Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Buprenorphine
Drug ID BADD_D00310
Description Buprenorphine is a weak partial mu-opioid receptor agonist and a weak kappa-opioid receptor antagonist used for the treatment of severe pain.[A186283,A186292] It is also commonly used as an alternative to [methadone] for the treatment of severe opioid addiction.[F4715,F4718] Buprenorphine is commercially available as the brand name product Suboxone which is formulated in a 4:1 fixed-dose combination product along with [naloxone], a non-selective competitive opioid receptor antagonist. Combination with naloxone is intended to reduce the abuse potential of Suboxone, as naloxone is poorly absorbed by the oral route (and has no effect when taken orally), but would reverse the opioid agonist effects of buprenorphine if injected intravenously.[A186289,F4715,F4718] Buprenorphine has poor gastrointestinal absorption and is therefore formulated as a sublingual tablet.
Indications and Usage Buprenorphine is indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Buprenorphine is also used in combination with [naloxone] in a fixed-dose combination product for the treatment of moderate to severe opioid use disorder.[F4715,F4718]
Marketing Status approved; illicit; investigational; vet_approved
ATC Code N02AE01; N07BC01
DrugBank ID DB00921
KEGG ID D07132
MeSH ID D002047
PubChem ID 644073
TTD Drug ID D06AWE
NDC Product Code 10920-593; 71795-2200; 0093-3656; 59011-758; 63629-9475; 12578-607; 12496-0100; 58284-232; 58284-264; 59011-751; 69238-1204; 51927-0062; 58284-208; 58284-228; 59011-750; 59011-752; 68071-2592; 12707-036; 42858-353; 47781-408; 58118-0501; 47848-030; 0093-3239; 47781-406; 59011-757; 62756-460; 73548-1039; 0093-3658; 42858-502; 58284-216; 60687-492; 69238-1505; 71335-1154; 0792-0631; 42858-493; 42858-586; 0228-3153; 69238-1202; 65267-203; 12496-0300; 47781-419; 60687-481; 62756-459; 69238-1203; 69238-1205; 38779-3255; 49812-0239; 65724-0050; 0093-3657; 42858-501; 42858-750; 42858-839; 58284-224; 58284-296; 71335-0950; 0093-3659; 47781-407; 0228-3156; 58064-408; 58118-0502
UNII 40D3SCR4GZ
Synonyms Buprenorphine | Buprenex | Prefin | Subutex | Buprex | Temgesic | Temgésic | 6029-M | 6029 M | 6029M | RX-6029-M | RX 6029 M | RX6029M | Buprenorphine Hydrochloride | Hydrochloride, Buprenorphine
Chemical Information
Molecular Formula C29H41NO4
CAS Registry Number 52485-79-7
SMILES CC(C)(C)C(C)(C1CC23CCC1(C4C25CCN(C3CC6=C5C(=C(C=C6)O)O4)CC7CC7)OC)O
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Injection site pain08.02.03.010; 12.07.03.0110.278767%Not Available
Injection site paraesthesia17.02.06.029; 12.07.03.049; 08.02.03.0490.000797%Not Available
Injection site pruritus23.03.12.007; 12.07.03.014; 08.02.03.0130.035194%Not Available
Injection site rash08.02.03.032; 23.03.13.010; 12.07.03.0320.011623%Not Available
Injection site reaction12.07.03.015; 08.02.03.0140.013832%
Injection site ulcer23.07.03.012; 12.07.03.017; 08.02.03.0160.025454%Not Available
Injection site urticaria12.07.03.029; 08.02.03.029; 23.04.02.003; 10.01.06.0030.003440%Not Available
Injection site vesicles23.03.01.024; 12.07.03.051; 08.02.03.0510.015570%Not Available
Injection site warmth12.07.03.036; 08.02.03.0360.019263%Not Available
Injury12.01.08.004--Not Available
Insomnia17.15.03.002; 19.02.01.0020.035919%
Irritability19.04.02.013; 08.01.03.0110.009776%
Joint swelling15.01.02.004--Not Available
Lacrimation increased06.08.02.0040.004309%
Laryngeal pain22.12.03.010--
Learning disability19.21.05.0020.001086%Not Available
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.0080.010573%
Libido decreased21.03.02.005; 19.08.03.001--
Loss of consciousness17.02.04.004--Not Available
Lymphadenopathy01.09.01.0020.003259%Not Available
Malaise08.01.01.003--
Mania19.16.02.0020.001159%
Memory impairment19.20.01.003; 17.03.02.003--
Mental impairment19.21.02.003; 17.03.03.0020.001955%Not Available
Migraine24.03.05.003; 17.14.02.0010.012419%Not Available
Miosis06.05.03.003; 17.02.11.0020.001340%Not Available
Movement disorder17.01.02.0100.003259%Not Available
Muscle spasms15.05.03.004--
Muscular weakness17.05.03.005; 15.05.06.001--
Musculoskeletal pain15.03.04.007--
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