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Etorphine ( M99) is a semi-synthetic possessing an potency approximately 1,000–3,000 times that of . It was first prepared in 1960 from , which does not generally occur in extract but rather the related plants and Papaver bracteatum.

(1995). 9788123713830, National Book Trust.
It was reproduced in 1963 by a research group at in Edinburgh, led by Kenneth Bentley. It can be produced from .


Veterinary use
Etorphine is available legally only for veterinary use and is strictly governed by law. It is often used to immobilise and other large mammals. (Revivon) is an opioid receptor antagonist that can be administered in proportion to the amount of etorphine used (1.3 times) to reverse its effects. Veterinary-strength etorphine is fatal to humans. For this reason the package as supplied to vets always includes the human antidote along with the etorphine.

The human antidote is generally , not diprenorphine, and is always prepared before the preparation of etorphine to be immediately administered following accidental human exposure to etorphine. The in humans is 3 μg which led to the requirement that the medicine include an equivalent dose of an antidote.

One of its main advantages is its speed of operation, and more importantly, the speed that reverses its effects. The high incidence of side effects, including severe cardiopulmonary depression, has caused etorphine to fall into disfavor in general veterinary practice. However, its high potency, combined with the rapid action of both etorphine and its antagonist, diprenorphine, means that it has found a place for use in the capture of large mammals, such as rhinoceroses and elephants, where rapid onset and rapid recovery are both very important. The high potency of etorphine means that sufficient etorphine can be administered to large wild mammals by projectile syringe (dart).

Large Animal Immobilon is a combination of etorphine plus maleate. An etorphine antidote Large Animal Revivon contains mainly diprenorphine for animals and a human-specific -based antidote, which should be prepared prior to the etorphine. A 5–15 mg dose is enough to immobilise an and a 2–4 mg dose is enough to immobilise a .


Pharmacology
Etorphine is a potent, non-selective of the μ-, δ-, and κ-opioid receptors.
(2013). 9781607619901, Springer Science & Business Media. .
It has a weak affinity for the nociceptin receptor. Etorphine has an LD50 of 3 μg in humans.
(2009). 9780813820613, John Wiley & Sons.


Legal status
In Hong Kong, etorphine is regulated under Schedule 1 of Chapter 134 of the Dangerous Drugs Ordinance. It can be used legally only by health professionals and for university research purposes. The substance can be given by pharmacists under a prescription. Anyone who supplies the substance without prescription can be fined HKD$10,000. The penalty for trafficking or manufacturing the substance is a HKD$5,000,000 fine and life imprisonment. Possession for consumption without licence from the Department of Health is illegal, with a HKD$1,000,000 fine and/or 7 years of jail time.

In the Netherlands etorphine is a Schedule I drug of the . It is used only for veterinary purposes in zoos to immobilise large animals.

In the United States etorphine is listed as a Schedule I drug with an ACSCN of 9056, although its salt is classified as Schedule II with an ACSCN of 9059.

In the United Kingdom, under the Misuse of Drugs Act 1971, etorphine is controlled as a Class A substance.

In Italy etorphine is illegal, as are the parent compounds and . (Data from 2022)


In popular culture
  • The fictional character uses Etorphine M-99 to capture and sedate his victims in the television series Dexter, , and .
  • In the film etorphine is used to neutralise the first .
  • The fictional character Katherine Dutta uses etorphine to murder her victims in the television series Lewis, Lewis: Down Among the Fearful.
  • In an book, a fictional veterinarian is murdered with the Immobilon he planned to use to sedate a horse for an operation.


See also
  • 6,14-Endoethenotetrahydrooripavine - the central nucleus of all Bentley compound opioids under which class etorphine falls
  • 7-PET
  • – a close analog of etorphine that has been used as an opioid painkiller for human use in China


External links

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