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Butorphanol Nasal Spray
Narcotic analgesics
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Drug Name:

Butorphanol Nasal Spray CIV

Generic Name and Formulations:
Butorphanol tartrate 1mg/spray; nasal spray.

Company:
Various generic manufacturers

Therapeutic Use:

Indications for Butorphanol Nasal Spray:

Pain management when opioid analgesia is appropriate.

Adult:

≥18 years: initially 1 spray in 1 nostril, repeat after 60–90 minutes if needed (Elderly: 90–120 minutes); may repeat in 3–4 hours. Or, may give 1 spray in each nostril, may repeat after 3–4 hours.

Children:

<18 years: not recommended.

Warnings/Precautions:

Head injury. Increased intracranial pressure. Biliary tract surgery. Respiratory, cardiac, renal, or hepatic dysfunction. MI. Ventricular dysfunction. Coronary insufficiency. Hypertension. May precipitate withdrawal in narcotic addicts. Elderly. Labor & delivery. Pregnancy (Cat.C). Nursing mothers.

Interactions:

Potentiates CNS depression with alcohol, other CNS depressants. Nasal vasoconstrictors delay onset. May be antagonized by concomitant (within 30 minutes) sumatriptan nasal spray.

Pharmacological Class:

Opioid (agonist-antagonist).

Adverse Reactions:

Sedation, dizziness, nasal congestion, insomnia, GI upset, respiratory depression, sweating, hypo- or hypertension, rash, vasodilation, palpitation, tinnitus, respiratory and CNS effects.

Note:

Formerly known under the brand name Stadol NS.

How Supplied:

Nasal Spray 2.5mL (8–15 sprays)—Contact supplier.

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