Record Information |
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Version | 2.0 |
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Creation Date | 2009-07-21 20:27:27 UTC |
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Update Date | 2014-12-24 20:25:52 UTC |
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Accession Number | T3D2864 |
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Identification |
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Common Name | Naltrexone |
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Class | Small Molecule |
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Description | Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of naloxone. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence. [PubChem] |
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Compound Type | - Alcohol Antagonist
- Amine
- Anti-Craving Agent
- Appetite Depressant
- Central Nervous System Depressant
- Depressant
- Drug
- Ether
- Metabolite
- Narcotic Antagonist
- Opiate Antagonist
- Organic Compound
- Synthetic Compound
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Chemical Structure | |
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Synonyms | Synonym | 17-(Cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxymorphinan-6-one | 17-(Cyclopropylmethyl)-4,5alpha-epoxy-3,14-dihydroxymorphinan-6-one | Abernil | Adepend | Antaxon | Antaxone | Arrop | Celupan | Depade | Dependex | MorViva | N-Cyclopropylmethyl-14-hydroxydihydromorphinone | N-Cyclopropylmethylnoroxymorphone | Nalerona | Nalorex | Naltax | Naltrekson | Naltrexon | Naltrexona | Naltrexonum | Narcoral | Neksi | Nemexin | Opizone | PTI-555 | Revez | Revia | Trexan | Vivitrex | Vivitrol |
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Chemical Formula | C20H23NO4 |
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Average Molecular Mass | 341.401 g/mol |
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Monoisotopic Mass | 341.163 g/mol |
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CAS Registry Number | 16590-41-3 |
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IUPAC Name | (1S,5R,13R,17S)-4-(cyclopropylmethyl)-10,17-dihydroxy-12-oxa-4-azapentacyclo[9.6.1.0¹,¹³.0⁵,¹⁷.0⁷,¹⁸]octadeca-7(18),8,10-trien-14-one |
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Traditional Name | naltrexone |
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SMILES | [H][C@@]12OC3=C(O)C=CC4=C3[C@@]11CCN(CC3CC3)[C@]([H])(C4)[C@]1(O)CCC2=O |
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InChI Identifier | InChI=1S/C20H23NO4/c22-13-4-3-12-9-15-20(24)6-5-14(23)18-19(20,16(12)17(13)25-18)7-8-21(15)10-11-1-2-11/h3-4,11,15,18,22,24H,1-2,5-10H2/t15-,18+,19+,20-/m1/s1 |
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InChI Key | InChIKey=DQCKKXVULJGBQN-XFWGSAIBSA-N |
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Chemical Taxonomy |
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Description | belongs to the class of organic compounds known as phenanthrenes and derivatives. These are polycyclic compounds containing a phenanthrene moiety, which is a tricyclic aromatic compound with three non-linearly fused benzene. |
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Kingdom | Organic compounds |
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Super Class | Benzenoids |
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Class | Phenanthrenes and derivatives |
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Sub Class | Not Available |
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Direct Parent | Phenanthrenes and derivatives |
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Alternative Parents | |
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Substituents | - Phenanthrene
- Isoquinolone
- Tetralin
- Coumaran
- 1-hydroxy-2-unsubstituted benzenoid
- Alkyl aryl ether
- Aralkylamine
- Piperidine
- Cyclic alcohol
- Tertiary alcohol
- 1,2-aminoalcohol
- Ketone
- Tertiary aliphatic amine
- Tertiary amine
- Ether
- Oxacycle
- Azacycle
- Organoheterocyclic compound
- Organonitrogen compound
- Hydrocarbon derivative
- Organic oxide
- Organic nitrogen compound
- Organopnictogen compound
- Carbonyl group
- Organooxygen compound
- Alcohol
- Organic oxygen compound
- Amine
- Aromatic heteropolycyclic compound
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Molecular Framework | Aromatic heteropolycyclic compounds |
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External Descriptors | |
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Biological Properties |
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Status | Detected and Not Quantified |
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Origin | Exogenous |
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Cellular Locations | - Cytoplasm
- Extracellular
- Membrane
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Biofluid Locations | Not Available |
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Tissue Locations | Not Available |
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Pathways | Not Available |
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Applications | |
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Biological Roles | |
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Chemical Roles | Not Available |
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Physical Properties |
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State | Solid |
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Appearance | White powder. |
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Experimental Properties | Property | Value |
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Melting Point | 168-170°C | Boiling Point | Not Available | Solubility | 100 mg/mL (as hydrochloride salt) | LogP | 1.92 |
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Predicted Properties | |
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Spectra |
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Spectra | Spectrum Type | Description | Splash Key | Deposition Date | View |
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Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | splash10-0a4l-9032000000-f869731a6a6d2ba21fc9 | 2017-09-01 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (2 TMS) - 70eV, Positive | splash10-00bc-9601600000-928a74224d18c2ec3c94 | 2017-10-06 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (TBDMS_2_1) - 70eV, Positive | Not Available | 2021-10-12 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | Not Available | 2021-10-12 | View Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS ("Naltrexone,2TMS,#1" TMS) - 70eV, Positive | Not Available | 2021-10-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00di-0009000000-e30316dd5784a7100d38 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0006-0009000000-2218214724e56047d52b | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0006-0009000000-bb047c719f3429eb4410 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00di-0049000000-de9a717563978f22f02f | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00xr-0191000000-d2f2ff1e4eb93db46b5e | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-03di-1390000000-091705f6f42bc0f1c209 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-03di-1890000000-148c5608ef92c1dcaac4 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0006-0009000000-6df03abdbdb7461f2945 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-0006-0009000000-059b1dffee7ef15b9e95 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00di-0049000000-a20ede951b350fa97a31 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00xr-0191000000-8a66ac92b4a1eadcc405 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-03di-1490000000-0cfb621f77295ff438f2 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-03di-1980000000-63edda852273619df16c | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-ITFT , positive | splash10-00di-0009000000-59ab0ef68d6e13a7d085 | 2017-09-14 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 60V, Positive | splash10-00xr-0191000000-8a66ac92b4a1eadcc405 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 45V, Positive | splash10-00di-0049000000-02654ed4a592aa3f1d77 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 35V, Positive | splash10-00di-0009000000-5c4b68f88d13143d13c8 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 75V, Positive | splash10-03di-1490000000-0cfb621f77295ff438f2 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 75V, Positive | splash10-03di-1390000000-091705f6f42bc0f1c209 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 60V, Positive | splash10-00xr-0191000000-d2f2ff1e4eb93db46b5e | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 15V, Positive | splash10-0006-0009000000-f50bcaa6a045618a3c7d | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 30V, Positive | splash10-0006-0009000000-acc2906c5a3c9b639ba8 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 45V, Positive | splash10-00di-0049000000-70f2ceb5abb36fef0fe6 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 30V, Positive | splash10-0006-0009000000-c9c1b724011247195d89 | 2021-09-20 | View Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 35V, Positive | splash10-00di-0009000000-cdd147bc699e82a0eabc | 2021-09-20 | View Spectrum |
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Toxicity Profile |
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Route of Exposure | Although well absorbed orally, naltrexone is subject to significant first pass metabolism with oral bioavailability estimates ranging from 5 to 40%. |
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Mechanism of Toxicity | Naltrexone is a pure opiate antagonist and has little or no agonist activity. The mechanism of action of naltrexone in alcoholism is not understood; however, involvement of the endogenous opioid system is suggested by preclinical data. Naltrexone is thought to act as a competitive antagonist at mc, kappa, and delta receptors in the CNS, with the highest affintiy for the mu receptor. Naltrexone competitively binds to such receptors and may block the effects of endogenous opioids. This leads to the antagonization of most of the subjective and objective effects of opiates, including respiratory depression, miosis, euphoria, and drug craving. The major metabolite of naltrexone, 6-beta-naltrexol, is also an opiate antagonist and may contribute to the antagonistic activity of the drug. |
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Metabolism | Hepatic. When administered orally, naltrexone undergoes extensive biotransformation and is metabolized to 6 beta-naltrexol (which may contribute to the therapeutic effect) and other minor metabolites.
Route of Elimination: Both parent drug and metabolites are excreted primarily by the kidney (53% to 79% of the dose), however, urinary excretion of unchanged naltrexone accounts for less than 2% of an oral dose and fecal excretion is a minor elimination pathway. The renal clearance for naltrexone ranges from 30 to 127 mL/min and suggests that renal elimination is primarily by glomerular filtration.
Half Life: 4 hours for naltrexone and 13 hours for the active metabolite 6 beta-naltrexol. |
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Toxicity Values | LD50: 1,100-1,550 mg/kg (oral, mouse)
LD50: 1,450 mg/kg (oral, rat)
LD50: 1,490 mg/kg (oral, guinea pig) |
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Lethal Dose | Not Available |
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Carcinogenicity (IARC Classification) | No indication of carcinogenicity to humans (not listed by IARC). |
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Uses/Sources | Used as an adjunct to a medically supervised behaviour modification program in the maintenance of opiate cessation in individuals who were formerly physically dependent on opiates and who have successfully undergone detoxification. Also used for the management of alcohol dependence in conjunction with a behavioural modification program. |
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Minimum Risk Level | Not Available |
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Health Effects | Tolerance can develop, in which the person needs larger doses to achieve the desired effect; this can lead to overdose and death. Accidents or injury can also occur due to the side effects of loss of coordination, slowed reaction time, sleepiness and impaired judgment. Drugs in this category have a high potential for physical and psychological dependence. |
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Symptoms | High doses of naltrexone (generally ≥1,000 mg/kg) produce salivation, depression/reduced activity, tremors, and convulsions. |
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Treatment | Patients should be treated symptomatically in a closely supervised environment. (5) |
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Normal Concentrations |
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| Not Available |
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Abnormal Concentrations |
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| Not Available |
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External Links |
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DrugBank ID | DB00704 |
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HMDB ID | HMDB14842 |
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PubChem Compound ID | 5360515 |
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ChEMBL ID | CHEMBL19019 |
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ChemSpider ID | 4514524 |
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KEGG ID | C07253 |
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UniProt ID | Not Available |
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OMIM ID | |
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ChEBI ID | 7465 |
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BioCyc ID | Not Available |
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CTD ID | Not Available |
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Stitch ID | Naltrexone |
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PDB ID | Not Available |
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ACToR ID | Not Available |
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Wikipedia Link | Naltrexone |
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References |
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Synthesis Reference | Bao-Shan Huang, Yansong Lu, Ben-Yi Ji, Aris P Christodoulou, “Preparation of naltrexone from codeine and 3-benzylmorphine.” U.S. Patent US6013796, issued March, 1990. |
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MSDS | Link |
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General References | - Schmitz JM, Stotts AL, Rhoades HM, Grabowski J: Naltrexone and relapse prevention treatment for cocaine-dependent patients. Addict Behav. 2001 Mar-Apr;26(2):167-80. [11316375 ]
- Krystal JH, Gueorguieva R, Cramer J, Collins J, Rosenheck R: Naltrexone is associated with reduced drinking by alcohol dependent patients receiving antidepressants for mood and anxiety symptoms: results from VA Cooperative Study No. 425, "Naltrexone in the treatment of alcoholism". Alcohol Clin Exp Res. 2008 Jan;32(1):85-91. Epub 2007 Dec 7. [18070245 ]
- Ray LA, Chin PF, Miotto K: Naltrexone for the treatment of alcoholism: clinical findings, mechanisms of action, and pharmacogenetics. CNS Neurol Disord Drug Targets. 2010 Mar;9(1):13-22. [20201811 ]
- Drugs.com [Link]
- RxList: The Internet Drug Index (2009). [Link]
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Gene Regulation |
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Up-Regulated Genes | Not Available |
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Down-Regulated Genes | Not Available |
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