Oxymorphon

Oxymorphon

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Oxymorphon

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Product Description

Oxymorphon

Oxymorphone (likely what you meant by “Oxymorphon”) is a potent semi-synthetic opioid analgesic derived from thebaine, used primarily for severe pain management when other treatments fail. Here’s a concise breakdown:

Key Facts

  • Chemical Structure: C₁₇H₁₉NO₄; it’s a metabolite of oxycodone and about 10x more potent than morphine on a mg-for-mg basis due to higher affinity for μ-opioid receptors.
  • Brand Names: Opana (extended-release), Opana ER (discontinued in the US due to abuse risks via injection after crushing).
  • Medical Uses:
    • Moderate-to-severe acute pain (e.g., post-surgery).
    • Chronic pain in opioid-tolerant patients.
    • Available as oral tablets, extended-release formulations, or injectable.

Mechanism of Action

Binds to opioid receptors in the brain and spinal cord, inhibiting pain signals, altering pain perception, and producing euphoria. Half-life: ~9-11 hours (oral).

Dosage (Adults, Approximate Guidelines)

Form Starting Dose Max Daily
Immediate-release oral 5-10 mg every 4-6 hrs 40 mg
Extended-release 5 mg every 12 hrs Titrate carefully
IV/IM 1-1.5 mg every 4-6 hrs Varies by tolerance

Always follow prescribing info; requires opioid tolerance for ER forms.

Side Effects & Risks

  • Common: Nausea, constipation, drowsiness, itching.
  • Serious: Respiratory depression, addiction, overdose (pinpoint pupils, coma). High abuse potential—Schedule II controlled substance.
  • Overdose Antidote: Naloxone (Narcan).

Evidence & Studies

  • Efficacy confirmed in RCTs (e.g., JAMA 2005 study showed superior pain relief vs. oxycodone in post-op settings).
  • CDC data: Contributed to opioid crisis; FDA halted ER form in 2017 due to IV abuse spikes (90% bioavailability when crushed/injected vs. 10% oral).

Warning: High risk of dependence/tolerance. Not for mild pain or non-tolerant patients. Consult a doctor—misuse can be fatal. If this is for personal use, seek professional medical advice.

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