Chemical Structure:
C17H23NO · C4H6O6
Mechanism of Action:
A potent opioid agonist with a strong affinity for the mu-opioid receptor. It also has actions at kappa-opioid receptors and NMDA receptors, contributing to its analgesic properties.
Uses:
Severe Pain Management: Particularly effective in managing severe and chronic pain conditions.
Side Effects:
Respiratory Depression: Significant risk, especially in opioid-naïve patients.
CNS Effects: Sedation, dizziness, and mood changes.
GI Disturbances: Including nausea and constipation.