Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C23H30N2O4 |
Molecular Weight | 398.4953 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 5 / 5 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]12OC3=C4C(C[C@H]5N(C)CC[C@@]14[C@@]5([H])C=C[C@@H]2O)=CC=C3OCCN6CCOCC6
InChI
InChIKey=GPFAJKDEDBRFOS-FKQDBXSBSA-N
InChI=1S/C23H30N2O4/c1-24-7-6-23-16-3-4-18(26)22(23)29-21-19(5-2-15(20(21)23)14-17(16)24)28-13-10-25-8-11-27-12-9-25/h2-5,16-18,22,26H,6-14H2,1H3/t16-,17+,18-,22-,23-/m0/s1
DescriptionSources: http://www.ncbi.nlm.nih.gov/pubmed/3283158Curator's Comment: Description was created based on several sources, including http://www.phadia.com/Global/ImmunoCAP%20Allergens/Product%20Leaflets/Product_Leaflet_c261_Pholcodine.pdf
http://www.ncbi.nlm.nih.gov/pubmed/23773349
Sources: http://www.ncbi.nlm.nih.gov/pubmed/3283158
Curator's Comment: Description was created based on several sources, including http://www.phadia.com/Global/ImmunoCAP%20Allergens/Product%20Leaflets/Product_Leaflet_c261_Pholcodine.pdf
http://www.ncbi.nlm.nih.gov/pubmed/23773349
Pholcodine is an opioid that has been widely used worldwide since 1950 for the treatment of non-productive cough in children and adults. Illicit drug.
Additionally Pholcodine is a marker for sensitization to neuromuscular blocking agents (NMBA) and is intended for use as a diagnostic tool in NMBA-induced anaphylaxis.
CNS Activity
Originator
Sources: Chabrier, P., Guidicelli, R. & Thuillier, J. (1950) Etude chimique, pharmacologique et clinique d’un nouveau skdatif de la toux: la morpholyethyimorphine (M.E.M.). Annales Pharmaceutiques Francais. 8, 26 1-273.
Curator's Comment: Reference was retrieved from: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2710.1988.tb00502.x/epdf
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P33535|||Q64064 Gene ID: 25601.0 Gene Symbol: Oprm1 Target Organism: Rattus norvegicus (Rat) Sources: http://www.ncbi.nlm.nih.gov/pubmed/1851921 |
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Target ID: P35372|||G8XRH8|||Q5TDA1|||Q9UN57 Gene ID: 4988.0 Gene Symbol: OPRM1 Target Organism: Homo sapiens (Human) Sources: http://www.ebi.ac.uk/chebi/searchId.do?chebiId=53579 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | Pholcodine Linctus B.P. Approved UseCough |
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Diagnostic | ImmunoCAP® Allergen c261 Approved UseAnaphylaxis to neuromuscular blocking agents |
PubMed
Title | Date | PubMed |
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Angle closure risk from proprietary medicines. | 2001 Apr |
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Comparison of eight commercial on-site screening devices for drugs-of-abuse testing. | 2001 Jul |
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Comparative biotransformation of morphine, codeine and pholcodine in rat hepatocytes: identification of a novel metabolite of pholcodine. | 2002 Dec |
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Impurity profiling of pholcodine by liquid chromatography electrospray ionization mass spectrometry (LC-ESI-MS). | 2002 Jan |
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Interpretation of GC-MS opiate results in the presence of pholcodine. | 2002 Jun 25 |
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Enzyme immunoassay validation for the detection of buprenorphine in urine. | 2003 Mar |
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The toxicity of opiates and their metabolites in HepG2 cells. | 2003 Oct 25 |
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Evaluation of the One-Step ELISA kit for the detection of buprenorphine in urine, blood, and hair specimens. | 2004 Jul 16 |
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Prevalence of IgE antibodies to morphine. Relation to the high and low incidences of NMBA anaphylaxis in Norway and Sweden, respectively. | 2005 Apr |
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Allergy to pholcodine: first case documented by oral challenge. | 2005 Apr |
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Automated multiple development thin-layer chromatography for separation of opiate alkaloids and derivatives. | 2005 Jul 8 |
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Validated toxicological determination of 30 drugs of abuse as optimized derivatives in oral fluid by long column fast gas chromatography/electron impact mass spectrometry. | 2005 Jun |
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Pholcodine stimulates a dramatic increase of IgE in IgE-sensitized individuals. A pilot study. | 2006 Jan |
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Immunoglobulin E antibodies to rocuronium: a new diagnostic tool. | 2007 Aug |
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Pholcodine exposure raises serum IgE in patients with previous anaphylaxis to neuromuscular blocking agents. | 2007 Dec |
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Hypersensitivity reactions to neuromuscular blocking agents. | 2008 |
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Determining plasma morphine levels using GC-MS after solid phase extraction to monitor drug levels in the postoperative period. | 2008 Jun |
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IgE-mediated anaphylactic reactions to neuromuscular blocking agents: can they be prevented? | 2008 Sep |
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The pholcodine story. | 2009 Aug |
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Suspected anaphylactic reactions associated with anaesthesia. | 2009 Feb |
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Determination of opiates and cocaine in urine by high pH mobile phase reversed phase UPLC-MS/MS. | 2009 Feb 1 |
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On the origin and specificity of antibodies to neuromuscular blocking (muscle relaxant) drugs: an immunochemical perspective. | 2009 Mar |
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Pholcodine caused anaphylaxis in Sweden 30 years ago. | 2009 May |
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Cholinergic and oxidative stress mechanisms in sudden infant death syndrome. | 2009 Nov |
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National pholcodine consumption and prevalence of IgE-sensitization: a multicentre study. | 2010 Apr |
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[Anaphylaxis during anaesthesia]. | 2010 Mar 11 |
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Clinical expert guidelines for the management of cough in lung cancer: report of a UK task group on cough. | 2010 Oct 6 |
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C67413
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DEA NO. |
9314
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WHO-ATC |
R05DA08
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WHO-VATC |
QR05DA08
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272
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509-67-1
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C008872
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LPP64AWZ7L
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DTXSID70198923
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DB09209
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53579
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m8711
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CHEMBL2105224
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100000092419
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C87365
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PHOLCODINE
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SUB09795MIG
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208-102-9
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5311356
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33431
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2154
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ACTIVE MOIETY
SALT/SOLVATE (PARENT)
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