Buprenorphine–an attractive opioid with underutilized potential in treatment of chronic pain

IK Khanna, S Pillarisetti - Journal of pain research, 2015 - Taylor & Francis
Despite proven clinical utility, buprenorphine has not been used widely for the treatment of
chronic pain. Questions about “ceiling effect” or bell-shaped curve observed for analgesia in …

Treating chronic pain: an overview of clinical studies centered on the buprenorphine option

MP Davis, G Pasternak, B Behm - Drugs, 2018 - Springer
The buprenorphine receptor binding profile is unique in that it binds to all three major opioid
receptors (mu, kappa, delta), and also binds to the orphan-like receptor, the receptor for …

Comparison of pharmacological activities of buprenorphine and norbuprenorphine: norbuprenorphine is a potent opioid agonist

P Huang, GB Kehner, A Cowan, LY Liu-Chen - Journal of Pharmacology and …, 2001 - ASPET
Buprenorphine (BUP) is an oripavine analgesic that is beneficial in the maintenance
treatment of opiate-dependent individuals. Although BUP has been studied extensively …

Progress in understanding mechanisms of opioid-induced gastrointestinal adverse effects and respiratory depression

MZ Imam, A Kuo, S Ghassabian, MT Smith - Neuropharmacology, 2018 - Elsevier
Opioids evoke analgesia through activation of opioid receptors (predominantly the μ opioid
receptor) in the central nervous system. Opioid receptors are abundant in multiple regions of …

[HTML][HTML] Buprenorphine: considerations for pain management

RE Johnson, PJ Fudala, R Payne - Journal of pain and symptom …, 2005 - Elsevier
New effective analgesics are needed for the treatment of pain. Buprenorphine, a partial mu-
opioid agonist which has been in clinical use for over 25 years, has been found to be …

A systematic review of the use of opioid medication for those with moderate to severe cancer pain and renal impairment: a European Palliative Care Research …

S King, K Forbes, GW Hanks, CJ Ferro… - Palliative …, 2011 - journals.sagepub.com
Background: Opioid use in patients with renal impairment can lead to increased adverse
effects. Opioids differ in their effect in renal impairment in both efficacy and tolerability. This …

[PDF][PDF] Twelve reasons for considering buprenorphine as a frontline analgesic in the management of pain

MP Davis - J Support Oncol, 2012 - academia.edu
Buprenorphine is an opioid that has a complex and unique pharmacology which provides
some advantages over other potent mu agonists. We review 12 reasons for considering …

Adverse effects of opioid agonists and agonist-antagonists in anaesthesia

T Andrew Bowdle - Drug safety, 1998 - Springer
The traditional view of opioids held that the individual opioid agonists shared the same
mechanism of action, differing only in their potency and pharmacokinetic properties …

Buprenorphine: how to use it right

RE Johnson, EC Strain, L Amass - Drug and alcohol dependence, 2003 - Elsevier
The unique pharmacology of buprenorphine at the mu-opioid receptor (ie high affinity, low
intrinsic activity and slow dissociation) results in buprenorphine having:(1) a good safety …

Pharmacokinetics of the combination tablet of buprenorphine and naloxone

CN Chiang, RL Hawks - Drug and alcohol dependence, 2003 - Elsevier
The sublingual combination tablet formulation of buprenorphine and naloxone at a fixed
dose ratio of 4: 1 has been shown to be as effective as the tablet formulation containing only …