Synonyms: (+)-alpha-propoxyphene | Darvon® | propoxyphene
dextropropoxyphene is an approved drug
Compound class:
Synthetic organic
Comment: Dextropropoxyphene is principally an opioid analgesic. Chemically it is an optical isomer of levopropoxyphene (the (2R,3S) optical isomer with PubChem CID 200742); dextropropoxyphene being the (2S,3R) enantiomer. Marketing in Europe and the US has been discontinued due to concerns of fatal overdoses and heart arrhythmias.
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No information available. |
Summary of Clinical Use ![]() |
Used to treat mild pain. Although withdrawn from the US and European markets, other individual national approval agencies may still grant marketing authorisation for this drug. The majority of international brand names contain this drug in combination with paracetamol, some contain dextropropoxyphene and metamizole. |
Mechanism Of Action and Pharmacodynamic Effects ![]() |
Dextropropoxyphene is a μ opioid receptor agonist. Activation of this receptor on central nervous system neurons inhibits intracellular adenylate cyclase. Downstream this leads to reduced calcium influx via membrane calcium channels, and increased potassium permeability by opening membrane potassium channels. This ultimately leads to hyperpolarization of the cell membrane potential and suppression of action potential transmission of ascending pain pathways. Experimental evidence also suggests that dextropropoxyphene can behave as a potent, noncompetitive α3β4 neuronal nicotinic acetylcholine receptor antagonist [1], and as a weak serotonin reuptake inhibitor. |