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词条 Nortilidine
释义

  1. See also

  2. References

{{Drugbox
| IUPAC_name = ethyl (1R,2S)-2-(methylamino)-1-phenylcyclohex-3-ene-1-carboxylate
| image = Nortilidine.svg
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| CAS_number = 38677-94-0
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| ATCvet =
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| PubChem = 162321
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| ChemSpiderID = 142535
| ChEBI_Ref = {{ebicite|correct|EBI}}
| ChEBI = 77839
| ChEMBL = 1614654
| UNII = 7145G6817J
| synonyms =
| C=16 | H=21 | N=1 | O=2
| molecular_weight = 259.3434 g/mol
| SMILES = CCOC(=O)[C@]1(CCC=C[C@@H]1NC)C2=CC=CC=C2
| StdInChI = 1S/C16H21NO2/c1-3-19-15(18)16(13-9-5-4-6-10-13)12-8-7-11-14(16)17-2/h4-7,9-11,14,17H,3,8,12H2,1-2H3/t14-,16+/m0/s1
| StdInChIKey = PDJZPNKVLDWEKI-GOEBONIOSA-N
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}}Nortilidine[1] is the major active metabolite of tilidine. It is formed from tilidine by demethylation in the liver. The racemate has opioid analgesic effects roughly equivalent in potency to that of morphine[2] but virtually all of the opioid activity resides in the (1S,2R) isomer.[3] The (1R,2S) isomer has NMDA antagonist activity. The drug also acts as a dopamine reuptake inhibitor.[4] The reversed-ester of nortilidine is also known[5] which has almost identical properties to nortilidine.[6]

See also

  • O-Desmethyltramadol, another opioid metabolite with additional (non-opioid) mechanisms of analgesia

References

1. ^US Patent 3792080 - Process for Substituted Cyclohexenes its Products
2. ^J Clin Pharmacol. 2002 Nov ;42 (11):1257-61 - Sequential first-pass metabolism of nortilidine: the active metabolite of the synthetic opioid drug tilidine
3. ^Opiates: George R. Lenz page 439, Table 9-30 (78)
4. ^{{cite journal|last1=Schifano|first1=Fabrizio|last2=Orsolini|first2=Laura|last3=Duccio Papanti|first3=G.|last4=Corkery|first4=John M.|title=Novel psychoactive substances of interest for psychiatry|journal=World Psychiatry|volume=14|issue=1|year=2015|pages=15–26|issn=1723-8617|doi=10.1002/wps.20174|pmc=4329884}}
5. ^US Patent 4291059 - Cycloaromatic compounds, analgesic Properties thereof and Method of use thereof as analgesic
6. ^Personal Communication with Derek P. Reynolds
{{Dopaminergics}}{{Glutamatergics}}{{Opioidergics}}{{analgesic-stub}}

4 : Opioids|Dopamine reuptake inhibitors|NMDA receptor antagonists|Cyclohexenes

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