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Sufentanil
Systematic (IUPAC) name
N-[4-(methoxymethyl)-1-(2-thiophen-2-ylethyl) -4-piperidyl]-N-phenyl-propanamide
Identifiers
CAS number 56030-54-7
ATC code N01AH03
PubChem 41693
DrugBank APRD00671
Chemical data
Formula C 22H30N2O2S 
Mol. mass 386.552 g/mol
Physical data
Melt. point 97 °C (207 °F)
Pharmacokinetic data
Bioavailability  ?
Metabolism  ?
Half life 265 minutes
Excretion  ?
Therapeutic considerations
Pregnancy cat.  ?
Legal status Class A (UK) Schedule II (US)
Routes Injection
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Sufentanil (Brand Name; Sufenta) is a powerful synthetic opioid analgesic drug, approximately 5 to 10 times more potent than its analog, Fentanyl. Sufentanil is marketed for use by specialist centres under different trade names, such as Sufenta and Sufentil (India, by Claris Lifesciences Ltd.). Sufentanil was synthesised at Janssen Pharmaceutica in 1974.

Uses

The main use of this medication is in operating suites and critical care where pain relief is required for a short period of time. It also offers properties of sedation and this makes it a good analgesic component of anaesthetic regimen during an operation. It is usually administered under the doctor's order through an intravenous route. In some countries sufentanil is only indicated for epidural use. Despite this, it is often used off-label both intravenously and intranasally. A transdermal sufentanil patch called Transdur-sufentanil is currently in Stage I clinical trials by ENDO pharmaceuticals for the relief of chronic pain, and has the advantage over fentanyl patches such as Duragesic of only needing to be applied once per week.

Side effects

It is essential for the administering doctor to be trained in airway management with readily available airway equipment because the drug causes significant respiratory depression and may cause respiratory arrest if given too rapidly or in too high a dose. Other opioid side effects such as heart rhythm irregularity, blood pressure changes and nausea/vomiting can also be present in patients given this drug and should be dealt with accordingly by the doctor or anesthetist.

External links

Cultural References:

The 2002 CSI (Las Vegas) episode "Fight Night" references the drug "Sufentanil". Upon a toxicology report, it is found that the death of a young boxer is related to the drug.








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