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|Remifentanil Hydrochloride |
Drugs search, click the first letter of a drug name: | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | 1 | 2 | 3 | 4 | 5 | 6 | 8 | 9 Home Remifentanil HydrochloridePronouncation: (reh-mih-FEN-tah-nill HIGH-droe-KLOR-ide)Class: Opioid analgesic Trade Names: Mechanism of ActionPharmacologyOpioid agonist. PharmacokineticsAbsorptionPlasma concentrations are proportional to the administered dose. DistributionInitial V d is approximately 100 mL/kg and distributes into peripheral tissue with a V dss of approximately 350 mL/kg. Plasma protein binding is approximately 70%. MetabolismMetabolized by nonspecific esterases in blood and tissue. EliminationElimination t ½ is approximately 3 to 10 minutes. Special PopulationsElderlyThe clearance is reduced approximately 25%. ChildrenIn pediatric patients, 5 days to 17 yr, the clearance and V d are increased. Indications and UsageAnalgesic for use during the induction and maintenance of general anesthesia for inpatient and outpatient procedures and for continuation as an analgesic into the immediate postoperative period under supervision of an anesthesia practitioner; as an analgesic component of monitored anesthesia care. ContraindicationsEpidural or intrathecal administration; hypersensitivity to fentanyl analogs; any component of the product. Dosage and AdministrationGeneral AnesthesiaNot recommended as the sole agent in general anesthesia. AdultsInduction of anesthesia through intubation: IV 0.5 to 1 mcg/kg/min by continuous infusion. If endotracheal intubation is to occur less than 8 min after the start of infusion, then an initial dose of 1 mcg/kg may be given over 30 to 60 sec. Maintenance Of Anesthesia With Nitrous Oxide (66%)Adults IV 0.4 mcg/kg/min by continuous infusion (range, 0.1 to 2 mcg/kg/min), supplemental bolus dose of 1 mcg/kg. Maintenance of Anesthesia with Isoflurane (0.4 to 1.5 MAC) or Propofol (100 to 200 mcg/kg/min)Adults IV 0.25 mcg/kg/min (range, 0.05 to 2 mcg/kg/min), supplemental bolus of 1 mcg/kg. Continuation As An Analgesic Into Immediate Postoperative PeriodAdults IV 0.1 mcg/kg/min (range, 0.025 to 0.2 mcg/kg/min), supplemental bolus not recommended. Analgesic Component Of Monitored Anesthesia CareSupplemental oxygen should be supplied. AdultsSingle dose: IV 0.5 to 1 mcg/kg administered over 30 to 60 sec given 90 sec before placement of the local or regional anesthetic block. AdultsContinuous infusion: IV 0.1 mcg/kg/min beginning 5 min before placement of local or regional anesthetic block. Individualization of DosageElderly (over 65 yr of age) IV Decrease the starting dose by 50% and cautiously titrate to effect. Children (2 yr and over)IV Same doses per kg as adults. ObesityIV Base starting dose on ideal body weight in patients more than 30% over ideal body weight. General Advice
Storage/StabilityStore powder for injection in refrigerator (36° to 46°F) or at room temperature (less than 78°F). Reconstituted and diluted solutions are stable for up to 24 hr at room temperature. Drug InteractionsAgonist/Antagonist analgesicsWithdrawal may be precipitated. Barbiturate anestheticsMay cause increased CNS and respiratory depression. Laboratory Test InteractionsNone well documented. Adverse ReactionsCardiovascularBradycardia; hypotension; tachycardia; hypertension; premature ventricular beats; MI; atrial fibrillation; atrial flutter; decreased cardiac output; arrhythmia; ventricular fibrillation; third degree heart block. CNSDizziness; agitation; headache; somnolence; anxiety; hallucinations; decreased mental acuity. DermatologicPruritus. EENTVisual disturbance; pharyngitis. GINausea; vomiting; constipation. GenitourinaryOliguria. HematologicCoagulation disorder; hemorrhage; anemia; thrombocytopenia. RespiratoryRespiratory depression; apnea; pleural effusion; pneumonia; cough; dyspnea. MiscellaneousSkeletal muscle rigidity; shivering; chills; fever; postoperative pain; hypoxia; sweating; flushing; warm sensation; pain at IV site; postoperative and perioperative complications; involuntary movements; edema; heartburn. PrecautionsPregnancyCategory C . LactationUndetermined. ChildrenSafety and efficacy not established in children under 2 yr. ElderlyReduce dose in patients over 65 yr. Drug dependenceHas abuse potential of the morphine type. OverdosageSymptomsExtension of the pharmacologic effects including, apnea, chest-wall rigidity, seizures, hypoxemia, hypotension, bradycardia Patient Information
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