What is it about?

There is a need for data that can support a more consistent disposal policy based on an assessment of relative risk. For drugs acting at the Mu-opioid receptor (MOR), published measurements of binding affinity (Ki) are incomplete and inconsistent due to differences in methodology and assay system, leading to a wide range of values for the same drug thus precluding a simple and meaningful relative ranking of drug potency.

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Why is it important?

The Ki values obtained ranged from 0.1380 (sufentanil) to 12.486 lM (tramadol). The drugs were separated into three categories based upon their Ki values: Ki > 100 nM (tramadol, codeine, meperidine, propoxyphene and pentazocine), Ki =1 100 nM (hydrocodone, oxycodone, diphenoxylate, alfentanil, methadone, nalbuphine, fentanyl and morphine) and Ki < 1 nM (butorphanol, levorphanol, oxymorphone, hydromorphone, buprenorphine and sufentanil). These data add to the understanding of the pharmacology of opioid drugs and support the development of a more consistent labeling policies regarding safe disposal.

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This page is a summary of: Uniform assessment and ranking of opioid Mu receptor binding constants for selected opioid drugs, Regulatory Toxicology and Pharmacology, April 2011, Elsevier,
DOI: 10.1016/j.yrtph.2010.12.007.
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