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RemifentanilMNTX

Region Örebro County · FDA-approved active Small molecule

RemifentanilMNTX is a combination of remifentanil (a potent opioid agonist) and methylnaltrexone (a peripheral mu-opioid receptor antagonist) designed to provide analgesia while reducing opioid-induced side effects.

RemifentanilMNTX is a combination of remifentanil (a potent opioid agonist) and methylnaltrexone (a peripheral mu-opioid receptor antagonist) designed to provide analgesia while reducing opioid-induced side effects. Used for Intraoperative analgesia and sedation during anesthesia.

At a glance

Generic nameRemifentanilMNTX
Also known asMethylnaltrexone, Remifentanil, Relistor, Ultiva
SponsorRegion Örebro County
Drug classOpioid agonist with peripheral opioid antagonist
TargetMu-opioid receptor (agonist: remifentanil; peripheral antagonist: methylnaltrexone)
ModalitySmall molecule
Therapeutic areaAnesthesia/Analgesia
PhaseFDA-approved

Mechanism of action

Remifentanil acts as a mu-opioid receptor agonist in the central nervous system to produce analgesia and sedation. Methylnaltrexone is a quaternary ammonium derivative of naltrexone that antagonizes mu-opioid receptors peripherally (unable to cross the blood-brain barrier) to counteract gastrointestinal and other peripheral opioid-induced adverse effects while preserving central analgesic effects.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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