Dosing Guidlines for Adults

Drug Detail for Adult Drugs


Butorphanol

Analgesics

Narcotics and Narcotic Antagonists


General Toxicity Notes
Excreted Unchanged %
Hepatic
Half-Life (NormalESRD) hours
2-4/No data
Plasma Protein Binding %
80
Volume of Distribution L/kg
9-11
Dose for Normal Renal Function
2 mg q3-4h
Second Dose
Adjustment for Renal Failure Method
D
Adjustment for Renal Failure GFR, mL/min >50 [Recommended Level]
100% [D]
Adjustment for Renal Failure GFR, mL/min 10-50 [Recommended Level]
75% [D]
Adjustment for Renal Failure GFR, mL/min <10 [Recommended Level]
50% [D]
Supplement for Dialysis [Recommendation Level]: IHD
IHD: No data
Supplement for Dialysis [Recommendation Level]: PD
PD: No data
Supplement for Dialysis [Recommendation Level]: CRRT
CRRT: Dose for GFR 10-50, titrate, [D]
References
Gillis JC, Benfield P, Goa KL. Transnasal butorphanol. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in acute pain management. Drugs. 1995; 50: 157-75. [PMID: 7588085] / Ramsey R, Higbee M, Maesner J, et al. Influence of age on the pharmacokinetics of butorphanol. Pharmacol Toxicol. 1987; 60(Suppl 2): 8-16. [PMID unavailable]
Toxicity Notes