Alfentanil (HCl)
Generic medicine reference
Not yet clinically reviewed
This entry was migrated from the earlier Pharmapedia app bundle and has not been reviewed by a named clinician on this site. It is provided for educational reference only — verify dosage and safety information against current, authoritative sources and a qualified healthcare professional before any clinical use.
Overview
Alfentanil (HCl) is a potent (micro)mu-receptor agonist opioid with a very rapid onset of action. Alfentanil (HCl) is a synthetic opioid derived from fentanyl. Alfentanil (HCl) is a narcotic analgesic (relieves pain with loss of consciousness). Alfentanil (HCl) is used as a primary anesthetic (agent that causes loss of sensation) for the induction of anaestheia in general surgery and as a analgesic adjunct in the maintenance of anaesthesia with other drugs. Alfentanil (HCl) is not available in any combination preparation. Alfentanil (HCl) is administered intravenously.
Indications
Alfentanil (HCl) is primarily indicated in conditions like Analgesia and suppression of respiratory activity, Analgesia especially during short operative procedure, Opioid anesthesia induction, Opioid anesthesia maintenance, Post-operative pain, and can also be given in adjunctive therapy as an alternative drug of choice in Sedation.
Contraindications
Alfentanil (HCl) is contraindicated in conditions like Hypersensitivity, Increased intracranial pressure, Severe respiratory depression.
Side Effects
Alfentanil (HCl) produces potentially life-threatening effects which include Apnea, Chest wall rigidity, Respiratory depression, Bradycardia, Nausea, vomiting, Hypertension. which are responsible for the discontinuation of Alfentanil (HCl) therapy.The signs and symptoms that are produced after the acute overdosage of Alfentanil (HCl) include Hypotension, Pulmonary edema, Rhabdomyolysis.The symptomatic adverse reactions produced by Alfentanil (HCl) are more or less tolerable and if they become severe, they can be treated symptomatically, these include Nausea, Vomiting, Blurred vision, Dizziness, Apnea, post-op respiratory depression.
Warnings
Alfentanil should be used with caution in patients with central nervous system (CNS) depression, convulsive disorder, ulcerative colitis, fever, recent gastrointestinal (GI) surgery, bradyarrhythmia, Head injury, History of drug abuse, supraventricular tachycardia, pulmonary diseases. Patients should exercise caution while driving or performing tasks requiring alertness because it may produce drowsiness.
High Risk Groups
Drug should not be given to Pregnant Mothers, patients suffering from Liver Malfunction, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Adult Dosage
1 ug/kg (1 (1)) As recommended. IV — Maintenance per week, As Required
5 to 10 ug/kg (7.5 (7.5)) As recommended. IV — Load over 20-30 Seconds
Child Dosage
No child dosage information is recorded for this medicine yet.
Neonatal Dosage
No neonatal dosage information is recorded for this medicine yet.
Drug Interactions
Alfentanil (HCl) is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementBuprenorphine (HCl)FluconazoleKetoconazoleKetoconazoleNalbuphine (HCl)PentazocineSuxamethonium (Cl)Vecuronium (Br)VORICONAZOLEmay increase the serum concentration of alfentanil by decreasing its metabolism. Monitor for increased anesthetic and respiratory depressant effects and consider using lower alfentanil doses or alternate anesthetic. These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Storage
IV Inj, IV Inf. Store at room temperature.
Available Brands in Pakistan
No brands are recorded for this generic.
