National Cancer Institute Thesaurus

Last uploaded: February 23, 2024
Preferred Name

Hydromorphone Hydrochloride

Synonyms

Dilaudid HP

HYDROMORPHONE HYDROCHLORIDE

Hydromorphone Hydrochloride

Hydromorphone

Dilaudid

Dimorphone

Exalgo

Hydrostat

Hymorphan

Laudicon

Novolauden

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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#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

Concept_In_Subset

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C176424

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C156952

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C159412

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C156953

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C63923

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

FULL_SYN

Dilaudid HP

HYDROMORPHONE HYDROCHLORIDE

Hydromorphone Hydrochloride

Hydromorphone

Dilaudid

Dimorphone

Exalgo

Hydrostat

Hymorphan

Laudicon

Novolauden

Has_Free_Acid_Or_Base_Form

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C62034

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

Thesaurus:C436

Semantic_Type

Organic Chemical

Pharmacologic Substance

UMLS_CUI

C0700533

subClassOf

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C67413

http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C1506

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