Alfenta

monitored anesthesia care therapy, Monitored anesthesia care sedation, Induction of anesthesia therapy + 3 more

Treatment

6 FDA approvals

2 Active Studies for Alfenta

What is Alfenta

Alfentanil

The Generic name of this drug

Treatment Summary

Alfentanil is a type of opioid medication used as an anesthetic and pain reliever. It works quickly to provide pain relief and reduce consciousness during surgery, as well as providing relief to critically ill patients. Alfentanil is a derivative of fentanyl, with a short-acting effect and fast recovery time.

Alfentanil Hydrochloride

is the brand name

Alfenta Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Alfentanil Hydrochloride

Alfentanil

2006

4

Approved as Treatment by the FDA

Alfentanil, also known as Alfentanil Hydrochloride, is approved by the FDA for 6 uses such as General Anesthesia and Perioperative analgesia .

General Anesthesia

Perioperative analgesia

Induction of anesthesia therapy

Anesthesia procedures

monitored anesthesia care therapy

Monitored anesthesia care sedation

Effectiveness

How Alfenta Affects Patients

Alfentanil is a pain-relieving drug that works by targeting the opioid receptors in the brain, spinal cord, and other tissues. When taken, it has sedative and pain-reducing effects. It can also cause changes in mood, feelings of euphoria or dysphoria, drowsiness, and decreased breathing and coughing. It can also decrease the size of the pupils.

How Alfenta works in the body

Opiates work by binding to G-protein receptors, which then activate other proteins. These proteins decrease the amount of chemicals that carry pain signals, as well as hormones that control hunger and other bodily functions. Opiates also work by changing the activity of two types of ion channels: voltage-operated calcium channels and calcium-dependent potassium channels. These changes make it harder for nerves to send pain signals and cause a decrease in nerve activity. Ultimately, this leads to decreased pain and other effects associated with opiate use.

When to interrupt dosage

The advised amount of Alfenta depends upon the diagnosed affliction, including General Anesthesia, Monitored anesthesia care sedation and Induction of anesthesia therapy. Dosage can be ascertained in the table below, contingent upon the administration process (e.g. Injection or Solution).

Condition

Dosage

Administration

Induction of anesthesia therapy

0.5 mg/mL,

, Intravenous, Injection, Injection - Intravenous, Solution - Intravenous, Solution, Injection, solution, Injection, solution - Intravenous

General Anesthesia

0.5 mg/mL,

, Intravenous, Injection, Injection - Intravenous, Solution - Intravenous, Solution, Injection, solution, Injection, solution - Intravenous

Perioperative analgesia

0.5 mg/mL,

, Intravenous, Injection, Injection - Intravenous, Solution - Intravenous, Solution, Injection, solution, Injection, solution - Intravenous

Anesthesia procedures

0.5 mg/mL,

, Intravenous, Injection, Injection - Intravenous, Solution - Intravenous, Solution, Injection, solution, Injection, solution - Intravenous

Monitored anesthesia care sedation

0.5 mg/mL,

, Intravenous, Injection, Injection - Intravenous, Solution - Intravenous, Solution, Injection, solution, Injection, solution - Intravenous

monitored anesthesia care therapy

0.5 mg/mL,

, Intravenous, Injection, Injection - Intravenous, Solution - Intravenous, Solution, Injection, solution, Injection, solution - Intravenous

Warnings

Alfenta has one contraindication and should not be taken in the presence of conditions given in the following table.

Alfenta Contraindications

Condition

Risk Level

Notes

intolerance to other opioid agonists

Do Not Combine

There are 20 known major drug interactions with Alfenta.

Common Alfenta Drug Interactions

Drug Name

Risk Level

Description

7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline

Major

The risk or severity of adverse effects can be increased when Alfentanil is combined with 7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline.

Astemizole

Major

The metabolism of Astemizole can be decreased when combined with Alfentanil.

Axitinib

Major

The metabolism of Axitinib can be decreased when combined with Alfentanil.

Azelastine

Major

Alfentanil may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Benmoxin

Major

The risk or severity of adverse effects can be increased when Alfentanil is combined with Benmoxin.

Alfenta Toxicity & Overdose Risk

Signs of an overdose on a curare-based drug may include tightness in the muscles, difficulty breathing, and small pupils. The heart rate may also slow down.

image of a doctor in a lab doing drug, clinical research

Alfenta Novel Uses: Which Conditions Have a Clinical Trial Featuring Alfenta?

There are currently 4 active trials assessing the potential of Alfenta for Monitored Anesthesia Care Therapy, Monitored Anesthesia Care Sedation and Anesthetic Induction Therapy.

Condition

Clinical Trials

Trial Phases

Perioperative analgesia

0 Actively Recruiting

Anesthesia procedures

0 Actively Recruiting

Induction of anesthesia therapy

0 Actively Recruiting

Monitored anesthesia care sedation

0 Actively Recruiting

General Anesthesia

2 Actively Recruiting

Phase 4, Not Applicable

monitored anesthesia care therapy

0 Actively Recruiting

Alfenta Reviews: What are patients saying about Alfenta?

1

Patient Review

4/25/2014

Alfenta for Pain

These tablets were not helpful.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about alfenta

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Can you bolus alfentanil?

"Alfentanil 500 micrograms/ml should be used for short procedures as bolus injections or for long, painful surgical procedures as bolus injections supplemented by increments or by infusion."

Answered by AI

When should I take alfentanil?

"Alfentanil is a palliative care medication, typically used as a second-line option. It is a more suitable choice for continuous infusion than other opioids, because it takes effect quickly and doesn't last as long. It can be injected either under the skin or directly into a vein, and is sometimes used to provide relief from breakthrough pain or to ease pain during medical procedures."

Answered by AI

Is Levorphanol an opiate?

"Levorphanol is a medication used to treat moderate to severe pain. It is classified as an opiate (narcotic) analgesic."

Answered by AI

What opioid has the fastest onset?

"The only current rapid-onset analgesic for the treatment of ROBTP is fentanyl, a very potent μ-opioid receptor agonist. Fentanyl is a synthetic phenylpiperidine that is approximately 80 times more potent than morphine."

Answered by AI

Clinical Trials for Alfenta

Image of Mount Sinai Hospital in Toronto, Canada.

Intubation Blades for C-Section

Any Age
Female
Toronto, Canada

Cesarean section under general anesthesia requires intubation (insertion of a tube through the mouth into the breathing pipe to support breathing during the surgery). A device called a video laryngoscope is used, which has a smooth, curved, or less curved component called 'a blade' that helps the doctor gently see the voice box and guide the breathing tube safely into place during anesthesia; it is not a sharp tool blade. There are two types of video laryngoscopes blades: a Macintosh- style blade with a gentle curve, approximately 90 degrees) and a hyperangulated blade (with a more pronounced curve). Although video laryngoscopes are safe and both types have been used for around 20 years, it is not known whether one type works better that the other in patients undergoing cesarean delivery under general anesthesia. Because general anesthesia is used in only a small proportion (about 5%) of all cesarean deliveries, research in this area is limited. The main purpose of the study is to assess if a study comparing these two types of blades in the obstetric population is feasible. This is also known as a feasibility study, which aims to test the study plan and determine whether enough participants will join a larger study and accept the study procedures. The results will be used as a guide for a larger study.

Waitlist Available
Has No Placebo

Mount Sinai Hospital