Nortilidine
Structural formula | ||||||||||
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(1 S , 2 R ) -isomer (left) and (1 R , 2 S ) -isomer (right) 1: 1 mixture of the stereoisomers |
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General | ||||||||||
Surname | Nortilidine | |||||||||
other names |
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Molecular formula |
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properties | ||||||||||
Molar mass | 259.34 g · mol -1 | |||||||||
safety instructions | ||||||||||
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As far as possible and customary, SI units are used. Unless otherwise noted, the data given apply to standard conditions . |
Nortilidine a pharmacologically active metabolite (as metabolite ) of the drug tilidine . The substance from the group of opioids is produced in the liver by demethylation from tilidine. Nortilidine has the main effect of the administered tilidine, as this has little effect as a prodrug . Nortilidine continues to be gradually metabolized in the liver to the analgesically inactive bisnortilidine .
effect
Nortilidine is a µ-receptor agonist and, like most opioids, has a strong analgesic and sedative effect . Its analgesic potency is about 100 times higher than that of the prodrug tilidine, and its maximum effectiveness is comparable to that of morphine . Common adverse effects are drowsiness, nausea, and increased sweating.
use
Nortilidine is not used directly as a drug, but is produced by administering tilidine.
Individual evidence
- ↑ This substance has either not yet been classified with regard to its hazardousness or a reliable and citable source has not yet been found.
- ↑ E. Mutschler, G. Geisslinger, HK Kroemer, S. Menzel, P. Ruth: Mutschler drug effects. Pharmacology - Clinical Pharmacology - Toxicology. 10th edition. Wissenschaftliche Verlagsgesellschaft mbH, Stuttgart 2012, ISBN 3-80-472898-7 ; P. 225.
- ↑ a b c Technical information Valoron N, as of February 2013.
- ↑ C. Thierry, J.-M. Boeynaems, M. Paolo: Actions of tilidine and nortilidine on cloned opioid receptors (PDF; 2.0 MB). Eur. J. Pharmacol. 506 (2005), pp. 205-208.