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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7296 p498
24 April 2004

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IV paracetamol product launched

Patients with moderate post-operative pain may be offered a new treatment option from May with the launch of the first ready-to-use intravenous form of paracetamol.

Perfalgan (paracetamol 10mg/ml, Bristol-Myers Squibb) is indicated for the short-term treatment of moderate pain and for the short-term treatment of fever when urgency is a factor or when other routes of administration are not possible.

Studies have shown that Perfalgan 1g displays comparable efficacy to 10mg intra-muscular morphine, 75mg intramuscular diclofenac or 30mg intravenous ketorolac.

Mohamed Rahman, principal pharmacist, surgical services at the Royal Liverpool University Hospital, told The Journal: “If the benefits and safety profile of Perfalgan claimed by the manufacturer are demonstrated during post-marketing surveillance, it will undoubtedly be considered for post-operative use either alone or in combination with other analgesics. It will potentially reduce dose-related side effects that occur when using single agents, such as the adverse effects of high opiate doses.”

He added that Perfalgan would be a useful additional analgesic choice for patients who have a prolonged nil-by-mouth status, those who are unable to receive non-steroidal anti-inflammatory drugs or those in whom opiate doses should be kept to a minimum or avoided in the peri-operative period.

Perfalgan is administered as a 15-minute intravenous infusion. It is manufactured by a process in which paracetamol is rendered soluble and stable in aqueous solution.


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