Riferimento farmaci
Sufentanil
Sufentanil is a medicine in the class musculoskeletal. It is used for balanced anesthesia.
- Classe del farmaco: Musculoskeletal
- Indicato per: balanced anesthesia
Ultimo aggiornamento Fonti: US FDA label, EMA SmPC
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In breve
- Classe del farmaco
- Musculoskeletal
- Codice ATC
- N01AH03
- Interazioni note
- 162 (Maggiore: 88 · Moderata: 63 · Minore: 11)
- Nomi commerciali
- 1
- Paesi e mercati
- 1
Per cosa si usa
Come agisce
Sufentanil is an opioid agonist. In balanced general anesthesia it has been reported to be as much as 10 times as potent as fentanyl.
Dose abituale nell'adulto (sintesi del foglio illustrativo)
Analgesic adjunct to general anesthesia: doses up to 8 mcg/kg IV by slow injection or infusion; total dosage of 1 mcg/kg/hr or less recommended; individualize
Gravidanza e allattamento
- Gravidanza
- Unknown No human data on birth defects; no malformations in animals, but embryo loss in rabbits near the human dose. It crosses the placenta: use near delivery can depress the newborn's breathing; longer use can cause neonatal opioid withdrawal. Widely used epidurally in labour; have naloxone ready.
- Allattamento
- Safe Epidural or IV use in labour or briefly after birth transfers little into milk; LactMed: not a reason to stop. Limit postpartum use to a few days, then non-opioid pain relief. US labels: monitor for infant sedation and breathing problems; call a doctor if very sleepy or limp.
Effetti indesiderati segnalati
- Apnea
- Rigidity
- Bradycardia
- Pruritus (epidural)
Avvertenze in evidenza
- Exposes users to addiction, abuse and misuse, which can lead to overdose and death; assess risk and reassess regularly. Life-threatening or fatal respiratory depression may occur, especially at initiation or dose increase. Concomitant benzodiazepines or other CNS depressants may cause profound sedation, respiratory depression, coma and death. CYP3A4 inhibitors may raise sufentanil levels and cause fatal respiratory depression; stopping a CYP3A4 inducer may also raise levels; monitor.
Controindicazioni
- Hypersensitivity to sufentanil (e.g., anaphylaxis)
Chi deve prestare attenzione
- Life-threatening respiratory depression; give only by trained persons with resuscitative equipment; respiratory depression may outlast analgesia
- Increased risk in COPD, elderly, cachectic or debilitated patients; monitor closely
- Skeletal muscle rigidity; manage with a neuromuscular blocking agent
Informare il farmacista o il medico di gravidanza o allattamento, malattie renali o epatiche, allergie e di ogni altro farmaco o integratore assunto.
Interazioni principali (162)
- Alprazolam + Sufentanil Major
- Amitriptyline + Sufentanil Major
- Amobarbital + Sufentanil Major
- Aripiprazole + Sufentanil Major
- Asenapine + Sufentanil Major
- Baclofen + Sufentanil Major
- Brexpiprazole + Sufentanil Major
- Brompheniramine + Sufentanil Major
- Butorphanol + Sufentanil Major
- Cariprazine + Sufentanil Major
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- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
- IV preparation and dilution
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Altri farmaci della stessa classe
Domande frequenti
What is Sufentanil used for?
Sufentanil is a medicine in the class musculoskeletal. It is used for Balanced anesthesia, General anesthesia.
What side effects have been reported with Sufentanil?
Apnea, Rigidity, Bradycardia, Pruritus (epidural). Serious warning: Exposes users to addiction, abuse and misuse, which can lead to overdose and death; assess risk and reassess regularly.
Can Sufentanil be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. No human data on birth defects; no malformations in animals, but embryo loss in rabbits near the human dose. It crosses the placenta: use near delivery can depress the newborn's breathing; longer use can cause neonatal opioid withdrawal. Widely used epidurally in labour; have naloxone ready. Breastfeeding: Safe. Epidural or IV use in labour or briefly after birth transfers little into milk; LactMed: not a reason to stop. Limit postpartum use to a few days, then non-opioid pain relief. US labels: monitor for infant sedation and breathing problems; call a doctor if very sleepy or limp.
What does Sufentanil interact with?
MediHelp lists 162 known interactions for Sufentanil. Major: 88 · Moderate: 63 · Minor: 11. The most serious include Alprazolam, Amitriptyline, Amobarbital.
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