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Sevoflurane

Sevoflurane, USP is indicated for induction and maintenance of general anesthesia in adult and pediatric patients for inpatient and outpatient surgery.

Checked against the official label · Updated

Prescription medicine Respiratory (inhalation) Safety alerts on record

Sevoflurane: quick answers

Used for
Sevoflurane, USP is indicated for induction and maintenance of general anesthesia in.
Usual adult dose
It is suitable for mask induction in pediatrics and adults.
Children
Prescription
Prescription medicine in the United States; rules differ by country.

From the official label (Nov 2025). Your prescription and pharmacist come first.

How to use Sevoflurane

What the official label says. If a doctor prescribed it, follow the prescription. Your pack's leaflet comes first if it is different.

Who it is for

Sevoflurane, USP is indicated for induction and maintenance of general anesthesia in adult and pediatric patients for inpatient and outpatient surgery. Sevoflurane, USP should be administered only by persons trained in the administration of general anesthesia. Facilities for maintenance of a patent airway, artificial ventilation, oxygen enrichment, and circulatory resuscitation must be immediately available. Since level of anesthesia may be altered rapidly, only vaporizers producing predictable concentrations of sevoflurane, USP should be used.

How to take it and how often
  • The concentration of sevoflurane being delivered from a vaporizer should be known
  • This may be accomplished by using a vaporizer calibrated specifically for sevoflurane
  • The administration of general anesthesia must be individualized based on the patient's response
  • Replacement of Desiccated CO 2 Absorbents When a clinician suspects that the CO 2 absorbent may be desiccated, it should be replaced
  • The exothermic reaction that occurs with sevoflurane and CO 2 absorbents is increased when the CO 2 absorbent becomes desiccated, such as after an extended period of dry gas flow through the CO 2 absorbent canisters (see PRECAUTIONS )
  • Pre-anesthetic Medication No specific premedication is either indicated or contraindicated with sevoflurane
  • The decision as to whether or not to premedicate and the choice of premedication is left to the discretion of the anesthesiologist
  • Induction Sevoflurane has a nonpungent odor and does not cause respiratory irritability; it is suitable for mask induction in pediatrics and adults
  • Maintenance Surgical levels of anesthesia can usually be achieved with concentrations of 0.5 - 3% sevoflurane with or without the concomitant use of nitrous oxide
  • Sevoflurane can be administered with any type of anesthesia circuit
  • Table 9
  • MAC Values for Adults and Pediatric Patients According to Age Age of Patient (years) Sevoflurane in Oxygen Sevoflurane in 65% N 2 O/35% O 2 0 - 1 months # 3.3% 1 - < 6 months 3.0% 6 months - < 3 years 2.8% 2.0%@ 3 - 12 2.5% 25 2.6% 1.4% 40 2.1% 1.1% 60 1.7% 0.9% 80 1.4% 0.7% # Neonates are full-term gestational age. …
Children
  • Induction and maintenance of general anesthesia with sevoflurane have been established in controlled clinical studies
  • In pediatric patients aged 1 to 18 years (see CLINICAL STUDIES, ADVERSE REACTIONS )
  • Sevoflurane has a nonpungent odor and is suitable for mask induction
  • In pediatric patients
  • The concentration of sevoflurane required for maintenance of general anesthesia is age dependent
  • When used in combination with nitrous oxide, the MAC equivalent dose of sevoflurane should be reduced
  • In pediatric patients. …
Older adults

MAC decreases with increasing age. The average concentration of sevoflurane to achieve MAC in an 80 year old is approximately 50% of that required in a 20 year old.

While you are taking it
  • Risk of Driving and Operating Machinery Advise patients that performance of activities requiring mental alertness, such as driving or operating machinery, may be impaired after sevoflurane anesthesia (see WARNINGS )
  • Effect of anesthetic and sedation drugs on early brain development Studies conducted in young animals and children suggest repeated or prolonged use of general anesthetic or sedation drugs in children younger than 3 years may have negative effects on their developing brains
  • Discuss with parents and caregivers the benefits, risks, and timing and duration of surgery or procedures requiring anesthetic and sedation drugs (see WARNINGS – Pediatric Neurotoxicity )
Talk to a doctor first if

• Known or suspected genetic susceptibility to malignant hyperthermia. (see WARNINGS - Malignant Hyperthermia , CLINICAL PHARMACOLOGY - Pharmacogenomics ). • Known or suspected sensitivity to sevoflurane or to other halogenated inhalational anesthetics.

Medicines it may not mix with

In clinical studies, no significant adverse reactions occurred with other drugs commonly used in the perioperative period, including central nervous system depressants, autonomic drugs, skeletal muscle relaxants, anti-infective agents, hormones and synthetic substitutes, blood derivatives, and cardiovascular drugs. Epinephrine Epinephrine administered with sevoflurane may increase the risk of ventricular arrhythmias. Monitor the electrocardiogram and blood pressure and ensure emergency medications to treat ventricular arrhythmias are readily available. Calcium antagonists Sevoflurane may lead to marked hypotension in patients treated with calcium antagonists. …

Warnings

Risk of Renal Injury Although data from controlled clinical studies at low flow rates are limited, findings taken from patient and animal studies suggest that there is a potential for renal injury which is presumed due to Compound A. Animal and human studies demonstrate that sevoflurane administered for more than 2 MAC·hours and at fresh gas flow rates of < 2 L/min may be associated with proteinuria and glycosuria. …

Possible side effects

Clinical Trials Experience Adverse events are derived from controlled clinical studies conducted in the United States, Canada, and Europe. The reference drugs were isoflurane, enflurane, and propofol in adults and halothane in pediatric patients. The studies were conducted using a variety of premedications, other anesthetics, and surgical procedures of varying length. Most adverse events reported were mild and transient, and may reflect the surgical procedures, patient characteristics (including disease) and/or medications administered. …

Pregnancy and breastfeeding

Pregnancy Risk Summary There are no adequate and well-controlled studies in pregnant women. In animal reproduction studies, reduced fetal weights were noted following exposure to 1 MAC sevoflurane for three hours a day during organogenesis. Developmental and reproductive toxicity studies of sevoflurane in animals in the presence of strong alkalies (i.e., degradation of sevoflurane and production of Compound A) have not been conducted. …

If you take too much

In the event of overdosage, or what may appear to be overdosage, the following action should be taken: discontinue administration of sevoflurane, maintain a patent airway, initiate assisted or controlled ventilation with oxygen, and maintain adequate cardiovascular function.

How to store it

SAFETY AND HANDLING Occupational Caution There is no specific work exposure limit established for sevoflurane. However, the National Institute for Occupational Safety and Health has recommended an 8 hour time-weighted average limit of 2 ppm for halog …

If you miss a dose

Take it when you remember, unless it is nearly time for the next dose. Then skip the missed one. Never take two doses at once to make up for it. Check your leaflet, as some medicines are different.

From the official U.S. FDA label for this active ingredient. Your pack may have a different strength, so always read its leaflet. If a doctor prescribed it, follow the prescription. Ask a pharmacist if you are unsure. Label dated 2025-11-06.

Brands around the world

Products with Sevoflurane as the active ingredient. Names differ between countries.

Registered products

United States (FDA)

SevofluraneSEVOFLURANE 1 mL/mL · Liquid · Bryant Ranch Prepack
NDC 72162-2245Label
SevofluraneSEVOFLURANE 250 mL/250mL · Liquid · Baxter Healthcare Company
NDC 10019-655Label
SevofluraneSEVOFLURANE 250 mL/250mL · Liquid · Baxter Healthcare Corporation
NDC 10019-657Label
SevofluraneSEVOFLURANE 250 mL/250mL · Liquid · Sandoz Inc.
NDC 0781-6160Label
SevofluraneSEVOFLURANE 1 mL/mL · Liquid · Halocarbon Life Sciences, LLC
NDC 12164-005Label

Other countries: check your pack's registration number and we point you to your regulator.

Safety alerts and recalls

Sevoflurane, USP Inhalation Anesthetic 250 mL bottles, Rx only, Manufactured for Baxter Healthcare Corporation Deerfield, IL 60015 USA, NDC 10019-651-64U.S. FDA Class II
13 Jun 2019 · Baxter Healthcare Corporation · TerminatedFailed Stability Specifications
Ultane (sevoflurane), 250 mL, Inhalation Anesthetic, Rx only, Manufactured by: AbbVie Inc., North Chicago, IL 60064, USA. NDC 0074-4456-51U.S. FDA Class III
22 Jan 2018 · AbbVie Inc. · TerminatedDefective container: presence of a hole in the liners of the caps covering the product bottle, introducing possibility of leakage.
Sevoflurane, USP (Inhalation Anesthetic), Rx Only, 250 mL Amber Bottle. Manufactured By: Piramal Critical Care, 3950 Schelden Circle, Bethlehem, PA 18017. NDC: 66794-015-25.U.S. FDA Class II
7 Apr 2014 · Piramal Critical Care, Inc. · TerminatedFailed pH Specifications: product was too acidic.

A recall usually affects certain batches only. Compare the lot number on your pack.

Check your pack of Sevoflurane

Type the registration number on the pack, or scan it with your camera.

Or take photos of the pack
3 free checks left today Official sources: U.S. FDA · EMA (EU) · Health Canada · WHO alerts

Questions about Sevoflurane

What is Sevoflurane used for?

Sevoflurane, USP is indicated for induction and maintenance of general anesthesia in adult and pediatric patients for inpatient and outpatient surgery. Sevoflurane, USP should be administered only by persons trained in the administration of general anesthesia. Facilities for maintenance of a patent airway, artificial ventilation, oxygen enrichment, and circulatory resuscitation must be immediately available. Since le (From the official U.S. FDA label.)

How do I take Sevoflurane?

Follow your prescription or the leaflet in your pack. The official label says: The concentration of sevoflurane being delivered from a vaporizer should be known. This may be accomplished by using a vaporizer calibrated specifically for sevoflurane. The administration of general anesthesia must be individualized based on the patient's response. Replacement of Desiccated CO 2 Absorbents When a clinician suspects that the CO 2 absorbent may be desiccated, it…

Can I drive after taking Sevoflurane?

Do I need a prescription for Sevoflurane?

Usually yes. Sevoflurane is a prescription medicine in most countries. Rules differ by country.

What brands contain Sevoflurane?

Sevoflurane is sold under names such as Sevoflo, Ultane, Sevospire, Petrem, Sojourn. Brand names differ between countries.

What are the side effects of Sevoflurane?

The official label lists: Clinical Trials Experience Adverse events are derived from controlled clinical studies conducted in the United States, Canada, and Europe. The reference drugs were isoflurane, enflurane, and propofol in adults and halothane in pediatric patients. The studies were conducted using a variety of premedications, other anesthetics, and surgical procedures of varying length. Most adve… Tell your doctor about any side effect that bothers you or does not go away.

Can children take Sevoflurane?

Induction and maintenance of general anesthesia with sevoflurane have been established in controlled clinical studies in pediatric patients aged 1 to 18 years (see CLINICAL STUDIES, ADVERSE REACTIONS ). Sevoflurane has a nonpungent odor and is suitable for mask induction in pediatric patients. The concentration of sevoflurane required for maintenance of general anesthesia is ag… Always use the dose for the child's age or weight on the pack or prescription.

Can I take Sevoflurane when pregnant or breastfeeding?

Pregnancy Risk Summary There are no adequate and well-controlled studies in pregnant women. In animal reproduction studies, reduced fetal weights were noted following exposure to 1 MAC sevoflurane for three hours a day during organogenesis. Developmental and reproductive toxicity studies of sevoflurane in animals in the presence of strong alkalies (i.e., degradation of sevoflur… Ask your doctor or midwife first.

What medicines interact with Sevoflurane?

In clinical studies, no significant adverse reactions occurred with other drugs commonly used in the perioperative period, including central nervous system depressants, autonomic drugs, skeletal muscle relaxants, anti-infective agents, hormones and synthetic substitutes, blood derivatives, and cardiovascular drugs. Epinephrine Epinephrine administered with sevoflurane may incre… Use the free interaction checker before combining medicines.

What happens if I take too much Sevoflurane?

In the event of overdosage, or what may appear to be overdosage, the following action should be taken: discontinue administration of sevoflurane, maintain a patent airway, initiate assisted or controlled ventilation with oxygen, and maintain adequate cardiovascular function. Get medical help right away.

How should I store Sevoflurane?

Occupational Caution There is no specific work exposure limit established for sevoflurane. However, the National Institute for Occupational Safety and Health has recommended an 8 hour time-weighted average limit of 2 ppm for halog ……

How can I check that my Sevoflurane is genuine?

Scan the registration number on your pack with PillVera (NAFDAC number in Nigeria, NDC in the United States, DIN in Canada), check the expiry date and buy only from licensed pharmacies.

Sources

This page shows what official sources say, in plain words. It is not medical advice: your prescription and your doctor or pharmacist come first. Brand names, strengths and rules differ between countries.