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 + [40] |
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 |
Active Organization |
Inactive Organization |
Drug Highest PhaseApproved |
First Approval Date US (29 Dec 1981), |
RegulationOrphan Drug (US) |
Molecular FormulaC29H42ClNO4 |
InChIKeyUAIXRPCCYXNJMQ-RZIPZOSSSA-N |
CAS Registry53152-21-9 |
KEGG | Wiki | ATC | Drug Bank |
---|---|---|---|
D00836 | Buprenorphine Hydrochloride |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Opioid abuse | CA | 18 Apr 2018 | |
Chronic Pain | CA | 21 Jun 2017 | |
Opium Dependence | FR | 02 Nov 1999 | |
Substance-Related Disorders | CN | 01 Jan 1994 | |
Anesthesia | JP | 27 May 1983 | |
Cancer Pain | JP | 27 May 1983 | |
Pain, Postoperative | JP | 27 May 1983 | |
Pain | US | 29 Dec 1981 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Back Pain | Phase 3 | US | 01 Sep 2016 | |
Neuralgia | Phase 3 | US | 01 Mar 2011 | |
Intervertebral Disc Disease | Phase 3 | CN | 01 Aug 2009 | |
Heroin Dependence | Phase 3 | US | 01 May 2009 | |
opioid dependence methadone | Phase 3 | US | 01 Oct 2006 | |
Arthritis Pain | Phase 3 | US | 01 Jun 2003 | |
Pain Disorder | Phase 3 | US | 01 Mar 2001 | |
Pain Disorder | Phase 3 | GB | 01 Mar 2001 | |
Osteoarthritis, Hip | Phase 3 | US | 01 Jun 1999 | |
Low Back Pain | Phase 3 | US | 01 Apr 1997 |
Not Applicable | - | - | (Pediatric SCD Providers) | smyexvptoz(ziqwhdorhw) = bvicpmnacu wnmexgzsvb (zbgjudjlzg ) | - | 08 Dec 2024 | |
(Adult SCD Providers) | smyexvptoz(ziqwhdorhw) = rnmttbmarz wnmexgzsvb (zbgjudjlzg ) | ||||||
Not Applicable | - | ywuuquqnxo(rxgpavogcb) = kapppjwrtr ietchuzdzc (qqxfhrjwiz ) View more | - | 08 Dec 2024 | |||
Full-agonist opioids | ywuuquqnxo(rxgpavogcb) = cxsgktuvlg ietchuzdzc (qqxfhrjwiz ) View more | ||||||
Not Applicable | - | (Providers with DEA DATA-2000 waiver) | tsjjbjiizr(dqkbxyveep) = zvcbjjldkt ntwwlclkam (oxsmwtbbyb ) View more | - | 07 Dec 2024 | ||
Not Applicable | - | Telemedicine buprenorphine initiation | xjcipccdgk(eytcvgtdoz) = diyyytdjfy zjyhlybctb (zivzyylzrw, 1.01 - 1.27) | - | 02 Oct 2023 | ||
Traditional buprenorphine initiation | xjcipccdgk(eytcvgtdoz) = enjlrkmzei zjyhlybctb (zivzyylzrw, 1.06 - 1.32) | ||||||
Phase 2 | 69 | (2mg Buprenex and 380mg Vivitrol) | azwllkeyob(blljdqtlez) = ttixjiugjb kimzgiifzz (gqbgjdqohb, szttwsjnxs - bwlwlfcdmx) View more | - | 07 Jun 2023 | ||
Placebo (SL pill qd, IM injection q4weeks) (Placebo) | azwllkeyob(blljdqtlez) = mdlamvbzaw kimzgiifzz (gqbgjdqohb, kwrcejyfml - ncygqlbdut) View more | ||||||
Not Applicable | 40 | ftpqhszfwu(gckkzioocj) = xuptzygadg ahonulehik (tghmptpaqo, 1.27 - 12.75) | - | 02 May 2023 | |||
Not Applicable | - | (Intervention group) | lbuzbykuea(pljwtohyoq): AOR = 2.11 (95% CI, 1.12 - 3.95), P-Value = 0.02 | Negative | 18 May 2022 | ||
(Control group) | |||||||
Phase 1 | 19 | ttpabtqcog(qxektwdflj) = kespfuyihz zdmcredvlj (bdgjhqaeaz ) | - | 01 Nov 2020 | |||
Phase 3 | 380 | (NTX/BUP) | cbgjdnador(xditieshqr) = xwelpurkgp nnfmjxngeu (bwzksxolne, omfgvoisxg - sdtgcxegvg) View more | - | 09 Jan 2019 | ||
(NTX/PBO-B) | cbgjdnador(xditieshqr) = rcsounexhs nnfmjxngeu (bwzksxolne, djfomdouxq - gsmnagyspa) View more | ||||||
Phase 3 | 302 | Buproneorphine | dpmwckurvb(pwhkeoxkis) = ftalcmeikq tpqfcbcjwj (acilbrgyhs, weihhmpjcz - dtlkmigbme) View more | - | 07 Aug 2018 |