what will Ultiva (Intravenous) Generic Name: remifentanil (Intravenous route) rem-i-FEN-ta-nil Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Pricing & Coupons Intravenous route(Powder for Solution) Remifentanil exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death. Assess each patient s risk prior to prescribing remifentanil . Commonly used brand name(s) In the U.S. Ultiva Available Dosage Forms: Powder for Solution Solution Therapeutic Class: Analgesic Chemical Class: Opioid Slideshow View Frightful (But Dead Serious) Drug Side Effects Uses For Ultiva Remifentanil injection is used to relieve pain during and after surgery or other medical procedures. It is also used with other medicines (eg, isoflurane, propofol, midazolam, thiopental) just before or during an operation to help the anesthetic work better. Remifentanil belongs to the group of medicines known as narcotic analgesics (pain medicines). It works by acting on the central nervous system (CNS) or brain to relieve pain. Remifentanil is to be administered only by or under the immediate supervision of your doctor. This medicine is available only with your doctor's prescription. Before Using Ultiva In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of remifentanil injection when given with an anesthetic before or during an operation in children. Appropriate studies on the relationship of age to the effects of remifentanil injection for the relief of pain after surgery have not been performed in the pediatric population. Safety and efficacy have not been established. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of remifentanil injection in the elderly. However, elderly patients may be more sensitive to the effects of remifentanil injection than younger adults, which may require caution and an adjustment in the dose for patients receiving remifentanil. Pregnancy Pregnancy Category Explanation All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. Breast Feeding There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Nalmefene Naltrexone Safinamide Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Acepromazine Alfentanil Almotriptan Amineptine Amisulpride Amitriptyline Amitriptylinoxide Amobarbital Amoxapine Amphetamine Anileridine Aripiprazole Asenapine Baclofen Benperidol Benzphetamine Bromazepam Bromopride Brompheniramine Buprenorphine Buspirone Butabarbital Butorphanol Carbamazepine Carbinoxamine Cariprazine Carisoprodol Carphenazine Chloral Hydrate Chlorpheniramine Chlorpromazine Chlorzoxazone Citalopram Clomipramine Clozapine Cocaine Codeine Cyclobenzaprine Desipramine Desmopressin Desvenlafaxine Dexmedetomidine Dextroamphetamine Dextromethorphan Dezocine Dibenzepin Dichloralphenazone Difenoxin Dihydrocodeine Diphenhydramine Diphenoxylate Dolasetron Donepezil Doxepin Doxylamine Droperidol Duloxetine Eletriptan Enflurane Escitalopram Eszopiclone Ethchlorvynol Ethopropazine Ethylmorphine Fentanyl Flibanserin Fluoxetine Fluphenazine Fluspirilene Fluvoxamine Frovatriptan Furazolidone Granisetron Haloperidol Halothane Hexobarbital Hydrocodone Hydromorphone Hydroxytryptophan Hydroxyzine Iloperidone Imipramine Iproniazid Isocarboxazid Isoflurane Ketamine Ketobemidone Levomilnacipran Levorphanol Linezolid Lisdexamfetamine Lithium Lofepramine Lorcaserin Loxapine Lurasidone Melitracen Melperone Meperidine Meprobamate Meptazinol Mesoridazine Metaxalone Methadone Methamphetamine Methdilazine Methocarbamol Methotrimeprazine Methylene Blue Milnacipran Mirtazapine Moclobemide Molindone Moricizine Morphine Morphine Sulfate Liposome Nalbuphine Naratriptan Nefazodone Nialamide Nicomorphine Nitrous Oxide Nortriptyline Olanzapine Ondansetron Opipramol Opium Opium Alkaloids Orphenadrine Oxycodone Oxymorphone Paliperidone Palonosetron Papaveretum Paregoric Paroxetine Pentazocine Pentobarbital Perampanel Perazine Periciazine Perphenazine Phenelzine Phenobarbital Pimavanserin Pimozide Piperacetazine Pipotiazine Piritramide Primidone Procarbazine Prochlorperazine Promazine Promethazine Propofol Protriptyline Quetiapine Ramelteon Rasagiline Remoxipride Risperidone Rizatriptan Secobarbital Selegiline Sertindole Sertraline Sibutramine St John's Wort Sufentanil Sulpiride Sumatriptan Suvorexant Tapentadol Thiethylperazine Thiopental Thiopropazate Thioridazine Thiothixene Tianeptine Tilidine Tizanidine Tolonium Chloride Topiramate Tramadol Tranylcypromine Trazodone Trifluoperazine Trifluperidol Triflupromazine Trimeprazine Trimipramine Tryptophan Venlafaxine Vilazodone Vortioxetine Zaleplon Ziprasidone Zolmitriptan Zolpidem Zopiclone Zotepine Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Ethanol Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Alcohol abuse, or history of or Brain tumor or Breathing or lung problems (eg, apnea, COPD, cor pulmonale, respiratory depression) or Drug dependence, especially with narcotics, or history of or Head injury, history of May increase risk for more serious side effects. Gallbladder problems or Heart disease or Hypotension (low blood pressure) or Pancreatitis (inflammation of the pancreas) or Seizures, history of or Slow heartbeat Use with caution. May make these conditions worse. Proper Use of Ultiva A nurse or other trained health professional will give you this medicine in a hospital. This medicine is given through a needle placed in one of your veins. Precautions While Using Ultiva Your doctor will check your progress closely while you or your child are receiving this medicine . This will allow your doctor to see if the medicine is working properly and to decide if you should continue to receive it. Check with your doctor before using this medicine with alcohol or other medicines that affect the central nervous system (CNS) . The use of alcohol or other medicines that affect the CNS with remifentanil may worsen the side effects of this medicine, such as dizziness, poor concentration, drowsiness, unusual dreams, and trouble with sleeping. Some examples of medicines that affect the CNS are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. . This medicine may make you dizzy, drowsy, or lightheaded. Do not drive or do anything else that could be dangerous until you know how this medicine affects you . Sit or lie down if you feel dizzy. Stand up carefully. Tell your doctor if you or your child have stiffness in the muscles of your neck, chest, hands, or legs after receiving this medicine. Check with your doctor right away if you or your child have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there. These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body. This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions. Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems. Using this medicine while you are pregnant may cause neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if your baby has an abnormal sleep pattern, diarrhea, a high-pitched cry, irritability, shakiness or tremors, weight loss, vomiting, or fails to gain weight. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Ultiva Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor or nurse immediately if any of the following side effects occur: More common Blurred vision chest pain or discomfort confusion difficult or troubled breathing dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position irregular, fast or slow, or shallow breathing lightheadedness, dizziness, or fainting muscle stiffness or tightness pale or blue lips, fingernails, or skin shortness of breath slow or irregular heartbeat sweating unusual tiredness or weakness Less common Bluish lips or skin chills decrease in cardiac output fast, pounding, or heartbeat or pulse feeling of warmth fever headache nausea or vomiting nervousness not breathing pain after surgery pain in the shoulders, arms, jaw, or neck pounding in the ears problems with bleeding or clotting redness of the face, neck, arms, and occasionally, upper chest shivering Rare Abdominal or stomach pain black, tarry stools bleeding gums blood in the urine or stools body aches or pain burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings congestion cough or hoarseness cough producing mucus coughing that sometimes produces a pink frothy sputum coughing up blood decreased frequency or amount of urine difficult, fast, or noisy breathing difficulty with swallowing disorientation dry mouth dryness or soreness of the throat dysphoria eye pain flushed, dry skin fruit-like breath odor general feeling of illness hiccups hives, itching, or skin rash increased blood pressure increased hunger increased menstrual flow or vaginal bleeding increased sweating increased thirst increased urination loss of appetite lower back or side pain muscle cramps or pain nervousness noisy breathing nosebleeds numbness or tingling in the hands, feet, or lips painful or difficult urination pale skin paralysis pinpoint red spots on the skin prolonged bleeding from cuts puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue rapid heartbeat red or black, tarry stools red or dark brown urine runny nose seizures shakiness in the legs, arms, hands, or feet small clicking, bubbling, or rattling sounds in the lungs when listening with a stethoscope stuffy nose swelling in the legs and ankles swelling of the face, fingers, or lower legs tender, swollen glands in the neck tightness in the chest troubled breathing with exertion unexplained weight loss unusual bleeding or bruising voice changes vomiting weakness and heaviness of the legs weight gain Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Less common Anxiety blurred or loss of vision difficulty having a bowel movement (stool) disturbed color perception double vision halos around lights hyperventilation night blindness overbright appearance of lights pain at the injection site restlessness trouble with sleeping tunnel vision Rare Burning while urinating heartburn hives or welts loss of bladder control loss of memory nightmares problems with memory seeing, hearing, or feeling things that are not there severe constipation severe vomiting trouble with urinating uncontrolled eye movements Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Ultiva (remifentanil) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group Pricing & Coupons En Español 0 Reviews Add your own review/rating Drug class: narcotic analgesics Consumer resources Ultiva Professional resources Ultiva (AHFS Monograph) Ultiva (FDA) Related treatment guides Anesthesia} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out 2 CSA Schedule High potential for abuse Approval History Drug history at FDA Manufacturer Mylan Pharmaceuticals Inc. Drug Class Narcotic analgesics Related Drugs Anesthesia lidocaine , fentanyl , hyoscyamine , propofol , Levsin , ketamine , glycopyrrolate , Emla , Robinul , butorphanol , etomidate , succinylcholine , Nubain , Diprivan , benzocaine topical , Levbid , Stadol , rocuronium , Talwin , pentazocine , Sublimaze , sevoflurane , nalbuphine , Anaspaz , HyoMax , More... Ultiva Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Help and Support Looking for answers? Ask a question or go join the Ultiva support group to connect with others who have similar interests.} } turbines
product or service Ultiva (Intravenous) this sort of
EmoticonEmoticon