A-Propoxyphene

A propoxyphene-like analgesic which obeys the empirical morphine rule is pyrroliphene (101). A Mannich reaction involving pyrrolidine, formaldehyde and propiophenone gave amino ketone 99, which was converted to tertiary carbinol 100 by reaction with benzyl magnesium chloride reaction with acetyl... 

Levopropoxyphene [2338-37-6] (42), the optical antipode of the dextrorotatory analgetic propoxyphene, is an antitussive without analgetic activity. The 2-naphthalenesulfonate salt has a less unpleasant taste than the hydrochloride salt, and is widely used. Clinical effectiveness has been demonstrated against pathological and artificially induced cough, but the potency is somewhat less than codeine. The compound is reported not to cause addiction. Levopropoxyphene can be prepared (62) by first resolving [ -dimethylamino-CX-methylpropiophenone with dibenzoyl-(+)-tartaric acid. The resolved... 

Using the pKa and the estimated So, the DTT procedure simulates the entire titration curve before the assay commences. Figure 6.7 shows such a titration curve of propoxyphene. The simulated curve serves as a template for the instrument to collect individual pH measurements in the course of the titration. The pH domain containing precipitation is apparent from the simulation (filled points in Fig. 6.7). Titration of the sample suspension is done in the direction of dissolution (high to low pH in Fig. 6.7), eventually well past the point of complete dissolution (pH <7.3 in Fig. 6.7). The rate of dissolution of the solid, described by the classical Noyes-Whitney expression [37], depends on a number of factors, which the instrument takes into account. For example, the instrument slows down the rate of pH data taking as the point of complete dissolution approaches, where the time needed to dissolve additional solid substantially increases (between pH 9 and 7.3 in Fig. 6.7). Only after the precipitate completely dissolves, does the instalment collect the remainder of the data rapidly (unfilled circles in Fig. 6.7). Typically, 3-10 h is required for the entire equilibrium solubility data taking. The more insoluble the... 

Dolophine, various) Propoxyphene (Daivon, various) Synthetic N/A po IM po po Variable (acute) Variable (chronic) Variable (chronic) 65 30-60/12-190 30—6ty 6— 12... 

Enantioseparation of nine amphetamine derivatives, methorphan, and propoxyphene was studied by comparing two different CSP typologies, a macrocyclic antibiotic CSP (vancomycin) and a native P-cyclodextrin CSP [123]. The suitability of the eluent systems to ESI interfacing was discussed, and a tandem mass spectrometric (MS/MS) detection method was developed. 

A few nuclear-substituted variants of ( )-propoxyphene (XLV, Ar = Ph) have been reported. Para substituents (Cl, F, Me and OMe) in the 1-phenyl group reduce the activity of the acetoxy ester analogue of propoxyphene while o-F and... 

There are also known cases of drug enantiomers that possess completely different therapeutic properties. The (+)-2/ ,35 -stereoisomer of propoxyphene (dextropropoxyphene) is marketed as an analgesic agent, whereas its enantiomer ( )-(25, 3/ )-propoxyphene (levopropoxyphene) is available as an effective anti-tussive agent [3]. The enantiomers of some chiral drugs are known to possess essentially identical qualitative and quantitative pharmacological activities, for example, the antihistamine promethazine, which is marketed as a racemate [5]. 

Propoxyphene (Darvon ) is a stronger analgesic but has no antipyretic effects. It is sometimes taken in combination with aspirin and... 

Agonists include natural alkaloids of opium (morphine, codeine, and a large blend of natural alkaloids, pantopon, and omnopon), their analogs (hydrocodon and hydromor-phone, oxycodone, and oxymorphone), derivatives of morphinane (levorphanol), and a number of synthetic compounds derivatives of phenylpiperidine (meperidine, promedol), 4-anilidopiperidines (fentanyl, sufentanyl, alfentanil), and derivatives of diphenylheptane (methadone, propoxyphene). 

Propoxyphene products in excessive doses, either alone or in combination with other CNS depressants (including alcohol), are a major cause of drug-related deaths. Fatalities within the first hour of overdosage are not uncommon. In a survey... 

Many propoxyphene-related deaths have occurred in patients with histories of emotional disturbances, suicidal ideation or attempts, or misuse of tranquilizers, alcohol, and other CNS-active drugs. Deaths have occurred as a consequence of the accidental ingestion of excessive quantities of propoxyphene alone or in combination with other drugs. Do not exceed the recommended dosage. 

The opioids block cough by a mechanism that is not yet understood. No stereoselectivity of the opioids for blockade of the cough reflex has been shown. Thus, the isomers of opioids, such as dextrorphan, are as efficacious as the L-isomers as antitussives. This lack of stereoselectivity prompted the development of the D-isomers of opioids as antitussives since they are devoid of the dependence liability of h-isomers. Drugs with predominantly antitussive effects are described later in this chapter. Certain of the opioids, such as propoxyphene and meperidine, are relatively devoid of antitussive effects. 

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. 

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 patient who uses propoxyphene repeatedly may develop a tolerance to the drug s analgesic effect and physical dependence. 

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