Drug intelligence / Profile preview

hydrocodone + acetaminophen + promethazine

Development stage
Phase 3
Lead developer
Charleston Laboratories
Modality
Small Molecules
Administration
Oral
01

Overview

This immediate-release combination drug contains **hydrocodone** (a semi-synthetic opioid agonist for pain relief), **acetaminophen** (a non-opioid analgesic and antipyretic), and **promethazine** (a first-generation antihistamine with antiemetic, sedative, and anti-allergic properties). Hydrocodone acts as a mu-opioid receptor agonist to reduce pain perception, acetaminophen provides analgesia and fever reduction via central mechanisms, and promethazine, an H1 histamine receptor antagonist, reduces nausea (notably opioid-induced nausea/vomiting), provides additional mild sedation, and may reduce allergic responses. This combination (marketed as Hydexor) was developed specifically for the **short-term management of acute pain** that requires an opioid, particularly in patients prone to opioid-induced nausea and vomiting, with the goal of addressing both pain and opioid-related side effects[2].

Brand names
Hydexor
Other names
hydrocodone acetaminophen promethazine
02

Targets

COXDOR (Opioid Receptor Delta 1)HRH1 (Histamine H1 Receptor)ALB (Human serum albumin)MOR (Mu opioid receptor)ADRA1 (Alpha-1 adrenergic receptor family)DRD2 (Dopamine D2 Receptor)M1 (Muscarinic acetylcholine receptor M1)

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