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Ketobemidone

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Collated from TripSit, Pharmacology, DrugCentral. Where sources differ (e.g. dosing), Compare shows them side by side.

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Also known as kbdTS

An opioid analgesic drug that also acts as an NDMA antagonist. Found to be as potent as morphine in physical side effects, and has high potential for addiction like all opioids do. Overdose may lead to respiratory depression/death. Do not mix with CNS depressants or stimulants. Caution should be used for asthmatic users.TS

Oral

Route dataTripSit

ThresholdLightCommonStrongHeavy
5–10 mg10–15 mg—+
015 mg
LightCommonStrongHeavy
After-effects1–8 hours

🧬 Receptor activityDC

TargetActionAffinitySource
Delta-type opioid receptor (OPRD1)6.845 KiDRUGCENTRAL
Glutamate receptor ionotropic, NMDA 3A (GRIN3A)4.585 KiDRUGCENTRAL
Kappa-type opioid receptor (OPRK1)6.223 KiDRUGCENTRAL
Mu-type opioid receptor (OPRM1)9 EC50DRUGCENTRAL
Opioid receptor (Oprd1)8.7 EC50DRUGCENTRAL
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Mechanism of actionPH

Ketobemidone (Cliradon, Ketogan, Ketodur, Cymidon, Ketorax, &c.) is a powerful opioid analgesic. It also has some NMDA-antagonist properties. This makes it useful for some types of pain that don't respond well to other opioids. The most commonly cited equalisation ratio for analgesic doses is 25 mg of ketobemidone hydrobromide to 60 mg of morphine hydrochloride or sulfate and circa 8 mg of ketobemidone by injection.

Pharmacokinetics

Half-lifePH

Plasma half-life: 2.42 +/- 0.41 h (m +/- SD). Elimination half-life: 3.27 +/- 0.32 h

AbsorptionPH

34% (oral), 44% (rectal)

MetabolismPH

Ketobemidone is mainly metabolised by conjugation of the phenolic hydroxyl group, and by N-desmethylation. Only about 13-24% is excreted unchanged after iv. administration.
Ketobemidone has known human metabolites that include Ketobemidone sulfate, Norketobemidone, and Ketobemidone O-glucuronide.

Fact-sheets from PsychonautWiki. Harm-reduction reference only — not medical advice.