Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C18H25NO.C4H6O6 |
| Molecular Weight | 421.484 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 5 / 5 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
O[C@@H]([C@H](O)C(O)=O)C(O)=O.COC1=CC2=C(C[C@@H]3[C@@H]4CCCC[C@]24CCN3C)C=C1
InChI
InChIKey=LNVDGFMORZACIZ-NUHCOFIMSA-N
InChI=1S/C18H25NO.C4H6O6/c1-19-10-9-18-8-4-3-5-15(18)17(19)11-13-6-7-14(20-2)12-16(13)18;5-1(3(7)8)2(6)4(9)10/h6-7,12,15,17H,3-5,8-11H2,1-2H3;1-2,5-6H,(H,7,8)(H,9,10)/t15-,17+,18+;1-,2-/m00/s1
| Molecular Formula | C18H25NO |
| Molecular Weight | 271.3972 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
| Molecular Formula | C4H6O6 |
| Molecular Weight | 150.0868 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 2 / 2 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/21311876https://www.ncbi.nlm.nih.gov/pubmed/27139517Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26226106 | https://www.ncbi.nlm.nih.gov/pubmed/23628523 | https://www.ncbi.nlm.nih.gov/pubmed/24142584
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21311876https://www.ncbi.nlm.nih.gov/pubmed/27139517
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26226106 | https://www.ncbi.nlm.nih.gov/pubmed/23628523 | https://www.ncbi.nlm.nih.gov/pubmed/24142584
Racemethorphan is racemic mixture of Dextromethorphan and Levomethorphan. Racemethorphan is listed under the Single Convention on Narcotic Drugs 1961 and is therefore listed in the United States as a Controlled Substance, specifically as a Narcotic in Schedule II. Dextromethorphan is a non-narcotic morphine derivative widely used as an antitussive. Dextromethorphan is a cough suppressant in many over-the-counter cold and cough medicines. In 2010, the FDA approved the combination product dextromethorphan/quinidine for the treatment of pseudobulbar affect. Dextromethorphan suppresses the cough reflex by a direct action on the cough center in the medulla of the brain. Levomethorphan is an opioid analgesic of the morphinan family that has never been marketed.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24142584
Curator's Comment: https://www.ncbi.nlm.nih.gov/pubmed/16634036
Originator
Sources: https://worldwide.espacenet.com/publicationDetails/biblio?DB=EPODOC&II=0&ND=3&adjacent=true&locale=en_EP&FT=D&date=19480415&CC=CH&NR=254106A&KC=Ahttps://worldwide.espacenet.com/publicationDetails/biblio?DB=EPODOC&II=0&ND=3&adjacent=true&locale=en_EP&FT=D&date=19540415&CC=CH&NR=297994A&KC=A
Curator's Comment: # F. Hoffmann-La Roche & Co., A.-G.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2094124 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19345586 |
3360.0 nM [Ki] | ||
Target ID: CHEMBL287 Sources: https://www.ncbi.nlm.nih.gov/pubmed/15723099 |
205.0 nM [Ki] | ||
Target ID: CHEMBL4787 Sources: https://www.ncbi.nlm.nih.gov/pubmed/2897648 |
|||
Target ID: CHEMBL2094124 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19345586 |
3360.0 nM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21311876 |
Primary | Unknown Approved UseUnknown |
||
PubMed
| Title | Date | PubMed |
|---|---|---|
| Inhibition kinetics of monoclonal antibodies against cytochromes P450. | 2002-06 |
|
| Treatment of codeine dependence with inhibitors of cytochrome P450 2D6. | 2002-06 |
|
| Semi-automated liquid--liquid back-extraction in a 96-well format to decrease sample preparation time for the determination of dextromethorphan and dextrorphan in human plasma. | 2002-05-25 |
|
| Azithromycin for acute bronchitis: a randomised, double-blind, controlled trial. | 2002-05-11 |
|
| The effects of concomitant administration of theophylline and toborinone on the pharmacokinetics of both compounds in poor and extensive metabolizers via CYP2D6. | 2002-05 |
|
| Dextromethorphan and memantine in painful diabetic neuropathy and postherpetic neuralgia: efficacy and dose-response trials. | 2002-05 |
|
| Characterization of cytochrome P450 2D6.1 (CYP2D6.1), CYP2D6.2, and CYP2D6.17 activities toward model CYP2D6 substrates dextromethorphan, bufuralol, and debrisoquine. | 2002-05 |
|
| Modulation of human corticomotor excitability by somatosensory input. | 2002-04-15 |
|
| Analgesic effects of dextromethorphan and morphine in patients with chronic pain. | 2002-04 |
|
| Differential time course of cytochrome P450 2D6 enzyme inhibition by fluoxetine, sertraline, and paroxetine in healthy volunteers. | 2002-04 |
|
| Substrate specificity for rat cytochrome P450 (CYP) isoforms: screening with cDNA-expressed systems of the rat. | 2002-03-01 |
|
| Antagonism of alpha 3 beta 4 nicotinic receptors as a strategy to reduce opioid and stimulant self-administration. | 2002-03-01 |
|
| Is glutamate involved in transient lower esophageal sphincter relaxations? | 2002-03 |
|
| CYP3A4 variant alleles in white individuals with low CYP3A4 enzyme activity. | 2002-03 |
|
| Selective suppression of late laryngeal adductor responses by N-methyl-D-aspartate receptor blockade in the cat. | 2002-03 |
|
| Glutamate-induced excitotoxicity in retina: neuroprotection with receptor antagonist, dextromethorphan, but not with calcium channel blockers. | 2002-02 |
|
| Development of a rapid and sensitive high-performance liquid chromatographic method to determine CYP2D6 phenotype in human liver microsomes. | 2002-02 |
|
| Dextromethorphan potentiates the antinociceptive effects of morphine and the delta-opioid agonist SNC80 in squirrel monkeys. | 2002-02 |
|
| The African-specific CYP2D617 allele encodes an enzyme with changed substrate specificity. | 2002-01 |
|
| Concordance between tramadol and dextromethorphan parent/metabolite ratios: the influence of CYP2D6 and non-CYP2D6 pathways on biotransformation. | 2002-01 |
|
| Effect of ketamine, dextromethorphan, and MK-801 on cochlear dysfunction induced by transient ischemia. | 2002-01 |
|
| Dextromethorphan can produce false positive phencyclidine testing with HPLC. | 2002-01 |
|
| The role of ionotropic glutamate receptors in nociception with special regard to the AMPA binding sites. | 2002 |
|
| Expression, purification, and biochemical characterization of a human cytochrome P450 CYP2D6-NADPH cytochrome P450 reductase fusion protein. | 2001-12-01 |
|
| The prevalence of CYP2D6 and CYP2C19 genotypes in a population of healthy Dutch volunteers. | 2001-12 |
|
| CYP2D6 polymorphism in a Mexican American population. | 2001-12 |
|
| Association of polymorphism in the cytochrome CYP2D6 and the efficacy and tolerability of simvastatin. | 2001-12 |
|
| Effects of dextromethorphan on nocturnal behavior and brain c-Fos expression in adolescent rats. | 2001-11-09 |
|
| Gas chromatographic method using nitrogen-phosphorus detection for the measurement of tramadol and its O-desmethyl metabolite in plasma and brain tissue of mice and rats. | 2001-11-05 |
|
| Important drugs for cough in advanced cancer. | 2001-11 |
|
| Comparative contribution to dextromethorphan metabolism by cytochrome P450 isoforms in vitro: can dextromethorphan be used as a dual probe for both CTP2D6 and CYP3A activities? | 2001-11 |
|
| Characterization of dextromethorphan O- and N-demethylation catalyzed by highly purified recombinant human CYP2D6. | 2001-11 |
|
| Co-administration of dextromethorphan during pregnancy and throughout lactation significantly decreases the adverse effects associated with chronic morphine administration in rat offspring. | 2001-10-05 |
|
| Abuse of Coricidin HBP cough & cold tablets: episodes recorded by a poison center. | 2001-10-01 |
|
| The effects of St John's wort (Hypericum perforatum) on human cytochrome P450 activity. | 2001-10 |
|
| St. John's wort: effect on CYP2D6 activity using dextromethorphan-dextrorphan ratios. | 2001-10 |
|
| Application and validation of a computerized cough acquisition system for objective monitoring of acute cough: a meta-analysis. | 2001-10 |
|
| The use of genetically engineered cells for assessing CYP2D6-related polymorphic effects. | 2001-09-22 |
|
| Dextromethorphan in pregnancy. | 2001-09 |
|
| Dextromethorphan increases tyrosine hydroxylase mRNA in the mesencephalon of adolescent rats. | 2001-08-24 |
|
| Dextromethorphan and dexmedetomidine: new agents for the control of perioperative pain. | 2001-08 |
|
| The NMDA antagonist memantine attenuates the expression of opioid physical dependence in humans. | 2001-08 |
|
| Analysis of the CYP2D6 gene polymorphism and enzyme activity in African-Americans in southern California. | 2001-08 |
|
| Cytochrome P450 2D6.1 and cytochrome P450 2D6.10 differ in catalytic activity for multiple substrates. | 2001-08 |
|
| Increasing bioanalytical throughput using pcSFC-MS/MS: 10 minutes per 96-well plate. | 2001-07-01 |
|
| Improved postoperative pain control in pediatric adenotonsillectomy with dextromethorphan. | 2001-07 |
|
| Dextromethorphan affects cocaine-mediated behavioral pattern in parallel with a long-lasting Fos-related antigen-immunoreactivity. | 2001-06-29 |
|
| Metabolic capacity and interindividual variation in toxicokinetics of styrene in volunteers. | 2001-05 |
|
| Over-the-counter medications for acute cough in children and adults in ambulatory settings. | 2001 |
|
| Dystonia as acute adverse reaction to cough suppressant in a 3-year-old girl. | 2001 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21311876
Levomethorphan (dissolved in a mixed solution of 5% Emulphor™ EL-620/5% ethanol/90% isotonic sodium chloride solution, 2.5 mg/mL, rat 4–6) was administered to male DA pigmented rats, which were 5 weeks old and around 90 g mean weight. The drugs were given once daily at 5 mg/kg by intraperitoneal injection for ten successive days.
Route of Administration:
Intraperitoneal
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21311876
Liver microsomes from individual male dark agouti (DA) rats (n=4, 6 weeks old, around 125 g mean weight) were prepared by ultracentrifugation. For the in vitro experiments with rat and human liver microsomes, the reaction mixture consisted of 0.1 M potassium phosphate buffer (pH 7.4) with an NADPH generating system (1.3 mM NADP, 3.3 mM G-6-P, 0.4 U/ mL G-6-PDH, 3.3 mM MgCl2), 50 μM substrate (dextromethorphan or levomethorphan), and 0.5 mg protein/mL microsomes (rat or human liver microsomes) in a final volume of 200 μL. Dextromethorphan and levomethorphan were dissolved in methanol, and the final concentration of the organic solvent was 0.1%. The incubation was started by adding the microsomal fraction and then continued for 0, 5, 10, or 20 min. The reaction was terminated by adding an equal volume of a mixed organic solution of 50% acetonitrile and 50% methanol, including 10 μM levallorphan (IS), and vigorous shaking.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 17:35:18 GMT 2025
by
admin
on
Mon Mar 31 17:35:18 GMT 2025
|
| Record UNII |
X5M0KIH62F
|
| Record Status |
Validated (UNII)
|
| Record Version |
|
-
Download
| Name | Type | Language | ||
|---|---|---|---|---|
|
Common Name | English | ||
|
Preferred Name | English | ||
|
Common Name | English | ||
|
Common Name | English |
| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
|
17146-90-6
Created by
admin on Mon Mar 31 17:35:18 GMT 2025 , Edited by admin on Mon Mar 31 17:35:18 GMT 2025
|
PRIMARY | |||
|
X5M0KIH62F
Created by
admin on Mon Mar 31 17:35:18 GMT 2025 , Edited by admin on Mon Mar 31 17:35:18 GMT 2025
|
PRIMARY | |||
|
71587015
Created by
admin on Mon Mar 31 17:35:18 GMT 2025 , Edited by admin on Mon Mar 31 17:35:18 GMT 2025
|
PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
PARENT -> SALT/SOLVATE |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
ACTIVE MOIETY |