Isomethadone: Difference between revisions

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'''Isomethadone''' is a synthetic [[opioid]] that is chemically similar to [[methadone]]. It is used in the treatment of [[chronic pain]] and [[opioid dependence]].
== Isomethadone ==


== History ==
[[File:Isomethadone_structure.svg|thumb|right|Chemical structure of Isomethadone]]


Isomethadone was first synthesized in the 1940s by the German pharmaceutical company [[Hoechst AG]]. It was developed as a potential alternative to morphine, which was in short supply during [[World War II]].  
'''Isomethadone''' is a synthetic opioid analgesic that is chemically related to [[methadone]]. It is used in the management of moderate to severe pain and has similar pharmacological properties to methadone. Isomethadone is a racemic mixture, meaning it contains two enantiomers that are mirror images of each other.


== Pharmacology ==
== Pharmacology ==


Isomethadone acts on the [[mu-opioid receptor]], the primary site of action for most opioids. It is a full agonist, meaning it fully activates the receptor and produces a maximal response. This results in analgesia, sedation, and other effects characteristic of opioid drugs.
Isomethadone acts primarily as an agonist at the [[mu-opioid receptor]], which is responsible for its analgesic effects. Like other opioids, it can produce effects such as [[euphoria]], [[sedation]], and [[respiratory depression]]. The drug's action at the mu-opioid receptor also contributes to its potential for [[addiction]] and [[tolerance]].


== Medical uses ==
=== Mechanism of Action ===


Isomethadone is used in the treatment of chronic pain and opioid dependence. It is often used as a second-line treatment when other opioids are not effective or are not tolerated.  
Isomethadone binds to the mu-opioid receptors in the [[central nervous system]], mimicking the effects of endogenous opioids. This binding inhibits the release of [[neurotransmitters]] such as [[substance P]] and [[glutamate]], which are involved in the transmission of pain signals.


== Side effects ==
== Clinical Use ==


Like all opioids, isomethadone can cause a range of side effects. These can include [[nausea]], [[vomiting]], [[constipation]], [[drowsiness]], and [[respiratory depression]]. It can also cause [[physical dependence]] and [[withdrawal symptoms]] if stopped abruptly.
Isomethadone is used in the treatment of chronic pain conditions where other analgesics may not be effective. It is also used in some cases for [[opioid substitution therapy]], although methadone is more commonly used for this purpose.


== See also ==
== Side Effects ==


* [[Methadone]]
Common side effects of isomethadone include:
* [[Opioid]]
* [[Nausea]]
* [[Opioid dependence]]
* [[Vomiting]]
* [[Chronic pain]]
* [[Constipation]]
* [[Drowsiness]]
* [[Dizziness]]
 
Serious side effects can include:
* [[Respiratory depression]]
* [[Hypotension]]
* [[Bradycardia]]


[[Category:Opioids]]
== Legal Status ==
[[Category:Analgesics]]
[[Category:Drugs used in opioid dependence]]


{{medicine-stub}}
Isomethadone is classified as a controlled substance in many countries due to its potential for abuse and dependence. Its legal status may vary depending on the jurisdiction.


== References ==
== Related Compounds ==


<references />
Isomethadone is structurally related to several other opioid analgesics, including:
* [[Methadone]]
* [[Levomethadone]]
* [[Dextromethadone]]


== External links ==
== Related Pages ==


* [https://www.drugbank.ca/drugs/DB01551 DrugBank: Isomethadone]
* [[Opioid]]
* [https://pubchem.ncbi.nlm.nih.gov/compound/Isomethadone PubChem: Isomethadone]
* [[Analgesic]]
* [[Methadone]]
* [[Opioid receptor]]


Please note that this article is a stub. You can help by expanding it.
[[Category:Opioids]]
[[Category:Analgesics]]

Latest revision as of 11:44, 15 February 2025

Isomethadone[edit]

Chemical structure of Isomethadone

Isomethadone is a synthetic opioid analgesic that is chemically related to methadone. It is used in the management of moderate to severe pain and has similar pharmacological properties to methadone. Isomethadone is a racemic mixture, meaning it contains two enantiomers that are mirror images of each other.

Pharmacology[edit]

Isomethadone acts primarily as an agonist at the mu-opioid receptor, which is responsible for its analgesic effects. Like other opioids, it can produce effects such as euphoria, sedation, and respiratory depression. The drug's action at the mu-opioid receptor also contributes to its potential for addiction and tolerance.

Mechanism of Action[edit]

Isomethadone binds to the mu-opioid receptors in the central nervous system, mimicking the effects of endogenous opioids. This binding inhibits the release of neurotransmitters such as substance P and glutamate, which are involved in the transmission of pain signals.

Clinical Use[edit]

Isomethadone is used in the treatment of chronic pain conditions where other analgesics may not be effective. It is also used in some cases for opioid substitution therapy, although methadone is more commonly used for this purpose.

Side Effects[edit]

Common side effects of isomethadone include:

Serious side effects can include:

Legal Status[edit]

Isomethadone is classified as a controlled substance in many countries due to its potential for abuse and dependence. Its legal status may vary depending on the jurisdiction.

Related Compounds[edit]

Isomethadone is structurally related to several other opioid analgesics, including:

Related Pages[edit]