Remifentanil 5 Aspen 5 mg Injection

Remifentanil 5 Aspen 5 mg Injection

S6
PDF Leaflet Revision Date: 03 October 2023


Clinical Summary

Quick overview from the medicine insert

Indication

Narcotic analgesic for induction and maintenance of anaesthesia.

Dosage (summary)

Adults: 0.5-1.0 u03bcg/kg/min continuous infusion; initial bolus 1 u03bcg/kg over 30 seconds.

Onset of Action / Duration

Onset: 1-2 mins, Duration: 5-10 mins

Special Populations

  • Elderly: reduce initial dose by 50%
  • Renal impairment: no dosage adjustment needed
  • Hepatic impairment: monitor closely

Pregnancy & Breastfeeding

Safety in pregnancy and lactation not established; crosses placenta and appears in breast milk.

Key Drug Interactions

  • Increased risk of respiratory depression with benzodiazepines
  • Decreased requirement for inhaled and IV anaesthetics

Contraindications

  • Hypersensitivity to excipients
  • Not for use without planned artificial ventilation
  • Not recommended for epidural or intrathecal use

Common side effects

  • Respiratory depression
  • Bradycardia
  • Hypotension
  • Skeletal muscle rigidity

Counselling Points

  • Monitor for signs of respiratory depression
  • Avoid driving or operating machinery post-treatment
  • Ensure alternative analgesia is in place before discontinuation

Serious warnings

  • Risk of sedation and respiratory depression with concomitant sedatives
  • Potential for withdrawal syndrome after prolonged use
Important Disclaimer

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