دواعي استعمال التيفا 2مجم فيال

معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 30ج.م.

دواعي الاستعمال

Analgesic agent for use during induction and maintenance of general anesthesia for inpatient and outpatient procedures.الفئة: Adults and pediatric patients (maintenance from birth)DailyMed (U.S. National Library of Medicine)
Continuation as an analgesic into the immediate postoperative period under the direct supervision of an anesthesia practitioner in a postoperative anesthesia care unit or intensive care setting.الفئة: AdultsDailyMed (U.S. National Library of Medicine)
Analgesic component of monitored anesthesia care.الفئة: AdultsDailyMed (U.S. National Library of Medicine)

الآثار الجانبية

Most common adverse reactions: respiratory depression, bradycardia, hypotension and skeletal muscle rigidity.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)

موانع الاستعمال

Epidural or intrathecal administration (the formulation contains glycine).نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)
Hypersensitivity to remifentanil, fentanyl analogs or any component.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)

تحذيرات واحتياطات

Boxed warning: addiction, abuse and misuse; life-threatening respiratory depression; risks from concomitant use with benzodiazepines or other CNS depressants (profound sedation, respiratory depression, coma, death).نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)
Skeletal muscle rigidity (dose- and rate-related), bradycardia and hypotension; serotonin syndrome with serotonergic drugs.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)
Do not administer through the same IV tubing as blood products (inactivation by nonspecific esterases); risk of intraoperative awareness and of rapid offset of analgesia - provide alternative postoperative analgesia before stopping.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)

التداخلات الدوائية

Benzodiazepines and other CNS depressantsProfound sedation, respiratory depression, coma and death; reduce doses and monitor.DailyMed (U.S. National Library of Medicine)
Serotonergic drugsRisk of serotonin syndrome.DailyMed (U.S. National Library of Medicine)

الحمل والرضاعة

Available data are insufficient to establish a drug-associated risk; remifentanil crosses the placenta. Prolonged opioid use during pregnancy can cause neonatal opioid withdrawal syndrome; not recommended during labor and delivery.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)
Unknown whether remifentanil is excreted in human milk; use with caution in nursing women and monitor infants.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)

المتابعة أثناء العلاج

Continuously monitor oxygenation, ventilation and vital signs in a setting with resuscitation and airway-management equipment.نشرة دولية لنفس المنتج · DailyMed (U.S. National Library of Medicine)

كيف يعمل الدواء

Mu-opioid agonist with rapid onset and short duration; ester linkage hydrolysed by nonspecific blood and tissue esterases.

المصادر