Nalorphine (; also known as N-allylnormorphine; brand names Lethidrone and Nalline) is a mixed opioid agonist–antagonist with opioid antagonist and analgesic properties. It was introduced in 1954 and was used as an antidote to reverse opioid overdose and in a challenge test to determine opioid dependence.
Nalorphine was the second opioid antagonist to be introduced, preceded by nalodeine ( N-allylnorcodeine) in 1915 and followed by naloxone in 1960 and naltrexone in 1963. Due to potent activation of the κ-opioid receptor, nalorphine produces such as dysphoria, anxiety, confusion, and , and for this reason, is no longer used medically.
Pharmacology
Pharmacodynamics
Nalorphine acts at two
— the μ-opioid receptor (MOR) where it has antagonistic effects, and at the κ-opioid receptor (KOR) (K
i = 1.6 nM; EC
50 = 483 nM; E
max = 95%) where it exerts high-efficacy
partial agonist/near-
full agonist characteristics.
Chemistry
Analogues
Nalorphine has a number of analogues including
niconalorphine (the
nicomorphine analogue), diacetylnalorphine (
heroin analogue), dihydronalorphine (dihydromorphine), and a number of others as well as a number of
codeine-based analogues.
Synthesis
More recently, it has become much more commonplace to use ethyl chloroformate instead of
cyanogen bromide for the Von Braun degradation demethylation step. See for example the list of phenyltropanes or the synthesis of
paroxetine for further examples of this.
See also