Go Medical is the first company to appreciate the value of nasal patient controlled analgesia.
Using lipophilic drugs such as fentanyl and sufentanyl it is possible to achieve the same level of pain management as intravenous PCA as drugs delivered to the nasal mucosa act as quickly as intravenous injections.
The nasal route avoids hepatic first pass metalolism that castly reduces the bioavilability of some oral medicatons.
The Go Medical nasal PCA device is a hand activated spray that is higly acceptable to patients.
It incorporates a 3 minute fill time (during which another full dose cannot be delivered) and is suitable for use with fentanyl, alfentanil and meperidine.
The spray is delivred in small droplet form, reducing the volume of drug reaching the nasopharynx.
Applications include pre-emptive analgesia (eg dressing changes for patients with burns), moderate to severe pain in children and adults and pallatice care.
Bottles can be ordered which deliver 9 micrograms of fentanyl with 7 micrograms being absorbed in 3 minutes combined with a 3 minute lockout. (Maximum hourly dose absorbed: 140 micrograms)
The Future: This new method of PCA is likely to replace intra-muscular injections in most hospitals and to facilitate pain relief for outpatient and day surgery units.
Nasal Spray Features:
- 0.18mL spray.
- 3, 4 or minute filling time.
- 80µm droplet spray.
- Extremely simple to use.
- Promotes patient moility.
- Reduces dependance on nursing staff.
- As effective as IV PCA
- Suitable for fentanyl and pethidine .
- Screw top and crimp top models available. Screw top model can be refilled by pharmacist
- Safe, low cost and easy to fill.
Can also be use with any soluable lipophilic drug like fentanyl, alfentanyl, midazolam, sufentanyl, oxycodone, pethidine, meperidine, butorphanol, buprenorphine and lignocaine.
(Note: occasionally pethidine or meperidine can cause irritation to the nasal mucosa and give a bitter taste if swallowed down the oropharynx. Suggestion: the patient sucks a lolly.)