18,19-Dehydrobuprenorphine

From WikiMD's Food, Medicine & Wellness Encyclopedia

18,19-Dehydrobuprenorphine is a semi-synthetic opioid that is derived from thebaine, a naturally occurring alkaloid in the opium poppy. It is a potent analgesic that is used in the treatment of moderate to severe pain.

Chemistry[edit | edit source]

18,19-Dehydrobuprenorphine is a semi-synthetic opioid that is structurally related to buprenorphine. It is synthesized by the removal of a hydrogen atom from the 18 and 19 positions of buprenorphine. This results in a compound that is more potent than its parent compound.

Pharmacology[edit | edit source]

18,19-Dehydrobuprenorphine acts as a partial agonist at the mu-opioid receptor and as an antagonist at the kappa-opioid receptor. This unique pharmacological profile results in potent analgesic effects with a lower risk of respiratory depression compared to other opioids.

Clinical Use[edit | edit source]

18,19-Dehydrobuprenorphine is used in the treatment of moderate to severe pain. It is also being investigated for its potential use in the treatment of opioid dependence.

Side Effects[edit | edit source]

Like other opioids, 18,19-Dehydrobuprenorphine can cause side effects such as nausea, vomiting, constipation, and drowsiness. It can also cause respiratory depression, although this risk is lower compared to other opioids due to its unique pharmacological profile.

See Also[edit | edit source]

References[edit | edit source]


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Contributors: Prab R. Tumpati, MD