Library

Bezitramid

Withdrawn from Dutch market in 2004 following pediatric fatality. Extremely delayed onset encourages dangerous redosing before peak effects manifest. Historical 5 mg tablets represented supratherapeutic doses for opioid-naive users. Prodrug rapidly hydrolyzed to active metabolite despropionyl-bezitramide (R-4618) in gastrointestinal tract.

Bezitramid molecular structure
Bezitramid molecular structure diagram from the DrugsPRO substance library.

Also known as: R-4845, Burgodin, Bezitramidum, Bezitramida

Classification

  • Chemical: Medicine
  • Chemical: Opioid
  • Psychoactive: Depressant
  • Tag: Benzimidazole
  • Tag: Habit-Forming
  • Tag: Withdrawn

Effects

  • Pain Relief
  • Physical Euphoria
  • Sedation
  • Respiratory Depression
  • Itchiness
  • Nausea
  • Cognitive Euphoria
  • Anxiety Suppression
  • Euphoria
  • Sadness
  • Wakefulness
  • Motivation Enhancement
  • Dulled Perception
  • Appetite Suppression
  • Light Sensitivity
  • Internal Hallucination
  • Size Distortion
  • Warmth

Routes of Administration

Oral

Dosage

  • Threshold: 0.25-0.5 mg
  • Light: 0.5-1 mg
  • Common: 1-2.5 mg
  • Strong: 2.5-5 mg
  • Heavy: 5 mg+

Duration

  • Onset: 0.5-3.5 h
  • Peak: 2.5-3.5 h
  • Offset: 8-12 h
  • After Effects: 6-12 h
  • Total Duration: 12-24 h

Harm Reduction

Check interactions before mixing substances, pay attention to dose spacing and hydration, and treat all dosage guidance as approximate rather than guaranteed safe.

Sources

Substance data is aggregated from the following public harm-reduction and reference sources.

Links

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Bezitramide - DrugsPRO substansguide

Bezitramide: Withdrawn from Dutch market in 2004 following pediatric fatality. Extremely delayed onset encourages dangerous redosing before peak effects manifest. Historical 5 mg tablets represented supratherapeutic doses for opioid-naive users. Prodrug rapidly hydrolyzed to active metabolite despro

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