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Side Effects > Propofol

Propofol Side Effects

Brand Names: Diprivan

Please note - some side effects for Propofol may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).


For the consumer

For the professional

Side Effects of Propofol - for the consumer


Propofol

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Propofol:

Change in mood or emotions; dizziness; drowsiness; lack of coordination.

Seek medical attention right away if any of these SEVERE side effects occur when using Propofol:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); cough; feeling faint; itching; pain, redness, or swelling at the injection site; wheezing.

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For the professional


Propofol

General

Adverse event information is derived from controlled clinical trials and worldwide marketing experience. In the description below, rates of the more common events represent US/Canadian clinical study results. Less frequent events are also derived from publications and marketing experience in over 8 million patients; there are insufficient data to support an accurate estimate of their incidence rates. These studies were conducted using a variety of premedicants, varying lengths of surgical/diagnostic procedures, and various other anesthetic/sedative agents. Most adverse events were mild and transient.

Anesthesia and MAC Sedation in Adults

The following estimates of adverse events for Propofol include data from clinical trials in general anesthesia/MAC sedation (N=2889 adult patients). The adverse events listed below as probably causally related are those events in which the actual incidence rate in patients treated with Propofol was greater than the comparator incidence rate in these trials. Therefore, incidence rates for anesthesia and MAC sedation in adults generally represent estimates of the percentage of clinical trial patients which appeared to have probable causal relationship.

The adverse experience profile from reports of 150 patients in the MAC sedation clinical trials is similar to the profile established with Propofol during anesthesia. During MAC sedation clinical trials, significant respiratory events included cough, upper airway obstruction, apnea, hypoventilation, and dyspnea.

Anesthesia in Pediatric Patients

Generally the adverse experience profile from reports of 506 Propofol pediatric patients from 6 days through 16 years of age in the US/Canadian anesthesia clinical trials is similar to the profile established with Propofol during anesthesia in adults. Although not reported as an adverse event in clinical trials, apnea is frequently observed in pediatric patients.

ICU Sedation in Adults

The following estimates of adverse events include data from clinical trials in ICU sedation (N=159 adult patients). Probably related incidence rates for ICU sedation were determined by individual case report form review. Probable causality was based upon an apparent dose response relationship and/or positive responses to rechallenge. In many instances the presence of concomitant disease and concomitant therapy made the causal relationship unknown. Therefore, incidence rates for ICU sedation generally represent estimates of the percentage of clinical trial patients which appeared to have a probable causal relationship.

INCIDENCE GREATER THAN 1% - PROBABLY CAUSALLY RELATED
Anesthesia/MAC Sedation ICU Sedation
Cardiovascular: Bradycardia Bradycardia
Arrhythmia [Peds: 1.2%]
Tachycardia Nodal [Peds: 1.6%]
Hypotension* [Peds: 17%] Decreased Cardiac Output
[Hypertension Peds: 8%] Hypotension 26%
Central Nervous System: Movement* [Peds: 17%]
Injection Site: Burning/Stinging or Pain, 17.6% [Peds: 10%]
Metabolic/Nutritional: Hyperlipemia*
Respiratory: Apnea Respiratory Acidosis During Weaning*
Skin and Appendages: Rash [Peds: 5%]
Pruritus [Peds: 2%]

Events without an * or % had an incidence of 1% to 3%

*Incidence of events 3% to 10%

INCIDENCE LESS THAN 1% - PROBABLY CAUSALLY RELATED
Anesthesia/MAC Sedation ICU Sedation
Body as a Whole: Anaphylaxis/Anaphylactoid Reaction
Perinatal Disorder
[Tachycardia]
[Bigeminy]
[Bradycardia]
[Premature Ventricular Contractions]
[Hemorrhage]
[ECG Abnormal]
[Arrhythmia Atrial]
[Fever]
[Extremities Pain]
[Anticholinergic Syndrome]
Cardiovascular: Premature Atrial Contractions
Syncope
Central Nervous System: Hypertonia/Dystonia, Paresthesia Agitation
Digestive: [Hypersalivation]
[Nausea]
Hemic/Lymphatic: [Leukocytosis]
Injection Site: [Phlebitis]
[Pruritus]
Metabolic: [Hypomagnesemia]
Musculoskeletal: Myalgia
Nervous: [Dizziness]
[Agitation]
[Chills]
[Somnolence]
[Delirium]
Respiratory: Wheezing
[Cough] Decreased Lung Function
[Laryngospasm]
[Hypoxia]
Skin and Appendages: Flushing, Pruritus
Special Senses: Amblyopia
[Vision Abnormal]
Urogenital: Cloudy Urine Green Urine
INCIDENCE LESS THAN 1% - CAUSAL RELATIONSHIP UNKNOWN
Anesthesia/MAC Sedation ICU Sedation
Body as a Whole:

Asthenia, Awareness, Chest Pain, Extremities Pain, Fever, Increased Drug Effect, neck Rigidity/Stiffness,

Trunk pain

Fever, Sepsis, Trunk Pain, Whole Body Weakness

Cardiovascular:

Arrhythmia, Atrial Fibrillation, Atrioventricular Heart Block, Bigeminy, Bleeding, Bundle Branch

Block, Cardiac Arrest, ECG Abnormal, Block, Hypertension, Myocardial Infarction, Myocardial Ischemia, Premature Ventricular Contractions, ST Segment Depression, Supraventricular Tachycardia, Tachycardia, Ventricular Fibrillation

Arrhythmia, Atrial Fibrillation, Bigeminy, Cardiac Arrest, Extrasystole, Right Heart Failure, ventricular Tachycardia

Central Nervous System:

Abnormal Dreams, Agitation, Amorous Behavior, Anxiety, Bucking/Jerking/Thrashing, Chills/Shivering/Clonic/Myoclonic Movement, Combativeness, Confusion, Delirium, Depression, Dizziness, Emotional Lability, Euphoria, Fatigue, Hallucinations, Headache, Hypotonia, Hysteria, Insomnia, Moaning, Neuropathy, Opisthotonos, Rigidity, Seizures,

Somnolence, Tremor, Twitching

Chills/Shivering, Intracranial Hypertension, Seizures, Somnolence, Thinking Abnormal

Digestive:

Cramping, Diarrhea, Dry Mouth,

Enlarged Parotid, Nausea, Swallowing, Vomiting

Ileus, Liver Function Abnormal

Hematologic/Lymphatic: Coagulation Disorder, Leukocytosis
Injection Site:

Hives/Itching, Phlebitis,

Redness/Discoloration
Metabolic/Nutritional: Hyperkalemia, Hyperlipemia

BUN Increased, Creatinine Increased, Dehydration,

Hyperglycemia, Metabolic Acidosis, Osmolality Increased
Respiratory:

Bronchospasm, Burning in Throat, Cough, Dyspnea, Hiccough,

Hyperventilation, Hypoventilation, Hypoxia, Laryngospasm, Pharyngitis, Sneezing, Tachypnea, Upper Airway Obstruction

Hypoxia

Skin and Appendages: Conjunctival Hyperemia, Diaphoresis, Urticaria

Rash

Special Senses:

Diplopia, Ear Pain, Eye Pain, Nystagmus, Taste Perversion,

Tinnitus
Urogenital: Oliguria, Urine Retention Kidney Failure

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More resources:

Drugs.com Diprivan

MedFacts Propofol

Micromedex Propofol - Includes detailed dosage instructions.

FDA Propofol

FDA Diprivan

Facts & Comparisons Propofol

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