Desmethylmoramide

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Desmethylmoramide

Chemical structure of Desmethylmoramide

Desmethylmoramide is a synthetic opioid analgesic, which is a derivative of moramide. It is known for its potent analgesic properties and is used in the management of severe pain. Desmethylmoramide is structurally related to methadone and shares similar pharmacological effects.

Chemical Structure

Desmethylmoramide is characterized by its chemical structure, which includes a morpholine ring. The presence of this ring is significant in its interaction with the opioid receptors in the central nervous system. The chemical formula for Desmethylmoramide is C21H27NO2.

Pharmacology

Desmethylmoramide acts primarily as an agonist at the _-opioid receptors, which are responsible for its analgesic effects. By binding to these receptors, it inhibits the transmission of pain signals in the central nervous system. This mechanism is similar to that of other opioids, such as morphine and fentanyl.

Effects

The primary effects of Desmethylmoramide include:

  • Analgesia: Effective in reducing severe pain.
  • Sedation: Induces a state of calm and drowsiness.
  • Euphoria: Can produce feelings of well-being and pleasure.

Side Effects

Common side effects associated with Desmethylmoramide use include:

  • Nausea and vomiting
  • Constipation
  • Respiratory depression
  • Dizziness

Clinical Use

Desmethylmoramide is used in clinical settings for the management of severe pain, particularly in patients who are tolerant to other opioids. Due to its potency, it is typically reserved for cases where other analgesics are ineffective.

Legal Status

The legal status of Desmethylmoramide varies by country. In many jurisdictions, it is classified as a controlled substance due to its potential for abuse and addiction. It is important for healthcare providers to adhere to regulations when prescribing this medication.

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Contributors: Prab R. Tumpati, MD