User:Mr. Ibrahem/Nalmefene

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Mr. Ibrahem/Nalmefene
Clinical data
Pronunciationnal’ me feen
Trade namesSelincro, Revex, others
Other namesNalmetrene
AHFS/Drugs.comMonograph
MedlinePlusa605043
License data
Routes of
administration
By mouth, intravenous
Drug classOpioid antagonist.[1]
Legal status
Legal status
  • UK: POM (Prescription only)
Pharmacokinetic data
Protein binding45%
MetabolismLiver
Elimination half-life10.8 ± 5.2 hours
ExcretionKidney
Identifiers
  • 17-Cyclopropylmethyl-4,5α-epoxy-6-methylenemorphinan-3,14-diol
Chemical and physical data
FormulaC21H25NO3
Molar mass339.435 g·mol−1
3D model (JSmol)
  • OC(C1=C2[C@@]34[C@H]5O1)=CC=C2C[C@@H](N(CC4)CC6CC6)[C@]3(O)CCC5=C
  • InChI=1S/C21H25NO3/c1-12-6-7-21(24)16-10-14-4-5-15(23)18-17(14)20(21,19(12)25-18)8-9-22(16)11-13-2-3-13/h4-5,13,16,19,23-24H,1-3,6-11H2/t16-,19+,20+,21-/m1/s1 checkY
  • Key:WJBLNOPPDWQMCH-MBPVOVBZSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Nalmefene, sold under the brand name Selincro among others, is a medication used to treat opioid overdose and alcohol dependence.[1][2] Other uses may include pathological gambling.[3] It is taken by mouth or by injection.[1][2]

Common side effects include nausea, fast heart rate, and high blood pressure.[1] Other side effects may include arrhythmias, seizures, and opioid withdrawal.[1] While there is no evidence of harm in pregnancy, such use has not been well studied.[4] It is an opioid antagonist.[1]

Nalmefene was approved for medical use in the United States in 1995.[1] In the United Kingdom 4 weeks at a dose of 18 mg per day costs the NHS about £85.[2] It was discontinued commercially in the United States in 2008.[5]

References[edit]

  1. ^ a b c d e f g h i "Nalmefene Monograph for Professionals". Drugs.com. Archived from the original on 8 August 2021. Retrieved 11 November 2021.
  2. ^ a b c d BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 518. ISBN 978-0857114105.
  3. ^ "Nalmefene". LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. National Institute of Diabetes and Digestive and Kidney Diseases. 2012. Archived from the original on 13 November 2021. Retrieved 11 November 2021.
  4. ^ "Nalmefene (Revex) Use During Pregnancy". Drugs.com. Archived from the original on 8 August 2021. Retrieved 11 November 2021.
  5. ^ "Baxter discontinues Revex injection". Monthly Prescribing Reference website. Haymarket Media, Inc. 9 July 2008. Archived from the original on 11 October 2016. Retrieved 10 October 2016.