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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5491_Библиотеки_им_академика_М_И_Перельмана
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177
Starting Materials: Phenylacetonitrile and dimethylamine.
Reaction Steps:
Alkylation: Phenylacetonitrile is alkylated with dimethylaminoethyl
chloride.
Hydrogenation: The resulting product undergoes hydrogenation to form
the corresponding amine.
Acylation: The amine is then acylated with benzoyl chloride to produce
isomethadone.
Route of Administration
Oral: The most common route, usually in tablet or liquid form.
Pharmacological Action
Mechanism of Action: Isomethadone acts primarily on the mu-opioid receptors in
the central nervous system (CNS) to produce analgesia, euphoria, and sedation. It
also has activity at the NMDA receptor, which can contribute to its effects.
Effects:
Analgesia: Pain relief.
Sedation: Drowsiness and relaxation.
Euphoria: Feelings of well-being and pleasure.
Respiratory Depression: Slowed breathing.
Dependency: Potential for addiction and abuse.
Analysis Methods:
Physical Analysis:
Appearance and Melting Point Determination:
The appearance can be confirmed by visual inspection, ensuring it
matches the description of a white crystalline powder.
Melting point determination involves heating a small sample of the
substance and recording the temperature at which it transitions from
solid to liquid. The expected range for isomethadone is 98-100°C.
Solubility Testing:
Water Solubility: A small amount of isomethadone is added to water, and
the mixture is stirred to observe how much dissolves.
Alcohol Solubility: Similar procedure as with water, but using ethanol or
another alcohol.
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Chemical Analysis:
Identification:
Mass Spectrometry (MS): Measures the mass-to-charge ratio of ions to
identify the molecular structure.
Nuclear Magnetic Resonance (NMR) Spectroscopy: Provides detailed
information about the molecular structure based on the magnetic
properties of atomic nuclei.
Infrared (IR) Spectroscopy: Identifies specific functional groups by
measuring the absorption of infrared light at different wavelengths.
Purity Testing:
High-Performance Liquid Chromatography (HPLC): Separates components
of a mixture to determine the purity and identify impurities.
Gas Chromatography (GC): Similar to HPLC but used for volatile
substances.
Functional Group Analysis:
IR Spectroscopy: Can identify the presence of the ketone (C=O) stretch
typically around 1700 cm-1 and the amine (N(CH3)2) stretches.
Other opioids, it carries risks of side effects and dependency, requiring
careful medical supervision during use.
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KETOBEMIDONE
Chemical Name: 1-methyl-4-(3-hydroxyphenyl)-4-propionylpiperidine. Also
known as Cliradon, Ketogan, Ketodur, Cymidon, Ketorax
Molecular Structure:
Physical Properties:
Appearance: Ketobemidone typically appears as a crystalline solid.
Colour: It is usually white or off-white.
Odour: Ketobemidone is odorless.
Taste: Information on the taste of ketobemidone is generally not provided
due to its pharmaceutical use.
Melting Point: Approximately 150-155°C.
Boiling Point: The boiling point is not well-documented, as ketobemidone
is usually used in solid form.
Solubility: Ketobemidone is soluble in water and ethanol.
Molar Mass: 269.33 g/mol.
Chemical Properties:
Chemical Formula: C16H21NO2
Chemical Classification: Opioid analgesic
Functional Group: Ketone and amide
pH: Ketobemidone solutions can have a pH range of 4.5 to 6.5.
How It is Made and Obtained From: Ketobemidone is synthesized chemically in
pharmaceutical laboratories. The synthesis involves multiple steps, starting from
simpler organic compounds and incorporating functional groups to form the final
opioid structure. The specific synthesis pathway can vary but typically involves
forming the morphinan skeleton and adding the ketone and amide groups through
various organic reactions.
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Route of Administration: Ketobemidone can be administered in several forms,
including:
Oral tablets
Injectable solutions
Suppositories
Pharmacological Action: Ketobemidone is an opioid analgesic that acts on the
central nervous system to relieve pain. It binds to opioid receptors (mu, delta, and
kappa) in the brain and spinal cord, which leads to the inhibition of pain signals. It
has a rapid onset of action and is used for the management of moderate to severe
pain.
Analysis:
Physical Analysis:
Crystallography: X-ray diffraction can be used to determine the crystal
structure of ketobemidone.
Melting Point Determination: Melting point apparatus is used to confirm
the purity of the compound.
Spectroscopy: Infrared (IR) spectroscopy can be employed to identify
functional groups present in ketobemidone.
Chemical Analysis:
Mass Spectrometry (MS): MS can be used to determine the molecular
weight and structure of ketobemidone.
Nuclear Magnetic Resonance (NMR) Spectroscopy: NMR can provide
detailed information about the molecular structure and functional groups.
High-Performance Liquid Chromatography (HPLC): HPLC is used for the
quantitative analysis and purity determination of ketobemidone in
pharmaceutical formulations.
pH Measurement: The pH of ketobemidone solutions can be measured
using a pH meter to ensure it falls within the acceptable range for
pharmaceutical use.
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LEVOMETHORPHAN
Chemical Name:
(1R,9R,10R)-4-methoxy-17-methyl-17-azatetracyclo [7.5.3.01,10.02,7] heptadeca-
2(7),3,5-triene; (4bR,8aR,9R)-3-Ethyl-11-methyl-6,7,8,8a,9,10-hexahydro-5H-9,4b-
(epiminoethano)phenanthrene
Molecular structure
Physical Properties
Appearance: Crystalline solid
Colour: White
Odour: Odorless
Taste: Bitter
Melting Point: Approximately 123-125°C
Boiling Point: 250-255°C at 760 mmHg
Molar Mass: 271.38 g/mol
Solubility:
Water: Sparingly soluble
Alcohol: Soluble
Chemical Properties
Chemical Formula: C18H25NO
Chemical Classification: Opioid analgesic
Functional Group: Tertiary amine, methoxy group
pH: Not applicable as it is a solid
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How It is Made and Obtained From: Levomethorphan is synthesized from
racemic methorphan by separating the dextrorotatory (dextromethorphan) and
levorotatory (levomethorphan) enantiomers. It is typically obtained through
chemical synthesis involving the reduction of levomethorphan intermediate
compounds.
Route of Administration: Oral
Pharmacological Action: Levomethorphan is an opioid analgesic, meaning it
works by binding to opioid receptors in the brain and spinal cord to reduce the
perception of pain. It is the levorotatory enantiomer of methorphan and is more
potent than its dextro counterpart in terms of analgesic properties. It has strong
central nervous system effects, including sedation and euphoria, and can lead to
dependence and tolerance.
Analysis:
Physical Analysis:
Appearance: Crystalline form can be identified visually.
Colour: Pure samples should appear white.
Melting Point and Boiling Point: Can be determined using standard
laboratory equipment like a melting point apparatus and boiling point
distillation.
Solubility: Solubility tests can be conducted by dissolving in water and
alcohol and observing the extent of dissolution.
Molar Mass: Determined through mass spectrometry or calculated from
the chemical formula.
Chemical Analysis:
Chemical Formula: Confirmed through elemental analysis (e.g., CHN
analysis).
Chemical Structure: Verified using spectroscopic techniques like NMR
(Nuclear Magnetic Resonance) and IR (Infrared Spectroscopy).
Functional Groups: Identified and confirmed using IR spectroscopy.
Purity and Concentration: Determined through techniques like HPLC
(High-Performance Liquid Chromatography) or GC-MS (Gas
Chromatography-Mass Spectrometry).
pH: Not applicable for solid compounds but relevant for aqueous solutions
of its salts or derivatives.
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LEVOMARAMIDE
Levomaramide is a synthetic opioid analgesic that was first developed as a
potential alternative to other opioid drugs. Below is detailed information about
Levomaramide:
Scientific Name: Levomaramide
IUPAC Name: (2R,6R)-2-Dimethylamino-4,4-diphenylheptan-6-ol
Physical Properties:
Appearance: Typically appears as a crystalline solid.
Colour: White to off-white.
Odour: Odorless.
Taste: Bitter.
Melting Point: Approximately 185-186 °C.
Boiling Point: Not well-documented due to its decomposition before
boiling.
Solubility: Soluble in water and alcohol; highly soluble in methanol and
ethanol.
Molar Mass: 362.51 g/mol.
Chemical Properties:
Chemical Formula: C24H30N2O
Chemical Classification: Synthetic opioid analgesic.
Functional Group: Amines and alcohols.
pH: The pH in a solution can vary, but typically around neutral to slightly
basic.
How It is Made and Obtained From: Levomaramide is synthesized through a
series of chemical reactions involving the precursor compounds. It involves
stereoselective synthesis to obtain the levo-isomer, which is the active form. The
synthesis typically includes steps like alkylation, reduction, and resolution of
racemic mixtures to isolate the levo-isomer.
Route of Administration:
Oral (tablet or liquid form)
Intravenous (injected directly into the bloodstream)
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Intramuscular (injected into muscle tissue)
Pharmacological Action: Levomaramide acts primarily on the central nervous
system as an opioid agonist, specifically targeting the mu-opioid receptors. It
produces analgesia, sedation, and euphoria, similar to other opioids. It works by
mimicking the action of endogenous peptides like endorphins, binding to opioid
receptors, and inhibiting the transmission of pain signals.
Analysis:
Physical Analysis:
Visual Inspection: Levamisole hydrochloride typically appears as a white
crystalline powder. Visual inspection can provide a basic indication of
purity and physical characteristics.
Spot Tests: These are chemical tests designed to identify the presence of
specific substances. For levamisole, a common spot test involves reaction
with specific reagents that produce characteristic color changes or
precipitates.
Colorimetric Analysis: This involves using instruments that measure the
absorbance or reflectance of light by a substance at different wavelengths,
often resulting in a quantitative measurement of levamisole concentration.
Chemical Analysis:
Qualitative Analysis: Tests to determine the presence of functional groups,
such as amines and alcohols.
Quantitative Analysis: Titration methods to determine the concentration
of active ingredients.
pH Measurement: Using a pH meter to determine the pH of Levomaramide
solutions.
Mass Spectrometry: For molecular weight determination and structure
confirmation.
Solubility Tests: To determine the solubility in various solvents like water,
ethanol, methanol, etc.
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LEVOPHENOCYLMORPHAN
Levophenacylmorphan is an opioid analgesic that is not widely known or
used. Here's a detailed profile based on the available information:
Scientific Name: Levophenacylmorphan (common name)
IUPAC Name: 17-Phenylmorphinan-3-ol
Molecular Structure:
3D Structure:
Physical Properties:
Appearance: Not widely documented; typically solid in pure form.
Colour: Not specifically documented; likely white or off-white.
Odour: Characteristic of opioids; often described as having a slight
medicinal or chemical smell.
Taste: Bitter.
Melting Point: Not well-documented.
Boiling Point: Not well-documented.
Molar Mass: Approximately 297.43 g/mol.
Solubility:
Water: Limited information; opioids generally have low solubility in
water.
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Alcohol: Likely more soluble in ethanol or other alcohols.
Chemical Properties:
Chemical Formula: C17H19NO
Chemical Classification: Opioid analgesic
Functional Group: Alcohol (OH), aromatic hydrocarbon (phenyl group)
pH: Typically neutral in its pure form; pH depends on the form (salt or
base) and the solution.
How It is Made? And Obtained From?
Levophenacylmorphan is synthesized chemically from morphinan
derivatives. The process involves the modification of the morphinan structure to
introduce a phenyl group and an alcohol functional group at specific positions. The
synthesis typically requires multiple steps, including:
Derivatization of morphinan.
Functional group transformations (e.g., introducing the hydroxyl group).
Purification processes, such as recrystallization or chromatography.
Route of Administration:
Oral: Tablets or capsules.
Parenteral: Injection (intravenous, intramuscular).
Others: Rectal suppositories, transdermal patches.
Pharmacological Action: Levophenacylmorphan acts as an agonist at the mu-
opioid receptors in the central nervous system. It produces analgesia (pain relief)
by mimicking endogenous opioids (endorphins) and binding to the opioid
receptors, which modulate the perception of pain and induce euphoria, sedation,
and other opioid effects. The drug can also depress the respiratory system, which
is a common risk with opioid use.
Analysis:
Physical Analysis:
Appearance and Melting Point Determination: Visual inspection and use of
a melting point apparatus to verify purity.
Solubility Testing: Dissolution in various solvents to understand its
solubility profile.
Chemical Analysis:
Chemical Structure Verification:
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