医薬品リファレンス
Oliceridine
Oliceridine is a medicine in the class musculoskeletal. It is used for pain management.
- 薬効分類: Musculoskeletal
- 効能・効果: pain management
最終更新日 出典: US FDA label
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要点
- 薬効分類
- Musculoskeletal
- 一般的な剤形
- 注射剤
- 既知の相互作用
- 200 (併用禁忌: 1 · 重大: 98 · 中等度: 78 · 軽度: 23)
- 商品名
- 1
- 国・市場
- 1
何に使われるか
作用のしくみ
Oliceridine is a full opioid agonist, relatively selective for the mu-opioid receptor; its principal therapeutic action is analgesia, with no ceiling effect to analgesia.
成人の通常用量（添付文書の要約）
Acute pain severe enough to require an IV opioid: initial dose 1.5 mg IV given by a healthcare provider; supplemental doses of 0.75 mg beginning 1 hour after the initial dose and hourly thereafter as needed; single doses greater than 3 mg not to be given; maximum cumulative daily dose 27 mg.
妊娠と授乳
- 妊娠
- Unsafe Prolonged use in pregnancy may cause neonatal opioid withdrawal syndrome; no human data on birth defects. Animal studies showed reduced live litter size and increased pup mortality. Not recommended during and immediately before labor.
- 授乳
- Unknown It is not known whether oliceridine is in human milk; weigh the benefits of breastfeeding against the mother's need. Monitor exposed infants for excess sedation and respiratory depression.
報告されている副作用
- Nausea
- Vomiting
- Dizziness
- Headache
- Constipation
- Pruritus
警告（枠囲み警告）
- Exposes users to risks of opioid addiction, abuse and misuse, which can lead to overdose and death; assess risk before prescribing and reassess regularly. Serious, life-threatening or fatal respiratory depression may occur, especially during initiation or after a dosage increase. Concomitant use with benzodiazepines or other CNS depressants, including alcohol, may cause profound sedation, respiratory depression, coma and death; reserve for patients with inadequate alternatives. Prolonged use in pregnancy can cause neonatal opioid withdrawal syndrome, which may be life-threatening.
禁忌
- Significant respiratory depression
- Acute or severe bronchial asthma in an unmonitored setting or without resuscitative equipment
- Known or suspected gastrointestinal obstruction, including paralytic ileus
注意が必要な方
- QTc prolongation risk with cumulative daily doses above 27 mg; do not exceed 27 mg.
- Increased oliceridine exposure with decreased CYP2D6 function or with CYP3A4 inhibitors (or stopping CYP3A4 inducers) can prolong adverse reactions and worsen respiratory depression.
- Opioid-induced hyperalgesia and allodynia may occur; consider dose reduction or opioid rotation if suspected.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (200)
- Isocarboxazid + Oliceridine Contraindicated
- Alprazolam + Oliceridine Major
- Amiodarone + Oliceridine Major
- Amisulpride + Oliceridine Major
- Amitriptyline + Oliceridine Major
- Amobarbital + Oliceridine Major
- Aripiprazole + Oliceridine Major
- Asenapine + Oliceridine Major
- Baclofen + Oliceridine Major
- Brexpiprazole + Oliceridine Major
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Oliceridineの完全なモノグラフ（用量、妊娠・授乳、副作用、警告、すべての相互作用）を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
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同じ分類のほかの薬剤
よくある質問
What is Oliceridine used for?
Oliceridine is a medicine in the class musculoskeletal. It is used for Pain management.
What side effects have been reported with Oliceridine?
Nausea, Vomiting, Dizziness, Headache, Constipation, Pruritus. Serious warning: Exposes users to risks of opioid addiction, abuse and misuse, which can lead to overdose and death; assess risk before prescribing and reassess regularly.
Can Oliceridine be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Prolonged use in pregnancy may cause neonatal opioid withdrawal syndrome; no human data on birth defects. Animal studies showed reduced live litter size and increased pup mortality. Not recommended during and immediately before labor. Breastfeeding: Unknown. It is not known whether oliceridine is in human milk; weigh the benefits of breastfeeding against the mother's need. Monitor exposed infants for excess sedation and respiratory depression.
What does Oliceridine interact with?
MediHelp lists 200 known interactions for Oliceridine. Contraindicated: 1 · Major: 98 · Moderate: 78 · Minor: 23. The most serious include Isocarboxazid, Alprazolam, Amiodarone.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
