- SIP
- S
- A phenol derivative with two isopropyl groups attached at positions 2 & 6, hence it's name - 2,6 diisopropylphenol
- Molecular weight 178
- I
- Indicated for the induction and/or maintenance of anaesthesia, sedation in an ITU/theatre environment and in small doses can be used as an anti-emetic (rarely)
- P
- Presented in isotonic lipid emulsion with 10% soybean oil, 2.25% glycerol and 1.2% egg phosphatide, NaOH and water
- pH 6-8.5, pKa 11 => at physiological pH is almost entirely unionised
- TROADES
- T
- For induction of anaesthesia or infusion
- R
- Route of administration - IV
- O
- Onset in 1 arm-brain circulation time
- A
- Mechanism of action is unclear but may reduce opening times of Na⁺ channels in the CNS and have regulatory effect on inhibitory glycine receptors and GABA receptors
- D
- 2-2.5 mg/kg induction dose (less in physiologically unstable/elderly)
4-12mg/kg/hr for sedation
0.3-0.4 mg/kg for sedative dose
- E
- Induces anaesthesia in 1 arm-brain circulation time
- S
- CNS
- CVS
- Resp
- ↓VT/RR/laryngeal reflexes
- Others
- Crosses placenta
- Safe in porphyria
- Can cause propofol infusion syndrome
- MEAD
- M
- Metabolised mainly in the liver to glucoronide/sulphate metabolites but also by kidneys
- Unaffected clinically by renal/hepatic disease
- E
- Eliminated in the urine
- Clearance 30-60ml/kg/min
- A
- Bioavailability 100% (IV route only used)
- 95% protein bound
- D
- Vd 4L/kg
- Redistribution T½ 1.5-4 mins
- Elimination T½ 5-12 hrs
- Propofol is a common drug so in-depth knowledge will be expected! Try using the structure explained in the linked mindmap
Link:Drug descriptions