Nalorphine Hydrochloride

  • Nalorphine Hydrochloride treats opioid overdose by reversing respiratory depression.
  • It acts as a mixed opioid agonist-antagonist at μ and κ receptors.

Chemical Formula:

  • C₁₉H₂₁NO₃·HCl

Chemical Structure of Nalorphine Hydrochloride

Mechanism of Action:

  • Mixed opioid agonist-antagonist
    • μ-antagonist → blocks respiratory depression
    • κ-agonist → mild analgesia and dysphoria
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Therapeutic Uses of Nalorphine Hydrochloride:

  • Historically used to reverse opioid overdose
  • Replaced by safer agents like naloxone

Side Effects of Nalorphine Hydrochloride:

  • Dysphoria, anxiety, hallucinations
  • Nausea, vomiting

Notes:

  • Prototype opioid antagonist
  • Caused too many psychomimetic effects → now obsolete

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