Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed

Long-acting injectable (LAI) opioid formulations mitigate the harm profiles and management challenges associated with providing effective analgesia for animals. A single dose of a long-acting opioid analgesic can provide up to 72 h of clinically relevant pain management. Yet, few of these new drugs...

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Main Authors: Betty M. Tyler, Michael Guarnieri
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/10/6/372
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author Betty M. Tyler
Michael Guarnieri
author_facet Betty M. Tyler
Michael Guarnieri
author_sort Betty M. Tyler
collection DOAJ
description Long-acting injectable (LAI) opioid formulations mitigate the harm profiles and management challenges associated with providing effective analgesia for animals. A single dose of a long-acting opioid analgesic can provide up to 72 h of clinically relevant pain management. Yet, few of these new drugs have been translated to products for veterinary clinics. Regulatory pathways allow accelerated drug approvals for generic and biosimilar drugs. These pathways depend on rigorous evidence for drug safety and pharmacokinetic evidence demonstrating bioequivalence between the new and the legacy drug. This report reviews the animal PK data associated with lipid and polymer-bound buprenorphine LAI formulations. Buprenorphine is a widely used veterinary opioid analgesic. Because of its safety profile and regulatory status, buprenorphine is more accessible than morphine, methadone, and fentanyl. This review of PK studies coupled with the well-established safety profile of buprenorphine suggests that the accelerated approval pathways may be available for this new family of LAI veterinary pharmaceuticals.
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spelling doaj.art-8aa69f3d36ba4b01a26a4d06d5a904dc2023-11-18T12:59:58ZengMDPI AGVeterinary Sciences2306-73812023-05-0110637210.3390/vetsci10060372Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence ReviewedBetty M. Tyler0Michael Guarnieri1Department of Neurosurgery, Johns Hopkins University, 1550 Orleans Street, 1550 Orleans St. CRB II, Baltimore, MD 21287, USADepartment of Neurosurgery, Johns Hopkins University, 1550 Orleans Street, 1550 Orleans St. CRB II, Baltimore, MD 21287, USALong-acting injectable (LAI) opioid formulations mitigate the harm profiles and management challenges associated with providing effective analgesia for animals. A single dose of a long-acting opioid analgesic can provide up to 72 h of clinically relevant pain management. Yet, few of these new drugs have been translated to products for veterinary clinics. Regulatory pathways allow accelerated drug approvals for generic and biosimilar drugs. These pathways depend on rigorous evidence for drug safety and pharmacokinetic evidence demonstrating bioequivalence between the new and the legacy drug. This report reviews the animal PK data associated with lipid and polymer-bound buprenorphine LAI formulations. Buprenorphine is a widely used veterinary opioid analgesic. Because of its safety profile and regulatory status, buprenorphine is more accessible than morphine, methadone, and fentanyl. This review of PK studies coupled with the well-established safety profile of buprenorphine suggests that the accelerated approval pathways may be available for this new family of LAI veterinary pharmaceuticals.https://www.mdpi.com/2306-7381/10/6/372analgesiabuprenorphineharm reductionlong actingpharmacokineticextended release
spellingShingle Betty M. Tyler
Michael Guarnieri
Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed
Veterinary Sciences
analgesia
buprenorphine
harm reduction
long acting
pharmacokinetic
extended release
title Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed
title_full Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed
title_fullStr Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed
title_full_unstemmed Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed
title_short Long-Acting Opioid Analgesics for Acute Pain: Pharmacokinetic Evidence Reviewed
title_sort long acting opioid analgesics for acute pain pharmacokinetic evidence reviewed
topic analgesia
buprenorphine
harm reduction
long acting
pharmacokinetic
extended release
url https://www.mdpi.com/2306-7381/10/6/372
work_keys_str_mv AT bettymtyler longactingopioidanalgesicsforacutepainpharmacokineticevidencereviewed
AT michaelguarnieri longactingopioidanalgesicsforacutepainpharmacokineticevidencereviewed