🩺 ANAESTHETIC, GENERAL 🏷️ General anaesthetic
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Inf — 1 Ampx10 ml Rs.397.16 Rs.467.25

📋 Indications & Clinical Dosage

*Induction of anaesthesia:* BY SLOW IV INJ: Adult & Children above 6 months: 150-300 mcg/kg (max. per dose 60 mg), to be administered over 30-60 seconds (60 seconds in patients in whom hypotension might be hazardous) Elderly: 150-200 mcg/kg (max. per dose 60 mg), to be administered over 30-60 seconds (60 seconds in patients in whom hypotension might be hazardous)

⚠️ Precautions & Warnings

Acute circulatory failure (shock), acute porphyrias (avoid), adrenal insufficiency, cardiovascular disease, elderly, fixed cardiac output, hypovolaemia

⚠️ Adverse Reactions / Side Effects

Apnoea, hyperventilation, hypotension, nausea, rash, stridor, vomiting, arrhythmias, cough, hiccups, hypersalivation, hypertension, phlebitis, AV block, cardiac arrest, extraneous muscle movement, pain on injection, respiratory depression, seizures, shivering, Stevens- Johnson syndrome

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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