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At a glance

Isoflurane is a general inhalation anesthetic used for induction and maintenance of general anesthesia in major surgical procedures.

Indications
  • Induction and maintenance of general anesthesia
Pharmacology

Isoflurane is a nonflammable liquid and a general inhalation anesthetic drug. Induction of and recovery from isoflurane anesthesia are rapid. It causes reversible loss of consciousness and pain sensations, suppression of voluntary motor activity, modification of autonomic reflexes, and depression of the respiratory and cardiovascular system. The minimum alveolar concentration (MAC) decreases with increasing patient age.

Dosage

Adult Dose (Inhalation):

  • Induction: 1.5-3% (produces surgical anesthesia in 7-10 minutes)
  • Maintenance: 1-2.5% with nitrous oxide; 1.5-3.5% with oxygen alone

Child Dose: Safety & efficacy not established

Side effects

Common Side Effects:

  • Shivering
  • Nausea
  • Vomiting
  • High grade fever
  • Decreased blood pressure
  • Irregular heartbeat

Others: Delirium, agitation, breath holding, cough, laryngospasm, nodal arrhythmia

Use in pregnancy

Use in Pregnancy: No adequate and well-controlled studies in pregnant women; animal studies have shown harmful effects; doctor will weigh benefits and risks.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Precautions:

  • Isoflurane may cause an increase in intracranial pressure which can affect ability to drive
  • Caution in patients with known or suspected susceptibility to malignant hyperthermia
  • Hepatic dysfunction has been reported with halogenated inhalational anesthetics
  • QTc prolongation may occur
  • Additional cardiac monitoring in patients with coronary artery disease
  • Caution in hypovolemic, hypotensive or otherwise hemodynamically compromised patients
Overdose effects

Overdose: Stop drug administration, establish a clear airway and initiate assisted or controlled ventilation with pure oxygen; monitor cardiovascular function.

Storage conditions

Store below 25°C in a dry place, protected from light; keep out of reach of children.

Isoflurane — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.