Bezitramide

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Bezitramide
Bezitramide.svg
Systematic (IUPAC) name
4-[4-(2-oxo-3-propanoyl-2,3-dihydro-1H-benzimidazol-1-yl)piperidin-1-yl]-2,2-diphenylbutanenitrile
Clinical data
Legal status ?
Routes Oral
Identifiers
CAS number 15301-48-1
ATC code N02AC05
PubChem CID 61791
DrugBank DB01459
ChemSpider 55675 YesY
UNII 3KXW0Y310I YesY
ChEMBL CHEMBL2104149
Chemical data
Formula C31H32N4O2 
Mol. mass 492.611 g/mol
 YesY (what is this?)  (verify)

Bezitramide is a narcotic analgesic. Bezitramide itself is a prodrug which is readily hydrolyzed in the gastrointestinal tract to its main metabolite, despropionyl-bezitramide. Bezitramide was discovered at Janssen Pharmaceutica in 1961.[1][2][3] It is most commonly marketed under the trade name Burgodin.

The drug was pulled from the shelves in the Netherlands in 2004 after fatal overdose cases, including one where a five year old child took one tablet from his mother's purse, ate it, and promptly died.[4]

Bezitramide is regulated much the same as morphine in all known jurisdictions and is a Schedule II substance under the United States' Controlled Substances Act of 1970, with an ACSCN of 9800 and zero annual manufacturing quota.[5] However, it has to this point never been marketed in the United States.

References[edit]

  1. ^ US patent 3196157, Paul A. J. Janssen., "BENZIMIDAZOLINYL PIPERIDINES", published 1963-06-11, issued 1965-07-20 
  2. ^ Janssen, P. A.; Niemegeers, C. J.; Schellekens, K. H.; Marsboom, R. H.; Herin, V. V.; Amery, W. K.; Admiraal, P. V.; Bosker, J. T.; Crul, J. F.; Pearce, C.; Zegveld, C. (1971). "Bezitramide (R 4845), a new potent and orally long-acting analgesic compound". Arzneimittel-Forschung 21 (6): 862–867. PMID 5109278.  edit
  3. ^ Knape, H. (1970). "Bezitramide, an orally active analgesic. An investigation on pain following operations for lumbar disc protrusion (preliminary report)". British journal of anaesthesia 42 (4): 325–328. PMID 4913411.  edit
  4. ^ De Vos, J. C.; Rohof, O. J.; Bernsen, P. J.; Conemans, J. M.; Van Unnik, A. J. (1983). "Death caused by one tablet of Burgodin". Nederlands tijdschrift voor geneeskunde 127 (34): 1552–1553. PMID 6633692.  edit
  5. ^ Title 21 United States Code (USC) Controlled Substances Act