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. Author manuscript; available in PMC: 2022 Feb 1.
Published in final edited form as: Anesth Analg. 2021 Feb 1;132(2):406–419. doi: 10.1213/ANE.0000000000005309

Table 2.

MOR and KOR Agonists and Their Selectivities129,148,149

Drug / Compound name: Selectivity (estimated Ki [nM]) at the human receptor* Approved for use?
MOR KOR DOR
β-Endorphin 1.18 31.7 1 to 5.4 endogenous
Dynorphin A 32 0.5 1,000 endogenous
Enkephalin 1.77 506.17 200 to 1,430 endogenous
Morphine 2.16 50 to >2,000 1,545 to 2,500 USA (FDA) for analgesia
Oxycodone 780 >2,000 >10,000 USA (FDA) for analgesia
Fentanyl 1 169.9 152 to >1,000 USA (FDA) for analgesia
Pentazocine 5.4 2.6 114.5 USA (FDA) for analgesia
Butorphanol 0.12 0.22 12 USA (FDA) for analgesia
Buprenorphine 0.85 (partial agonism) 0.71 (antagonism) 3.7 (antagonism) USA (FDA) for OUD
Nalfurafine* (TRK-820) 3.2 to 5.2 0.025 to 0.075 161 to 289 Japan (MHLW) for pruritus
EOM Salvinorin B >1 0.32 >1 no
ICI 199,441 54 0.04 24 no
U50,488 >1,000 0.16 645 no
U69,593 >1,000 1.53 >1,000 no
RB-64 >10,000 0.59 >10,000 no
Salvinorin A >10,000 1.82 >1,000 no
Triazole 1.1 >10,000 0.25 >2,000 no
*

Estimated nalfurafine Ki (nM) values are presented at the rat MOR, human KOR, and mouse DOR, respectively.