{"id":8691,"date":"2021-03-17T07:30:15","date_gmt":"2021-03-17T07:30:15","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8691"},"modified":"2021-04-12T15:09:37","modified_gmt":"2021-04-12T15:09:37","slug":"fentanyl-b-braun","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/fentanyl-b-braun\/","title":{"rendered":"Fentanyl B. Braun &#8211; Fentanyl uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n50 microgram \/ ml&nbsp;injection&nbsp;solution&nbsp;<br>fentanyl<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Fentanyl B. Braun is and what it is used for<\/h2>\n\n\n\n<p>Fentanyl&nbsp;B. Braun is a medicine used to prevent or relieve severe pain.&nbsp;It belongs to a group of medicines called opioid analgesics.<\/p>\n\n\n\n<p>This medicine is used together with other medicines for pain relief or anesthesia in connection with different types of&nbsp;surgery.<br><\/p>\n\n\n\n<p>It is also used in patients who receive mechanically assisted breathing in intensive care units.<br><\/p>\n\n\n\n<p>Fentanyl contained&nbsp;in&nbsp;Fentanyl&nbsp;B Braun may also be approved for the treatment of other conditions not mentioned in this leaflet.&nbsp;Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you get Fentanyl B. Braun<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">You should not be given Fentanyl B. Braun:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;fentanyl&nbsp;or&nbsp;any of the other&nbsp;medicines (called&nbsp;opioids&nbsp;) or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Your doctor will take special care if you have impaired respiratory function or if you have a severe respiratory illness, e.g.&nbsp;severe&nbsp;asthma&nbsp;or severe&nbsp;bronchitis.&nbsp;In such cases, your breathing will be monitored.<br><\/p>\n\n\n\n<p>Tell your doctor if you have ever abused or been addicted to&nbsp;opioids, alcohol, prescription drugs, or illegal drugs.<br><\/p>\n\n\n\n<p>Repeated use of the medicine may make it less effective (you get used to it) or addicted to it.<br><\/p>\n\n\n\n<p>If treatment is stopped, withdrawal symptoms may occur.&nbsp;Tell your doctor or nurse if you think this is happening to you (see also section 4. Possible&nbsp;side effects&nbsp;).<br><\/p>\n\n\n\n<p>Before and while treatment with&nbsp;Fentanyl&nbsp;B. Braun is given, your doctor will make sure that you have access to equipment for emergency care (including antidote) and resuscitation.&nbsp;The doctor will also pay attention to the following:<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your&nbsp;blood pressure&nbsp;may increase or decrease after&nbsp;the injection&nbsp;of&nbsp;fentanyl.&nbsp;You may need appropriate care to maintain normal and stable&nbsp;blood pressure.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Your heart rhythm can be fast or very slow (even cardiac arrest).&nbsp;If necessary, you can be given medication or appropriate care to restore or maintain normal heart function.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Your breathing should also be monitored.&nbsp;If&nbsp;respiratory depression&nbsp;occurs, you will receive&nbsp;adequate&nbsp;care to correct the condition.&nbsp;After the operation, your doctor will check that you are breathing normally and have steady breathing before leaving the recovery room.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Fentanyl&nbsp;can cause muscle stiffness (morphine-like effect).&nbsp;Muscle stiffness can also affect the muscles in the chest.&nbsp;Your doctor knows how to avoid muscle stiffness.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor will also be careful if you:- has a severe muscle disease called&nbsp;<em>myasthenia gravis<\/em>&#8211; has a stop or&nbsp;inflammation&nbsp;in the intestine- has brain damage or increased pressure in the skull<\/li><\/ul>\n\n\n\n<p>Your doctor will be especially careful when calculating the fentanyl dose and may monitor you for an extended period of time if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>has impaired thyroid function<\/li><li>have lung disease or impaired respiratory function for other reasons<\/li><li>has an increase in the number of normal cells in the prostate (prostate enlargement)<\/li><li>have impaired liver or kidney function<\/li><li>previously treated with&nbsp;opioid&nbsp;s overtime or abused&nbsp;opioid&nbsp;s<\/li><li>suffering from alcoholism.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>The safety and efficacy of&nbsp;fentanyl&nbsp;in children under 2 years of age have not been established.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Fentanyl B. Braun<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>This is necessary because your doctor must check if the medicines you are taking are broken down by specific&nbsp;enzymes&nbsp;in your body or affect the function of these&nbsp;enzymes&nbsp;(cytochrome P 450 3A4).<br><\/p>\n\n\n\n<p>Your doctor especially needs to know if you are taking any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>certain medicines for the treatment of high&nbsp;blood pressure&nbsp;(&nbsp;clonidine&nbsp;)<\/li><li>cimetidine (a medicine used to treat heartburn)<\/li><li>antiviral agents for the treatment of&nbsp;HIV&nbsp;(eg ritonavir)<\/li><li>sleeping pills and drugs that reduce the level of consciousness (sedatives)<\/li><li>phenytoin, carbamazepine, or&nbsp;valproate&nbsp;(medicines used to treat&nbsp;epilepsy&nbsp;)<\/li><li>drugs for the treatment of mental illness and depression (antidepressants,&nbsp;neuroleptics&nbsp;)<\/li><li>muscle relaxants<\/li><li>drugs for the treatment of fungal infections such as&nbsp;fluconazole&nbsp;or voriconazole<\/li><li>other anesthetics.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Fentanyl B. Braun with alcohol<\/h2>\n\n\n\n<p>If this medicine is given to you after you have drunk&nbsp;<strong>alcohol<\/strong>, the effect of both the medicine and the alcohol will be much stronger.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<br><\/p>\n\n\n\n<p>You should not be given this medicine during pregnancy or childbirth.&nbsp;You can be given the medicine after your baby is born and the umbilical cord is cut off.<br><\/p>\n\n\n\n<p>As this medicine is excreted in human milk, you should refrain from breastfeeding for at least 24 hours after receiving the medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Do not drive or use machines for some time after receiving this medicine.&nbsp;Your doctor will tell you when you can continue with activities of this kind.&nbsp;You need someone to accompany you home after discharge and you should avoid alcohol.<br><\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased vigilance.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Fentanyl B. Braun contains sodium<\/h2>\n\n\n\n<p>Fentanyl&nbsp;B. Braun contains 3.54 mg of&nbsp;sodium&nbsp;per milliliter.&nbsp;Your doctor will take this into account when&nbsp;administering&nbsp;larger&nbsp;doses&nbsp;(eg more than 6.5 ml which corresponds to more than 1 mmol&nbsp;sodium&nbsp;) if you have been prescribed a low-salt diet.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Fentanyl B. Braun<\/h2>\n\n\n\n<p>You will be given this medicine as an&nbsp;injection&nbsp;or&nbsp;infusion&nbsp;(ie through a needle or a small tube) into a vein.&nbsp;You can also be given this medicine as an&nbsp;injection&nbsp;into a muscle.<br><\/p>\n\n\n\n<p>Fentanyl&nbsp;is only given by an experienced anesthetist in a hospital or other place where there is assisted breathing equipment.<br><\/p>\n\n\n\n<p>Your doctor will give you the&nbsp;dose&nbsp;you need.&nbsp;Dosage&nbsp;one depends on the purpose of use as well as your age, weight, general condition, other diseases, and patient history.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Fentanyl B. Braun then you should<\/h2>\n\n\n\n<p>It is very unlikely that you will get an overdose, as only specially trained doctors will dose the medicine.<br><\/p>\n\n\n\n<p>If you still get an overdose, this could lead to slow breathing or even respiratory arrest, or disturbing heart function or circulation.&nbsp;It can also cause seizures, unconsciousness, muscle stiffness (even in the pectoral muscles), and water in the lungs.<br><\/p>\n\n\n\n<p>The treatment consists of adequate oxygen supply if necessary artificial ventilation, and the supply of special drugs that counteract the effect of&nbsp;fentanyl.&nbsp;If your blood volume is low, you may get fluid.&nbsp;You will be closely monitored during treatment.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects,&nbsp;although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>The following&nbsp;side effects&nbsp;can be serious.&nbsp;Contact a doctor immediately if you get any of the following&nbsp;side effects, so that the doctor can end the treatment:<\/strong><br><\/p>\n\n\n\n<p><em>Very common (may affect more than 1 user in 10):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased pressure in the skull.<\/li><\/ul>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hypersensitivity&nbsp;s<\/li><li>depression of the&nbsp;central nervous system&nbsp;(impaired senses such as feeling sleepy or uncoordinated, blurred vision, slurred speech, or decreased awareness of the environment)<\/li><li>irregular heartbeats<\/li><li>short-term respiratory arrest<\/li><li>low&nbsp;blood pressure.<\/li><\/ul>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cramps<\/li><li>very slow heart rate<\/li><li>cramps in the larynx<\/li><li>difficulty breathing or even respiratory arrest.<\/li><\/ul>\n\n\n\n<p><em>Very rare (may affect up to 1 in 10,000 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>spasm of the trachea<\/li><li>water in the lungs<\/li><li>breathing difficulties due to closure of the larynx.<\/li><\/ul>\n\n\n\n<p><em>Has been reported (occurs in an unknown number of users):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>serotonergic syndrome (may be life-threatening)<strong>Signs of the serotonergic syndrome may include <\/strong>irritability, altered consciousness, confusion, hallucinations,&nbsp;coma, diarrhea, high body temperature, high&nbsp;blood pressure, excessive sweating, tremors, dilated&nbsp;pupils, increased reflexes, muscle twitching, tremors, muscle stiffness, coordination disorder, coordination disorder. nausea and increased heart rate.<\/li><\/ul>\n\n\n\n<p><strong>Other side effects:<\/strong><br><\/p>\n\n\n\n<p><em>Very common (may affect more than 1 user in 10):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>increased content of a&nbsp;hormone&nbsp;that reduces urinary excretion<\/li><li>drowsiness, drowsiness, dizziness<\/li><li>reduction of&nbsp;pupil&nbsp;one<\/li><li>dilation of blood vessels<\/li><li>cough at the beginning of treatment<\/li><li>vomiting, nausea<\/li><li>muscle stiffness (including the muscles of the chest) after high&nbsp;doses&nbsp;of&nbsp;fentanyl.<\/li><\/ul>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fast heartbeat<\/li><li>high&nbsp;blood pressure<\/li><li>slow heart rate<\/li><li>confusion<\/li><li>visual disturbances<\/li><li>restlessness<\/li><li>drop in blood pressure when standing or sitting up<\/li><li>slow or weak breathing after surgery<\/li><li>constipation<\/li><li>difficulty urinating<\/li><li>confusion after surgery.<\/li><\/ul>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>exhilaration.<\/li><\/ul>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 people):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>too high a level of&nbsp;carbon dioxide&nbsp;in the blood.<\/li><\/ul>\n\n\n\n<p><em>Has been reported (occurs in an unknown number of users):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muscle twitching<\/li><li>habituation<\/li><li>intestinal obstruction<\/li><li>delirium&nbsp;(symptoms may include a combination of anxiety, restlessness, disorientation, confusion, fear, seeing and hearing things that do not exist, sleep disturbance, nightmares)<\/li><li>symptoms of withdrawal syndrome (may manifest as the following side effects: nausea, vomiting, diarrhea, anxiety, chills, tremors, and sweating).<\/li><\/ul>\n\n\n\n<p><strong>Additional&nbsp;side effects&nbsp;are in children<\/strong><\/p>\n\n\n\n<p>In children, movement disorders, increased sensitivity and withdrawal symptoms have been observed after long-term treatment.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Fentanyl B. Braun<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label and carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Keep the&nbsp;vial&nbsp;are in the outer carton.&nbsp;Sensitive to light.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is&nbsp;fentanyl&nbsp;(as fentanyl citrate).<\/li><\/ul>\n\n\n\n<p>1 ml&nbsp;solution for injection&nbsp;contains 50 micrograms of&nbsp;fentanyl<\/p>\n\n\n\n<p>2 ml&nbsp;ampoule&nbsp;contains 100 micrograms of&nbsp;fentanyl<\/p>\n\n\n\n<p>5 ml&nbsp;ampoule&nbsp;contains 250 micrograms&nbsp;fentanyl<\/p>\n\n\n\n<p>10 ml&nbsp;ampoule&nbsp;contains 500 micrograms of&nbsp;fentanyl<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Other ingredients are:<ul><li>sodium chloride (see point 2)<\/li><li>water for injections<\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Fentanyl&nbsp;B. Braun&nbsp;solution for injection&nbsp;is a clear, colorless&nbsp;aqueous solution.<\/p>\n\n\n\n<p><br>Packaging:&nbsp;Fentanyl&nbsp;B. Braun is available in clear, colorless&nbsp;glass&nbsp;ampoules.&nbsp;<br>Pack sizes: 10&#215;2 ml, 10&#215;5 ml and 10&#215;10 ml.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>B. Braun Melsungen AG&nbsp;<br>Carl-Braun Strasse 1&nbsp;<br>34212 Melsungen&nbsp;<br>Germany<br><\/p>\n\n\n\n<p>Postal address:&nbsp;<br>34209 Melsungen&nbsp;<br>Germany<br><\/p>\n\n\n\n<p><strong>Local representative:<\/strong><br><\/p>\n\n\n\n<p>B. Braun Medical AB&nbsp;<br>Box 110&nbsp;<br>182 12 Danderyd<br><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names: <\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Denmark<\/td><td>Fentanyl&nbsp;&#8220;B. Braun&#8221; 50 micrograms \/ ml solution for injection<\/td><\/tr><tr><td>Luxembourg<\/td><td>Fentanyl&nbsp;B. Braun 0.1 mg \/ 2 ml, injectable solution<\/td><\/tr><tr><td>Luxembourg<\/td><td>Fentanyl&nbsp;B. Braun 0.25 mg \/ 5 ml, injectable solution<\/td><\/tr><tr><td>Luxembourg<\/td><td>Fentanyl&nbsp;B. Braun 0.5 mg \/ 10 ml, injectable solution<\/td><\/tr><tr><td>Portugal<\/td><td>Fentanilo B. Braun 0.1 mg injectable solution<\/td><\/tr><tr><td>Portugal<\/td><td>Fentanilo B. Braun 0.25 mg injectable solution<\/td><\/tr><tr><td>Portugal<\/td><td>Fentanilo B. Braun 0.5 mg injectable solution<\/td><\/tr><tr><td>Germany<\/td><td>Fentanyl&nbsp;B. Braun 0.1 mg solution for injection<\/td><\/tr><tr><td>Germany<\/td><td>Fentanyl&nbsp;B. Braun 0.25 mg solution for injection<\/td><\/tr><tr><td>Germany<\/td><td>Fentanyl&nbsp;B. Braun 0.5 mg solution for injection<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p> 50 microgram \/ ml injection solution<br \/>\nfentanyl<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2206,2200],"tags":[3051,3055,3058,3059,3056,3053,3052,3054,2215,2212],"class_list":["post-8691","post","type-post","status-publish","format-standard","hentry","category-f","category-medicines","tag-fentanyl","tag-fentanyl-b-braun","tag-fentanyl-b-braun-dose","tag-fentanyl-b-braun-side-effects","tag-fentanyl-b-braun-uses","tag-fentanyl-dose","tag-fentanyl-uses","tag-fentanylside-effects","tag-injection","tag-medicine"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8691","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=8691"}],"version-history":[{"count":6,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8691\/revisions"}],"predecessor-version":[{"id":10018,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8691\/revisions\/10018"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8691"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8691"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}