Ultiva
Ultiva is a fast-acting pain medicine used during operations and in intensive care.
Form
kuiva-aine välikonsentraatiksi injektio-/infuusionestettä varten, liuos
Strength
1 mg
Active Ingredient
Remifentanil hydrochloride
Manufacturer
Aspen Pharma Trading Limited
How to Use
Dosage
Your doctor will decide your dose based on the type of procedure you are having and your level of pain.
Method
A trained healthcare professional will always give you this medicine into a vein, either as a single injection or a slow infusion over time.
Important
Your doctor will adjust your maximum daily dose as needed; for intensive care, it's generally not recommended for more than three days.
Possible Side Effects
COMMON
- •Muscle stiffness
- •Low blood pressure
- •Nausea or vomiting
- •Slow heartbeat
- •Shallow breathing
- •Temporary pause in breathing
- •Itching
- •Cough
- •Chills
- •High blood pressure
RARE
- •Raised itchy rash (hives)
- •Swelling of the face and mouth (angioedema), causing breathing difficulties
- •Loss of consciousness
- •Lack of oxygen (hypoxia)
- •Constipation
- •Slow heartbeat followed by cardiac arrest in patients receiving Ultiva with one or more anesthetic agents
- •Physical need for Ultiva (drug dependence) or need to increase the dose over time to achieve the same effect (drug tolerance)
- •(Epileptic) seizure
- •A certain type of irregular heart rhythm (atrioventricular block)
- •Irregular heartbeat (arrhythmia)
- •Withdrawal syndrome (can include increased heart rate, high blood pressure, restlessness or agitation, nausea, vomiting, diarrhea, anxiety, chills, tremor, and sweating)
- •Pain
- •Feeling calm or drowsy
Important Warnings
- Do not use Ultiva if you are allergic to remifentanil or any other ingredients in this medicine.
- Do not use Ultiva if you are allergic to fentanyl-like pain medicines (opioids).
- This medicine must not be injected into your spinal canal.
- Ultiva must not be used as the only medicine to start anesthesia.
- Be especially careful if you are allergic to other opioid medicines, such as morphine or codeine.
Show 8 more warnings
- Tell your doctor if you have reduced lung function, as you might be more sensitive to breathing difficulties.
- Inform your doctor if you are over 65, frail, have low blood pressure, or reduced blood volume, as you might be more sensitive to heart problems.
- Ultiva can cause dependence and misuse, and long-term use may reduce its effectiveness.
- Do not stop Ultiva suddenly, especially if you have used it for more than three days, as it can cause withdrawal symptoms like restlessness or high blood pressure.
- Using Ultiva with sedative medicines can cause severe drowsiness, breathing problems, or even coma, which can be life-threatening.
- Do not drink alcohol until you have fully recovered after Ultiva treatment.
- Tell your doctor if you are pregnant, breastfeeding, or planning to become pregnant, and avoid breastfeeding for 24 hours after Ultiva treatment.
- Ultiva can impair your ability to drive or operate machinery.