
Oxymorphon
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Tag: Oxymorphon
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.


