Buprenorphine HCI CIII SR 5ml - 3mg/ml
ZooPharm can provide sustained release Buprenorphine HCl by prescription in a patented, sustained release system.
Buprenorphine SR releases over 72 hours and provides blood levels greater
Buprenorphine has produced excellent analgesic results in broad clinical applications for cats, dogs, exotic species and laboratory animals. It provides analgesia for management of perioperative / postoperative pain, as well as painful joint injuries, fractures, tissue inflammation due to infection, tissue necrosis and trauma resulting from wounds. Amelioration of postsurgical pain has been substantiated in a variety of species1. Due to its long duration of action, it is one of the most widely used opioid analgesics in veterinary clinical practices.
Buprenorphine is a thebaine derivative with powerful analgesia approximately twenty-five to forty times as potent as morphine. Its analgesic effect is due to partial agonist activity at -opioid receptors, i.e., when the molecule binds to a receptor, it is only partially activated in contrast to a full agonist such as morphine. Buprenorphine also has very high binding affinity for the µ receptor such that opioid receptor antagonists (e.g. naloxone) only partially reverse its effects.
Its chemical name is 17 -(cyclopropylmethyl)-alpha-(1, I-dimethylethyl)-4,5-epoxy-1819-dihydro-3-hydroxy-6-methoxy-alpha -methyl-6, 14-ethenomorphinan-7 -methanol.
Buprenorphine is metabolized by the liver, via CYP3A4 (also CYP2C8 seems to be involved) isozymes of the cytochrome P450 enzyme system, into norbuprenorphine (by N-dealkylation). The glucuronidation of buprenorphine is primarily carried out by UGT1A1 and UGT2B7, and that of norbuprenorphine by UGT1A1 and UGT1A3. These glucuronides are then eliminated mainly through excretion into the bile. The elimination half-life of buprenorphine is 20–73 hours (mean 37). Due to the mainly hepatic elimination, there is no risk of accumulation in patients with renal impairment.5
Buprenorphine's main active metabolite, norbuprenorphine, is a μ-opioid, δ-opioid, and nociceptin receptor full agonist, with a κ-opioid receptor partial agonist. Buprenorphine antagonizes its effects.
A published study in the Journal of the American Association for Laboratory Animal Science, tested this sustained-release formulation of buprenorphine in rats for analgesic efficacy and plasma concentration over a 72-h time period. Rats were injected subcutaneously with either 1.2 mg/kg sustained-release formulation (Bup-SR), 0.2 mL/kg buprenorphine HCl (Bup-HCl) and tested in a thermal nociception model or a surgical postoperative pain model. In both models, Buprenorphine-SR showed evidence of providing analgesia for 2 to 3 d, reporting plasma concentrations of buprenorphine remaining over 1 ng/mL for 72 h after a single dose.
Another published study compared the efficacy and adverse effects of sustained-release (SR)buprenorphine following SC administration and buprenorphine following oral transmucosal(OTM) administration in cats undergoing ovariohysterectomy. Results indicated that cats undergoing ovariohysterectomy having received a subcutaneous preoperative dose of SR buprenorphine, appeared to have comparable efficacy and adverse events as that of twice-daily OTM administration of buprenorphine before and after surgery.
A laboratory study conducted in domestic cats was designed to determine if the sustained release Buprenorphine SR™ formulation was equivalent to repeated doses of transmucosal administration of the commercial preparation Buprenex™ over a period of 72 hours. Animals received either a single, subcutaneous injection of Buprenorphine SR at a dose rate of 120 ug/kg, or a transmucosal dose of buprenorphine HCl [Buprenex™] every 12 hours for 72 hours. Results from analysis of blood samples [obtained at 1, 4, 8, 12, 18, 24, 36, 48 and 72 hours], reported data showing that only the single-dosed Buprenorphine SR cats maintained therapeutic blood levels for 72 hours.
No visible injection site irritations or clinical side effects were reported within both test groups.
Buprenorphine hydrochloride is available from ZooPharm upon prescription at a concentration of 3 mg/ml in a 5 ml vial in a sustained release biodegradable matrix.
In dogs the recommended dose range of 0.03 - 0.06 mg/kg body weight has been based on several published formularies cited below9. The recommended duration of administration for Buprenorphine SR perioperative and/or postoperative pain control in dogs is a single injection providing therapeutic analgesia for up to 72 hours.
Precautions and possible side effects:
Buprenorphine should be used with caution in animals with head trauma, compromised cardiovascular function, liver disease and geriatric or severely debilitated animals.
A rare, but possible side effect of buprenorphine is a slowed breathing rate in some dogs, so it should not be used to treat a dog with heart failure, head trauma or respiratory issues.
Geriatric dogs or dogs with Addison's disease, an underactive thyroid gland, must be treated with caution when using buprenorphine.
1. Roughan JV and Flecknell PA. 2002. Buprenorphine: a reappraisal of its antinociceptive effects and therapeutic use in alleviating post-operative pain in animals. Lab Anim 36:322-343.
2. Capner CA, Lascelles BDX and Waterman-Pearson AE. 1999. Current British veterinary attitudes to peri-operative analgesia for dogs. Veterinary Record 458 145:95-99.
3. Dohoo SE and Dohoo IR1996 Factors influencing the postoperative use of analgesics in dogs and cats by Canadian veterinarians.CanVetJ 37:552-56
4. Watson AD, Nicholson A, Church DB and Pearson MR. 1996. Use of anti-inflammatory and analgesic drugs in dogs and cats. Aust Vet J 74:203-210.
5. Moody DE; Fang Lin SN; Weyant DM; Strom SC and Omiecinski CJ Effect of Rifampin and Nelfinavir on the Metabolism of Methadone and Buprenorphine in Primary Cultures of Human Hepatocytes. Drug Metab Dispos December 2009 37:2323-29
6. Foley PL; LiangH; Crichlow AR Evaluation of a sustained release formulation of buprenorphine for analgesia in rats. JAALAS Vol 50, No 2, March 2011, 198–204
7. Catbagan DL; Quimby JM; Mama KR; Rychel JK; Mich PM Comparison of the efficacy and adverse effects of sustained-release buprenorphine hydrochloride following subcutaneous administration and buprenorphine hydrochloride
following oral transmucosal administration in cats undergoing ovariohysterectomy. AJVR, Vol 72, No. 4, April 2011, 461-466
8. Laboratory Study: Comparison of sustained release buprenorphine and transmuccosal buprenorphine in cats.
9. Published Formulary reference sources: Flecknell & Jenkins (1985); Flecknell (1996); UCSF Lab Animal Guidelines (2012); IACUC Pain Management Committee (1992); North American Companion Animal Formulary (2011); BSAVA Manual of Canine/Feline Analgesia (2007)