FRCA Notes


Nefopam


  • Nefopam is a non-opioid, non-NSAID, centrally-acting benzoxazocine analgesic
  • Post-operative analgesia
  • For prevention of shivering during or following surgery
  • For treatment of severe hiccoughs

Presentation

  • 30mg tablets of nefopam hydrochloride for oral use
  • IM and IV preparations are not available in the UK

Dosing

  • Initially:
    • Adult: 60mg TDS PO
    • Elderly: 30mg TDS PO

  • Regular dosing:
    • 30 - 90mg TDS PO

  • Precise mechanism not fully understood
  • Mechanisms seem to involve:
    • Inhibition of monoamine re-uptake (dopamine and noradrenaline)
    • Inhibition of serotonin re-uptake (5-HT2)
    • Reduction of NMDA-mediated glutamate signalling and long-term potentiation via:
      • Modulation of voltage-gated sodium channels
      • Inhibition of calcium channels

vs. opioids

  • Compared to IV (PCA) morphine alone, addition of IV nefopam 20mg reduced median morphine use by approximately 50% (21mg vs. 43mg) following hepatic resection
  • This was associated with a greater patient satisfaction (97% vs. 82%)
  • There was statistically significant higher rates of hyperhidrosis (17%) in the nefopam group, but no other significant differences in adverse events

  • Nefopam alone reduces cumulative 24hr post-operative morphine consumption by 10.3mg (95%CI 3.7 - 16.9mg)
  • This effect was more pronounced when nefopam was combined with either an NSAID (13.4mg) or paracetamol (23.9mg)
  • These findings were not robustly associated with a reduction in pain score (as measured by VAS) nor rates of nausea or vomiting

  • Use of nefopam following various surgeries reduced:
    • Cumulative 24hr morphine consumption by 13mg (WMD; 95% CI 8.2mg - 17.9mg)
    • Pain intensity at 24hrs by 11.5mm on VAS (95% CI 7.9mmg to 15mm) and
    • Pain intensity on coughing

  • 24hr and 48hr cumulative morphine consumption was significantly lower in patients who received nefopam, either alone or as part of a multimodal analgesic regimen

vs. non-opioid analgesics

  • Nefopam alone was not as effective as either diclofenac alone or a diclofenac/nefopam combination at reducing 24hr morphine requirement or pain scores following elective upper abdominal surgery
  • IV nefopam 20mg reduced supplemental IV morphine requirements to a similar extent as IV ketamine 10mg after a variety of urological, general and orthopaedic surgeries (although there were statistically significant higher rates of tachycardia and hyperhidrosis in the nefopam group)

Absorption

  • Oral bioavailability 40% (1st pass metabolism)

Distribution

  • 75% protein bound
  • Plasma peak concentration;
    • 15 - 20mins after IV injection
    • 30mins after continuous IV infusion

Metabolism

  • Hepatic metabolism
    • Primarily via N-demethylation to the active metabolite desmethylnefopam
    • N-oxide-nefopam

  • Terminal half-life 3 - 8hrs
  • Terminal half-life of desmethylnefopam 10 - 15hrs

Excretion

  • Renal 80 - 90%
  • Faeces 8 - 13%
  • Unchanged ≤5%

Respiratory

  • Does not cause respiratory depression (unlike opioids)

Cardiovascular

  • Can cause CVS side-effects such as tachycardia and palpitations

Neurological

  • Contraindicated in those with seizure disorders
  • May cause headache or drowsiness

Renal

  • Use with caution in renal impairment; reduce daily dose in end-stage renal disease

Gastrointestinal

  • Anti-muscarinic effects such as:
    • Hyperhidrosis
    • Visual blurring
    • Vomiting

Haematological

  • Does not have an anti-platelet effect (unlike NSAIDs)

Endocrine

Drug interactions

  • Nefopam can cause anti-muscarinic effects so 'interacts' with other anti-muscarinic drugs
  • Decreases absorption of Levodopa but no manufacturer recommendation about avoiding
  • Predicted to increase the risk of serious elevations in blood pressure when given with irreversible monoamine oxidase inhibitors
    • E.g. Isocarboxazid, Phenelzine or Tranylcypromine