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Mixed action opiates
mixed action opiates info
11
Pharmacology
Professional
02/02/2011

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Cards

Term
Partial mu, full kappa agonist
Definition
Pentazocine, Butorphanol
Term
mu antagonist, full kappa agonist
Definition
Nalbuphine
Term
Partial mu, full kappa antagonist
Definition
Buprenorphine
Term
partial mu
Definition
Tramadol
Term
selective kappa agonist
Definition
Spiradoline
Term
Pentazocine
Definition
partial mu, full kappa agonist
less resp. depression
less euphoria, dysphoria at high doses
less constipation than morphine
less abuse potential
Term
Nalbuphine
Definition
mu antagonist, full kappa agonist
less resp. depression
less dysphoria than pentazocine
same constipation as pentazocine
Term
Butorphanol
Definition
partial mu, full kappa agonist
less resp. depression
less dysphoria
increases BP
Term
Buprenorphine
Definition
partial mu, full kappa antagonist
less resp. depression
some euphoria
longer duration of action compared to apparent half-life
Term
Tramadol
Definition
partial mu
minimal resp. depression/constipation
less tolerance and dependence
inhibits 5-HT and NE transporters
only partly blocked by naloxone
Term
Spiradoline
Definition
selective kappa agonist
too much dysphoria, not enough analgesia
not used
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