Sugammadex and amino acid infusion can contribute to safe anesthetic management of variegate porphyria

JA Clinical Reports

Table 1 Recommendations for anesthesia-related drugs in patients with porphyria. This table was created independently by the authors based on data from references [10,11,12]

Drug category	Safe	Probably safe	Not yet classified	Probably unsafe	Unsafe
Anesthetic	Propofol Midazolam	Desflurane	Sevoflurane		Thiopental
Analgesic	Morphine	Fentanyl Remifentanil		Pentazocine	Diclofenac Ketamine
Local anesthetic	Bupivacaine			Lidocaine
Muscle relaxant	Rocuronium Suxamethonium	Vecuronium
Vasopressor	Adrenaline	Phenylephrine Dopamine	Ephedrine
Vasodilator			Diltiazem		Nifedipine
Other	Insulin	Neostigmine	Sugammadex		Phenytoin Phenobarbital