ATC codes:
                  N01AB06
              
    EMLc
      Indication
  
        Anaesthetics and therapeutic gases 
        
          ICD11 code: 
          
            XM1880792884
          
        
      
INN
  Isoflurane
Medicine type
  Gas
List type
  Core
       (EML)
(EMLc)
(EMLc)
Formulations
  Respiratory > Inhalation > liquid: 
                  
                       
                
EML status history
  
    First added in 2011
     
      (TRS
        965)
          
Sex
  All
Age
  Also recommended for children
Therapeutic alternatives
  The recommendation is for this specific medicine
Patent information
  Patents have expired in most jurisdictions
      
        Read more 
        
          about patents.
        
      
Wikipedia
  
DrugBank
  
Summary of evidence and Expert Committee recommendations
  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.