Piritramid

ATC CodeN02AC03
CAS number302-41-0
PUB number9331
Drugbank IDDB12492
Empirical formulaC27H34N4O
Molar mass (g·mol−1)430,59
Physical statesolid
Melting point (°C)225–227

Basics

Piritramide is a synthetic opioid analgesic marketed in certain European countries, including: Austria, Belgium, Czech Republic, Germany and the Netherlands. It is available in free form, is approximately 0.75 times more potent than morphine and is administered parenterally (by injection) for the treatment of severe pain.

Pharmacology

Pharmacodynamics

Piritramide is a synthetic opioid and a µ-receptor agonist. Thus, the analgesic effect is due to binding to µ-receptors in the CNS.

Pharmacokinetics

After intravenous administration, the onset of analgesia is only 1-2 minutes, possibly related to its large lipophilicity. The volume of distribution is 0.7-1 L/kg after a single dose, 4.7-6 L/kg after steady-state concentrations are reached, and up to 11.1 L/kg after prolonged administration.

Contraindication

  • severe obstructive pulmonary disease (COPD)
  • concomitant use with MAO inhibitors
  • Respiratory depression
  • Coma
  • hypersensitivity

Toxicity

Side effects

Nausea, vomiting, respiratory depression, and constipation are the most common side effects that occur with the use of piritramide. However, these occur less frequently than with the use of morphine and other opioids.

Sources

  • Drugbank
  • PubChem
  • Aktories, Förstermann, Hofmann, Starke: Allgemeine und spezielle Pharmakologie und Toxikologie, Elsvier, 2017
Markus Falkenstätter, BSc

Markus Falkenstätter, BSc

Mag. pharm. Stefanie Lehenauer

Mag. pharm. Stefanie Lehenauer



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