UMEM Educational Pearls

Category: Pharmacology & Therapeutics

Title: The Nose Knows

Keywords: Intranasal administration,fentanyl,ketorolac,sumatriptin,glucagon,desmopressin,midazolam (PubMed Search)

Posted: 10/6/2011 by Ellen Lemkin, MD, PharmD
Click here to contact Ellen Lemkin, MD, PharmD

There are an increasing number of intranasal medications commercially available for use, which is opportune as more and more intravenous medications become scarce.

These now include:

Generic name

Brand Name

Usage

Fentanyl

Instanyl

Opiate analgesic

Ketorolac

Sprix

NSAID analgesic

Desmopressin (DDAVP)

Stimate

Bleeding

Vitamin B12

Nasobal

Anti-migraine (yes!)

Sumatriptan

Imitrex

Anti-migraine

Zolmitripran

Zomig

Anti-migraine

*******In addition, you can administer glucagon, midazolam and narcan intranasally as well.

References

Veldhorst-Jassen, NM, Fiddelers AA, Paul-Hugo M et all. A review of the clinical pharmacokinetics of opioids, benzodiazepines, and antimigraine drugs delivered intranasally. Clinical Therapeutics Nov 12, 20009;31(12):2954-87.

Wolfe TR, Braude DA. Intranasal Medication Delivery for Children: A Brief Review and Update. Pediatrics 2010;126;532:532-7.