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Dexmedetomidine is a potent and highly selective alpha-2 adrenergic receptor agonist. While traditionally administered intravenously for sedation in intensive care and procedural settings, Teikoku Pharma USA is developing a novel transdermal system (DMTS), also known as TPU-006, for the management of postoperative pain. This formulation is designed as a patch to provide sustained release of the drug over a period of several days (e.g., 4 days), offering a non-opioid analgesic alternative. By activating presynaptic alpha-2 receptors in the locus coeruleus and spinal cord, dexmedetomidine inhibits the release of norepinephrine, thereby modulating pain signaling and providing analgesic effects without the respiratory depression typically associated with opioids.
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