Buprenorphine hydrochloride

From WikiMD's Wellness Encyclopedia

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Buprenorphine hydrochloride is a semi-synthetic opioid used in the treatment of opioid addiction, acute pain, and chronic pain. It is a derivative of thebaine, an alkaloid found in the opium poppy. Buprenorphine hydrochloride is known for its high affinity for the mu-opioid receptor and its partial agonist activity, which makes it effective in reducing withdrawal symptoms and cravings in individuals with opioid dependence.

Pharmacology[edit | edit source]

Buprenorphine hydrochloride acts primarily as a partial agonist at the mu-opioid receptor and as an antagonist at the kappa-opioid receptor. Its partial agonist activity at the mu-opioid receptor provides analgesic effects and reduces the potential for abuse and respiratory depression compared to full agonists like morphine and heroin. The drug also has a high binding affinity, which means it can displace other opioids from the receptor, making it useful in the treatment of opioid overdose.

Medical Uses[edit | edit source]

Buprenorphine hydrochloride is used in various formulations for different medical purposes:

  • Opioid Dependence: It is commonly used in medication-assisted treatment (MAT) for opioid dependence. It helps to reduce withdrawal symptoms and cravings, facilitating recovery and reducing the risk of relapse.
  • Pain Management: Buprenorphine hydrochloride is used for managing moderate to severe pain. It is available in various forms, including transdermal patches and sublingual tablets.

Side Effects[edit | edit source]

Common side effects of buprenorphine hydrochloride include:

Serious side effects may include respiratory depression, especially when combined with other central nervous system depressants.

Administration[edit | edit source]

Buprenorphine hydrochloride can be administered in several forms, including:

The choice of administration depends on the condition being treated and the patient's needs.

Regulation and Legal Status[edit | edit source]

Buprenorphine hydrochloride is a controlled substance in many countries due to its potential for abuse and dependence. In the United States, it is classified as a Schedule III controlled substance under the Controlled Substances Act.

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Contributors: Prab R. Tumpati, MD