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Codes ATC: N01AB06
EMLc
Indication
Anaesthetics and therapeutic gases Code ICD11: XM1880792884
INN
Isoflurane
Type de médicament
Gas
Type de liste
Liste de base (EML)
(EMLc)
Formulations
Respiratory > Inhalation > liquid:
Historique des statuts LME
Ajouté pour la première fois en 2011 (TRS 965)
Sexe
Tous
Âge
Aussi recommandé pour les enfants
Équivalence thérapeutique
La recommandation concerne ce médicament spécifique
Renseignements sur le brevet
Patents have expired in most jurisdictions
Lire la suite sur les brevets.
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Résumé des preuves et recommandation du comité d'experts
Isoflurane was added to the core list of the EML and EMLc as an inhalational anaesthetic in 2011. The Committee reviewed the evidence on inhalational anaesthetics. Currently halothane (square box) and nitrous oxide are the only inhalational anaesthetics on the EML. Halothane is widely used in both induction and maintenance, in adults and children but has been gradually replaced in developed countries by isoflurane, enflurane, desflurane, and sevoflurane for safety reasons. Ensuring availability of halothane is increasingly problematic in many settings. None of these medicines is best in all situations and the choice is determined by the availability of the medicines and specific vaporizers. The Committee decided to include isoflurane but not enflurane (due to the risks of convulsions) or sevoflurane (due to cost). Halothane should remain, but without a square box, as this would not be listed as the examplar of all inhalation agents. Where available, halothane provides an affordable option for induction and maintenance. However, where availability is an issue, isoflurane provides an acceptable option for maintenance.