Fresenius Kabi USA LLC

07/11/2023 | Press release | Archived content

Fresenius Kabi Introduces New Presentation for Fentanyl Citrate Injection, USP in Simplist® Ready to Administer Prefilled Syringes

Fentanyl Citrate Injection is contraindicated in patients with a hypersensitivity to fentanyl.

Risks of Skeletal Muscle Rigidity and Skeletal Muscle Movement: Manage with neuromuscular blocking agent. See full prescribing information for more detail on managing these risks.

Severe Cardiovascular Depression: Monitor during dosage initiation and titration.

Serotonin Syndrome: Potentially life-threatening condition could result from concomitant serotonergic drug administration. Discontinue Fentanyl Citrate Injection if serotonin syndrome is suspected.

Adrenal Insufficiency: If diagnosed, treat with physiologic replacement of corticosteroids, and wean patient off of the opioid.

Risks of Use in Patients with Increased Intracranial Pressure, Brain Tumors, or Head Injury: Monitor for sedation and respiratory depression.

The most common serious adverse reactions were respiratory depression, apnea, rigidity, and bradycardia.

To report SUSPECTED ADVERSE REACTIONS, contact Fresenius Kabi USA, LLC, at 1-800-551-7176 option 5 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Concomitant Use of CNS Depressants: May decrease pulmonary arterial pressure and may cause hypotension. See full prescribing information for management instructions. For post-operative pain, start with the lowest effective dosage and monitor for potentiation of CNS depressant effects.

Mixed Agonist/Antagonist and Partial Agonist Opioid Analgesics: Avoid use with Fentanyl Citrate Injection because they may reduce the analgesic effect of Fentanyl Citrate Injection or precipitate withdrawal symptoms.

Pregnancy: May cause fetal harm.

Lactation: Infants exposed to Fentanyl Citrate Injection through breast milk should be monitored for excess

sedation and respiratory depression.

Geriatric Patients: Titrate slowly and monitor for CNS and respiratory depression.

This Important Safety Information does not include all the information needed to use Fentanyl Citrate Injection, safely and effectively. Please see full prescribing information, including Boxed Warning, for Fentanyl Citrate Injection at www.fresenius-kabi.com/us.

References

  1. Fanikos, J., Burger, M., & Canada, T. (2017). An assessment of currently available i.v. push medication delivery systems. American Journal of Health-System Pharmacy, 74(9), e230-e235.
  2. Joint Commission Resources. (2022). 2022 Comprehensive Accreditation Manual (CAMH) for Hospitals. Standard MM 03.01.03. Oakbrook Terrace, IL.
  3. Institute for Safe Medicine Practices. (2022). Safe Practice Guidelines for Adult IV Push Medications. Accessed June 23, 2022.
  4. American Journal of Health-System Pharmacy. (2013). ASHP Guidelines: Minimum Standard for Pharmacies in Hospitals, 70(18), 1619-1630. doi:10.2146/sp130001
  5. Anesthesia Patient Safety Foundation. (2019). Recommendations of the Four Work Groups at the 2018 APSF Stoelting Conference on Medication Safety - Anesthesia Patient Safety Foundation. Accessed Jan. 2022.
  6. Data provided by Baptist Health Floyd and analyzed by Fresenius Kabi's Simplist Support Team. https://simplist-us.com/resources/case-study/baptist-health/.