Randomized Trialhigh evidence

Comparison of inhalational methoxyflurane, intranasal fentanyl, and intravenous morphine for treatment of prehospital acute pain in Norway (PreMeFen): a randomised, non-inferiority, three-arm, phase 3 trial.

Lancet (London, England)·December 20, 2026·PMID 41275876

Why it matters

Methoxyflurane offers a rapid, non-invasive analgesic option for prehospital care, potentially simplifying pain management when IV access is delayed or impractical. Its non-inferiority to standard opioids supports its role in early pain relief protocols.

Infographic summary of Comparison of inhalational methoxyflurane, intranasal fentanyl, and intravenous morphine for treatment of prehospital acute pain in Norway (PreMeFen): a randomised, non-inferiority, three-arm, phase 3 trial.
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