469-62-5 Usage
Description
PROPOXYPHENE is a derivative of methadone, an opioid analgesic, which was marketed in 1957. It is approximately 1/10th as potent as morphine but retains the same opioid adverse effects. The drug is available in the form of hydrochloride salt (Darvon), napsylate salt (Darvon-N), and in combination with other medications such as acetaminophen (Darvocet, Darvocet-N) and a combination of propoxyphene, aspirin, and caffeine.
Uses
1. Used in Pain Management:
PROPOXYPHENE is used as an analgesic for the relief of mild to moderate pain. One propoxyphene 65-mg capsule has the same analgesic effect as 650 mg of aspirin or 1,000 mg of acetaminophen. However, it is crucial for patients to follow the prescribed dose to avoid overdoses.
2. Used in Combination Therapy:
PROPOXYPHENE is used in combination with other medications, such as acetaminophen, to enhance its analgesic effects and provide additional pain relief.
3. Used in Pharmaceutical Formulations:
The hydrochloride salt of PROPOXYPHENE is marketed as Darvon, and the napsylate salt as Darvon-N. These salts are also available in combination with acetaminophen (Darvocet, Darvocet-N) and a propoxyphene, aspirin, and caffeine product.
Biological Functions
Propoxyphene (dextropropoxyphene; Darvon) is structurally
related to methadone but is much less potent as
an analgesic. Compared with codeine, propoxyphene is
approximately half as potent and is indicated for the
treatment of mild pain. It is not antipyretic or antiinflammatory
like aspirin and is less useful than aspirin in
most cases of mild pain. Toxicity from propoxyphene,
especially in combination with other sedatives, such as
alcohol, has led to a decrease in its use. Death following
ingestion of alcohol in combination with propoxyphene
can occur rapidly (within 20 minutes to 1 hour). The
drug is not indicated for those with histories of suicide
or depressive illnesses.
Like meperidine, propoxyphene has an active
metabolite, norpropoxyphene, that is not analgesic but
has excitatory and local anesthetic effects on the heart
similar to those of quinidine. Use of the drug during
pregnancy is not safe.Teratogenic effects have been observed
in newborns, as have withdrawal signs at birth.
As with morphine, propoxyphene requires adequate hepatic
and renal clearance to prevent toxicity and drug
accumulation. It is thus contraindicated in the elderly
patient and those with renal or liver disease.
Propoxyphene interacts with several drugs. The use
of sedatives in combination with propoxyphene can be
fatal. In addition, the metabolism of the drug is increased
in smokers due to induction of liver enzymes.
Thus, smokers may require a higher dose of the drug for
pain relief. Propoxyphene enhances the effects of both
warfarin and carbamazepine and may increase the toxicity
associated with both drugs, such as bleeding and sedation,
respectively.The abuse liability of propoxyphene is low because
of the extreme irritation it causes at the site of injection.
Oral use is the preferred route of administration for this
reason.
Safety Profile
Poison by ingestion,
intraperitoneal, subcutaneous, and
intravenous routes. Human systemic effects
by ingestion: change in cardiac rate,
respiratory depression, and coma. When
heated to decomposition it emits toxic
fumes of NOx.
Check Digit Verification of cas no
The CAS Registry Mumber 469-62-5 includes 6 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 3 digits, 4,6 and 9 respectively; the second part has 2 digits, 6 and 2 respectively.
Calculate Digit Verification of CAS Registry Number 469-62:
(5*4)+(4*6)+(3*9)+(2*6)+(1*2)=85
85 % 10 = 5
So 469-62-5 is a valid CAS Registry Number.
InChI:InChI=1/C22H29NO2/c1-5-21(24)25-22(18(2)17-23(3)4,20-14-10-7-11-15-20)16-19-12-8-6-9-13-19/h6-15,18H,5,16-17H2,1-4H3/t18-,22+/m1/s1
469-62-5Relevant articles and documents
Use of weak opioids and mixed opioid agonists/antagonists for treatment of urinary incontinence
-
, (2008/06/13)
A pharmaceutical composition for the treatment of an increased urge to urinate or urinary incontinence, comprising an effective amount of at least a compound selected from the group consisting of codeine, dihydrocodeine, dextropropoxyphene, meptazinol and tilidine. Also disclosed are methods of treatment using the pharmaceutical compositions and preferred dosages for the treatment methods.
Polypeptide propoxyphene derivatives for immunoassay reagents
-
, (2008/06/13)
Novel compounds are provided which are derivatives of 1,2-diphenyl-3-methyl-4-dimethylamino-2-butanol. The indicated alcohol is employed to prepare the monoester of a dibasic acid which is conjugated with an antigen for the production of antibodies which recognize both propoxyphene and its N-desmethyl metabolite in immunoassays.