Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Fentanyl citrate
Martindale Pharmaceuticals Ltd
N01AH01
Fentanyl citrate
50microgram/1ml
Solution for injection
Intramuscular; Intravenous
Schedule 2 (CD)
Valid as a prescribable product
BNF: 15010403; GTIN: 5014124170674
WHAT IS IN THIS LEAFLET: 1. What Fentanyl Injection is and what it is used for 2. What you need to know before having Fentanyl Injection 3. How Fentanyl Injection is given 4. Possible side effects 5. How to store Fentanyl Injection 6. Contents of the pack and other information 1. WHAT FENTANYL INJECTION IS AND WHAT IT IS USED FOR Fentanyl belongs to a group of medicines called opioid analgesics, often used in anaesthesia or as a painkiller. Fentanyl Injection can be used in the following situations: • In low doses it is used to provide pain relief during short surgical procedures. • Where breathing is assisted, it is used in higher doses as an anaesthetic and analgesic. • It may also be given in combination with a tranquilliser to induce both calmness and pain relief. • For the treatment of severe pain. 2. WHAT YOU NEED TO KNOW BEFORE HAVING FENTANYL INJECTION YOU SHOULD NOT BE GIVEN FENTANYL INJECTION IF YOU: • are allergic (hypersensitive) to fentanyl citrate or other opioid medicines or any of the other ingredients (listed in section 6). • suffer from asthma, shallow breathing or other breathing difficulties. • are taking or have recently (within the last two weeks) taken any drugs used to treat depression known as Monoamine Oxidase Inhibitors (MAOI’s) (see ‘Taking other medicines). • you are in labour or before the cord is clamped during a Caesarean section. Fentanyl injection may affect the baby’s breathing. TAKE SPECIAL CARE WITH FENTANYL INJECTION Tell your doctor if you: • are pregnant, planning to become pregnant or are breast-feeding. • have an under active thyroid gland. • are suffering from lung disease. • suffer from a muscle disorder known as myasthenia gravis. • are suffering from liver or kidney disease. • are receiving opioid therapy or have a history of opioid abuse. • suffer from alcoholism. • are suffering from severe undiagnosed headaches or if you have recently suffered a head injury. • have been told you are suffering from low blood volume. • have p Read the complete document
OBJECT 1 FENTANYL 50 MICROGRAMS/ML SOLUTION FOR INJECTION Summary of Product Characteristics Updated 17-Apr-2018 | Martindale Pharma 1. Name of the medicinal product Fentanyl 50 micrograms/ml Solution for Injection 2. Qualitative and quantitative composition Fentanyl citrate 78.5 micrograms equivalent to 50 micrograms per ml fentanyl base. Excipient(s) with known effect: Sodium 3.5 mg/ml. For a full list of excipients, see section 6.1 3. Pharmaceutical form Clear, colourless, sterile solution for Injection 4. Clinical particulars 4.1 Therapeutic indications Fentanyl citrate is an opioid analgesic used: In low doses to provide analgesia during short surgical procedures. In high doses as an analgesic/respiratory depressant in patients requiring assisted ventilation. In combination with a neuroleptic in the technique of neuroleptanalgesia. In the treatment of severe pain, such as the pain of myocardial infarction. 4.2 Posology and method of administration Routes of administration Fentanyl should be given only in an environment where the airway can be controlled and by personnel who can control the airway (see section 4.4) Intravenous administration, either as a bolus or by infusion. Intramuscular administration. To avoid bradycardia, it is recommended to administer a small intravenous dose of an anti-cholinergic just before anaesthetic induction. Posology Fentanyl Injection 50 micrograms/ml, by the intravenous route, can be administered to both adults and children. The dose of Fentanyl Injection 50 micrograms/ml should be individualised according to age, body weight, physical status, underlying pathological condition, use of other drugs and type of surgery and anaesthesia. Adults The usual dosage regime is as follows: Initial Supplemental Spontaneous respiration 50-200 micrograms 50 micrograms Assisted ventilation 300-3500 micrograms 100-200 micrograms Doses in excess of 200 micrograms are for use in anaesthesia only. As a premedicant, 1-2 ml Fentanyl Injection 50 micrograms/ml may be administered intramuscularly 45 Read the complete document