Bezitramide
Aliases: R-4845, Burgodin
Summary
Withdrawn from Dutch market in 2004 following pediatric fatality.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.
Dose Information
Light
Common
Strong
Heavy
Onset, Duration & After-effects
| ROA | Onset | Peak | Offset |
|---|---|---|---|
| Oral | 1-3 hrs | 2.5-5 hrs | 8-12 hrs |
Effect Profile
Scores (1–10) curated from multiple sources:
- Effect keyword matching from PsychonautWiki catalog
- Weighted by importance: core (×3), major (×2), minor (×1)
Opioid
6.4
Strong
6/10
Strong euphoria with moderate itching/nausea, mild pain relief, low sedation
Euphoria / Warmth
×3
10
physical euphoria
cognitive euphoria
euphoria
warmth
Analgesia
×2
4
pain relief
Sedation / Relaxation
×1
3
sedation
Itching / Nausea
×1
6
nausea
constipation
Based on reports from:
Tolerance
Build-up
develops within days of regular use; analgesic tolerance faster than respiratory depression tolerance
Reset
7–14 days for partial reset; full reset may take weeks — tolerance loss greatly increases overdose risk
Tolerance Decay
Full tolerance
6d
Half tolerance
14d
Baseline
~35d
Opioid tolerance builds rapidly with daily use and decays over weeks after cessation; cross‑tolerance is expected with other μ‑opioid agonists. Quantitative values are approximate and based on general opioid patterns rather than bezitramide‑specific trials; interpret cautiously.
Effects
Positive
- Pain relief
- Physical euphoria
- Cough suppression
- Stimulation
Negative
- Respiratory depression
- Nausea
- Tachycardia
- Sedation
- Itchiness
- Difficulty urinating
Positive
- Cognitive euphoria
- Anxiety suppression
- Reduced anxiety
- Wakefulness
- Motivation enhancement
- Euphoria
- Alertness enhancement
Negative
- Constipation
- Anxiety
- Talkativeness
Positive
- Warmth
- Increased music appreciation
- Increased libido
Negative
- Appetite suppression
- Light sensitivity
- Disinhibition
- Dehydration
- Dulled perception
- Internal hallucination
- Warm flush
Combinations
Bezitramide's nerd page
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