fentanyl.txt

• Sublimaze
• Actiq
• Durogesic
• Duragesic
• Fentora
• Onsolis
• Instanyl
• Abstral

Narcotic Analgesic, Schedule II

Fentanylcitrate is a narcotic analgesic. A dose of 100mcg (0.1mg) (2mL) is approximately equivalent in analgesic activity to 10mg of morphine or 75mg of meperidine

• Analgesia
• Adjunct to Cardioversion & Pacing
• Management of ACS
• General Pain Management (Adult/Pedi)
• Burn/Inhalation Injuries
• Hypertensive Emergencies

FentanylCitrate Injection is contraindicated in patients with known intolerance to the drug

• Respiratory depression -> Apnea -> Cardiac Arrest
• Rigidity
• Bradycardia
• Hypertension/Hypotension
• Dizziness/Blurred vision
• Nausea/Vomiting
• Laryngospasm
• Diaphoresis

• Do not use if MAOI has been used within the past 14 days
• Examples include:
• isocarboxazid (Marplan)
• phenelzine (Nardil)
• rasagiline (Azilect)
• selegiline (Eldepryl, Emsam)
• tranylcypromine (Parnate)

• 100 mcg/2ml
• 10 mL & 20 mL Dosette ampules
• 30 mL & 50 mL Single Dose vials

1 mcg/kg to max 150 mcg slow IV push

• 1 mcg/kg to max 150 mcg slow IV push
• (The safety and efficacy of fentanylcitrate in pediatric patients under two years of age has not been established)

• Onset: immediate
• Peak effect: 5 to 15 minutes
• Duration: 30 to 60

Pregnancy safety: Category C