naltrexone   Click here for help

GtoPdb Ligand ID: 1639

Synonyms: (-)naltrexone | naltrexone HCl | ReVia®
Approved drug
naltrexone is an approved drug (FDA (1998), UK (2011))
Compound class: Synthetic organic
Comment: This is the active isomer of naltrexone. The (+) isomer is inactive at the opioid receptors.
Click here for help
IUPHAR Pharmacology Education Project (PEP) logo

View more information in the IUPHAR Pharmacology Education Project: naltrexone

2D Structure
Click here for help
Click here for structure editor
Physico-chemical Properties
Click here for help
Hydrogen bond acceptors 3
Hydrogen bond donors 2
Rotatable bonds 2
Topological polar surface area 70
Molecular weight 341.16
XLogP 0.43
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
Click here for help
Canonical SMILES O=C1CCC2(C34C1Oc1c4c(CC2N(CC3)CC2CC2)ccc1O)O
Isomeric SMILES O=C1CC[C@@]2([C@@]34[C@H]1Oc1c4c(C[C@H]2N(CC3)CC2CC2)ccc1O)O
InChI InChI=1S/C20H23NO4/c22-13-4-3-12-9-15-20(24)6-5-14(23)18-19(20,16(12)17(13)25-18)7-8-21(15)10-11-1-2-11/h3-4,11,15,18,22,24H,1-2,5-10H2/t15-,18+,19+,20-/m1/s1
InChI Key DQCKKXVULJGBQN-XFWGSAIBSA-N
No information available.
Summary of Clinical Use Click here for help
Used alongside behavioural therapy in the management of opiate addiction in patients who have already undergone detoxification, and alongside behavioural therapy in patients with alcohol dependency. In the EU, naltrexone + bupropion (Mysimba®,) is approved (in 2015) for use alongside diet and exercise to help manage adult obesity.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Naltrexone antagonises the activity of the opioid receptors in the brain which play a role in addiction. This is postulated to ameliorate the urge to drink in people accustomed to large amounts of alcohol.
External links Click here for help