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Hydrocodone

From Wikipedia
hydrocodone
type of chemical entity
Subclass ofmorphinan alkaloid Edit
Get useMedication Edit
Stylized nameHYDROcodone Edit
Chemical formulaC₁₈H₂₁NO₃ Edit
Canonical SMILESCN1CCC23C4C1CC5=C2C(=C(C=C5)OC)OC3C(=O)CC4 Edit
Isomeric SMILESCN1CC[C@]23[C@@H]4[C@H]1CC5=C2C(=C(C=C5)OC)O[C@H]3C(=O)CC4 Edit
Active ingredient inHysingla, Zohydro Edit
World Health Organisation international non-proprietary namehydrocodone Edit
Found insyd taxonPapaver somniferum Edit
Medical condition treatedpain, cough Edit
Physically dey interact plusopioid receptor kappa 1, opioid receptor mu 1 Edit
Pregnancy categoryUS pregnancy category C Edit
Subject has roleopioid, antitussive, narcotic, analgesic Edit

Hydrocodone, dem sanso know as dihydrocodeinone, be a semi-synthetic opioid dem use to treat pain den as a cough suppressant.[1] Dem dey take am by mouth.[1] Typically, e be dispensed as de combination acetaminophen/hydrocodone anaa ibuprofen/hydrocodone for pain severe enough to require an opioid[2][3][4] den in combination plus homatropine methylbromide to relieve cough.[1] E sanso be available by einself in a long-acting form sold under de brand name Zohydro ER, among odas, to treat severe pain of a prolonged duration.[1][5] Hydrocodone be a controlled drug: insyd de United States, e be classified as a Schedule II Controlled Substance.

Common side effects dey include dizziness, sleepiness, nausea, den constipation.[1] Serious side effects fi include low blood pressure, seizures, QT prolongation, respiratory depression, den serotonin syndrome.[1] Rapidly decreasing de dose fi result in opioid withdrawal.[1] Use during pregnancy anaa breastfeeding generally no be recommended.[6] Hydrocodone be believed to work by activating opioid receptors, mainly insyd de brain den spinal cord.[1] Hydrocodone 10 mg be equivalent to about 10 mg of morphine by mouth.[7]

Dem patent hydrocodone insyd 1923, while dem approve de long-acting formulation for medical use insyd de United States insyd 2013.[1][8] E most commonly be prescribed insyd de United States, wich consume 99% of de worldwide supply as of 2010.[9] Insyd 2018, na e be de 402nd most commonly prescribed medication insyd de United States, plus more dan 400,000 prescriptions.[10] Hydrocodone is a semi-synthetic opioid, converted from codeine[11][12] anaa less often from thebaine.[13] Production wey dey use genetically engineered yeasts be developed buh e no be used commercially.[14][15][16]

References

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  1. 1 2 3 4 5 6 7 8 9 "Hydrocodone Bitartrate Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Archived from the original on 14 November 2010. Retrieved 15 April 2019.
  2. Mallinckrodt (10 March 2021). "HYDROCODONE BITARTRATE AND ACETAMINOPHEN tablet (label)". National Institutes of Health DailyMed. Archived from the original on 6 November 2021. Retrieved 6 November 2021.
  3. Briggs GG, Freeman RK, Yaffe SJ (2011). Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Lippincott Williams & Wilkins. p. 692. ISBN 9781608317080.
  4. "Hydrocodone Combination Products: MedlinePlus Drug Information". medlineplus.gov (in English). Archived from the original on 5 July 2016. Retrieved 4 November 2023.
  5. "Hydrocodone: MedlinePlus Drug Information". medlineplus.gov. Archived from the original on 15 April 2019. Retrieved 15 April 2019.
  6. "Hydrocodone Use During Pregnancy". Drugs.com. Archived from the original on 28 January 2014. Retrieved 15 April 2019.
  7. "Opioid Dose Calculator". Agency Medical Directors' Group. Archived from the original on 10 February 2016. Retrieved 15 April 2019.
  8. Fischer J, Ganellin CR (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 526. ISBN 9783527607495. Archived from the original on 14 January 2023. Retrieved 25 August 2020.
  9. "Making Some Painkillers Harder to Get". The New York Times. 21 February 2013. Archived from the original on 3 January 2022. Retrieved 15 April 2019.
  10. "Hydrocodone - Drug Usage Statistics". ClinCalc. Archived from the original on 13 November 2022. Retrieved 7 October 2022.
  11. Stoker HS (2012). General, Organic, and Biological Chemistry. Cengage Learning. p. 567. ISBN 9781133711285.
  12. Vardanyan R, Hruby V (10 March 2006). Synthesis of Essential Drugs (in English). Elsevier. ISBN 978-0-08-046212-7.
  13. Narcotic Drugs 2020, Estimated World Requirements for 2021, Statistics for 2019 (PDF). International Narcotics Control Board. 2020. p. 37. ISBN 978-92-1-148355-0. Archived (PDF) from the original on 3 November 2021. Retrieved 12 December 2021. Thebaine itself is not used in therapy, but it is an important starting material for the manufacture of a number of opioids, mainly codeine, dihydrocodeine, etorphine, hydrocodone, oxycodone and oxymorphone...
  14. Galanie S, Thodey K, Trenchard IJ, Filsinger Interrante M, Smolke CD (September 2015). "Complete biosynthesis of opioids in yeast". Science. 349 (6252): 1095–1100. Bibcode:2015Sci...349.1095G. doi:10.1126/science.aac9373. PMC 4924617. PMID 26272907.
  15. Thodey K, Galanie S, Smolke CD (October 2014). "A microbial biomanufacturing platform for natural and semisynthetic opioids". Nature Chemical Biology. 10 (10): 837–844. Bibcode:2014NatCB..10..837T. doi:10.1038/nchembio.1613. PMC 4167936. PMID 25151135.
  16. Nakagawa A, Matsumura E, Koyanagi T, Katayama T, Kawano N, Yoshimatsu K, Yamamoto K, Kumagai H, Sato F, Minami H (February 2016). "Total biosynthesis of opiates by stepwise fermentation using engineered Escherichia coli". Nature Communications. 7 (1) 10390. Bibcode:2016NatCo...710390N. doi:10.1038/ncomms10390. PMC 4748248. PMID 26847395.
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