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QuickView for Levomethadyl Acetate (compound)


PubChem
Name: Methadyl Acetate
PubChem Compound ID: 10064061
Description: A narcotic analgesic with a long onset and duration of action. It is used mainly in the treatment of narcotic dependence.
Molecular formula: C21H29NO
Molecular weight: 311.461 g/mol
DrugBank
Identification
Name: Methadyl Acetate
Name (isomeric): DB01227
Drug Type: small molecule
Description: A narcotic analgesic with a long onset and duration of action. It is used mainly in the treatment of narcotic dependence.
Synonyms:
Levacetylmethadol; 1-alpha-acetylmethadol; LAAM; Levo-Methadyl Acetate; Levacetilmetadol [INN-Spanish]; Levomethadyl; Nor-LAAM; Levo-Alphacetylmethadol; Levacetylmethadolum [INN-Latin]
Brand: Orlaam
Category: Narcotics, Analgesics, Opioid
CAS number: 1477-40-3
Pharmacology
Indication: For the treatment and management of opiate dependence. It is sometimes used to treat severe pain in terminal patients.
Pharmacology:
Levomethadyl acetate (also known as LAAM) is a synthetic synthetic opioid analgesic with multiple actions quantitatively similar to those as morphine, the most prominent of which involve the central nervous system and organs composed of smooth muscle. However, levomethadyl acetate is more active and more toxic than morphine. The principal actions o...
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Mechanism of Action:
Opiate receptors (Mu, Kappa, Delta) are coupled with G-protein receptors and function as both positive and negative regulators of synaptic transmission via G-proteins that activate effector proteins. Binding of the opiate stimulates the exchange of GTP for GDP on the G-protein complex. As the effector system is adenylate cyclase and cAMP located at...
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Absorption: Levomethadyl acetate is rapidly absorbed from an oral solution.
Protein binding: Approximately 80%
Biotransformation: Levomethadyl acetate undergoes extensive first-pass metabolism to the active demethylated metabolite nor-levomethadyl acetate, which is further demethylated to a second active metabolite, dinor-levomethadyl acetate. These metabolites are more potent than the parent drug.
Half Life: 2.6 days
Toxicity: Signs of overdose include apnea, circulatory collapse, pulmonary edema, cardiac arrest, and death.
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
ItraconazoleItraconazole increases the effect/toxicity of levomethadyl
QuinupristinThis combination presents an increased risk of toxicity

Targets


Enzymes

DrugBank
Identification
Name: Methadyl Acetate
Name (isomeric): DB01433
Drug Type: small molecule
Description: A narcotic analgesic with a long onset and duration of action. It is used mainly in the treatment of narcotic dependence.
Synonyms:
Acetilmetadol [inn-spanish]; Betamethadol; Acetylmethadol; Acetylmethadolum [inn-latin]
Category: Narcotics, Analgesics, Opioid
CAS number: 509-74-0
Pharmacology
Indication: Used mainly in the treatment of narcotic dependence.
Pharmacology: Methadyl Acetate is a narcotic analgesic with a long onset and duration of action. The drug decreases a patients opioid use by preventing opioid withdrawal and in how it can mimic some of the effects of opioids.
Mechanism of Action: Methadyl Acetate is primarily a mu-type opioid receptor agonist. It functions similarily to methadone.
Affected organisms: Humans and other mammals

Targets

DrugBank
Identification
Name: Methadyl Acetate
Name (isomeric): DB01555
Drug Type: small molecule
Description: A narcotic analgesic with a long onset and duration of action. It is used mainly in the treatment of narcotic dependence.
Category: Narcotics, Analgesics, Opioid
CAS number: 17199-58-5