An Overview on Nalbuphine

Authors

  • Samar Hamdy Ali Khalil
  • Ashraf Said Sayed Ahmed
  • Farahat Ibrahim Ahmed
  • Ahmed Beniamen Mohammed Hussein

Keywords:

Nalbuphine, opioid analgesic, κ-opioid agonist, μ-opioid antagonist, pain management, anesthesia

Abstract

Nalbuphine is a synthetic opioid analgesic with mixed agonist–antagonist activity, acting as a κ-opioid receptor agonist and a μ-opioid receptor antagonist. It has been widely used for the management of moderate to severe pain and as an adjunct in anesthesia. Compared with traditional opioids such as morphine, nalbuphine provides effective analgesia with a lower risk of respiratory depression, pruritus, and dependence, making it a valuable option in perioperative and postoperative settings

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References

Trescot, A. M., Datta, S., Lee, M., & Hansen, H. (2008). Opioid pharmacology. Pain Physician, 11(2 Suppl), S133–S153.

Romagnoli, A., & Keats, A. S. (1980). Ceiling effect for respiratory depression by nalbuphine. Clinical Pharmacology & Therapeutics, 27(4), 478–485. https://doi.org/10.1038/clpt.1980.65

Yang, S., Wang, L., Yu, W., & Li, Q. (2014). Nalbuphine for prevention of opioid-induced pruritus: A systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Anesthesia, 26(7), 541–548. https://doi.org/10.1016/j.jclinane.2014.04.014

Zeng, Z., Lu, J., Shu, C., Chen, Y., Guo, T., Wu, Q., & Yao, S. (2015). A comparision of nalbuphine with morphine for analgesic efficacy and safety after surgery: A meta-analysis. Scientific Reports, 5, 10927. https://doi.org/10.1038/srep10927

Jannuzzi RG (2016). Nalbuphine for Treatment of Opioid-induced Pruritus: A Systematic Review of Literature. Clin J Pain. 32(1): p. 87-93.

Davis MP (2018). What Parenteral Opioids to Use in Face of Shortages of Morphine, Hydromorphone, and Fentanyl. Am J Hosp Palliat Care. 35(8): p. 1118-1122.

Shiras P, S Ninave and S Ninave (2021). Pharmacological Features, Therapeutic Efficacy and Side Effects of Nalbuphine: A Review. Journal of Pharmaceutical Research International,. 33(61B): p. 54-63.

Pfiffner M (2023). Pharmacokinetics and tolerability of intranasal or intravenous administration of nalbuphine in infants. Archives of Disease in Childhood. 108(1): p. 56-61.

Chrétien B (2019). Comparative study of hypoglycaemia induced by opioids. Is it a class effect? Expert Opin Drug Saf. 18(10): p. 987-992.

Dinges HC (2019): Side Effect Rates of Opioids in Equianalgesic Doses via Intravenous Patient-Controlled Analgesia: A Systematic Review and Network Meta-analysis. Anesth Analg,. 129(4): p. 1153-1162.

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Published

2025-09-22

How to Cite

1.
Ali Khalil SH, Sayed Ahmed AS, Ahmed FI, Mohammed Hussein AB. An Overview on Nalbuphine. J Neonatal Surg [Internet]. 2025Sep.22 [cited 2025Oct.9];13(1):1271-3. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/9187

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Original Article