interactions

Isoflurane and enflurane may also prolong the duration of action of initial and maintenance doses of Rocuronium Bromide Injection and decrease the average infusion requirement of Rocuronium Bromide Injection by 40% compared to opioid/nitrous oxide/oxygen anesthesia.

Source: FDA drug label (Rocuronium Bromide, NDA219108), B. Braun Medical Inc., effective July 17, 2026 (SPL set a54a79f7-5207-43d8-a139-7d57557caa50), via openFDA

Source: FDA drug label (Rocuronium), Fresenius Kabi USA, LLC, effective July 16, 2025 (SPL set 9a622308-7bda-4ca0-9de5-d6b3b4be3384), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Nitrous oxide generic labelers
26Rocuronium generic labelers
Nitrous oxideRocuronium
Labeled forn/an/a
Boxed warningNoNo
Pharmacy cost (NADAC)n/an/a
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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