Remifentanil dosing
Opioids · 50 mcg/mL · IV Infusion
Calculated, not generatedWeight-based dose
| Dose | Per kg | For 70 kg |
|---|---|---|
| low | 0.05 mcg/kg/min/kg | 3.5 mcg/kg/min |
| standard | 0.1 mcg/kg/min/kg | 7 mcg/kg/min |
| high | 0.2 mcg/kg/min/kg | 14 mcg/kg/min |
Renal & hepatic adjustment
✓ Metabolized by nonspecific plasma/tissue esterases — organ-independent; no renal or hepatic dose adjustment.
Source: Stoelting's Pharmacology
Onset, duration & pearls
Onset1-2 min
Duration3-5 min
Side effects: Bradycardia, Chest wall rigidity, Opioid-induced hyperalgesia.
- Context-insensitive half-time ~3 min
- Plasma esterase metabolism — no organ dependence
More opioids
Get the exact dose for your patient
Vigil computes Remifentanil for your patient's actual weight — and adjusts for renal or hepatic impairment automatically, with the cited rationale. The number is calculated from a verified database, never guessed.
Decision support for licensed clinicians — not a substitute for clinical judgment. Always verify against the package insert and the patient in front of you.