Sufentanil Citrate

obstetrical analgesia therapy, lumbar epidural anesthesia therapy, Intubation (procedure) + 7 more

Treatment

9 FDA approvals

4 Active Studies for Sufentanil Citrate

What is Sufentanil Citrate

Sufentanil

The Generic name of this drug

Treatment Summary

Sufentanil is a type of opioid medication used to treat severe pain in adults. It can be administered through an intravenous (IV), epidural, or sublingual route. The sublingual form, also known as Dsuvia, is approved for use in medically supervised healthcare settings, such as hospitals, surgical centers, and emergency departments. It is intended to provide a fast and non-invasive way to manage acute pain.

Sufentanil Citrate

is the brand name

Sufentanil Citrate Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Sufentanil Citrate

Sufentanil

1995

9

Approved as Treatment by the FDA

Sufentanil, also known as Sufentanil Citrate, is approved by the FDA for 9 uses including Intubation (procedure) and lumbar epidural anesthesia therapy .

Intubation (procedure)

lumbar epidural anesthesia therapy

Used to treat lumbar epidural anesthesia therapy in combination with Bupivacaine

obstetrical analgesia therapy

Pain, Acute

Induction and Maintenance of General Anesthesia

Acute Pain

Labor and Delivery

General Anesthesia

Major Surgical Procedures

Effectiveness

How Sufentanil Citrate Affects Patients

Sufentanil affects the central nervous system, respiratory system, cardiovascular system, and gastrointestinal tract. It is a painkiller and sedative, can increase pain tolerance and decrease the perception of pain, and can cause muscle rigidity and hypnotic activity. It can cause respiratory depression, peripheral vasodilation which may lead to hypotension or fainting, bradycardia, pruritus, flushing, red eyes, sweating and/or orthostatic hypotension. Sufentanil may also reduce motility in the stomach, delay digestion in the small intestine, decrease propulsive contractions in the

How Sufentanil Citrate works in the body

Sufentanil is a strong opioid that binds to receptors in the brain, spinal cord, and other parts of the body. It helps reduce pain by affecting the neural pathways that send pain signals. It also decreases the release of pain-causing substances, and makes the cell membrane more stable. Sufentanil also blocks certain calcium channels, which stops the release of pain-causing neurotransmitters, and opens potassium channels, which causes the cells to become less active and less likely to send pain signals.

When to interrupt dosage

The measure of Sufentanil Citrate relies upon the diagnosed ailment, including lumbar epidural anesthesia therapy, Obstetric Delivery and Intubation (method). The magnitude of dosage fluctuates, according to the administration approach noted in the table beneath.

Condition

Dosage

Administration

General Anesthesia

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Major Surgical Procedures

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Labor and Delivery

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Acute Pain

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Induction and Maintenance of General Anesthesia

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

short opioid analgesia requirement

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Pain

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

obstetrical analgesia therapy

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

lumbar epidural anesthesia therapy

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Intubation (procedure)

0.05 mg/mL, , 0.015 mg, 0.03 mg

, Epidural; Intravenous, Injection, Injection - Epidural; Intravenous, Solution, Solution - Epidural; Intravenous, Liquid, Liquid - Epidural; Intravenous, Intravenous, Liquid - Intravenous, Sublingual, Tablet, Tablet - Sublingual, Injection, solution, Injection, solution - Epidural; Intravenous, Solution - Intravenous

Warnings

Sufentanil Citrate has two contraindications, so it should not be taken if any of the conditions in the subsequent table are present.

Sufentanil Citrate Contraindications

Condition

Risk Level

Notes

intolerance to opioid agonists

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Sufentanil may interact with Pulse Frequency

There are 20 known major drug interactions with Sufentanil Citrate.

Common Sufentanil Citrate Drug Interactions

Drug Name

Risk Level

Description

7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline

Major

The risk or severity of adverse effects can be increased when Sufentanil is combined with 7,8-Dichloro-1,2,3,4-tetrahydroisoquinoline.

Azelastine

Major

Sufentanil may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Benmoxin

Major

The risk or severity of adverse effects can be increased when Sufentanil is combined with Benmoxin.

Brofaromine

Major

The risk or severity of adverse effects can be increased when Sufentanil is combined with Brofaromine.

Caroxazone

Major

The risk or severity of adverse effects can be increased when Sufentanil is combined with Caroxazone.

Sufentanil Citrate Toxicity & Overdose Risk

The toxic dose of sufentanil in mice is 18.7mg/kg when given intravenously. Taking too much sufentanil can cause serious breathing problems, which may be fatal if not treated quickly. There is no evidence that sufentanil causes cancer or genetic damage in animals. In pregnant animals, sufentanil caused harm to the embryo when given at 2.5 times the maximum human dose. If taken during pregnancy, sufentanil may harm the fetus. If breastfeeding, infants should be monitored for excessive sleepiness or difficulty breathing.

image of a doctor in a lab doing drug, clinical research

Sufentanil Citrate Novel Uses: Which Conditions Have a Clinical Trial Featuring Sufentanil Citrate?

22 active investigations are assessing the potential of Sufentanil Citrate to provide relief for Obstetric Delivery, Pain and Major Surgical Procedures.

Condition

Clinical Trials

Trial Phases

lumbar epidural anesthesia therapy

0 Actively Recruiting

obstetrical analgesia therapy

1 Actively Recruiting

Not Applicable

Labor and Delivery

1 Actively Recruiting

Phase 3

Intubation (procedure)

0 Actively Recruiting

Induction and Maintenance of General Anesthesia

0 Actively Recruiting

Pain

0 Actively Recruiting

Acute Pain

1 Actively Recruiting

Not Applicable

General Anesthesia

1 Actively Recruiting

Phase 4

Major Surgical Procedures

0 Actively Recruiting

short opioid analgesia requirement

0 Actively Recruiting

Patient Q&A Section about sufentanil citrate

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is sufentanil an agonist?

"Fentanyl and its analogs produce potent analgesia when administered systemically to humans and other animals. These compounds have a rapid onset of action, are highly lipophilic, and cross the blood brain barrier readily.

Fentanyl and related drugs are very potent, specific μ-receptor agonists. They produce potent analgesia when administered systemically to humans and other animals and have a rapid onset of action. They are also highly lipophilic and cross the blood brain barrier readily."

Answered by AI

How is sufentanil eliminated?

"The main way that sufentanil is broken down is through N- and O- dealkylation, which gets rid of about 80% of the drug within 24 hours. Only 2% of the drug is eliminated without being changed."

Answered by AI

Clinical Trials for Sufentanil Citrate

Image of AltaSciences, Inc in Cypress, United States.

SBS-147 Safety Study

18 - 55
All Sexes
Cypress, CA

This study is part of the HEAL Initiative supported by the NIH. The purpose of this study is to learn how safe the study drug, SBS-147, is and how people's bodies respond to and process it. Researchers will also look for any side effects that may occur when taking SBS-147. Some participants will receive SBS-147, and others will receive a placebo, which looks the same but does not contain any medicine. This helps researchers fairly compare results. The study includes two parts: Single-Dose Group, where Participants receive SBS-147 or placebo one time. Multiple-Dose Group, where Participants receive SBS-147 or placebo once or twice daily for 7 days.

Phase 1
Waitlist Available

AltaSciences, Inc

Jeff Reich, MD

Sparian Biosciences, Inc

Image of The Ohio State University Wexner Medical Center in Columbus, United States.

Lidocaine Injections for Labor Pain

18+
Female
Columbus, OH

The purpose of this study is to explore the differences between the pain associated with epidural Tuohy needle insertion with prior administration of subcutaneous or intradermal lidocaine using two different pain assessment tools (numerical rate scale (NRS) and Critical-Care Pain Observation Tool (CPOT)) in parturient women requesting epidural analgesia for laboring pain. Subjects will go through the following study procedures: review of medical history prior to surgery. Subjects will be randomly assigned to one of the two study groups in a 1:1 ratio to one of the two different standard methods to administer lidocaine prior to epidural Tuohy needle insertion: intradermal or subcutaneous lidocaine administration. Prior to insertion of the Tuohy epidural needle, each patient will receive an injection of 3 mL 1% lidocaine either intradermally (Group Intradermal) or subcutaneously (Group Subcutaneous). A blinded observer (positioned in front of the patient and unable to see the procedure) will record baseline NRS scores, HR, and BP after the patient has been positioned for the epidural procedure and prior to the administration of lidocaine. During the procedure, the blinded observer will objectively record patient's vocal responses, facial expressions, bodily movements, and muscle tension (caused by pain reflex) using the CPOT and NRS scales during lidocaine administration and the first Tuohy needle insertion. After each injection, the blinded observer will record the corresponding heart rate. When the procedural anesthesiologist has exited the room, the blinded observer will then collect the patient's procedure satisfaction score from 0 (worst satisfaction) to 10 (most satisfaction) at the conclusion of the procedure. Likewise, the blinded observer will also collect the final post-procedure heart rate and blood pressure.

Recruiting
Has No Placebo

The Ohio State University Wexner Medical Center