Article ; Online: Oxycodone: A Current Perspective on Its Pharmacology, Abuse, and Pharmacotherapeutic Developments.
2023 Volume 75, Issue 6, Page(s) 1062–1118
Abstract: Oxycodone, a semisynthetic derivative of naturally occurring thebaine, an opioid alkaloid, has been available for more than 100 years. Although thebaine cannot be used therapeutically due to the occurrence of convulsions at higher doses, it has been ... ...
Abstract | Oxycodone, a semisynthetic derivative of naturally occurring thebaine, an opioid alkaloid, has been available for more than 100 years. Although thebaine cannot be used therapeutically due to the occurrence of convulsions at higher doses, it has been converted to a number of other widely used compounds that include naloxone, naltrexone, buprenorphine, and oxycodone. Despite the early identification of oxycodone, it was not until the 1990s that clinical studies began to explore its analgesic efficacy. These studies were followed by the pursuit of several preclinical studies to examine the analgesic effects and abuse liability of oxycodone in laboratory animals and the subjective effects in human volunteers. For a number of years oxycodone was at the forefront of the opioid crisis, playing a significant role in contributing to opioid misuse and abuse, with suggestions that it led to transitioning to other opioids. Several concerns were expressed as early as the 1940s that oxycodone had significant abuse potential similar to heroin and morphine. Both animal and human abuse liability studies have confirmed, and in some cases amplified, these early warnings. Despite sharing a similar structure with morphine and pharmacological actions also mediated by the |
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MeSH term(s) | Animals ; Humans ; Oxycodone/adverse effects ; Thebaine/therapeutic use ; Analgesics, Opioid/adverse effects ; Opioid-Related Disorders/drug therapy ; Morphine/therapeutic use ; Receptors, Opioid/therapeutic use |
Chemical Substances | Oxycodone (CD35PMG570) ; Thebaine (2P9MKG8GX7) ; Analgesics, Opioid ; Morphine (76I7G6D29C) ; Receptors, Opioid |
Language | English |
Publishing date | 2023-06-15 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 209898-2 |
ISSN | 1521-0081 ; 0031-6997 |
ISSN (online) | 1521-0081 |
ISSN | 0031-6997 |
DOI | 10.1124/pharmrev.121.000506 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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