阿芬太尼
別名: Alfenta, Fanaxal, Fentalim, Limifen, Rapifen
藥物類別: Opiate Anesthetic Adjunct / Opioid Analgesic
阿芬太尼是一種**極強效的鴉片類藥物**，嚴格用於麻醉和重度疼痛管理。 * **僅限專業使用：** 此藥物僅由獸醫專業人員在具備進階生理監測（如心電圖和血氧監測）的臨床環境中施打。 * **安全性：** 因為它可能會減緩呼吸和心跳，您的寵物在整個手術過程中將受到密切監控。 * **麻醉後狀態：** 手術後您的寵物可能會感到昏昏欲睡或疲倦，這是鴉片類麻醉劑的正常反應。
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
Veterinary professional? See the full dosing-by-species reference on VetSheet →
用途
- As a premed
- As a constant rate infusion for pain
- As an analgesic supplement to anesthesia
- For intra-operative analgesia in patients with intracranial disease
- Intraoperative analgesia
- Intraoperative analgesia
- Intraoperative analgesia
- Intraoperative analgesia
給藥方式
IVIMCRI
可能的副作用
- Dose-related respiratory depression
- Bradycardia
- CNS depression
- Dose-related skeletal muscle rigidity
- Asystole (rare)
- Hypercarbia (rare)
- Hypersensitivity reactions (rare)
注意事項與禁忌
- Patients hypersensitive to opioids
- > **Critical Warning:** Because of the drug's potency and potential for significant adverse effects, it should **only** be used in situations where patient vital signs can be continuously monitored. * **Dose Adjustments:** Initial dosage reduction may be required in geriatric or debilitated patients, particularly those with diminished cardiopulmonary function or liver disease. * **Muscle Rigidity:** Dose-related skeletal muscle rigidity is not uncommon; neuromuscular blockers are routinely used in conjunction. * **Laboratory Artifacts:** May increase plasma levels of amylase or lipase secondary to increased biliary tract pressure. Values may be unreliable for 24 hours post-administration.
藥物相互作用
- CYP3A4 Inhibitors (erythromycin, cimetidine, ketoconazole, itraconazole, fluconazole, diltiazem): May increase the half-life and decrease the clearance of alfentanil leading to prolonged effect and an increased risk of respiratory depression
- Beta-blockers: May produce bradycardia or hypotension if used concurrently with alfentanil
- Other anesthetic agents: May produce bradycardia or hypotension; respiratory or CNS depression may be exacerbated
- Inhaled anaesthetics: Reduces the dose requirements of concurrently administered anaesthetics by at least 50%
- Monoamine oxidase inhibitors (MAOIs): Risk of serotonin toxicity
常見問題
阿芬太尼用於寵物有什麼用途？
阿芬太尼是一種極強效的鴉片類藥物，嚴格用於麻醉和重度疼痛管理。 • 僅限專業使用： 此藥物僅由獸醫專業人員在具備進階生理監測（如心電圖和血氧監測）的臨床環境中施打。 • 安全性： 因為它可能會減緩呼吸和心跳，您的寵物在整個手術過程中將受到密切監控。 • 麻醉後狀態： 手術後您的寵物可能會感到昏昏欲睡或疲倦，這是鴉片類麻醉劑的正常反應。
阿芬太尼對我的寵物安全嗎？
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。