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remifentanil

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EntityQ417902· pop 27· linked from 1,148 articles

remifentanil

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Also known as GI-87084B, Ultiva®, Remifentanyl

Remifentanil, marketed under the brand name Ultiva is a potent, short-acting synthetic opioid analgesic drug. It is given to patients during surgery to relieve pain and as an adjunct to an anesthetic. Remifentanil is used for sedation as well as combined with other medications for use in general anesthesia. The use of remifentanil has made possible the use of high-dose opioid and low-dose hypnotic anesthesia, due to synergism between remifentanil and various hypnotic drugs and volatile anesthetics.

Chemical data

Formula
C20H28N2O5
Molecular weight
376.4 g/mol
IUPAC name
methyl 1-(3-methoxy-3-oxopropyl)-4-(N-propanoylanilino)piperidine-4-carboxylate
SMILES
CCC(=O)N(C1=CC=CC=C1)C2(CCN(CC2)CCC(=O)OC)C(=O)OC
InChIKey
ZTVQQQVZCWLTDF-UHFFFAOYSA-N
XLogP
1.9
Polar surface area
76.2 Ų
H-bond donors
0
H-bond acceptors
6
Formal charge
0

via PubChem

Research

7,243 papers

via PubMed

~8 min read

Encyclopedic overview

14 sections
Contents
  • Medical uses
  • Available forms
  • Pharmacology
  • Pharmacokinetics
  • Pharmacodynamics
  • Side-effects
  • Abuse potential
  • Society and culture
  • Development and marketing
  • Legal status
  • Tert-butyl remifentanil
  • Veterinary use
  • References
  • External links

Remifentanil, marketed under the brand name Ultiva is a potent, short-acting synthetic opioid analgesic drug. It is given to patients during surgery to relieve pain and as an adjunct to an anesthetic. Remifentanil is used for sedation as well as combined with other medications for use in general anesthesia. The use of remifentanil has made possible the use of high-dose opioid and low-dose hypnotic anesthesia, due to synergism between remifentanil and various hypnotic drugs and volatile anesthetics.

== Medical uses == Remifentanil is used as an opioid analgesic that has a rapid onset and rapid recovery time. It has been used effectively during craniotomies, spinal surgery, cardiac surgery, and gastric bypass surgery. While opioids function similarly, with respect to analgesia, the pharmacokinetics of remifentanil allows for quicker post-operative recovery.

Excerpted from Wikipedia’s “remifentanil” article, available under the CC BY-SA 4.0 licence.

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