Skip to main content

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]

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

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