Dangerous Drug: Butorphanol Tartrate(byoo tor’ fa nole)
Stadol
PREGNANCY CATEGORY C (DURING PREGNANCY)
PREGNANCY CATEGORY D (DURING LABOR AND DELIVERY)
CONTROLLED SUBSTANCE C-IV
Drug class
Opioid agonist-antagonist analgesic
Therapeutic Actions
Indications
Relief of moderate to severe pain when use of an opioid analgesic is appropriate
For preoperative or preanesthetic medication, to supplement balanced anesthesia, and to relieve prepartum pain (parenteral)
Nasal spray: Relief of moderate to severe pain
Contraindications and Cautions
Contraindicated with hypersensitivity to butorphanol or benzethonium chloride preservative, physical dependence on an opioid analgesic, pregnancy, lactation.
Use cautiously with bronchial asthma, COPD, respiratory depression, anoxia, increased intracranial pressure, acute MI, ventricular failure, coronary insufficiency, hypertension, biliary tract surgery, renal or hepatic impairment, geriatric patients.
Available Forms
Injection—1 mg/mL, 2 mg/mL; nasal spray—10 mg/mL
Dosages
Adults
IM
Usual single dose is 2 mg every 3–4 hr; patient must be able to remain recumbent. Dosage range is 1–4 mg every 3–4 hr; single doses should not exceed 4 mg.
Preoperative: 2 mg IM, 60–90 min before surgery.
IV
Usual single dose is 1 mg every 3–4 hr. Dosage range is 0.5–2 mg every 3–4 hr.
Balanced anesthesia: 2 mg IV shortly before induction or 0.5–1 mg IV in increments during anesthesia.
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