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levorphanol
Levorphanol.png
Levorphanol
Systematic ( IUPAC) name
17-methylmorphinan-3-ol
Identifiers
CAS number 77-07-6
ATC code  ?
PubChem 5359272
DrugBank APRD00764
Chemical data
Formula C17 H23 N O 
Mol. mass 257.371 g/mol
SMILES search in eMolecules, PubChem
Physical data
Melt. point 23 °C (73 °F)
Pharmacokinetic data
Bioavailability  ?
Protein binding 40%
Metabolism  ?
Half life 11-16 hours
Excretion  ?
Therapeutic considerations
Pregnancy cat.

C ( US )

Legal status

Schedule II ( US )

Routes oral, intravenous, intramuscular, subcutaneous

Levorphanol (Dromoran) is an opioid medication used to treat severe pain. The medication has a known abuse potential. In addition to acting on opioid receptors, the O-methyl derivative of its dextrorotory isomer, dextromethorphan, acts as an NMDA receptor antagonist. [1] Typical doses include 2 mg by mouth or subcutaneous injection every 6 to 8 hours.

Levorphanol has affinity to μ, κ, and δ opioid receptors and lacks complete cross-tolerance with morphine.

It is chemically related to dextromethorphan, an antitussive which is not an analgesic. Dextromethorphan is a salt of the methyl ether dextrorotatory isomer of levorphanol.

Notes

  1. ^ Brookoff D. Hospital Practice. 2000;35:45-59.

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