Nalbuphine

Nalbuphine

Author: Dr. Wamiq Ansari

Last Updated:

Classification

1. Class: Opioid Analgesic.

2. Sub-class: Mixed Kappa (κ) agonist and Mu (μ) antagonist.

Mechanism of Action

1. Cellular Mechanism:

a. Binds to G-Protein-coupled Kappa (κ) receptors, in CNS and dosrsal horn of spinal cord, leading to;

  • Inhibits Adenylyl cyclase, reducing Cyclic AMP levels.
  • Closes Voltage-gated Calcium channels, reducing neurotransmitter release like Substance P, glutamate etc.
  • Opens Potassium channels, causing neuronal hyperpolarization and reducing pain signals.

b. Binds to Mu (μ) receptors in CNS.

2. Effects:

a. Kappa Receptors: Inhibits ascending pain pathways producing;

  • Analgesia.
  • Sedation.
  • Dysphoria (distressing, unpleasent emotional state, often described as anxiety).

b. Mu Receptors:

  • Blocks Euphoria and addictive effects.
  • Reduces repsiratory depression.

Pharmacokinetics

1. Half Life: 5 hours (patients with no renal or hepatic disease).

2. Onset: within 2-3 minutes (IV) and 15 minutes (IM or SC).

3. Peak Effect: 30 minutes.

4. Duration: 3-6 hours.

4. Metabolism: Liver.

5. Excretion: mainly urine.

Indications

1. Moderate to Severe Pain (Post-operative, traumatic, burns).

2. Sedation and Analgesia during mechanical ventilation.

3. Neonates with Opioid withdrawal syndrome.

Contraindications

1. Risk of withdrawal (patient is pure mu-opioid dependent).

2. Severe Respiratory depression or acute asthma.

3. Known Hypersensitivity.

4. Raised Intra-cranial pressure or head trauma (may obscure neurological assessment).

5. Severe hepatic or renal impairement.

Dosage

Parenteral

Maintenance Dose 0.1-0.2 mg/kg/dose x every 6 hours.
IV Infusion

1. Loading Dose: 0.1-0.2 mg/kg over 10-15 minutes.
2. Maintenance Dose: 0.05-0.2 mg/kg/hour over 24 hours.

1. Limited data of use in Neonates and Infants.
2. Use cautiously in minimal dosage.

Maximum Dosage

Single Dose 10 mg/dose.
Total Daily Dose 160 mg/day

Renal Adjustment Dosage

Mild to Moderate Impairement (CrCl more than 30mL/min) No adjustment needed.
Severe Impairement (CrCl less than 30mL/min) or undergoing dialysis Use minimum effective dose with caution.

Hepatic Adjustment Dosage

Mild to Moderate Hepatic Impairment Reduce dose by 25-50%.
Severe Hepatic Impairment Avoid use.

Adverse Effects

1. Gastrintestinal : Nausea, vomiting and constipation.

2. Nervous System: Sedation, dizziness, headache, dysphoria and hallucinations.

3. Respiratory: Mild respiratory depression.

4. Cardiovascular: Hypotension and Bradycardia.

5. Dermatological: Pruritis, sweating and flushing.

6. Misc: Risk of dependence (lower than full m-agonists).

Toxicity

Clinical Findings

1. Respiratory Depression.

2. CNS depression and lethargy.

3. Miosis.

4. Bradycardia and hypotension.

Management

1. Immediate Resuscitation: Maintain Airway, Breathing and Circulation.

2. Antidote Therapy: Nalaxone;

  • a. Neonates and Infants: 0.01 mg/kg IV x stat. (may repeat every 2-3 minutes; maximum dose = 0.1mg/kg)
  • b. Children: 0.1 mg/kg IV x stat. (maximum dose = 2 mg).
  • c. Continuous Infusion: Two-third of the initial effective bolus dose per hour as 24 hour infusion.

References

1. Vanderah, Todd W. Basic and Clinical Pharmacology 16th Edition. McGraw Hill Professional, 3 Nov. 2023.

2. Tripathi, K D. Essentials of Medical Pharmacology. New Delhi, Jaypee Brothers Medical Publishers (P) Ltd, 2015

3. The, et al. The Harriet Lane Handbook, 23 Edition: South Asia Edition - E-Book. Elsevier Health Sciences, 20 June 2023.

4. Hongmin Cao, Chunying Bao, Haiya Tu, Jing Gao, Jinjin Huang, Qixing Chen - Impact of intravenous administration of nalbuphine at different time points for postoperative analgesia and sedation in adenotonsillectomized children: a prospective, randomized controlled trial: World Journal of Pediatric Surgery 2023;6:e000662.

5. Kubica-Cielińska A, Zielińska M. The use of nalbuphine in paediatric anaesthesia. Anaesthesiol Intensive Ther. 2015;47(3):252-6. doi: 10.5603/AIT.2015.0036. PMID: 26165241.

© 2025 The Pediatric Coach. All Rights Reserved.