Tilidine is a synthetic opioid analgesic used mainly in Germany, Switzerland and Belgium for treatment of moderate to severe pain, both acute and chronic. While tilidine is considered a moderately-potent opioid, its active metabolite nortilidine possesses analgesic effects roughly equivalent to that of morphine.
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British journal of clinical pharmacology, 74(5), 854-863 (2012-03-03)
The analgesic activity of tilidine is mediated by its active metabolite, nortilidine, which easily penetrates the blood-brain barrier and binds to the µ-opioid receptor as a potent agonist. Tilidine undergoes an extensive first-pass metabolism, which has been suggested to be
Drug and alcohol dependence, 83 Suppl 1, S40-S47 (2006-03-28)
Non-medical abuse of prescription opioid medications is not a new phenomenon, but such use has been increasing in recent years. Various methods have been used and continue to be developed in an effort to limit diversion and abuse of opioid
[Low-dose strong opioid (LDSO)--treatment of pain in osteoarthritis].
W W Bolten et al.
MMW Fortschritte der Medizin, 150(51-52), 41-41 (2009-01-22)
Analytical and bioanalytical chemistry, 400(1), 17-23 (2010-12-09)
The opioid tilidine is a prodrug which is hepatically metabolized to active nortilidine and bisnortilidine. Due to the increasing abuse of tilidine by drug users and the lack of a specific immunoassay, we developed an analytical method for the quantification
