nalmefene   Click here for help

GtoPdb Ligand ID: 1628

Synonyms: JF-1 | nalmetrene | Opvee® (nalmefene hydrochloride nasal spray) | ORF-11676 | Revex® (nalmefene hydrochloride) | Selincro®
Approved drug
nalmefene is an approved drug (EMA (2013), FDA (2023))
Compound class: Synthetic organic
Comment: Nalmefene is an opioid receptor antagonist.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 2
Hydrogen bond donors 2
Rotatable bonds 2
Topological polar surface area 52.93
Molecular weight 339.18
XLogP 1.25
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES C=C1CCC2(C34C1Oc1c4c(CC2N(CC3)CC2CC2)ccc1O)O
Isomeric SMILES C=C1CC[C@@]2([C@@]34[C@H]1Oc1c4c(C[C@H]2N(CC3)CC2CC2)ccc1O)O
InChI InChI=1S/C21H25NO3/c1-12-6-7-21(24)16-10-14-4-5-15(23)18-17(14)20(21,19(12)25-18)8-9-22(16)11-13-2-3-13/h4-5,13,16,19,23-24H,1-3,6-11H2/t16-,19+,20+,21-/m1/s1
InChI Key WJBLNOPPDWQMCH-MBPVOVBZSA-N
No information available.
Summary of Clinical Use Click here for help
This drug was approved in 1995 by the US FDA to treat narcotic addiction/overdose, but this approval was discontinued. The EMA has approved nalmefene to help reduce alcohol consumption in adults with alcohol dependence. The FDA approved a nasal spray formulation of nalmefene in May 2032, as an emergency treatment for known/suspected opioid overdose (of natural or synthetic opioids).
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Nalmefene antagonises the activity of the opioid receptors in the brain which play a role in addiction. This helps to reduce the urge to drink in people accustomed to large amounts of alcohol [2]. There is some evidence to suggest this anti-addiction effect may help pathological gambling addiction [3].
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