Please wait while the formulary information is being retrieved.
ULTANE (SEVOFLURANE)
- Administration of general anesthesia
inhalation liquid
- Dosage information is not available
inhalation liquid
- Dosage information is not available
- amiodarone
- amiodarone in dextrose,iso-osm
- artemether-lumefantrine
- Coartem
- Cordarone
- disopyramide
- dronedarone
- droperidol
- Multaq
- Nexterone
- Norpace
- Norpace Cr
- Orap
- Pacerone
- pimozide
Contraindicated
- 12 Hour Nasal Relief Spray
- 12 Hour Nasal Spray
- abobotulinumtoxinA
- Acta-tabs Pe
- Adderall
- Adderall Xr
- Adipex-p
- Adrenalin
- Adult Robitussin M-s Cold
- Adult Robitussin Night M-s Cld
- Adult Robitussin Peak Cold M-s
- Adult Tussin Multi-symp Cold
- Advair Diskus
- Advair Hfa
- Advil Allergy-congestion Rlf
- Advil Congestion Relief
- Afrin (oxymetazoline)
- Afrin Sinus
- Afrin Sinus No Drip
- Ala-hist Dm
- Ala-hist Pe
- albuterol sulfate
- Aldex D
- Aldex-ct
- Alka-seltzer Plus C/c(pe,dm)
- Alka-seltzer Plus Cold (pe)
- Alka-seltzer Plus Cold/cough
- Alka-seltzer Plus Day
- Alka-seltzer Plus Day-night
- Alka-seltzer Plus Flu
- Alka-seltzer Plus Night
- Alka-seltzer Plus Sin-allg-cgh
- Alka-seltzer Plus Sinus-cough
- Allergy M-s Nighttime
- Allergy Multi-symptom
- Allergy Plus Severe Sinus Ha
- Allergy Relief Multi-symptom
- Allergy Relief(chlorphen-acet)
- Allergy Relief-sinus Headache
- Allergy Sinus Headache
- Allergy Sinus Pe
- Allergy-d
- Allergy-sinus
- Altipres
- Altipres Pediatric
- Altipres-b
- Ambi 10Peh-4Cpm
- Ambi 10Peh-4Cpm-20Dm
- Amphetamine Salt Combo
- Anectine
- Anefrin
- Anoro Ellipta
- Ap-hist Dm
- Arcapta Neohaler
- arformoterol
- Asthmanefrin Refill
- Asthmanefrin Starter Kit
- atracurium
- Balamine Dm
- benzphetamine
- Bio T Pres
- Bio T Pres Pediatric
- Bio T Pres-b
- Bio-b Kids
- Bio-s-pres Dx
- Biobron Dx
- Biobron Sf
- Biocotron-d
- Biodesp Dm
- Biogil
- Biogtuss Nf
- Bionatuss Dxp
- Bontril Pdm
- Botox
- Botox Cosmetic
- Breo Ellipta
- Brohist D
- brompheniramin-phenylephrin-DM
- brompheniramine-PE-chlophedian
- brompheniramine-PE-codeine
- brompheniramine-phenylephrine
- Bronchial Asthma Relief
- Bronchial Mist
- Bronchial Mist Refill
- Broncotron Ped
- Bronkaid Dual Action
- Bronkids
- Brontuss Sf
- Brovana
- Brovex Peb
- Brovex Peb Dm
- budesonide-formoterol
- bupivacaine-epinephrine
- bupivacaine-epinephrine (PF)
- bupivacaine-epinephrine bitart
- Capcof
- Caprelsa
- Carbaphen Ch
- Carbaphen Ped Ch
- Cardec
- Cardec Dm
- Ccp Caffeine Free
- Centergy
- Centergy Dm
- Chest Congestion Relief Pe
- Chest-sinus Congestion Relief
- Child Delsym Cough+cold
- Child Dometuss-da
- Child Mucinex Congestion-cough
- Child Mucinex Stuffy Nose-cold
- Child Multi-symptom Cold/cough
- Child Wal-tap Cold-allergy
- Child's Benadryl-d Allergy-sin
- Child's Mucus Relief M-s Cold
- Children Night Time Cold-cough
- Children's Cold & Allergy
- Children's Cold & Cough
- Children's Cold & Cough Dm
- Children's Cold-cough-sore
- Children's Dibromm Cold & Alle
- Children's Dibromm Dm Cold & C
- Children's Dimetapp Cold &Flu
- Children's Flu Relief
- Children's Mucinex Cold-fever
- Children's Mucinex Multi-symp
- Children's Mucinex Night Time
- Children's Plus Flu
- Children's Sudafed Pe Cough
- Children's Sudafed Pe Nasal
- Childrens Plus Cold
- Childs Plus Cold & Allergy
- Childs Triacting Cold & Cough
- chlorcyclizine-phenylephrine
- chlorphen-PE-DM-acetaminophen
- chlorphen-phenyleph-DM-aspirin
- chlorphen-phenyleph-ibuprofen
- chlorphenir-phenylephrn-aspirn
- chlorpheniram-PE-chlophedianol
- chlorpheniramine-PE-codeine
- chlorpheniramine-phenyleph-DM
- chlorpheniramine-phenylephrine
- cisatracurium
- Codituss Dm
- Cold & Allergy
- Cold & Allergy Pe
- Cold & Cough
- Cold & Cough Dm
- Cold & Cough Elixir
- Cold & Flu Severe
- Cold Head Congestion
- Cold Head Congestion Day/nite
- Cold Multi-symptom
- Cold Multi-symptom Day/night
- Cold Multi-symptom Daytime
- Cold Multi-symptom Nighttime
- Cold Relief
- Cold Relief M/s Day/night
- Cold Relief Plus
- Cold Severe Congestion
- Cold-cough Sinus Relief Pe
- Cold-flu Relief
- Cold-flu Relief, Day/night
- Combivent Respimat
- Complete Sinus Relief
- Concerta
- Congest-eze Pe
- Contac Cold-flu Day And Night
- Contac Cold-flu Max Strength
- Cough & Cold
- Cough & Cold Mucus Relief Cf
- Cough & Severe Cold
- cpm-phenyleph-acetaminophen
- Dallergy (chlorcyclizine-pe)
- Dallergy (chlorpheniramine-pe)
- Dallergy (dexbrompheniramn-pe)
- Day Time Pe
- Daytime
- Daytime & Nighttime Cold
- Daytime & Nitetime Sinus
- Daytime Cold & Flu Relief
- Daytime Cold-flu
- Daytime Sinus
- Daytime-nighttime
- Daytime-nighttime Cold-flu
- Daytrana
- Deconex Dmx
- Deconex Ir
- Decorel Forte Plus
- Delsym Cough+cold Daytime
- Delsym Cough+cold Nighttime
- Desgen
- Desgen Dm
- Desoxyn
- Despec
- Despec Eda Cough & Cold Drops
- Despec-dm
- dexbromphen-phenyleph-acetamin
- dexbrompheniramine-phenylep-DM
- dexbrompheniramine-phenyleph
- dexchlorphen-phenyleph-codeine
- dexchlorpheniram-phenylephrine
- Dexedrine Spansule
- dexmethylphenidate
- dextroamphetamine
- dextroamphetamine-amphetamine
- Didrex
- diethylpropion
- Dimaphen (pe)
- Dimaphen Dm
- Dimetapp Cold-allergy (pe)
- Dimetapp Cold-congestion
- Dimetapp Dm Cold-cough (pe)
- diphenhy HCl-PE-DM-acetamin-GG
- diphenhyd-PE-acetaminophen
- diphenhyd-PE-DM-acetaminophen
- diphenhydram-PE-acetaminoph-GG
- diphenhydramine-phenylephrine
- DM-PE-acetam/DM-acetam-doxylam
- dobutamine
- dobutamine in D5W
- dofetilide
- Dometuss G
- Dometuss-dmx
- Donatussin Pediatric
- dopamine
- dopamine in D5W
- doxylam-PE-DM-acetaminophen-GG
- doxylam-phenylephrine-acetamin
- doxylamine-PE-DM-acetaminophen
- doxylamine-phenylep-DM-aspirin
- doxylamine-phenylephrine
- Dristan Cold
- Dristan Long Lasting
- Dulera
- Duoneb
- Duravent Dm
- Duravent Pe
- Dysport
- Ed A-hist
- Ed A-hist Dm
- Ed Bron Gp
- Ed Chlorped D
- Effervescent Cold Relief Plus
- Endacof - Dm
- Endacon
- Entex Lq
- Entre-b
- ephedrine sulfate
- ephedrine sulfate-guaifenesin
- ephedrine-guaifenesin
- Ephrine
- epinephrine
- epinephrine (PF)
- epinephrine base (refill)
- epinephrine HCl
- Exactuss
- Fareston
- Fast Acting Nasal
- Fenesin Pe Ir
- Flu & Severe Cold-daytime
- Flu & Severe Cold-nighttime
- Flu & Sore Throat
- Flu & Sore Throat Relief
- Flu Formula Daytime-nighttime
- Flu Relief Therapy Cold-chest
- Flu Relief Therapy Daytime
- Flu Relief Therapy Nighttime
- Flu-severe Cold-cough
- fluticasone-salmeterol
- fluticasone-vilanterol
- Focalin
- Focalin Xr
- Foradil Aerolizer
- formoterol fumarate
- G-p-tuss Dxp
- G-supress Dx
- G-tron Ped
- G-tusicof
- Gilphex Tr
- Giltuss
- Giltuss Pediatric
- Giltuss Tr
- Head Congestion Cold Relief
- Histex Dm
- Histex Pe
- ibuprofen-phenylephrine HCl
- incobotulinumtoxinA
- indacaterol
- Intense Cold & Flu
- Invega
- Invega Sustenna
- Invirase
- ipratropium-albuterol
- isometh-dichloral-acetaminophn
- isomethepten-caf-acetaminophen
- isoproterenol HCl
- Isuprel
- J-max
- Kaletra
- labetalol
- levalbuterol HCl
- levalbuterol tartrate
- levmetamfetamine
- Levophed (bitartrate)
- lidocaine-epinephrine
- lidocaine-epinephrine (PF)
- lidocaine-epinephrine bit
- Liquibid D-r
- Liquibid Pd-r
- lisdexamfetamine
- Little Noses
- Lohist Peb Dm
- Lohist-dm
- Lohist-peb
- Long Acting Nasal Spray
- lopinavir-ritonavir
- M-end Pe
- Mapap Cold Formula
- Mapap Sinus Max Strength (pe)
- Marcaine-epinephrine
- Marcaine-epinephrine (pf)
- Maxiphen
- Maxiphen Dm
- Maxiphen Dmx
- Medi-phenyl
- Medicidin-d
- Metadate Cd
- Metadate Er
- metaproterenol
- methamphetamine
- Methylin
- methylphenidate
- midodrine
- Migragesic Ida
- mometasone-formoterol
- Mucaphed
- Mucinex Cold & Sinus
- Mucinex Cold-flu & Sore Throat
- Mucinex Fast-max Cold-flu
- Mucinex Fast-max Cold-sinus
- Mucinex Fast-max Congest-cold
- Mucinex Fast-max Congest-cough
- Mucinex Fast-max Nite Cold-flu
- Mucinex Sinus-max Day-night
- Mucinex Sinus-max Pressur-pain
- Mucinex Sinus-max Sev Congest
- Mucus Relief
- Mucus Relief Cold & Sinus
- Mucus Relief Cold-flu-sore Thr
- Mucus Relief D (phenylephrine)
- Mucus Relief Pe
- Mucus Relief Plus
- Mucus Relief Sev Congest-cold
- Mucus Relief Sinus
- Multi-symptom Cold (pe & Cpm)
- Multi-symptom Cold (pe)
- Multi-symptom Cold Daytime
- Multi-symptom Cold Night Time
- Myobloc
- Nasal Decongestant
- Nasal Decongestant (oxymetazl)
- Nasal Decongestant (pe)
- Nasal Four
- Nasal Relief
- Nasal Spray (oxymetazoline)
- Nasal Spray 12 Hour
- Nasal Spray 12 Hour Sinus
- Nasal Spray Extra Moisturizing
- Nasal Spray Long Acting
- Nasal Spray Moisturizing
- Nasal Spray Sinus
- Nasal Spray X-moist
- Nasohist
- Nasohist Dm
- Nasopen Pe
- Neo-synephrine (phenylephrine)
- Neo-synephrine 12 H Spr (oxym)
- Neotuss Plus
- Neotuss-d (improved Formula)
- Night Time Cold
- Nighttime Cough-cold
- Nighttime Sinus
- nilotinib
- Nimbex
- No Drip
- No Drip Nasal Relief
- Nodolor
- Nohist-dm
- Nohist-lq
- Non-aspirin Severe Congest M-s
- Non-aspirin Sinus
- Non-drying Sinus
- Non-pseudo Cold Relief
- Non-pseudo Sinus Pain-pressure
- Norel Ad
- Norel Cs
- norepinephrine bitartrate
- Nose Drops
- Nose Drops Extra Strength
- Nose Spray
- Nrs Nasal Relief
- Nu Way
- Nu-copd
- onabotulinumtoxinA
- Original Nasal Spray
- oxymetazoline
- Pain Relief Allergy Sinus
- Pain Relief Cold
- Pain Relief Sinus Pe
- paliperidone
- paliperidone palmitate
- pancuronium
- PE-acetam/doxylamine-PE-acetam
- PE-DM-ASA/doxyla-PE-DM-ASA
- Pediacare Decongestant (pe)
- Pediacare Multi-symptom Cold
- Perforomist
- Phenabid Dm
- Phenagil
- Phenagil Ch
- phendimetrazine tartrate
- pheniramine-phenyleph-acetamin
- phentermine
- phentermine-topiramate
- phenyleph-DM-acetamin-guaifen
- phenylephrine HCl
- phenylephrine-acetaminophen
- phenylephrine-acetaminophen-GG
- phenylephrine-chlophedianol-GG
- phenylephrine-DM
- phenylephrine-DM-acetaminophen
- phenylephrine-DM-guaifenesin
- phenylephrine-guaifenesin
- phenylephrine-pyrilamine
- Poly Hist Forte (doxylamine)
- Poly-hist Dm (thonzylamine)
- Poly-tussin Ac
- Pres Gen
- Pres Gen Pediatric
- Presgen B
- Pressure & Pain
- Primatene Asthma
- Pro-chlo
- Pro-red Ac (w/ Dexchlorphenir)
- Proair Hfa
- Procentra
- Prodrin
- Promethazine Vc
- Promethazine Vc-codeine
- promethazine-phenyleph-codeine
- promethazine-phenylephrine
- Proventil Hfa
- pyrilamine-PE-chlophedianol
- pyrilamine-phenylephrine-DM
- Pyrroxate Cold & Congest
- Qsymia
- Quelicin
- quetiapine
- Quillivant Xr
- racepinephrine
- Refenesen Pe
- Regimex
- Rescon-gg
- rimabotulinumtoxinB
- Ritalin
- Ritalin La
- Ritalin Sr
- Robafen Cf
- Robitussin Cold-flu Day
- Robitussin Cough & Cold Cf
- Ru-hist D
- Ru-hist-d (with Pyrilamine)
- Rymed
- Rynex Dm
- Rynex Pe
- S2 Racepinephrine
- salmeterol
- saquinavir mesylate
- Sensorcaine-mpf/epinephrine
- Sensorcaine/epinephrine
- Serevent Diskus
- Seroquel
- Seroquel Xr
- Severe Allergy-sinus Headache
- Severe Cold
- Severe Cold (diphen-pe-acetam)
- Severe Cold Multi-symptom
- Severe Cold Pe
- Severe Congestion
- Severe Congestion & Cough Max
- Sinex Ultra Fine Mist 12-hour
- Sinus & Allergy
- Sinus & Allergy Pe
- Sinus Cong & Pain Day-night
- Sinus Congestion & Pain
- Sinus Daytime-nightime
- Sinus Decongestant (pe)
- Sinus Formula Daytime
- Sinus Headache Pe
- Sinus Maximum Strength
- Sinus Nasal Spray
- Sinus Nighttime
- Sinus Pain Relief
- Sinus Relief (non-drowsy)
- Sinus Relief (oxymetazoline)
- Sinutrol Pe
- sodium oxybate
- succinylcholine chloride
- Sudafed Pe Pressure+pain+cold
- Sudafed Pe Pressure+pain+cough
- Sudogest Pe
- Suphedrine Pe
- Suphedrine Pe Cold & Allergy
- Suphedrine Pe Day-night
- Suphedrine Pe Sinus & Allergy
- Suphedrine Pe Sinus Headache
- Suprenza
- Supress A
- Supress Dx
- Supress-pe
- Symbicort
- Tasigna
- terbutaline
- tetrabenazine
- tetrahydrozoline
- Tg 10Peh-380Gfn
- Tg 10Peh-380Gfn-15Dm
- Theraflu Daytime Cold-cough
- Theraflu Flu-sore Throat
- Theraflu Multi-symptom Cold
- Theraflu Nighttime Cold-cough
- thioridazine
- thonzylamine-phenyl-chlophed
- thonzylamine-phenylephrine
- thonzylamine-phenylephrine-DM
- Tikosyn
- Tl-hist Dm
- toremifene
- Trandate
- Trexbrom
- Tri-dex Pe
- Triaminic Cold & Cough (pe)
- Triaminic Cold & Cough Nt (pe)
- Triaminic Cold- Allergy Pe
- Trigofen Dm
- triprolidine-phenylephrine
- triprolidine-phenylephrine-DM
- Tusicof
- Tussi Pres-b
- Tussi-pres
- Tussi-pres Pediatric
- Tussin Cf
- Tussin Cf Cough-cold
- Tussin Cf Max
- Tussin Cough-cold-flu
- Tussin Pe
- Tusslin
- Tylenol Cold & Flu Severe
- Tylenol Cold Head Congest Sevr
- Tylenol Cold Multi-sympt Night
- Tylenol Cold Multi-symptom Day
- Tylenol Sinus Congestion Pain
- Tyzine
- umeclidinium-vilanterol
- Vanacof Ape
- Vanacof Dm
- Vanacof Gpe
- vandetanib
- Vapor Inhaler
- Vazobid-pd
- Vazotab (pyrilamine)
- vecuronium bromide
- Ventolin Hfa
- Vicks Dayquil
- Vicks Dayquil Cold&Flu Relief
- Vicks Dayquil Severe Cold-flu
- Vicks Dayquil Sinex
- Vicks Dayquil-nyquil
- Vicks Dayquil-nyquil Cold-flu
- Vicks Dayquil-nyquil Severe
- Vicks Nature Fusion
- Vicks Nyquil Severe Cold-flu
- Vicks Nyquil Sinex
- Vicks Sinex 12-hour
- Virdec
- Virdec Dm
- Vospire Er
- Vyvanse
- Wal-dryl Severe Allergy-sinus
- Wal-dryl-d Allergy & Sinus
- Wal-flu Night Severe Cold
- Wal-flu Night Time
- Wal-flu Severe Cold
- Wal-flu Severe Cold-cough
- Wal-four
- Wal-phed Pe
- Wal-phed Pe Cold-cough
- Wal-phed Pe Nighttime Cold
- Wal-phed Pe Severe Cold
- Wal-phed Pe Sinus & Allergy
- Wal-tap
- Wal-tap Dm
- Wal-tussin Cough & Cold Cf
- Xenazine
- Xeomin
- Xopenex
- Xopenex Concentrate
- Xopenex Hfa
- Xylocaine-epinephrine
- Xylocaine-mpf/epinephrine
- Xyrem
- Zenzedi
Severe
Moderate
- Cipro
- Cipro In D5W
- Cipro Xr
- ciprofloxacin
- ciprofloxacin (mixture)
- ciprofloxacin in D5W
- Noxafil
- posaconazole
- Vfend
- Vfend Iv
- voriconazole
- Malignant hyperthermia
Contraindicated
- Congenital long QT syndrome
- Duchenne muscular dystrophy
- Hyperkalemia
- Kidney disease with reduction in GFR
- Myasthenia gravis
- Neuromuscular disease
- Prolonged QT interval
- Torsades de pointes
Severe
Moderate
- Disease of liver
- Glycosuria
- Hypotension
- Intracranial hypertension
- Proteinuria
- Seizure disorder
ULTANE (SEVOFLURANE)
- Administration of general anesthesia
- Agitation
- Bradycardia
- Cough
- Laryngismus
- Chills
- Delirium
- Drowsy
- Nausea
- Vomiting
More Frequent
Severe
Less Severe
- Apnea
- Fever
- Hypertension
- Hypotension
- Hypothermia
- Respiratory obstruction
- Tachycardia
- Dizziness
- Headache disorder
- Sialorrhea
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abnormal hepatic function tests
- Acidosis
- Acute hepatic failure
- Amblyopia
- Anaphylaxis
- Atrioventricular block
- Bronchospastic pulmonary disease
- Cardiac arrhythmia
- Disease of liver
- Facial edema
- Hepatic necrosis
- Hepatitis
- Hyperkalemia
- Hypertonia
- Hypoxia
- Jaundice
- Leukocytosis
- Malignant hyperthermia
- Prolonged QT interval
- Pruritus of skin
- Seizure disorder
- Skin rash
- ST segment changes
- Syncope
- Thrombocytopenic disorder
- Torsades de pointes
- Urinary retention
- Urticaria
- Ventricular premature beats
- Wheezing
Less Severe
- Acute confusion
- Conjunctivitis
- Dysgeusia
- Dyspnea
- General weakness
- Glycosuria
- Hyperventilation
- Nervousness
- Oliguria
- Pharyngitis
- Proteinuria
- Xerostomia
Contraindicated
None
Severe Precaution
Sevoflurane
Long-term risk of cognitive deficit if procedural use exceeds 3 hours. Rare risk of arrhythmia with hyperkalemia post-op. Use extreme caution in patient at risk for seizure. Bradycardia reported with Down syndrome.
- 1 Day – 3 Years
- Long-term risk of cognitive deficit if procedural use exceeds 3 hours. Rare risk of arrhythmia with hyperkalemia post-op. Use extreme caution in patient at risk for seizure. Bradycardia reported with Down syndrome.
Management or Monitoring Precaution
Sevoflurane
Rare risk of arrhythmia with hyperkalemia post-op. Use extreme caution in patient at risk for seizure. Bradycardia reported with Down syndrome. Unknown risk of long-term cognitive deficits with duration of use exceeding 3 hours.
- 3 Years – 18 Years
- Rare risk of arrhythmia with hyperkalemia post-op. Use extreme caution in patient at risk for seizure. Bradycardia reported with Down syndrome. Unknown risk of long-term cognitive deficits with duration of use exceeding 3 hours.
Sevoflurane
- Severity Level:
2
- Additional Notes: Insufficient data available
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
No Known Risk
Sevoflurane
Rapid washout of drug after 24 hours.
| General | Excretion Potential | Effect on Infant | Notes |
| No known risks; does not adversely affect lactation | Excreted | No adverse effect | Rapid washout of drug after 24 hours. |
Contraindicated
None
Precaution Exists
None
No Known Risk
None
- None
Formulary Reference Tool