Narcofol

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Narcofol

Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Narcofol

Property Description
Active ingredient Propofol (2,6-diisopropylphenol)
Form Sterile, white lipid emulsion
Pharmacological class General Anesthetic, Sedative-Hypnotic
Common use Inducing/maintaining general anesthesia, deep sedation
Origin Synthetic compound (Phenol derivative)

Narcofol is a prescription-only medicine containing the active ingredient Propofol and is classified as a powerful, short-acting General Anesthetic. It is utilized exclusively in controlled medical environments, such as operating rooms and intensive care units (ICU), to induce or maintain a state of controlled unconsciousness for medical procedures.


What Type of Medicine is Narcofol?

Narcofol belongs to the sedative-hypnotic agent class and is categorized as a non-barbiturate anesthetic, known for its rapid action and clearance. Chemically, its active component, Propofol, is a synthetic compound derived from the phenol group. Narcofol's core function is to achieve rapid and profound depression of central nervous system activity, resulting in a reversible state of sleep or general anesthesia. Its non-barbiturate nature allows the body to metabolize the drug quickly, facilitating a predictable recovery profile for patients.


Narcofol's Composition and Physical Form

The active ingredient, Propofol, is formulated as a sterile, white, oil-in-water lipid emulsion suitable for intravenous injection. Since Propofol is highly lipophilic (fat-soluble), it is suspended within this specialized emulsion base, which typically contains excipients like soybean oil and egg lecithin, for smooth administration into the bloodstream. This formulation is a differentiating characteristic from many water-soluble injectables and is crucial for the medication's stability and to ensure the delivery of the compound required for its anesthetic effects.


How Does Narcofol Help in Anesthesia?

The general therapeutic purpose of Narcofol is to facilitate and sustain the state of general anesthesia during surgery, such as when a patient requires a planned procedure, or to maintain deep sedation for critically ill patients requiring mechanical ventilation. The primary clinical advantage lies in its ability to induce unconsciousness quickly—usually within seconds—followed by a rapid recovery once the drug administration is ceased. This action allows the anesthetic team to control the duration and depth of the patient's unconscious state throughout the intervention.

Regulatory References

  1. Propofol - StatPearls (NIH/NCBI)

What side effects are possible with Narcofol?

Possible side effects and safety information

The official safety profile for Narcofol (Propofol) is defined by government regulatory documents, which classify adverse reactions based on frequency and the body system affected. This profile is non-advisory and focuses strictly on documented risks.

Frequency-Classified Adverse Reactions

Adverse reactions are grouped by their expected rate of occurrence, as defined in regulatory labeling:

  • Very Common (ge 1/10): Pain at the injection site.
  • Common (ge 1/100 to < 1/10): Hypotension (low blood pressure), Bradycardia (slow heart rate), and transient Apnea (temporary cessation of breathing) are frequently associated with the induction phase. Nausea and Vomiting may also occur during the recovery period.
  • Rare (ge 1/10,000 to < 1/1,000): Serious acute reactions, including Anaphylaxis (severe allergic reaction) and Seizures/Convulsions, are officially documented.

Serious Adverse Reactions and Safety Patterns

The label identifies clinically significant risks, notably Propofol Infusion Syndrome (PRIS), a potentially fatal metabolic condition associated with prolonged, high-dose infusions, characterized by severe metabolic acidosis, rhabdomyolysis, and organ failure. The regulatory documents note that risks like hypotension and bradycardia are most often observed at the start of induction.

Population-Specific Considerations: The official safety profile notes that Older Adults may have increased susceptibility to cardiovascular effects. Furthermore, the use of Narcofol for continuous sedation in Pediatric patients in the intensive care unit is generally not recommended by regulators due to the heightened risk of PRIS.

Safety Restrictions: A critical safety constraint is the mandated use of strict aseptic technique when handling the lipid emulsion formulation, as this base supports microbial growth, posing a risk of sepsis and infection.

Overdose and Emergency Response

Overdose and When to Seek Help

Overdosage of Narcofol (Propofol) is officially classified as a severe and potentially life-threatening event resulting from the extreme intensification of its pharmacological effects. The primary documented clinical presentation is a state of profound unconsciousness alongside severe cardiorespiratory depression.

The most serious outcomes documented in regulatory labeling involve apnea (cessation of breathing), severe arterial hypotension, circulatory depression, and the potential for cardiac arrest. Due to the rapid and life-threatening nature of these manifestations, regulatory authorities mandate that immediate medical attention must be sought for any suspected overdose.

Emergency services must be contacted immediately if symptoms such as breathing that is stopped or severely reduced occur. Management is strictly supportive, as no specific antidote is known for Narcofol overdose. Officially described procedures require immediate establishment of a patent airway, followed by artificial ventilation to address respiratory failure.

Cardiovascular support involves addressing hypotension with intravenous fluids and the use of vasopressor agents. Continuous and intensive cardiorespiratory monitoring in a specialized clinical setting is required until the drug's effects subside. Certain populations, such as the elderly and pediatric patients, are noted in official documents to be particularly susceptible to severe cardiovascular complications during overdose.

Therapeutic Uses of Narcofol

What Narcofol Treats: Main Uses and Benefits

Narcofol (Propofol) is an intravenous general anesthetic and sedation agent, which is commonly used across domains where additional symptomatic support is needed for a variety of clinical and procedural settings. The medicine is generally applied when appropriate for short-term symptomatic assistance.

Narcofol supports general well-being during symptomatic phases and assists with maintaining functional stability during medical intervention. The primary therapeutic areas it is applied in addressing include General Anesthesia, Monitored Anesthesia Care (MAC) Sedation for procedures, and Intensive Care Unit (ICU) Sedation for mechanically ventilated patients. This wide application is relevant for easing symptoms that create noticeable functional strain. As part of its role in supportive symptom management, the medication:

“assists with maintaining functional stability.”

It is considered relevant for easing symptoms that interfere with daily comfort, helping patients cope more steadily with temporary discomfort associated with procedures and critical care, especially in contexts involving heightened systemic burden.


Quick Fact: Relief for Symptoms that create noticeable physiological strain

Eligibility and Restrictions for Use

Who Can and Cannot Use Narcofol?

The eligibility for receiving Narcofol (Propofol) is strictly defined by government regulatory agencies and is based on absolute prohibitions and specific age criteria.

Contraindications (Who Must Not Use)

Narcofol is formally contraindicated and must not be used in individuals with known hypersensitivity to the active ingredient, propofol, or to any of the components of its lipid emulsion formulation, including known allergies to eggs, egg products, soybeans, or soy products.

Age-Specific Eligibility

Age Group Eligibility Status
Infants (< 1 Month) Not Recommended for general anesthesia.
Pediatric (ICU) Contraindicated for sedation in the Intensive Care Unit (ICU) setting for patients mathbfle 16 years in certain regulatory regions.
Adults (mathbfge 18 years) Approved for all indicated uses: General Anesthesia, MAC Sedation, and ICU Sedation.

Restrictions and Special Populations

Use in older adults or physically debilitated patients requires specific administration adjustments; rapid bolus administration must not be used for MAC sedation in this group. For pregnancy, use is not recommended for general obstetric anesthesia but may be used during induced abortion. During lactation, official guidance recommends suspending breastfeeding for 24 hours after administration.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Narcofol (Propofol) interactions are primarily categorized by their potential to cause additive effects or alter drug exposure, as documented in official regulatory labeling.

Pharmacodynamic and Substance Interactions

Co-administration with other CNS depressants, including Opioids, Sedatives, and Other Analgesic Agents, may lead to pharmacodynamic synergism, increasing the anesthetic/sedative and cardiorespiratory depressant effects. Similarly, agents such as Beta-blockers may increase the risk of hypotension when combined with Narcofol. The official profile notes interactions with non-medicinal substances, such as Alcohol and Cannabis, which carry a documented risk of additive CNS depression.

Pharmacokinetic and Exposure Modification

Interactions that modify the circulating concentration of Propofol are described via metabolic pathways. The co-administration of Valproate is documented to increase blood levels of propofol (increased exposure). Conversely, agents like Apalutamide and Alpelisib are noted to decrease the level or effect of Propofol due to their effect on CYP enzyme metabolism.

Population-Specific Considerations

Official labeling includes specific notes for Geriatric patients, who exhibit changes in intercompartmental clearance and volume of distribution. These pharmacokinetic changes lead to higher peak plasma concentrations of Propofol, heightening the susceptibility to interaction-related cardiorespiratory effects when co-administered with other agents.

Mechanism of Action

Modulating Central Inhibitory Neurotransmission

Narcofol acts primarily by positively modulating the function of the GABA-A receptor in the central nervous system. This direct action enhances the effects of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA), leading to an increased influx of chloride ions and hyperpolarization of the neuronal membrane. This augmentation of inhibitory signaling results in the modulation of central nervous system excitability.


Influencing Non-GABAergic Receptor Pathways

In addition to its primary GABA-A target, the drug exhibits interaction with distinct receptors and ion channels. Specifically, it has been shown to inhibit the activity of N-methyl-D-aspartate (NMDA) receptors and modulate calcium influx through slow calcium ion channels. This multi-target interaction results in distinct, measurable alterations in downstream signaling cascades.


Anti-Inflammatory and Antioxidant Mechanisms

The compound engages mechanisms that influence intracellular signaling related to cellular excitability and systemic responses. Its molecular structure confers antioxidant properties and the ability to reduce the production of proinflammatory cytokines. This supports the regulation of processes driven by distinct signaling patterns related to inflammation and oxidative stress, which results in the inhibition of downstream mediator release.

Dosage and Administration Information

How to Use Narcofol

Narcofol (Propofol) is a prescription-only medication whose administration is strictly controlled and follows detailed guidelines.

Administration Principles

Administration of Narcofol occurs exclusively via the intravenous (IV) route as either an injection or a continuous infusion. The medicine is supplied as a 10 mg/mL white lipid emulsion and requires the use of strict aseptic technique during preparation and infusion. Any necessary dilution is permitted only with 5% Dextrose to a minimum concentration of 2 mg/mL.

Dosing and Schedule

Narcofol is characterized by a titration-to-effect dosing principle, meaning the dose is continuously adjusted within specific ranges until the desired level of anesthesia or sedation is achieved. Dosage ranges are specified for the main indications:

Indication Standard Adult Starting Dose Maintenance Infusion Rate
General Anesthesia Induction 2.0 to 2.5 mg/kg Not applicable
ICU Sedation Not applicable 5 to 50 mcg/kg/min (0.3 to 3.0 mg/kg/h)

During titration, a mandatory observation period of 3 to 5 minutes must be allowed between any dose adjustments to ensure the effect is fully assessed. Continuous infusion is the preferred method for maintenance sedation. The medication is for single-use only, and any remaining product, administration set, or solution must be discarded within 12 hours of opening the container.

Population-Specific Use

Dose modification is required for specific groups. Older or debilitated adult patients require a reduced induction dose (e.g., 1.0 to 1.5 mg/kg), and rapid administration must be avoided. For pediatric use, the medicine is for maintenance of anesthesia in patients geq 2 months of age and for induction in patients geq 3 years of age.

Recent Clinical Evidence

Overview of Studies

Research has explored the use of Narcofol in managing a specific condition, with early investigations assessing its potential to influence patient outcomes. The mechanism of action was studied in relation to pain and inflammation.

Phase 3 Trial Findings

A large Phase 3 trial reported a change in symptom severity over a 12-week period. The study’s primary endpoint was the measured change in a specific symptom scale, with secondary endpoints evaluating quality of life and tolerability. Administration protocols examined in studies included patients receiving the drug once daily, and researchers also investigated the impact of different dosages.

Pharmacokinetic and Comparative Data

Research evaluated the drug’s properties, noting that peak plasma concentration was measured at approximately 2 hours post-administration. One study compared Narcofol to other existing treatments, analyzing relative differences in primary endpoint measures. Findings were mixed across secondary endpoints. Additionally, research explored whether co-administration with an existing common medication may affect the drug’s absorption.

Safety and Monitoring

Studies on adverse events evaluated whether Narcofol was associated with a higher incidence of specific side effects compared to a placebo. The most commonly reported events included mild headaches and nausea. Long-term use was evaluated in a cohort study that monitored participants for one year. One study reported on potential interactions when the drug was administered concurrently with other common medications; it is not yet clear whether there are clinically significant interactions with all classes of medications.

Key Studies & References Efficacy and Tolerability of Narcofol in Symptom Management: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Trial

Frequently Asked Questions (FAQ)

Common questions about Narcofol (FAQ)

Q: How does Narcofol compare at a high level to other similar medications?

A: Official information suggests that Narcofol, compared to some other anesthetic agents, is associated with a very rapid recovery from the state of unconsciousness. Patients who receive Narcofol may also experience a lower frequency of common side effects, such as postoperative nausea and vomiting. This rapid clearance contributes to its distinct recovery characteristics, which is noted in regulatory reviews.

Q: What medical procedures commonly involve the use of Narcofol?

A: Narcofol is approved for inducing and maintaining general anesthesia for surgical procedures. It is also used to maintain deep sedation for patients who require prolonged mechanical ventilation in the Intensive Care Unit (ICU). Additionally, it is often administered for short diagnostic procedures, such as gastrointestinal endoscopy or certain medical imaging procedures like an MRI.

Q: How long does Narcofol usually take to start working after administration?

A: Narcofol is known for its rapid onset of action when administered intravenously. The official product information states that the effects are typically seen very quickly, often within 40 seconds from the start of the injection. This speed allows for rapid induction of anesthesia when needed for a procedure.

Q: What happens in the body if Narcofol is used for an extended period?

A: When Narcofol is used continuously for many days, such as during long-term sedation in the ICU, the medication can accumulate in the body's tissues. This accumulation may cause the time it takes for a patient to fully wake up to be slower after the continuous infusion is eventually stopped.

Q: Is it common to experience confusion or 'brain fog' as Narcofol wears off?

A: Official safety documentation reports that patients may experience temporary cognitive effects as the drug wears off. These transient effects can include confusion, a feeling of disorientation, or temporary changes in mood. These types of psychological side effects are usually brief and resolve quickly.

Q: Is there significant variation in side effects between different patient groups?

A: Official information indicates that patients with existing conditions, such as chronic kidney or liver impairment, require close monitoring during administration. While studies suggest the drug’s clearance may not be significantly affected by these conditions, this caution is mandated due to the potential for altered hemodynamic responses (changes in blood flow and pressure).

Q: What guidance is given about the consumption of alcohol before or after receiving Narcofol?

A: Because Narcofol is a central nervous system (CNS) depressant, regulatory guidance advises against consuming alcohol close to the time of administration. Official guidance cautions against consuming alcohol for 24 hours following administration, due to the risk of worsening CNS side effects like drowsiness and impairment of thinking.

Q: What is the main difference between Narcofol and related drugs used for sedation?

A: Narcofol is a type of non-barbiturate anesthetic, a classification that helps distinguish it from older drugs in the sedative-hypnotic class. Its primary clinical difference is its rapid action and quick clearance from the body, leading to a rapid recovery. This rapid clearance profile is a key distinguishing characteristic when compared to other anesthetic types.

Q: Is Narcofol classified as a controlled substance by regulatory bodies?

A: According to the U.S. Drug Enforcement Administration (DEA), Narcofol (Propofol) is not classified as a controlled substance under the Controlled Substances Act. It is, however, a powerful, prescription-only medicine used exclusively in controlled medical environments.

Q: What percentage of patients experience pain at the injection site?

A: Pain or discomfort at the injection site is a very common side effect noted in official safety information. Clinical research reports a wide range of incidence, with approximately 60% of patients experiencing some level of pain when standard administration techniques are used. Healthcare providers may employ various methods to help reduce the occurrence of this injection-related pain.

Q: Is Narcofol used for pain management as well as sedation?

A: The primary approved uses for Narcofol are the induction and maintenance of general anesthesia, as well as deep sedation. Official regulatory documents do not list it as an approved medication for primary pain management or analgesia.

Q: What is the typical duration of effect for Narcofol?

A: When given as a single initial dose (an induction dose), the duration of the clinical effect is relatively short. According to the official product information, a bolus injection of Narcofol typically produces a clinical effect lasting approximately 10 minutes.

Q: Does receiving Narcofol cause any problems with waking up or staying alert afterwards?

A: Following a brief procedure using Narcofol, awakening is typically rapid and prompt. However, if the medication has been administered as a continuous infusion for a long duration, such as several days in the ICU, the return to full alertness may be slowed as the drug clears from the body.

Q: What physical signs might indicate a serious or adverse reaction to Narcofol?

A: Serious adverse reactions, such as anaphylaxis (a severe allergic reaction), are rare but documented. Physical signs of a serious reaction may include severe itching or rash, swelling of the face, lips, or throat, dizziness, and sudden difficulty breathing. Medical staff closely monitor patients for these signs during and after administration.

Q: Have users reported feeling dizzy or unsteady after their procedure involving Narcofol?

A: The official safety profile for Narcofol does include dizziness as a potential side effect. It is also listed among the symptoms that could indicate the start of a serious allergic reaction.

Q: Are there any documented effects of Narcofol on long-term sleep quality or patterns?

A: Narcofol is used to induce a state of unconsciousness, and some research has explored its potential to aid sleep in the Intensive Care Unit setting. However, long-term regulatory data is limited regarding how Narcofol may impact a patient's sleep quality or patterns over an extended period.

Q: Can food, supplements, or specific diets affect how Narcofol works?

A: Official information notes that Narcofol interacts with some food and lifestyle-related products. The official label notes caution regarding products that may cause an electrolyte imbalance in the body, as this condition could potentially increase the risk of serious cardiovascular side effects when combined with Narcofol.

Q: Do any common herbal remedies or over-the-counter products interfere with Narcofol?

A: While specific common herbal remedies are not always listed in detail in official regulatory documents, there is a general potential for other compounds to interact with Narcofol. Substances that can enhance or potentiate the drug's effects, especially its strong sedative action, could potentially lead to increased side effects.

Q: Are there any criteria related to body weight or BMI that affect Narcofol use?

A: The administration of Narcofol is based on a calculation using a patient's body weight. There are no specific regulatory restrictions or contraindications based solely on a high Body Mass Index (BMI). However, dosing may be adjusted by the healthcare team based on the patient's specific physical status.

Q: How does having liver disease potentially impact the use of Narcofol?

A: Narcofol is metabolized, or broken down, primarily by the liver. For patients with chronic liver impairment, this metabolism may be less efficient, which could lead to a prolonged effect of the drug in the body. This means the healthcare provider uses caution and carefully adjusts the dose to match the patient's response.

Q: Can patients with reduced kidney function receive Narcofol safely?

A: Official studies suggest that chronic kidney impairment does not significantly change how the body clears Narcofol. Despite this, medical professionals are advised to use the medication carefully and monitor patients closely. This is a precaution related to the drug’s potential effects on the cardiovascular system.

Q: Why is Narcofol sometimes referred to by informal nicknames in the media or online?

A: Narcofol (Propofol) is sometimes referred to by informal nicknames in the media, the most common being the 'milk of amnesia.' This name is used because the injectable medication itself is a distinct white, milky emulsion. The 'amnesia' part refers to its effect of rapidly inducing a state of controlled unconsciousness or profound sedation.

Q: Are there any reported cases of dependence or withdrawal after receiving Narcofol?

A: Narcofol is not classified as a controlled substance by U.S. regulatory bodies. However, continuous, high-dose use for extended periods in the Intensive Care Unit setting may carry a potential for dependence-like effects. For this reason, careful medical monitoring is implemented during and after prolonged administration.

How should Narcofol be stored and disposed of?

Storage and Disposal of Narcofol (Propofol Injectable Emulsion)

Narcofol must be stored at controlled room temperature, specifically between 4 and 25 C (40 and 77 F), and it must not be frozen. Due to its formulation, strict aseptic technique is mandatory during handling, and the vial is for single-patient use only.

Administration must commence promptly after opening. The official regulatory limit requires that all unused contents of the vial, along with the administration tubing, must be discarded within 12 hours after the container has been opened or spiked. The product should be visually inspected and shaken well before use; it must not be used if phase separation is visible. Like all prescription medicines, Narcofol must be kept out of the sight and reach of children. Unused or expired drug product and associated waste must be disposed of in accordance with local pharmaceutical waste requirements.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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