Drug intelligence / Profile preview

bupivacaine + nalbuphine

Development stage
Unknown
Lead developer
AstraZeneca
Modality
Small Molecules
Administration
Intrathecal
01

Overview

A combination of bupivacaine, a local anesthetic, and nalbuphine, a synthetic opioid agonist-antagonist. When administered intrathecally (into the spinal canal), this combination provides enhanced and prolonged analgesia for various surgical procedures. Bupivacaine works by blocking sodium channels to inhibit nerve conduction, while nalbuphine binds to kappa opioid receptors in the spinal cord to produce analgesia with antagonist effects at mu opioid receptors. This combination offers extended duration of sensory blockade and postoperative pain relief with fewer side effects compared to other opioid adjuvants.

Other names
Nalbuphine-Bupivacaine combination
02

Targets

KOR (Kappa opioid receptor)MOR (Mu opioid receptor)NaV (Voltage-gated sodium channels)

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