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Nortilidine

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Nortilidine
Identifiers
  • ethyl (1R,2S)-2-(methylamino)-1-phenylcyclohex-3-ene-1-carboxylate
CAS Number
PubChem CID
ChemSpider
UNII
ChEBI
ChEMBL
CompTox Dashboard (EPA)
Chemical and physical data
FormulaC16H21NO2
Molar mass259.349 g·mol−1
3D model (JSmol)
  • CCOC(=O)[C@]1(CCC=C[C@@H]1NC)C2=CC=CC=C2
  • InChI=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
  • Key:PDJZPNKVLDWEKI-GOEBONIOSA-N

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. ^ Schifano, Fabrizio; Orsolini, Laura; Duccio Papanti, G.; Corkery, John M. (2015). "Novel psychoactive substances of interest for psychiatry". World Psychiatry. 14 (1): 15–26. doi:10.1002/wps.20174. ISSN 1723-8617. PMC 4329884. PMID 25655145.
  5. ^ US Patent 4291059 - Cycloaromatic compounds, analgesic Properties thereof and Method of use thereof as analgesic
  6. ^ Personal Communication with Derek P. Reynolds