Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Fentanyl citrate
hameln pharma Ltd
N01AH01
Fentanyl citrate
50microgram/1ml
Solution for injection
Intravenous; Intramuscular
Schedule 2 (CD)
Valid as a prescribable product
BNF: 15010403; GTIN: 5016386000621
PACKAGE LEAFLET: INFORMATION FOR THE PATIENT FENTANYL 50 MICROGRAMS/ML INJECTION fentanyl citrate 1. What Fentanyl 50 micrograms/ml Injection is and what it is used for Fentanyl 50 micrograms/ml Injection is an analgesic drug. It is used: • in anaesthesia • as a pain relief agent • to induce calmness • as a premedication to sedate and prepare a patient for general anaesthesia 2. What you need to know before you use Fentanyl 50 micrograms/ml Injection DO NOT USE FENTANYL 50 MICROGRAMS/ML INJECTION: • if you are allergic to Fentanyl 50 micrograms/ml Injection, drugs similar to morphine or muscle relaxants, or any of the other ingredients in this injection (listed in section 6). • if you have any breathing problems or a lung disorder, such as asthma, chronic bronchitis or emphysema. • if you are taking, or have taken, monoamine oxidase inhibitor (MAOI) drugs for depression, in the last 2 weeks. • if you are in labour or before the cord is clamped during a Caesarean section. Fentanyl injection may affect the baby’s breathing. WARNINGS AND PRECAUTIONS TALK TO YOUR DOCTOR OR NURSE BEFORE USING FENTANYL 50 MICROGRAMS/ML INJECTION: • if you have myasthenia gravis • if you have reduced blood volume or low blood pressure • if you have an under active thyroid gland • if you have liver or kidney disease • if you have problems with your lungs • if you have a recent head injury • if you have a history of alcohol or opioid abuse • if you are elderly or weak due to ill health SPECIAL MONITORING • Fentanyl 50 micrograms/ml Injection may make you breathe more slowly. Your breathing will be carefully monitored until it returns to normal. • Your blood pressure and heart rate may also be monitored OTHER MEDICINES AND FENTANYL 50 MICROGRAMS/ML INJECTION: Tell your doctor or nurse if you are using or have recently used or might use any other medicines, including medicines obtained without a prescription. In particular, do not have this medicine and tell your doctor or nurse if you have taken: • m Read the complete document
OBJECT 1 FENTANYL 50 MICROGRAM/ML INJECTION Summary of Product Characteristics Updated 04-Jan-2018 | hameln pharmaceuticals ltd 1. Name of the medicinal product Fentanyl 50 microgram/ml Injection 2. Qualitative and quantitative composition Fentanyl citrate 78.5 micrograms equivalent to 50 micrograms per ml fentanyl. Each 2ml ampoule contains 100 micrograms of fentanyl as fentanyl citrate. Each 10ml ampoule contains 500 micrograms of fentanyl as fentanyl citrate. Each 50ml vial contains 2500 micrograms of fentanyl as fentanyl citrate. For the full list of excipients, see section 6.1. 3. Pharmaceutical form Solution for injection Clear, colourless solution 4. Clinical particulars 4.1 Therapeutic indications Fentanyl 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 drug as part of the technique of neuroleptanalgesia - in the treatment of severe pain, such as the pain of myocardial infarction 4.2 Posology and method of administration _Route of administration _ Intravenous administration either as a bolus or by infusion. Intramuscular 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 Special warnings and precautions for use). To avoid bradycardia, it is recommended to administer a small intravenous dose of an anti-cholinergic just before anaesthetic induction. It is recommended to wear gloves while opening the ampoule (see section 6.6). Posology Fentanyl, by the intravenous route, can be administered to both adults and children. The dose of fentanyl 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 regimen in adults is as follows: Initial Supplemental Spontaneous Respiration 50-200 micrograms Read the complete document