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SUFENTANIL CITRATE (SUFENTANIL CITRATE)
- Administration of general anesthesia
- General anesthesia adjunct
- Regional anesthesia for labor pain
50 mcg/mL intravenous solution
- Dosage information is not available
- Depade
- naltrexone
- naltrexone microspheres
- Revia
- Vivitrol
Contraindicated
- amoxicil-clarithromy-lansopraz
- Azilect
- Biaxin
- Biaxin Xl
- Biaxin Xl Pak
- boceprevir
- clarithromycin
- conivaptan in 5 % dextrose
- Crixivan
- Diflucan
- Eldepryl
- elvitegr-cobicist-emtric-tenof
- Erythrocin
- erythromycin
- erythromycin-sulfisoxazole
- fluconazole
- fluconazole in dextrose(iso-o)
- fluconazole in NaCl (iso-osm)
- Incivek
- indinavir
- Invirase
- isocarboxazid
- itraconazole
- Kaletra
- Ketek
- ketoconazole
- linezolid
- lopinavir-ritonavir
- Marplan
- Matulane
- methylene blue (antidote)
- Nardil
- nefazodone
- nelfinavir
- Norvir
- Norvir Soft Gelatin
- Noxafil
- Omeclamox-pak
- omeprazole-clarith-amoxicillin
- Onmel
- Parnate
- phenelzine
- posaconazole
- Prevpac
- procarbazine
- rasagiline
- ritonavir
- saquinavir mesylate
- selegiline HCl
- sodium oxybate
- Sporanox
- Sporanox Pulsepak
- Stribild
- telaprevir
- telithromycin
- tranylcypromine
- Vaprisol
- Vfend
- Vfend Iv
- Victrelis
- Viracept
- voriconazole
- Xyrem
- Zelapar
- Zyvox
Severe
Moderate
- Acid Reducer (cimetidine)
- Acid Relief (cimetidine)
- aprepitant
- atazanavir
- Buprenex
- buprenorphine
- buprenorphine-naloxone
- butorphanol tartrate
- Butrans
- Calan
- Calan Sr
- Cardizem
- Cardizem Cd
- Cardizem La
- Cartia Xt
- cimetidine
- Cipro
- Cipro In D5W
- Cipro Xr
- ciprofloxacin
- ciprofloxacin (mixture)
- ciprofloxacin in D5W
- darunavir
- Dilacor Xr
- Dilt-xr
- diltiazem HCl
- dronedarone
- Emend
- Fanatrex
- fosamprenavir
- fosaprepitant
- gabapentin
- gabapentin enacarbil
- Gleevec
- Gralise
- Gralise 30-day Starter Pack
- Heartburn Relief
- Horizant
- imatinib
- isoniazid-rifamp-pyrazinamide
- Lexiva
- Matzim La
- Multaq
- nalbuphine
- Neurontin
- Prezista
- Reyataz
- Rifadin
- Rifamate
- rifampin
- rifampin-isoniazid
- Rifater
- Suboxone
- Tagamet Hb
- Tarka
- Taztia Xt
- Tiazac
- trandolapril-verapamil
- verapamil
- Verelan
- Verelan Pm
- Zubsolv
- Gastrointestinal obstruction
- Paralytic ileus
Contraindicated
- Debilitation
- Disease of liver
- Drug abuse
- History of opioid overdose
- Intracranial hypertension
- Lower seizure threshold
- Seizure disorder
- Sleep apnea
Severe
Moderate
- Adrenal cortical insufficiency
- Bradycardia
- Chronic disease of respiratory system
- Decreased cardiac function
- Kidney disease with reduction in GFR
- Spasm of sphincter of oddi
SUFENTANIL CITRATE (SUFENTANIL CITRATE)
- Administration of general anesthesia
- General anesthesia adjunct
- Regional anesthesia for labor pain
- Bradycardia
- Hypotension
- Respiratory depression
- Drowsy
- Nausea
- Vomiting
More Frequent
Severe
Less Severe
- Cardiac arrhythmia
- None
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Acute confusion
- Allergic dermatitis
- Bronchospastic pulmonary disease
- Circulatory depression
- Delirium
- Depression
- Disorder of adrenal gland
- Excitement
- Laryngismus
- Paresthesia
- Pruritus of skin
- Tonic clonic seizure
Less Severe
- Biliary spasm
- Blurred vision
- Chills
- CNS depression
- Constipation
- Diplopia
- Erectile dysfunction
- Infertility
- Libido changes
- Orthostatic hypotension
- Ureteral spasm
- Visual changes
Contraindicated
None
Severe Precaution
Narcotic Analgesics, Systemic
Potential increased sensitivity to effects, adverse CNS effects and respiratory depression.
- 1 Day – 2 Years
- Potential increased sensitivity to effects, adverse CNS effects and respiratory depression.
Management or Monitoring Precaution
None
Sufentanil
- Severity Level:
2
- Additional Notes: Withdrawal and neonatal abstinence syndrome may occur.
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
Sufentanil Citrate
Insuff data avail; molecular wt low enough for possible breastmilk excretion.
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Unknown | Not known; no or inclusive data | Insuff data avail; molecular wt low enough for possible breastmilk excretion. |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
Sufentanil
Pulmonary-DO NOT USE in opioid intolerance. Life threatening respiratory depression risk due to altered pharmacokinetics (poor fat stores, muscle wasting, or altered clearance). Monitor closely at initiation and dose titration. Consider naloxone Rx. Neuro/Psych-Risk for confusion, delirium and falls. Avoid treatment with 3 or more CNS active agents. Gastrointestinal-Increased rate of constipation in the elderly. Cardiovascular-Vasodilation may predispose to orthostatic hypotension.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | Y | Y | Y | Y | Y | N |
BEERS: Y HEDIS: N STOPP: Y
No Known Risk
None
- None
Formulary Reference Tool