diff --git a/packages/cloudflare/src/opentelemetry/tracer.ts b/packages/cloudflare/src/opentelemetry/tracer.ts
index a180346f7cce..bb83a8550588 100644
--- a/packages/cloudflare/src/opentelemetry/tracer.ts
+++ b/packages/cloudflare/src/opentelemetry/tracer.ts
@@ -27,8 +27,8 @@ class SentryCloudflareTraceProvider implements TracerProvider {
 class SentryCloudflareTracer implements Tracer {
   public startSpan(name: string, options?: SpanOptions): Span {
     return startInactiveSpan({
-      name,
       ...options,
+      name,
       attributes: {
         ...options?.attributes,
         'sentry.cloudflare_tracer': true,
@@ -56,8 +56,8 @@ class SentryCloudflareTracer implements Tracer {
     const opts = (typeof options === 'object' && options !== null ? options : {}) as SpanOptions;
 
     const spanOpts = {
-      name,
       ...opts,
+      name,
       attributes: {
         ...opts.attributes,
         'sentry.cloudflare_tracer': true,
diff --git a/packages/cloudflare/test/opentelemetry.test.ts b/packages/cloudflare/test/opentelemetry.test.ts
index f918afff90cc..d7c28ca424cd 100644
--- a/packages/cloudflare/test/opentelemetry.test.ts
+++ b/packages/cloudflare/test/opentelemetry.test.ts
@@ -142,4 +142,59 @@ describe('opentelemetry compatibility', () => {
       }),
     ]);
   });
+
+  test('name parameter should take precedence over options.name in startSpan', async () => {
+    const transactionEvents: TransactionEvent[] = [];
+
+    const client = init({
+      dsn: 'https://username@domain/123',
+      tracesSampleRate: 1,
+      beforeSendTransaction: event => {
+        transactionEvents.push(event);
+        return null;
+      },
+    });
+
+    const tracer = trace.getTracer('test');
+
+    // Pass options with a different name property - the first parameter should take precedence
+    // This is important for integrations like Prisma that add prefixes to span names
+    const span = tracer.startSpan('prisma:client:operation', { name: 'operation' } as any);
+    span.end();
+
+    await client!.flush();
+
+    expect(transactionEvents).toHaveLength(1);
+    const [transactionEvent] = transactionEvents;
+
+    expect(transactionEvent?.transaction).toBe('prisma:client:operation');
+  });
+
+  test('name parameter should take precedence over options.name in startActiveSpan', async () => {
+    const transactionEvents: TransactionEvent[] = [];
+
+    const client = init({
+      dsn: 'https://username@domain/123',
+      tracesSampleRate: 1,
+      beforeSendTransaction: event => {
+        transactionEvents.push(event);
+        return null;
+      },
+    });
+
+    const tracer = trace.getTracer('test');
+
+    // Pass options with a different name property - the first parameter should take precedence
+    // This is important for integrations like Prisma that add prefixes to span names
+    tracer.startActiveSpan('prisma:client:operation', { name: 'operation' } as any, span => {
+      span.end();
+    });
+
+    await client!.flush();
+
+    expect(transactionEvents).toHaveLength(1);
+    const [transactionEvent] = transactionEvents;
+
+    expect(transactionEvent?.transaction).toBe('prisma:client:operation');
+  });
 });
diff --git a/packages/deno/src/opentelemetry/tracer.ts b/packages/deno/src/opentelemetry/tracer.ts
index 801badefa19f..3176616bc04c 100644
--- a/packages/deno/src/opentelemetry/tracer.ts
+++ b/packages/deno/src/opentelemetry/tracer.ts
@@ -35,8 +35,8 @@ class SentryDenoTracer implements Tracer {
     const op = this._mapSpanKindToOp(options?.kind);
 
     return startInactiveSpan({
-      name,
       ...options,
+      name,
       attributes: {
         ...options?.attributes,
         [SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN]: 'manual',
@@ -69,8 +69,8 @@ class SentryDenoTracer implements Tracer {
     const op = this._mapSpanKindToOp(opts.kind);
 
     const spanOpts = {
-      name,
       ...opts,
+      name,
       attributes: {
         ...opts.attributes,
         [SEMANTIC_ATTRIBUTE_SENTRY_ORIGIN]: 'manual',
diff --git a/packages/deno/test/opentelemetry.test.ts b/packages/deno/test/opentelemetry.test.ts
index 2c37ddc48843..30723e033dd4 100644
--- a/packages/deno/test/opentelemetry.test.ts
+++ b/packages/deno/test/opentelemetry.test.ts
@@ -178,6 +178,66 @@ Deno.test('should be compatible with native Deno OpenTelemetry', async () => {
   await client.flush();
 });
 
+// Test that name parameter takes precedence over options.name for both startSpan and startActiveSpan
+Deno.test('name parameter should take precedence over options.name in startSpan', async () => {
+  resetSdk();
+  const transactionEvents: any[] = [];
+
+  const client = init({
+    dsn: 'https://username@domain/123',
+    tracesSampleRate: 1,
+    beforeSendTransaction: event => {
+      transactionEvents.push(event);
+      return null;
+    },
+  }) as DenoClient;
+
+  const tracer = trace.getTracer('test');
+
+  // Pass options with a different name property - the first parameter should take precedence
+  // This is important for integrations like Prisma that add prefixes to span names
+  const span = tracer.startSpan('prisma:client:operation', { name: 'operation' } as any);
+  span.end();
+
+  await client.flush();
+
+  assertEquals(transactionEvents.length, 1);
+  const [transactionEvent] = transactionEvents;
+
+  // The span name should be 'prisma:client:operation', not 'operation'
+  assertEquals(transactionEvent?.transaction, 'prisma:client:operation');
+});
+
+Deno.test('name parameter should take precedence over options.name in startActiveSpan', async () => {
+  resetSdk();
+  const transactionEvents: any[] = [];
+
+  const client = init({
+    dsn: 'https://username@domain/123',
+    tracesSampleRate: 1,
+    beforeSendTransaction: event => {
+      transactionEvents.push(event);
+      return null;
+    },
+  }) as DenoClient;
+
+  const tracer = trace.getTracer('test');
+
+  // Pass options with a different name property - the first parameter should take precedence
+  // This is important for integrations like Prisma that add prefixes to span names
+  tracer.startActiveSpan('prisma:client:operation', { name: 'operation' } as any, span => {
+    span.end();
+  });
+
+  await client.flush();
+
+  assertEquals(transactionEvents.length, 1);
+  const [transactionEvent] = transactionEvents;
+
+  // The span name should be 'prisma:client:operation', not 'operation'
+  assertEquals(transactionEvent?.transaction, 'prisma:client:operation');
+});
+
 Deno.test('should verify native Deno OpenTelemetry works when enabled', async () => {
   resetSdk();