Acetylmethadol

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Synthetic opioid analgesic


Acetylmethadol
INN
Drug class
Routes of administration
Pregnancy category
Bioavailability
Metabolism
Elimination half-life
Excretion
Legal status
CAS Number 509-74-0
PubChem 5284590
DrugBank DB01450
ChemSpider 4447600
KEGG D02763


Acetylmethadol is a synthetic opioid analgesic that is chemically related to methadone. It is used primarily in the treatment of opioid dependence. Acetylmethadol is a racemic mixture, meaning it contains equal parts of two enantiomers, which are mirror images of each other.

Pharmacology

Acetylmethadol acts as an agonist at the mu-opioid receptor, which is responsible for its analgesic and euphoric effects. It is metabolized in the liver to form LAAM (levo-alpha-acetylmethadol), which is also an active opioid agonist. The drug has a long half-life, allowing for less frequent dosing compared to other opioids.

Medical use

Acetylmethadol is used in the management of opioid dependence. It is administered orally and is typically used in a controlled clinical setting. The long duration of action makes it suitable for maintenance therapy, reducing the need for frequent dosing and helping to stabilize patients.

Side effects

Common side effects of acetylmethadol include:

Serious side effects can include respiratory depression, which is a risk with all opioid medications.

Legal status

Acetylmethadol is a controlled substance in many countries due to its potential for abuse and dependence. It is classified under various schedules depending on the jurisdiction.

Related pages

Gallery

  • Chemical structure of Acetylmethadol
    Chemical structure of Acetylmethadol
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