Hydromorphinol (RAM-320, 14-Hydroxydihydromorphine),[2] is an opiate analogue that is a derivative of morphine, where the 14-position has been hydroxylated and the 7,8- double bond saturated.[3] It has similar effects to morphine such as sedation, analgesia and respiratory depression, but is twice as potent as morphine[2] and has a steeper dose-response curve and longer half-life.[4] It is used in medicine as the bitartrate salt (free base conversion ratio 0.643, molecular weight 471.5) and hydrochloride (free base conversion ratio 0.770, molecular weight 393.9)
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Other names | Hydromorphinol, 14-hydroxy-7,8-dihydromorphine, RAM-320 |
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ECHA InfoCard | 100.016.878 |
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Formula | C17H21NO4 |
Molar mass | 303.358 g·mol−1 |
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Hydromorphinol has also been discovered to occur naturally in trace amounts within opium, although this is a very rare occurrence.[5]
It is also called α-Oxymorphol, and oxymorphol is itself a mixture of hydromorphinol and 4,5α-Epoxy-17-methylmorphinan-3,6β,14-triol, β-Oxymorphol, which is different at position 6 on the morphine carbon skeleton.
Hydromorphinol was developed in Austria in 1932. In the United States, it was never available and is classified as a Schedule I drug with a DEA ACSCN of 9301. The salts in use are the bitartrate (free base conversion ratio 0.643) and hydrochloride (0.770). The 2014 national aggregate manufacturing quota was 2 grams, unchanged from prior years.[6]
Hydromorphinol is metabolised mainly in the liver in the same fashion as many other opioids and is itself a minor active metabolite of 14-Hydroxydihydrocodeine, an uncommonly used opiate (but is therefore also an active metabolite of a first-order active metabolite of oxycodone).
It is distributed under the trade name Numorphan in some countries. It is controlled under the Single Convention On Narcotic Drugs.
See also
edit- Oxymorphol
- N-Phenethylhydromorphinol (RAM-378)
References
edit- ^ Anvisa (2023-03-31). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 2023-04-04). Archived from the original on 2023-08-03. Retrieved 2023-08-16.
- ^ a b US 2960505, Weiss U, "Morphine derivative", published 11/15/1960
- ^ Weiss U, Daum SJ (January 1965). "Derivatives of Morphine. IV.114-Hydroxymorphine and 14-Hydroxydihydromorphine". Journal of Medicinal Chemistry. 8: 123–5. doi:10.1021/jm00325a028. PMID 14287245.
- ^ Plummer JL, Cmielewski PL, Reynolds GD, Gourlay GK, Cherry DA (March 1990). "Influence of polarity on dose-response relationships of intrathecal opioids in rats". Pain. 40 (3): 339–47. doi:10.1016/0304-3959(90)91131-2. PMID 2326098. S2CID 2100412.
- ^ Ginsburg D (1959). "Some recent advances in the chemistry of the opium alkaloids". UNODC Bulletin on Narcotics (3).
- ^ "Quotas 2014". DEA Diversion Control Division. Archived from the original on 2016-03-04. Retrieved 2016-02-27.