Preferred Name

Hydromorphone Hydrochloride
Synonyms
Definitions

The hydrochloride salt form of hydromorphone, the hydrogenated ketone of morphine, a semi-synthetic opioid with analgesic effects. Hydromorphone selectively binds the mu-opioid receptor which is linked through G-proteins. Binding stimulates the exchange of guanosine triphosphate (GTP) for guanosine diphosphate (GDP) on the G-protein complex and interacts with and inhibits adenylate cyclase located at the inner surface of the plasma membrane. This leads to a reduction in intracellular cyclic 3',5'-adenosine monophosphate (cAMP). Further, voltage-gated potassium channels are activated, thereby causing hyperpolarization and reducing neuronal excitability. In addition, the opening of voltage-gated calcium channels is inhibited, thereby leading to an inhibition of calcium entry and a reduction in the release of various neurotransmitters, including GABA, vasopressin, somatostatin, insulin and glucagons.

ID

http://purl.obolibrary.org/obo/NCIT_C436

Accepted_Therapeutic_Use_For

pain in opioid-tolerant patients.

CAS_Registry

71-68-1

CHEBI_ID

CHEBI:5791

Chemical_Formula

C17H19NO3.HCl

code

C436

Contributing_Source

CPTAC

FDA

definition

The hydrochloride salt form of hydromorphone, the hydrogenated ketone of morphine, a semi-synthetic opioid with analgesic effects. Hydromorphone selectively binds the mu-opioid receptor which is linked through G-proteins. Binding stimulates the exchange of guanosine triphosphate (GTP) for guanosine diphosphate (GDP) on the G-protein complex and interacts with and inhibits adenylate cyclase located at the inner surface of the plasma membrane. This leads to a reduction in intracellular cyclic 3',5'-adenosine monophosphate (cAMP). Further, voltage-gated potassium channels are activated, thereby causing hyperpolarization and reducing neuronal excitability. In addition, the opening of voltage-gated calcium channels is inhibited, thereby leading to an inhibition of calcium entry and a reduction in the release of various neurotransmitters, including GABA, vasopressin, somatostatin, insulin and glucagons.

FDA_UNII_Code

L960UP2KRW

Has_Free_Acid_Or_Base_Form

http://purl.obolibrary.org/obo/NCIT_C62034

in_subset

http://purl.obolibrary.org/obo/NCIT_C63923

http://purl.obolibrary.org/obo/NCIT_C176424

http://purl.obolibrary.org/obo/NCIT_C156952

http://purl.obolibrary.org/obo/NCIT_C156953

http://purl.obolibrary.org/obo/NCIT_C159412

label

Hydromorphone Hydrochloride

Legacy Concept Name

Hydromorphone

NCI_Drug_Dictionary_ID

574280

NSC Number

19046

PDQ_Closed_Trial_Search_ID

574280

PDQ_Open_Trial_Search_ID

574280

Preferred_Name

Hydromorphone Hydrochloride

prefixIRI

NCIT:C436

prefLabel

Hydromorphone Hydrochloride

Semantic_Type

Organic Chemical

Pharmacologic Substance

UMLS_CUI

C0700533

subClassOf

http://purl.obolibrary.org/obo/NCIT_C1506

http://purl.obolibrary.org/obo/NCIT_C67413

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