ペチジン·塩酸塩 化学特性,用途語,生産方法
効能
麻薬性鎮痛薬, 鎮痙薬, オピオイド受容体作動薬
商品名
ペチジン塩酸塩 (武田薬品工業)
化学的特性
White or almost white, crystalline powder.
使用
Analgesic; sedative; anesthetic.
Controlled substance (opiate).
定義
An addictive drug,
use by prescription only.
臨床応用
Meperidine is a μ agonist with approximately one-tenth the potency of morphine after intramuscular
dose. Meperidine produces the analgesia, respiratory depression, and euphoria caused by other μ
opioid agonists, but it causes less constipation and does not inhibit cough. When given orally,
meperidine has 40 to 60% bioavailability because of significant first-pass metabolism. Because of
the limited bioavailability, it is one-third as potent after an oral dose compared to a parenteral
dose.
Meperidine has received extensive use in obstetrics because of its rapid onset and short duration
of action. When it is given intravenously in small (25-mg) doses during delivery, the respiratory
depression in the newborn child is minimized. Meperidine is used as an analgesic
in a variety of nonobstetric anesthetic procedures. Meperidine is extensively metabolized in the
liver, with only 5% of the drug being excreted unchanged. Prolonged dosage of meperidine may
cause an accumulation of the metabolite normeperidine. Normeperidine has only weak analgesic activity, but it causes CNS excitation and can
initiate grand mal seizures. It is recommended that meperidine be discontinued in any patient who
exhibits signs of CNS excitation.
Meperidine has a strong adverse reaction when given to patients receiving a monoamine oxidase
inhibitor. This drug interaction has been seen recently in patients with Parkinson's disease taking
the monoamine oxidase–selective inhibitor selegiline (Eldepryl).
The elimination half-life of meperidine is 3 to 4 hours, and it can double in patients with liver
disease. Acidification of the urine will cause enhanced clearance of meperidine, but there is a
lesser effect on the clearance of the toxic metabolite normeperidine.
安全性プロファイル
Poison by ingestion,
subcutaneous, intravenous, and
intraperitoneal routes. Moderately toxic by
parenteral route. Experimental teratogenic
effects. Mutation data reported. An
analgesic. When heated to decomposition it
emits very toxic fumes of HCl and NOx.
ペチジン·塩酸塩 上流と下流の製品情報
原材料
準備製品