Chemistry:Viminol

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Short description: Opioid analgesic medicine
Viminol
Viminol2DACS.svg
Clinical data
Trade namesDividol
Other namesDividol, viminolo, diviminol
AHFS/Drugs.comInternational Drug Names
Routes of
administration
Oral
ATC code
Identifiers
CAS Number
PubChem CID
ChemSpider
UNII
KEGG
ChEMBL
Chemical and physical data
FormulaC21H31ClN2O
Molar mass362.94 g·mol−1
3D model (JSmol)
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Viminol (marketed under the brandname Dividol) is an opioid analgesic developed by a team at the drug company Zambon in the 1960s.[1] Viminol is based on the α-pyrryl-2-aminoethanol structure, unlike any other class of opioids.[2][3]

Viminol has both antitussive (cough suppressing) and analgesic (pain reducing) effects. Viminol has additional effects similar to other opioids including sedation and euphoria.[citation needed] It has six different stereoisomers which have varying properties. Four are inactive, but the 1S-(R,R)-disecbutyl isomer is a μ-opioid full agonist around 5.5 times more potent than morphine and the 1S-(S,S)-disecbutyl isomer is an antagonist.[4][5] Since viminol is supplied as a racemic mixture of isomers, the overall effect is a mixed agonist–antagonist profile similar to that of opioids such as pentazocine, although with somewhat fewer side effects.[6]

Side effects

Side effects are similar to other opioids, and can include:

  • Itching
  • Nausea
  • Sedation
  • Respiratory depression - can be potentially life-threatening

However, since viminol is supplied as a racemic mixture of agonist and antagonist isomers, the abuse potential and respiratory depression tends to be less than that of μ-opioid full agonist drugs.

Drug dependence may occur.[7]

Related compounds

Later work showed that replacing the chlorine atom with an fluorine atom (2F-Viminol) or with a trifluoromethyl group produced a compound with twice the potency and half the acute toxicity.[8] A later team at Zambon found that one isomer of a pyrrolidone analog is 318 times as potent as morphine in its analgesic activity in animal studies.[9] A number of related compounds were also found to be active, allowing a QSAR model to be constructed.

Trifluoromethyl analog
Fluoro analog "2F-Viminol"
Pyrrolidone analog, Z4349[10]

References

  1. Teotino UM, Bella DD, "1-(α-Pyrryl)-2-amino Ethanols", US patent 3539589, issued 10 November 1970, assigned to Whitefin Holding SA
  2. "[Chromatographic separation of diastereoisomers of aminoalcohol salts and their densitometric determination]" (in Italian). Il Farmaco; Edizione Pratica 36 (4): 215–22. April 1981. PMID 6894429. 
  3. "Psychopharmacological properties of the viminol-p-hydroxybenzoate". Revista Brasileira de Pesquisas Medicas e Biologicas 10 (6): 361–8. December 1977. PMID 609773. 
  4. Della D, Bella CV, Monza DC, Tiotino UM, "Stereoisomers of 1(1'(-O-Chlorobenzyl)-2'-Pyrryl)-2-Disec.Butylamino-Ethanol", US patent 3857857, issued 31 December 1974, assigned to Whitefin Holding SA
  5. "The discriminative stimulus properties of the R2 isomer of viminol". Pharmacology, Biochemistry, and Behavior 20 (1): 59–62. January 1984. doi:10.1016/0091-3057(84)90101-1. PMID 6546450. 
  6. "Viminol R2 analgesic activity in patients with postoperative pain: comparison with pentazocine". International Journal of Clinical Pharmacology, Therapy, and Toxicology 24 (5): 232–5. May 1986. PMID 3525423. 
  7. "Dependence on Viminol". Journal of Substance Use 12 (4): 301–305. 2009. doi:10.1080/14659890701237124. 
  8. Conti F, "Stereoisomers of 1-(1'benzyl-2'pyrryl)-2-di-sec.-butylaminoethanol and pharmaceutical compositions comprising same", US patent 4148907, issued 10 April 1979, assigned to Etablissement Viridis
  9. Carenzi A, Chiarino D, Bella DD, Grancini GC, Veneziani C, "Pyrrolidone-2 compounds and their use for central analgesic activity", US patent 4960788, issued 2 October 1990, assigned to Zambon Group S.P.A.
  10. "Stereoselective synthesis and evaluation of all stereoisomers of Z4349, a novel and selective μ-opioid analgesic.". Bioorganic & Medicinal Chemistry Letters 6 (5): 589–592. 1995. doi:10.1016/0960-894X(95)00077-7.