Synthetic mu-opioid agonist; derivative of fentanyl, q.v. Prepn: P. L. Feldman et al., EP 383579; eidem, US 5019583 (1990, 1991 both to Glaxo); eidem et al., J. Med. Chem. 34, 2202 (1991). Opioid receptor activity: M. K. James et al., J. Pharmacol. Exp. Ther. 259, 712 (1991). LC-MS determn in plasma: E. Bossu et al., J. Pharm. Biomed. Anal. 42, 367 (2006). Review of pharmacokinetics and therapeutic use: R. Beers, E. Camporesi, CNS Drugs 18, 1085-1104 (2004); of pharmacology and clinical use in general anesthesia: L. J. Scott, C. M. Perry, Drugs 65, 1793-1823 (2005); in analgesia-based sedation: A. J. Battershill, G. M. Keating, ibid. 66, 365-385 (2006).
Analgesic; anesthesia adjunct.
Analgesic; Opioids; Phenylpiperidines