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fospropofol

Propofol derivative · Sedative-hypnotic

Propofol derivativeSedative-hypnotic
CDSCO approved
EXCRETION
not curated
INTERACTIONS
7 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 7
  • IsocarboxazidSevereDatabaseDDInter
  • OliceridineSevereDatabaseDDInter
  • PhenelzineSevereDatabaseDDInter
  • RemimazolamSevereDatabaseDDInter

Mechanism

Prodrug of propofol, which acts as a GABAA receptor agonist.

Indications

sedation in otherwise-healthy individuals

Dosing

Adult
2 to 8 mg/kg IV (delivered as bolus or short infusion over 5–10 min); optimum dose for sedation is about 6.5 mg/kg

Pharmacokinetics

Onset
loss of consciousness in about 10 min; prolonged onset (time to peak effect, 8–13 min)
Duration
sedative effect approximately 45 min; slow recovery
Metabolism
hydrolyzed by alkaline phosphatase to yield propofol, phosphate, and formaldehyde

Contraindications

  • discontinued for clinical use in the U.S. due to prolonged onset, slow recovery, and significant perianal pruritus

Side effects

Common
less pain on injection compared to propofolsignificant perianal pruritus

Drug interactions

Isocarboxazid
Severe
Database

Clinical effect not specified

Source: DDInter

Oliceridine
Severe
Database

Clinical effect not specified

Source: DDInter

Phenelzine
Severe
Database

Clinical effect not specified

Source: DDInter

Remimazolam
Severe
Database

Clinical effect not specified

Source: DDInter

Selegiline
Severe
Database

Clinical effect not specified

Source: DDInter

Sodium Oxybate
Severe
Database

Clinical effect not specified

Source: DDInter

Tranylcypromine
Severe
Database

Clinical effect not specified

Source: DDInter

5 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team