Pentazocine
Partial Opioid Agonist/Antagonist — NERVOUS SYSTEM
Also known as: cis-(+/-)-Pentazocine, dl-Pentazocine, pentazocin, pentazocine HCl, pentazocine hydrochloride, pentazocine lactate
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Pentazocine is an ofp drug in the Partial Opioid Agonist/Antagonist class catalogued in DrugCentral. It was first approved by the FDA in 1967. Its mechanism of action is classified as Competitive Opioid Antagonists and Partial Opioid Agonists. DrugCentral lists 11 molecular targets, including SIGMAR1, OPRK1 and OPRM1. Recorded indications include General anesthesia, Labor pain, Local anesthesia and Pain.
- Approval status: ofp (first approved 1967 by the FDA).
- Drug class: Partial Opioid Agonist/Antagonist.
- Mechanism of action: Competitive Opioid Antagonists; Partial Opioid Agonists.
- Molecular targets: SIGMAR1, OPRK1, OPRM1 and SIGMAR1 (11 listed in DrugCentral).
- Indications: General anesthesia, Labor pain, Local anesthesia and Pain.
- ATC code: N02AD01 (Benzomorphan derivatives).
- Molecular formula: C19H27NO; molecular weight 285.43 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (4)
- General anesthesia
- Labor pain
- Local anesthesia
- Pain
Contraindications (64)
- Acute abdominal pain
- Acute erosive gastritis
- Acute nephropathy
- Alcohol intoxication
- Alcohol withdrawal delirium
- Alcoholism
- Anemia
- Anemia due to enzyme deficiency
- Asthenia
- Benign intracranial hypertension
- Benign prostatic hyperplasia
- Bradycardia
- Breastfeeding (mother)
- Central nervous system depression
- Coma
- Conduction disorder of the heart
- Constipation
- Cor pulmonale
- Decreased respiratory function
- Dehydration
- Dependent drug abuse
- Disease of liver
- Disorder of gallbladder
- Drug-induced psychosis
- Dysfunction of sphincter of Oddi
- Exacerbation of asthma
- Factor II deficiency
- Gastrointestinal hemorrhage
- Gastrointestinal ulcer
- Gout
- + 34 more
Mechanism & targets
| Mechanism of action (MoA) | Competitive Opioid Antagonists; Partial Opioid Agonists |
|---|---|
| Established pharmacologic class | Partial Opioid Agonist/Antagonist |
Molecular targets (11)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Sigma non-opioid intracellular receptor 1 | SIGMAR1 | modulator | EC50 8.76 |
| Kappa-type opioid receptor | OPRK1 | unknown | Ki 8.66 |
| Mu-type opioid receptor | OPRM1 | unknown | Ki 8.41 |
| Sigma non-opioid intracellular receptor 1 | SIGMAR1 | unknown | Ki 8.27 |
| Mu-type opioid receptor | Oprm1 | unknown | Ki 8.16 |
| Sigma non-opioid intracellular receptor 1 | Sigmar1 | unknown | Ki 7.92 |
| Opioid receptor | Oprd1|Oprm1|Oprk1|Sigmar1 | unknown | IC50 7.90 |
| Delta-type opioid receptor | OPRD1 | unknown | EC50 7.31 |
| Kappa-type opioid receptor | OPRK1 | unknown | Ki 7.12 |
| Transmembrane protein 97 | TMEM97 | unknown | Ki 5.83 |
| Sigma intracellular receptor 2 | Tmem97 | unknown | Ki 5.83 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1967-07-24 | FDA | — | HOSPIRA |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
N02AD01 | NERVOUS SYSTEM › ANALGESICS › OPIOIDS › Benzomorphan derivatives |
N02AD51 | NERVOUS SYSTEM › ANALGESICS › OPIOIDS › Benzomorphan derivatives |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Amaurosis fugax | 703.6 |
| Haemorrhagic stroke | 627.1 |
| Ocular discomfort | 624.0 |
| Head discomfort | 545.9 |
| Urinary tract disorder | 538.7 |
| Blindness | 458.3 |
| Altered state of consciousness | 448.3 |
| Generalised oedema | 448.1 |
| Eye pain | 429.7 |
| Haematemesis | 426.7 |
| Diplopia | 376.8 |
| Ascites | 363.6 |
Chemical structure
| Molecular formula | C19H27NO |
|---|---|
| Molecular weight | 285.43 g/mol |
| CAS number | 359-83-1 |
| InChIKey | VOKSWYLNZZRQPF-UHFFFAOYSA-N |
| PubChem CID | 441278 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Pentazocine used for?
DrugCentral lists the following indications for Pentazocine: General anesthesia, Labor pain, Local anesthesia and Pain.
How does Pentazocine work?
Pentazocine is classified as Competitive Opioid Antagonists and Partial Opioid Agonists; its molecular targets in DrugCentral include SIGMAR1 (modulator), OPRK1, OPRM1 and SIGMAR1.
When was Pentazocine first approved?
Pentazocine was first approved by the FDA in 1967.
What drug class does Pentazocine belong to?
Pentazocine is in the Partial Opioid Agonist/Antagonist class.
What is the chemical formula of Pentazocine?
Pentazocine has the molecular formula C19H27NO and a molecular weight of 285.43 g/mol.
Browse: all drugs starting with P · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 3424 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL100116 — compound record and bioactivity
- PubChem CID 441278 — chemical identifiers
- DrugBank DB00652 — drug record
- FDA UNII RP4A60D26L — substance identity
- DailyMed: FDA labels for Pentazocine — current prescribing information (label search)
- UniProt Q99720 (SIGMAR1) — target protein
- UniProt P41145 (OPRK1) — target protein
- UniProt P35372 (OPRM1) — target protein
- UniProt P41143 (OPRD1) — target protein
- UniProt Q5BJF2 (TMEM97) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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