Chemistry:Meclonazepam

From HandWiki

Meclonazepam[1] ((S)-3-methylclonazepam) is a benzodiazepine derivative similar in structure to clonazepam. It was first discovered by a team at Hoffmann-La Roche in the 1970s.[2] It has sedative and anxiolytic actions like those of other benzodiazepines,[3] and also has anti-parasitic effects against the parasitic worm Schistosoma mansoni.[4]

Meclonazepam was never used as medicine and instead appeared online as a designer drug.[5][6][7][8]

Pharmacology

Its sedative and anxiolytic abilities are attributed to the same mechanism used by other benzodiazepine drugs: modulation of the GABAA receptor in the brain. This psychoactive activity makes it useful for recreational use.[7] The sedating side effect would also make it unsuitable for routine use as an antiparasitical.[9]

Schistosomal parasites do not have an ortholog of the GABAA receptor. Instead, meclonazepam seems to cause a rapid calcium influx, leading to muscle contraction and tegument damage. In 2023, meclonazepam is shown to activate a calcium-permeable schistosome TRP (transient receptor potential), making this TRP a very likely candidate for its parasite receptor.[9]

Some work has been done to produce two meclonazepam derivatives that show less sedation and more anti-parasite activity in mice. They seem to do this by crossing the blood-brain barrier less readily.[9]

United Kingdom

In the UK, meclonazepam has been classified as a Class C drug by the May 2017 amendment to The Misuse of Drugs Act 1971 along with several other designer benzodiazepine drugs.[10]

See also

References

  1. Szente A, "Benzodiazepine derivatives", US patent 4031078, issued 21 June 1977, assigned to Hoffmann La Roche Inc.
  2. The Lundbeck Institute. "Meclonazepam". Psychotropics. Lundbeck. http://www.psychotropics.dk/moleculeView/default.aspx?ID=1426&Catalogtype=A&ChapterID=1&Thissortorder=23. 
  3. "Initial study of methylclonazepam in generalized anxiety disorder. Evidence for greater power in the cross-over design". Psychopharmacology 87 (2): 130–135. 1985. doi:10.1007/bf00431795. PMID 3931136. https://orbi.uliege.be/bitstream/2268/259489/1/Ansseau1985_Article_InitialStudyOfMethylclonazepam.pdf. 
  4. "Central effects in man of the novel schistosomicidal benzodiazepine meclonazepam". European Journal of Clinical Pharmacology 29 (1): 105–108. 1985. doi:10.1007/bf00547377. PMID 4054198. 
  5. "Identification of main human urinary metabolites of the designer nitrobenzodiazepines clonazolam, meclonazepam, and nifoxipam by nano-liquid chromatography-high-resolution mass spectrometry for drug testing purposes". Analytical and Bioanalytical Chemistry 408 (13): 3571–3591. May 2016. doi:10.1007/s00216-016-9439-6. PMID 27071765. 
  6. "Detectability of designer benzodiazepines in CEDIA, EMIT II Plus, HEIA, and KIMS II immunochemical screening assays". Drug Testing and Analysis 9 (4): 640–645. April 2017. doi:10.1002/dta.2003. PMID 27366870. 
  7. 7.0 7.1 "Experimental versus theoretical log D7.4 , pKa and plasma protein binding values for benzodiazepines appearing as new psychoactive substances". Drug Testing and Analysis 10 (8): 1258–1269. March 2018. doi:10.1002/dta.2387. PMID 29582576. https://rke.abertay.ac.uk/en/publications/527a634d-decc-4d3a-bdca-08659bb13ed6. 
  8. "The blood-to-plasma ratio and predicted GABAA-binding affinity of designer benzodiazepines". Forensic Toxicology 40 (2): 349–356. July 2022. doi:10.1007/s11419-022-00616-y. PMID 36454409. 
  9. 9.0 9.1 9.2 "Development of non-sedating benzodiazepines with in vivo antischistosomal activity". Antimicrobial Agents and Chemotherapy 68 (9): e0036924. September 2024. doi:10.1128/aac.00369-24. PMID 39136467. 
  10. "The Misuse of Drugs Act 1971 (Amendment) Order 2017". http://www.legislation.gov.uk/uksi/2017/634/contents/made. 

Further reading

  • "Experimentally promising antischistosomal drugs: a review of some drug candidates not reaching the clinical use". Parasitology Research 105 (4): 899–906. October 2009. doi:10.1007/s00436-009-1546-2. PMID 19588166.