.Pharmacolibrary.Drugs.N_NervousSystem.N02A_Opioids.N02AA53_HydromorphoneAndNaloxone.HydromorphoneAndNaloxone

Information

name:HydromorphoneAndNaloxone
ATC code:N02AA53
route:oral
n-compartments1

Hydromorphone and naloxone is a fixed-dose combination used for the management of severe pain that requires opioid analgesia with reduced risk of opioid-induced constipation. Hydromorphone is a potent opioid agonist, while naloxone is an opioid antagonist intended to counteract opioid side effects locally in the gut. The combination is approved and used in some countries (e.g., the EU) for chronic severe pain.

Pharmacokinetics

Pharmacokinetic parameters are estimated based on available data for the individual components and the fixed combination. No direct population PK studies for the combination tablet were found. Estimates are based on published data for hydromorphone and for orally administered naloxone in healthy adults.

References

  1. Thigpen, JC, et al., & Harirforoosh, S (2019). Opioids: A Review of Pharmacokinetics and Pharmacodynamics in Neonates, Infants, and Children. European journal of drug metabolism and pharmacokinetics 44(5) 591–609. DOI:10.1007/s13318-019-00552-0 PUBMED:https://pubmed.ncbi.nlm.nih.gov/31006834

  2. Vandenbossche, J, et al., & Franc, MA (2014). The effect of UGT2B7*2 polymorphism on the pharmacokinetics of OROS® hydromorphone in Taiwanese subjects. Journal of clinical pharmacology 54(10) 1170–1179. DOI:10.1002/jcph.305 PUBMED:https://pubmed.ncbi.nlm.nih.gov/24706503

Revisions


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