U-54,494A

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U-54494A_structure.png



U-54,494A is a synthetic opioid analgesic that was developed in the 1970s by the Upjohn Company. It is part of a class of compounds known as benzomorphans, which are structurally distinct from other opioid classes such as morphinans and phenylpiperidines. U-54,494A is notable for its potent analgesic effects and its unique pharmacological profile.

Pharmacology[edit | edit source]

U-54,494A acts primarily as a kappa-opioid receptor agonist, which is responsible for its analgesic properties. Unlike many other opioids, which primarily target the mu-opioid receptor, kappa-opioid receptor agonists like U-54,494A can produce analgesia without the same degree of respiratory depression or addiction potential. However, kappa agonists are also associated with dysphoria and hallucinations, which can limit their clinical use.

Mechanism of Action[edit | edit source]

The analgesic effects of U-54,494A are mediated through its action on the kappa-opioid receptors in the central nervous system. Activation of these receptors leads to inhibition of neurotransmitter release and modulation of pain pathways. This mechanism is distinct from that of mu-opioid receptor agonists, which primarily inhibit pain by acting on different neural circuits.

Side Effects[edit | edit source]

Common side effects of kappa-opioid receptor agonists, including U-54,494A, include dysphoria, hallucinations, and sedation. These effects are thought to result from the activation of kappa receptors in brain regions associated with mood and perception.

Research and Development[edit | edit source]

U-54,494A was initially investigated for its potential as a non-addictive analgesic. However, the development of this compound was limited by its side effect profile. Research into kappa-opioid receptor agonists continues, with the aim of developing compounds that retain analgesic efficacy while minimizing adverse effects.

Legal Status[edit | edit source]

U-54,494A is not currently approved for medical use and is primarily of interest in research settings. Its legal status may vary by country, and it is important for researchers to be aware of local regulations regarding its use.

Also see[edit | edit source]



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Contributors: Prab R. Tumpati, MD