Peringatan Keamanan

Oral, acute LD50 is 1100 mg/kg in dog. Symptoms of overdose include primarily sleepiness and mild dysphoria.

Nalbuphine

DB00844

small molecule approved

Deskripsi

A narcotic used as a pain medication. It appears to be an agonist at kappa opioid receptors and an antagonist or partial agonist at mu opioid receptors. Nalbuphine is the only opioid analgesic that is not a controlled substance in the United States.

Struktur Molekul 2D

Berat 357.4434
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The plasma half-life of nalbuphine is about 5 hours.
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

The mean absolute bioavailability was 81% and 83% for the 10 and 20 mg intramuscular doses, respectively, and 79% and 76% following 10 and 20 mg of subcutaneous nalbuphine. Clinical studies show that the duration of analgesic activity of the drug can range from 3 to 6 hours.

Metabolisme

Data metabolisme tidak tersedia.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Makanan

1 Data
  • 1. Avoid alcohol. Ingesting alcohol may increase the sedative and CNS depressant effects of nalbuphine.

Interaksi Obat

915 Data
Buprenorphine Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Dronabinol Dronabinol may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Hydroxyzine Hydroxyzine may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Magnesium sulfate The therapeutic efficacy of Nalbuphine can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Metyrosine Nalbuphine may increase the sedative activities of Metyrosine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Orphenadrine Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Paraldehyde Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Perampanel Perampanel may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Pramipexole Nalbuphine may increase the sedative activities of Pramipexole.
Ropinirole Nalbuphine may increase the sedative activities of Ropinirole.
Rotigotine Nalbuphine may increase the sedative activities of Rotigotine.
Rufinamide The risk or severity of adverse effects can be increased when Rufinamide is combined with Nalbuphine.
Sodium oxybate The risk or severity of CNS depression can be increased when Nalbuphine is combined with Sodium oxybate.
Suvorexant Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Suvorexant.
Tapentadol The therapeutic efficacy of Tapentadol can be decreased when used in combination with Nalbuphine.
Thalidomide Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Thalidomide.
Zolpidem Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Zolpidem.
Alvimopan The risk or severity of adverse effects can be increased when Nalbuphine is combined with Alvimopan.
Desmopressin The risk or severity of hyponatremia can be increased when Nalbuphine is combined with Desmopressin.
Pegvisomant The therapeutic efficacy of Pegvisomant can be decreased when used in combination with Nalbuphine.
Succinylcholine The risk or severity of bradycardia can be increased when Succinylcholine is combined with Nalbuphine.
Methadone The risk or severity of adverse effects can be increased when Methadone is combined with Nalbuphine.
Linezolid The risk or severity of serotonin syndrome can be increased when Linezolid is combined with Nalbuphine.
Methylnaltrexone Nalbuphine may increase the opioid antagonism activities of Methylnaltrexone.
Naloxegol Nalbuphine may increase the opioid antagonism activities of Naloxegol.
Mirtazapine Nalbuphine may increase the serotonergic activities of Mirtazapine.
Fluvoxamine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Fluvoxamine.
Citalopram The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Citalopram.
Duloxetine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Duloxetine.
Paroxetine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Paroxetine.
Sertraline The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Sertraline.
Sibutramine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Sibutramine.
Nefazodone The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Nefazodone.
Zimelidine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Zimelidine.
Dapoxetine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Dapoxetine.
Milnacipran The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Milnacipran.
Desvenlafaxine The risk or severity of serotonin syndrome can be increased when Desvenlafaxine is combined with Nalbuphine.
Seproxetine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Seproxetine.
Levomilnacipran The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Levomilnacipran.
Indalpine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Indalpine.
Ritanserin The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Ritanserin.
Alaproclate The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Alaproclate.
Ethanol Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Ethanol.
Azelastine Nalbuphine may increase the central nervous system depressant (CNS depressant) activities of Azelastine.
Brimonidine Brimonidine may increase the central nervous system depressant (CNS depressant) activities of Nalbuphine.
Phentermine Phentermine may increase the analgesic activities of Nalbuphine.
Pseudoephedrine Pseudoephedrine may increase the analgesic activities of Nalbuphine.
Benzphetamine Benzphetamine may increase the analgesic activities of Nalbuphine.
Diethylpropion Diethylpropion may increase the analgesic activities of Nalbuphine.
Lisdexamfetamine The risk or severity of serotonin syndrome can be increased when Nalbuphine is combined with Lisdexamfetamine.
Mephentermine Mephentermine may increase the analgesic activities of Nalbuphine.
MMDA MMDA may increase the analgesic activities of Nalbuphine.
Midomafetamine Midomafetamine may increase the analgesic activities of Nalbuphine.
2,5-Dimethoxy-4-ethylamphetamine 2,5-Dimethoxy-4-ethylamphetamine may increase the analgesic activities of Nalbuphine.
4-Bromo-2,5-dimethoxyamphetamine 4-Bromo-2,5-dimethoxyamphetamine may increase the analgesic activities of Nalbuphine.
Tenamfetamine Tenamfetamine may increase the analgesic activities of Nalbuphine.
Chlorphentermine Chlorphentermine may increase the analgesic activities of Nalbuphine.
Methylenedioxyethamphetamine Methylenedioxyethamphetamine may increase the analgesic activities of Nalbuphine.
Dextroamphetamine Dextroamphetamine may increase the analgesic activities of Nalbuphine.
Metamfetamine Metamfetamine may increase the analgesic activities of Nalbuphine.
Iofetamine I-123 Iofetamine I-123 may increase the analgesic activities of Nalbuphine.
Ritobegron Ritobegron may increase the analgesic activities of Nalbuphine.
Mephedrone Mephedrone may increase the analgesic activities of Nalbuphine.
Methoxyphenamine Methoxyphenamine may increase the analgesic activities of Nalbuphine.
Gepefrine Gepefrine may increase the analgesic activities of Nalbuphine.
2,5-Dimethoxy-4-ethylthioamphetamine 2,5-Dimethoxy-4-ethylthioamphetamine may increase the analgesic activities of Nalbuphine.
Amphetamine Amphetamine may increase the analgesic activities of Nalbuphine.
Phendimetrazine Phendimetrazine may increase the analgesic activities of Nalbuphine.
Mecamylamine The risk or severity of adverse effects can be increased when Mecamylamine is combined with Nalbuphine.
Pentolinium The risk or severity of adverse effects can be increased when Pentolinium is combined with Nalbuphine.
Trimethaphan The risk or severity of adverse effects can be increased when Trimethaphan is combined with Nalbuphine.
Chloroprocaine The risk or severity of CNS depression can be increased when Nalbuphine is combined with Chloroprocaine.
Fenoterol The risk or severity of adverse effects can be increased when Fenoterol is combined with Nalbuphine.
Dihydro-2-thioxo-5-((5-(2-(trifluoromethyl)phenyl)-2-furanyl)methyl)-4,6(1H,5H)-pyrimidinedione The risk or severity of adverse effects can be increased when Dihydro-2-thioxo-5-((5-(2-(trifluoromethyl)phenyl)-2-furanyl)methyl)-4,6(1H,5H)-pyrimidinedione is combined with Nalbuphine.
Agmatine The risk or severity of adverse effects can be increased when Agmatine is combined with Nalbuphine.
Promazine The risk or severity of adverse effects can be increased when Promazine is combined with Nalbuphine.
Chlorpromazine The risk or severity of adverse effects can be increased when Chlorpromazine is combined with Nalbuphine.
Triflupromazine The risk or severity of adverse effects can be increased when Triflupromazine is combined with Nalbuphine.
Promethazine The risk or severity of adverse effects can be increased when Promethazine is combined with Nalbuphine.
Trospium The risk or severity of adverse effects can be increased when Trospium is combined with Nalbuphine.
Oxyphenonium The risk or severity of adverse effects can be increased when Oxyphenonium is combined with Nalbuphine.
Benzatropine The risk or severity of adverse effects can be increased when Benzatropine is combined with Nalbuphine.
Disopyramide The risk or severity of adverse effects can be increased when Disopyramide is combined with Nalbuphine.
Ipratropium The risk or severity of adverse effects can be increased when Ipratropium is combined with Nalbuphine.
Metixene The risk or severity of adverse effects can be increased when Metixene is combined with Nalbuphine.
Terfenadine The risk or severity of adverse effects can be increased when Terfenadine is combined with Nalbuphine.
Buclizine The risk or severity of adverse effects can be increased when Buclizine is combined with Nalbuphine.
Trihexyphenidyl The risk or severity of adverse effects can be increased when Trihexyphenidyl is combined with Nalbuphine.
Oxyphencyclimine The risk or severity of adverse effects can be increased when Oxyphencyclimine is combined with Nalbuphine.
Procyclidine The risk or severity of adverse effects can be increased when Procyclidine is combined with Nalbuphine.
Profenamine The risk or severity of adverse effects can be increased when Profenamine is combined with Nalbuphine.
Hyoscyamine The risk or severity of adverse effects can be increased when Hyoscyamine is combined with Nalbuphine.
Cyproheptadine The risk or severity of adverse effects can be increased when Cyproheptadine is combined with Nalbuphine.
Methscopolamine bromide The risk or severity of adverse effects can be increased when Methscopolamine bromide is combined with Nalbuphine.
Darifenacin The risk or severity of adverse effects can be increased when Darifenacin is combined with Nalbuphine.

Target Protein

Kappa-type opioid receptor OPRK1
Mu-type opioid receptor OPRM1
Delta-type opioid receptor OPRD1

Referensi & Sumber

Synthesis reference: Michael R. Magruder, "Nalbuphine-narcotic analgesic composition and method of producing analgesia." U.S. Patent US4366159, issued August, 1981.
Artikel (PubMed)
  • PMID: 10534607
    Gear RW, Miaskowski C, Gordon NC, Paul SM, Heller PH, Levine JD: The kappa opioid nalbuphine produces gender- and dose-dependent analgesia and antianalgesia in patients with postoperative pain. Pain. 1999 Nov;83(2):339-45.

Contoh Produk & Brand

Produk: 34 • International brands: 3
Produk
  • Nalbuphine Hci
    Injection, solution • 10 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hci
    Injection, solution • 20 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hydrochloride
    Injection, solution • 10 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hydrochloride
    Injection, solution • 20 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hydrochloride
    Injection, solution • 10 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hydrochloride
    Injection, solution • 20 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hydrochloride
    Injection, solution • 10 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
  • Nalbuphine Hydrochloride
    Injection, solution • 10 mg/1mL • Intramuscular; Intravenous; Subcutaneous • US • Generic • Approved
Menampilkan 8 dari 34 produk.
International Brands
  • Mexifen — Medicus
  • Nalbuphine — Mylan
  • Nalpain — Orpha-Devel

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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