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Hydrocodone bitartrate and acetaminophen is a combination small molecule analgesic developed by Sun Pharma Advanced Research Company Limited (SPARC) for the management of moderate-to-severe pain. This specific formulation is designed with potential abuse-deterrent properties. Hydrocodone bitartrate acts as a semi-synthetic opioid agonist that primarily targets mu-opioid receptors in the central nervous system to provide potent analgesia. Acetaminophen serves as a non-opioid analgesic and antipyretic, likely acting through the inhibition of cyclooxygenase (COX) enzymes and subsequent prostaglandin synthesis in the CNS. The product has been evaluated in clinical trials, such as NCT03567941, to assess its relative abuse potential compared to established branded products like Norco in non-dependent, recreational opioid users under various conditions.
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