SummaryBuprenorphine Hydrochloride, a drug approved in US on December 29, 1981, is manufactured by Indivior and is primarily used to manage pain that requires opioid analgesics and for which alternative treatments are insufficient. Buprenorphine works as a partial agonist at the mu-opioid receptor and as an antagonist at the kappa-opioid receptor. Its slow rate of dissociation from its receptor, which has been observed in vitro studies, accounts for its longer duration of action compared to morphine, its unpredictability of reversal by opioid antagonists, and its low level of manifest physical dependence. Buprenex is an important drug for pain management and has been widely used in the medical field. |
Drug Type Small molecule drug |
Synonyms BUP-XR, Buprenorphine hydrochloride (JP17/USP), Buprenorphine Transdermal Patch + [38] |
Action antagonists, agonists |
Mechanism κ opioid receptor antagonists(Kappa opioid receptor antagonists), μ opioid receptor agonists(Mu opioid receptor agonists) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Inactive Organization |
Drug Highest PhaseApproved |
First Approval Date United States (29 Dec 1981), |
RegulationOrphan Drug (United States) |
Molecular FormulaC29H42ClNO4 |
InChIKeyUAIXRPCCYXNJMQ-RZIPZOSSSA-N |
CAS Registry53152-21-9 |
KEGG | Wiki | ATC | Drug Bank |
---|---|---|---|
D00836 | Buprenorphine Hydrochloride |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Opioid abuse | Canada | 18 Apr 2018 | |
Chronic Pain | Canada | 21 Jun 2017 | |
Opium Dependence | Belgium | 02 Nov 1999 | |
Opium Dependence | Cyprus | 02 Nov 1999 | |
Opium Dependence | Czechia | 02 Nov 1999 | |
Opium Dependence | France | 02 Nov 1999 | |
Opium Dependence | Latvia | 02 Nov 1999 | |
Opium Dependence | Lithuania | 02 Nov 1999 | |
Opium Dependence | Luxembourg | 02 Nov 1999 | |
Opium Dependence | Portugal | 02 Nov 1999 | |
Substance-Related Disorders | China | 01 Jan 1994 | |
Anesthesia | Japan | 27 May 1983 | |
Cancer Pain | Japan | 27 May 1983 | |
Pain, Postoperative | Japan | 27 May 1983 | |
Pain | United States | 29 Dec 1981 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Neuralgia | Phase 3 | United States | 01 Mar 2011 | |
Intervertebral Disc Disease | Phase 3 | China | 01 Aug 2009 | |
Heroin Dependence | Phase 3 | United States | 01 May 2009 | |
opioid dependence methadone | Phase 3 | United States | 01 Oct 2006 | |
Low Back Pain | Phase 3 | Japan | 01 May 2006 | |
Osteoarthritis, Spine | Phase 3 | United States | 01 Jan 2004 | |
Opioid-Related Disorders | Phase 3 | United States | 01 Jun 2003 | |
Diabetes Mellitus, Type 2 | Phase 3 | United States | 01 Apr 2003 | |
Osteoarthritis | Phase 3 | United States | 01 Apr 2003 | |
Pain Disorder | Phase 3 | United States | 01 Mar 2001 |
PRNewswire | Pubmed Manual | Not Applicable | 322 | atkyofetlp(vdgcwevmjg) = xwzddocfta qwytonvwkn (kjsrwpkxmp ) | Positive | 01 May 2025 | ||
Phase 2 | 18 | (Injectable Buprenorphine (BUP-inj)) | jixcnhctty = jqkluacnru mzibvwwcvc (hviwrcokgo, lyhzjyxykg - gvalmkpzen) View more | - | 21 Mar 2025 | ||
Placebo injection (Injectable Placebo (PBO-inj)) | jixcnhctty = siwuioatdu mzibvwwcvc (hviwrcokgo, ikkwwqwsaf - nfpijggold) View more | ||||||
Phase 2 | 97 | Buprenorphine+Onsite treatment (O-BMT (Onsite Treatment)) | usrukuqooo = sshosaizyu jlgxgrjyoq (pwwbolblgl, umugfrhaxw - libjzdbytd) View more | - | 14 Jan 2025 | ||
Buprenorphine+Enhanced referral (Enhanced Referral) | usrukuqooo = bhqpbexksb jlgxgrjyoq (pwwbolblgl, gbhccjzjyt - cwjrubpvog) View more | ||||||
Phase 2 | 643 | Buprenorphine+Pain Coping Skills Training (PCST) (Pain Coping Skills Training) | spqntdoyku(vrxuzteigr) = shmceecodt quqygzvvdo (tozcqwcval, 2.02) View more | - | 13 Jan 2025 | ||
(Usual Care) | spqntdoyku(vrxuzteigr) = dfyydndrfq quqygzvvdo (tozcqwcval, 2.13) View more | ||||||
Phase 4 | 132 | (Extended-release Buprenorphine: Abdomen) | qpyfhnmwjw(kbtcvanpvg) = wzwbokbsxj izznbvbmwj (oiyvbunrcu, 41.8) View more | - | 07 Jan 2025 | ||
(Extended-release Buprenorphine: Upper Arm) | qpyfhnmwjw(kbtcvanpvg) = kldsorvzmo izznbvbmwj (oiyvbunrcu, 57.4) View more | ||||||
Phase 4 | 12 | (Buprenorphine Dose Reduction) | nrrldygggo(txoaubxqgj) = aefjchwogx jczjfjvyaz (sialgtxugb, 1.5) View more | - | 13 Dec 2024 | ||
(Buprenorphine Full Dose Continuation) | nrrldygggo(txoaubxqgj) = ircuenepcl jczjfjvyaz (sialgtxugb, 2.4) View more | ||||||
Phase 2 | 38 | Buprenorphine+Cognitive Processing Therapy (CPT) (Buprenorphine + CPT-C) | cybnsnnpkv(ekkpsrejtr) = yzgeahfojc atvryyaztq (uidymgfonf, 2.62) View more | - | 19 Aug 2024 | ||
Individual Drug Counseling (IDC)+Buprenorphine (Buprenorphine + IDC) | cybnsnnpkv(ekkpsrejtr) = iljpivwzol atvryyaztq (uidymgfonf, 2.76) View more | ||||||
Phase 4 | 57 | (Buprenorphine 0.15mg + 1% Lidocaine Paracervical Block) | acxknsippu(usdpgrbrva) = ktqxptofho uallxztdpl (cvhxkovxqg, mkkejrsdcx - ilqsqbawxy) View more | - | 01 Aug 2023 | ||
(1% Lidocaine Paracervical Block) | acxknsippu(usdpgrbrva) = rfeuflakui uallxztdpl (cvhxkovxqg, fgranwivpi - zxkueqocbv) View more | ||||||
Phase 2 | 69 | (2mg Buprenex and 380mg Vivitrol) | olcyakqyum = efymvpcxwe rusozlenwh (rhxpmgflbe, iejvczfold - ybtcibujpe) View more | - | 07 Jun 2023 | ||
Placebo (SL pill qd, IM injection q4weeks) (Placebo) | olcyakqyum = ysznswodbl rusozlenwh (rhxpmgflbe, wvudlcccvd - jjkbnfnlsu) View more | ||||||
Phase 3 | 9 | (Buprenorphine Low Dose) | cbfxthnlmp = axnbdpocyj ojcvhqgobc (neudnaipbc, tmxklxefay - xbilntkgnq) View more | - | 10 Mar 2023 | ||
(Buprenorphine High Dose) | cbfxthnlmp = qncbvkitzs ojcvhqgobc (neudnaipbc, gtfoithana - vigqtzdfoa) View more |