Drug intelligence / Profile preview

bupivacaine + hydromorphone

Development stage
Phase 4
Lead developer
AstraZeneca
Modality
Small Molecules
Administration
Intrathecal
01

Overview

A combination medication consisting of bupivacaine, an amide local anesthetic, and hydromorphone, an opioid analgesic. This combination is primarily used in intrathecal (IT) drug delivery systems for managing chronic pain, particularly in patients with failed back surgery syndrome (FBSS) or post-laminectomy syndrome. The combination has shown effectiveness in reducing pain intensity and oral opioid consumption, with bupivacaine helping to attenuate the opioid dose escalation phenomenon commonly observed with intrathecal opioid monotherapy.

Other names
Thoracic Epidural AnalgesiaTEA
02

Targets

MOR (Mu opioid receptor)NaV (Voltage-gated sodium channels)PTGER1 (Prostaglandin E Receptor 1)

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