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Naloxegol is a peripherally acting μ-opioid receptor antagonist indicated for the treatment of opioid-induced constipation (OIC) in adults with chronic non-cancer pain. It is a PEGylated derivative of α-naloxol, designed to selectively block opioid receptors in the gastrointestinal tract without affecting central analgesia. The pegylation restricts its action to peripheral tissues by preventing significant penetration across the blood-brain barrier. Naloxegol was developed by AstraZeneca and licensed from Nektar Therapeutics. It was approved by the FDA in 2014 for use in adult patients who have been taking opioids for at least four weeks[3][5][1].
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