Alfentanil

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Drug Info:

Alfentanil

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Brand names: Alfenta®

Chemical formula:



Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.


A potent opioid with a very rapid onset of action. It is used for pain relief during short surgical operations and to relieve pain and depress breathing in patients on ventilators in intensive care. Alfentanil is a controlled drug; it is available as an intravenous infusion or injection.

Side effects and precautions:
see morphine.

Interactions with other drugs:
see opioids.

Proprietary preparation:
Rapifen.

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An opioid analgesic; a derivative of fentanyl with lower potency but more rapid action.

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Alfentanil
Systematic (IUPAC) name
N-{1-[2-(4-ethyl-5-oxo-4,5-dihydro-1H-1,2,3,4-tetrazol-1-yl)ethyl]-4-(methoxymethyl)piperidin-4-yl}-N-phenylpropanamide
Clinical data
Trade names Alfenta
AHFS/Drugs.com Micromedex Detailed Consumer Information
MedlinePlus a601130
Pregnancy cat.  ?
Legal status  ? (UK) Schedule II (US)
Routes Intravenous
Pharmacokinetic data
Bioavailability 100%
Protein binding 92%
Metabolism Hepatic
Half-life 90–111 minutes
Identifiers
CAS number 71195-58-9 YesY
ATC code N01AH02
PubChem CID 51263
DrugBank DB00802
ChemSpider 46451 YesY
UNII 1N74HM2BS7 YesY
KEGG D07122 YesY
ChEBI CHEBI:2569 YesY
ChEMBL CHEMBL634 YesY
Chemical data
Formula C21H32N6O3 
Mol. mass 416.517 g/mol
SMILES eMolecules & PubChem
Physical data
Melt. point 140.8 °C (285 °F)
 YesY (what is this?)  (verify)

Alfentanil (R-39209, trade name Alfenta, Rapifen in Australia) is a potent but short-acting synthetic opioid analgesic drug, used for anaesthesia in surgery. It is an analogue of fentanyl with around 1/4 the potency of fentanyl and around 1/3 of the duration of action, but with an onset of effects 4x faster than fentanyl.[1] It is an OP3 mu-agonist.

While alfentanil tends to cause fewer cardiovascular complications than other similar drugs such as fentanyl and remifentanil, it tends to give stronger respiratory depression and so requires careful monitoring of breathing and vital signs. Alfentanil is administered by the parenteral (injected) route for fast onset of effects and precise control of dosage.

Alfentanil is a restricted drug which is classified as Schedule II in the USA, according to the U.S. DEA website.[2]

Alfentanil was discovered at Janssen Pharmaceutica in 1976.

References

External links


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