Acute Porphyria Drugs

N02AG04 - Hydromorphone and Antispasmodics

Probably not porphyrinogenic
PNP

Mono.Rationale
Hydromorphone: Opioid. References consider it safe/probably safe. Atropine: No data pointing to CYP-interaction. Several references consider it safe.
Mono.ChemicalDescription
Hydromorphone: Opioid analgesic metabolized to a large extent and excreted in urine in conjugated form. Atropine: Tertiary amine spasmolytic. No data pointing to CYP-interation.
Mono.SimilarDrugs
Mono.ExploreAlternatives N02A / N02AG or Mono.GoBack.
Mono.References
# Citation details PubMed ID
1. Effects of antihypertensive drugs on hepatic heme biosynthesis, and evaluation of ferrochelatase inhibitors to simplify testing of drugs for heme pathway induction.
Anderson KE. Biochim Biophys Acta. 1978 Oct; 543(3):313-27.
708789
2. Porphyria and the dangerous life-threatening drugs.
Eales L. S Afr Med J. 1979 Nov; 56(22):914-7.
515871
3. Porphyrias.
James MF, Hift RJ. Br J Anaesth. 2000 Jul; 85(1):143-53.
10928003
4. Management of acute attacks in the porphyrias.
Kalman DR, Bonkovsky HL. Clin Dermatol. 1998; 16(2):299-306.
9554242
5. Drugs in the acute porphyrias--toxicogenetic diseases.
Moore MR, Hift RJ. Cell Mol Biol (Noisy-le-grand). 1997 Feb; 43(1):89-94.
9074793
Porphyria Drug Lists
6. Australian List
Australian Porphyria Association No longer maintained
7. French List
Centre Français des Porphyries
8. EPI List
European Porphyria Initiative No longer maintained
9. South African List
Porphyria South Africa No longer maintained
Mono.Tradenames

Extempore N02AG04 Hydromorfon spasmolytika · Hydromorfon-Atropin · Hydromorfon-Atropin-Haloper · Palladon Comp
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