U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry RACEMIC
Molecular Formula C15H23NO
Molecular Weight 233.3492
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of MEPTAZINOL

SMILES

CCC1(CCCCN(C)C1)C2=CC(O)=CC=C2

InChI

InChIKey=JLICHNCFTLFZJN-UHFFFAOYSA-N
InChI=1S/C15H23NO/c1-3-15(9-4-5-10-16(2)12-15)13-7-6-8-14(17)11-13/h6-8,11,17H,3-5,9-10,12H2,1-2H3

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: http://www.shijiebiaopin.net/upload/product/201222217302623.PDF | https://www.drugs.com/uk/meptid-tablets-200mg-leaflet.html

Meptazinol is a unique opioid analgesic. Binding studies suggest a relative selectivity for mu-1 opioid receptor sites. Meptid is indicated for the treatment of moderate to severe pain, including post-operative pain, obstetric pain and the pain of renal colic. The most commonly reported adverse reactions after treatment with meptazinol are nausea, vomiting, dizziness, diarrhoea and increased sweating, constipation, abdominal pain, rash, vertigo, headache, drowsiness, somnolence and dyspepsia.

Originator

Curator's Comment: # Wyeth John & Brother Ltd.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P81908
Gene ID: NA
Gene Symbol: BCHE
Target Organism: Equus caballus (Horse)
3.6 µM [IC50]
0.4 µM [IC50]
8.0 nM [Kd]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Meptid

Approved Use

The drug is indicated for the treatment of moderate to severe pain, including post-operative pain, obstetric pain and the pain of renal colic.
Primary
Meptid

Approved Use

The drug is indicated for the treatment of moderate to severe pain, including post-operative pain, obstetric pain and the pain of renal colic.
Primary
Meptid

Approved Use

The drug is indicated for the treatment of moderate to severe pain, including post-operative pain, obstetric pain and the pain of renal colic.
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
41.3 ng/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
55.6 ng/mL
200 mg 4 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
55.6 ng/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
53.5 ng/mL
200 mg multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
22.91 μg/L
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
55.11 μg/L
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
118.07 μg/L
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
202 ng × h/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
243 ng × h/mL
200 mg 4 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
156 ng × h/mL
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
143 ng × h/mL
200 mg multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
322.9 ng × h/mL
25 mg single, intravenous
dose: 25 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
316.7 ng × h/mL
25 mg single, intramuscular
dose: 25 mg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
216.4 ng × h/mL
25 mg single, intravenous
dose: 25 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
89.56 μg × h/L
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
164.75 μg × h/L
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
418.28 μg × h/L
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
3.39 h
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
4.97 h
200 mg 4 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.94 h
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
2.13 h
200 mg multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
2.93 h
25 mg single, intravenous
dose: 25 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
3.08 h
25 mg single, intramuscular
dose: 25 mg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
2.06 h
25 mg single, intravenous
dose: 25 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
2.44 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
2.19 h
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
2 h
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
66.2%
200 mg
dose: 200 mg
route of administration:
experiment type:
co-administered:
MEPTAZINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
400 mg single, oral
Highest studied dose
Dose: 400 mg
Route: oral
Route: single
Dose: 400 mg
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
10 g single, oral
Overdose
Dose: 10 g
Route: oral
Route: single
Dose: 10 g
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: F
Food Status: UNKNOWN
Sources:
Disc. AE: Respiratory arrest...
AEs leading to
discontinuation/dose reduction:
Respiratory arrest
Sources:
AEs

AEs

AESignificanceDosePopulation
Respiratory arrest Disc. AE
10 g single, oral
Overdose
Dose: 10 g
Route: oral
Route: single
Dose: 10 g
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: F
Food Status: UNKNOWN
Sources:
PubMed

PubMed

TitleDatePubMed
[Patient-controlled intravenous analgesia with remifentanil as an alternative to epidural analgesia during labor: case series and discussion of medicolegal aspects].
2010-08
In situ and in vivo study of nasal absorption of paeonol in rats.
2010
Liquid chromatography/positive ion electrospray tandem mass spectrometry method for the quantification of hydrochloride meptazinol in human plasma: application to a pharmacokinetic study.
2009-11-15
The crystal structure of a complex of acetylcholinesterase with a bis-(-)-nor-meptazinol derivative reveals disruption of the catalytic triad.
2009-04-23
1-Methyl-3-(3-oxocyclo-hex-1-en-yl)azepan-2-one.
2008-09-13
Bis-(-)-nor-meptazinols as novel nanomolar cholinesterase inhibitors with high inhibitory potency on amyloid-beta aggregation.
2008-04-10
(3S,4S)-3-Ethyl-4-hydr-oxy-3-(3-methoxy-phen-yl)-1-methyl-azepan-1-ium d-tartrate dihydrate.
2008-04-02
Prescribing intramuscular opioids for labour analgesia in consultant-led maternity units: a survey of UK practice.
2008-01
WITHDRAWN: Types of intra-muscular opioids for maternal pain relief in labour.
2007-07-18
Reflex activity caused by laryngoscopy and intubation is obtunded differently by meptazinol, nalbuphine and fentanyl.
2007-01
Conformational re-analysis of (+)-meptazinol: an opioid with mixed analgesic pharmacophores.
2006-09
Investigation of the binding mode of (-)-meptazinol and bis-meptazinol derivatives on acetylcholinesterase using a molecular docking method.
2006-03
Design, synthesis, and bioavailability evaluation of coumarin-based prodrug of meptazinol.
2005-11-15
Pharmacokinetic behavior in plasma, cerebrospinal fluid and cerebral cortex after intranasal administration of hydrochloride meptazinol.
2005-09-30
Enhancement of systemic and CNS delivery of meptazinol hydrochloride by intranasal administration to rats.
2005-08
Synthesis and relative bioavailability of meptazinol benzoyl esters as prodrugs.
2005-05-16
Structural comparisons of meptazinol with opioid analgesics.
2005-03
A novel method to calculate the extent and amount of drug transported into CSF after intranasal administration.
2005-01-31
Antinociceptive effects of meptazinol and its isomers on carrageenan-induced thermal hyperalgesia in rats.
2004-06-25
Inhibitory effect of intrathecal meptazinol on carrageenan-induced thermal hyperalgesia in rats.
2004-02-06
Lack of sensitization during place conditioning in rats is consistent with the low abuse potential of tramadol.
2002-08-23
Comparison of the cardiovascular effects of meptazinol and naloxone following haemorrhagic shock in rats and cats.
1985-09
Intramuscular on demand analgesia: double blind controlled trial of pethidine, buprenorphine, morphine, and meptazinol.
1983-02-26
Patents

Patents

Sample Use Guides

Oral: One tablet (200 mg), with a glass of water, every four hours. Intramuscular: 75-100mg. The injection may be repeated 2-4 hourly as required. For obstetric pain a dose of 100-150mg should be used according to weight. This dose should approximate 2mg/kg. Intravenous: 50-100mg by slow intravenous injection. The injection may be repeated 2-4 hourly as required. If vomiting occurs, a suitable antiemetic should be given.
Route of Administration: Other
In Vitro Use Guide
Approximately 20 to 40% of 3H-opiate binding is inhibited by meptazinol at concentrations less than 5 nM, whereas the inhibition for D-[3H]Ala2-D-Leu5-enkaphalin usually ranges from 15 to 20%.
Name Type Language
MEPTAZINOL
INN   MI   WHO-DD  
INN  
Official Name English
IL-22811
Preferred Name English
MEPTAZINOL [MI]
Common Name English
PHENOL, 3-(3-ETHYLHEXAHYDRO-1-METHYL-1H-AZEPIN-3-YL)-
Systematic Name English
Meptazinol [WHO-DD]
Common Name English
M-(3-ETHYLHEXAHYDRO-1-METHYL-1H-AZEPIN-3-YL)PHENOL
Systematic Name English
meptazinol [INN]
Common Name English
Classification Tree Code System Code
WHO-VATC QN02AX05
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
WHO-ATC N02AX05
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
LIVERTOX 602
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
NCI_THESAURUS C67413
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
Code System Code Type Description
CAS
54340-58-8
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
WIKIPEDIA
MEPTAZINOL
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
DRUG CENTRAL
1706
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PRIMARY
EVMPD
SUB08761MIG
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
EPA CompTox
DTXSID6048543
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PRIMARY
DRUG BANK
DB13478
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
MERCK INDEX
m7200
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY Merck Index
SMS_ID
100000081482
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
MESH
D008621
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
ChEMBL
CHEMBL314437
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
INN
3605
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
NCI_THESAURUS
C87360
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
ECHA (EC/EINECS)
259-109-9
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
RXCUI
6761
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY RxNorm
FDA UNII
18Y7S5JKZD
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY
PUBCHEM
41049
Created by admin on Wed Apr 02 07:05:53 GMT 2025 , Edited by admin on Wed Apr 02 07:05:53 GMT 2025
PRIMARY