Prototype anilidopiperidine opioid analgesic. Prepn: P. A. J. Janssen, FR 1344366; idem, US 3164600 (1963, 1965 both to Janssen). Pharmacology: J. F. Gardocki, J. Yelnosky, Toxicol. Appl. Pharmacol. 6, 48 (1964); R. Hess et al., J. Pharmacol. Exp. Ther. 179, 474 (1971). LC-MS/MS determn in human plasma and urine: N.-H. Huynh et al., J. Pharm. Biomed. Anal. 37, 1095 (2005). Effects on cerebral circulation and metabolism in rats: C. Carlsson et al., Anesthesiology 57, 375 (1982). Clinical studies: E. A. Welchew, J. A. Thornton, Anaesthesia 37, 309 (1982); M. J. Stephens et al., Med. J. Aust. 1, 419 (1982). Clinical comparison with morphine for post-operative pain: H. S. Minkowitz et al., Pain Med. 8, 657 (2007). Review of clinical experience with transdermal formulation: R. B. R. Muijsers, A. J. Wagstaff, Drugs 61, 2289-2307 (2001).
Analgesic.
Analgesic; Opioids; Phenylpiperidines