Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Buprenorphine
Drug ID BADD_D00310
Description Buprenorphine is a weak partial mu-opioid receptor agonist and a weak kappa-opioid receptor antagonist used for the treatment of severe pain.[A186283,A186292] It is also commonly used as an alternative to [methadone] for the treatment of severe opioid addiction.[F4715,F4718] Buprenorphine is commercially available as the brand name product Suboxone which is formulated in a 4:1 fixed-dose combination product along with [naloxone], a non-selective competitive opioid receptor antagonist. Combination with naloxone is intended to reduce the abuse potential of Suboxone, as naloxone is poorly absorbed by the oral route (and has no effect when taken orally), but would reverse the opioid agonist effects of buprenorphine if injected intravenously.[A186289,F4715,F4718] Buprenorphine has poor gastrointestinal absorption and is therefore formulated as a sublingual tablet.
Indications and Usage For the treatment of moderate to severe pain, peri-operative analgesia, and opioid dependence.
Marketing Status Prescription; Discontinued
ATC Code N02AE01; N07BC01
DrugBank ID DB00921
KEGG ID D07132
MeSH ID D002047
PubChem ID 644073
TTD Drug ID D06AWE
NDC Product Code 51927-0062; 12578-607; 65724-0050; 0093-3659; 71335-0353; 42858-586; 60687-492; 62756-460; 59011-750; 65267-203; 67509-003; 12496-0100; 60687-481; 42858-353; 69238-1203; 42858-501; 59011-758; 62756-459; 71335-1154; 12496-0300; 69238-1505; 38779-3255; 59011-751; 68071-2592; 59011-757; 50090-5805; 73548-1039; 0093-3657; 0792-0631; 59011-752; 71335-0950; 69238-1202; 69238-1204; 0228-3153; 42858-502; 49812-0239; 0093-3239; 70518-1625; 42858-750; 0093-3658; 42858-493; 42858-839; 71795-2200; 0093-3656; 10920-593; 0228-3156; 12707-036; 47848-030; 69238-1205
Synonyms Buprenorphine | Buprenex | Prefin | Subutex | Buprex | Temgesic | Temgésic | 6029-M | 6029 M | 6029M | RX-6029-M | RX 6029 M | RX6029M | Buprenorphine Hydrochloride | Hydrochloride, Buprenorphine
Chemical Information
Molecular Formula C29H41NO4
CAS Registry Number 52485-79-7
SMILES CC(C)(C)C(C)(C1CC23CCC1(C4C25CCN(C3CC6=C5C(=C(C=C6)O)O4)CC7CC7)OC)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Night sweats23.02.03.006; 08.01.03.0310.007434%Not Available
Nightmare19.02.03.0030.006505%Not Available
Ocular hyperaemia06.04.05.004--Not Available
Oedema peripheral02.05.04.007; 14.05.06.011; 08.01.07.0070.011151%
Orthostatic hypotension24.06.03.004; 17.05.01.020--Not Available
Pain08.01.08.0040.119876%
Pain in extremity15.03.04.010--
Pallor24.03.04.001; 23.03.03.031; 08.01.03.0320.002788%Not Available
Palpitations02.01.02.0030.013939%
Pancreatitis07.18.01.001--
Paraesthesia17.02.06.005--
Paranoia19.05.01.0050.002788%Not Available
Pharyngeal oedema23.04.01.016; 22.04.05.003; 10.01.05.0160.004646%Not Available
Pneumonia22.07.01.003; 11.01.09.003--Not Available
Pneumonia aspiration22.01.01.005--Not Available
Pollakiuria20.02.02.0070.002788%
Pre-eclampsia24.08.07.002; 20.01.08.002; 18.02.03.0020.002788%Not Available
Presyncope24.06.02.010; 17.02.05.009; 02.01.02.0070.002788%
Pruritus23.03.12.0010.070625%
Psychomotor hyperactivity19.11.02.003; 17.01.02.0110.001859%Not Available
Pyrexia08.05.02.003--
Rash23.03.13.0010.071554%Not Available
Rash generalised23.03.13.0020.007434%Not Available
Rash macular23.03.13.0030.001859%Not Available
Rash maculo-papular23.03.13.004--
Rash papular23.03.13.0170.001859%Not Available
Rash pruritic23.03.12.0020.005576%Not Available
Renal failure20.01.03.005--Not Available
Respiration abnormal22.02.08.011--Not Available
Respiratory depression22.02.01.010; 17.02.05.0470.001697%Not Available
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