Talk:Methiodone: Difference between revisions

>Roshni
Chemistry: I added a whole new page for the drug methiodone.
 
>Roshni
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[[File:IC-26 structure.svg|thumb|Methiodone]]
'''Methiodone''' (also known as '''IC-26''')is a synthetic opioid analgesic and structural analogue of methadone. It is primarily encountered as the iodide salt derivative and acts as a mu-opioid receptor agonist, producing opioid-like effects such as analgesia, sedation, euphoria, and respiratory depression.<ref>https://pubchem.ncbi.nlm.nih.gov/compound/Methiodone</ref>


'''Methiodone''' is a synthetic opioid analgesic and structural analogue of methadone. It is primarily encountered as the iodide salt derivative and acts as a mu-opioid receptor agonist, producing opioid-like effects such as analgesia, sedation, euphoria, and respiratory depression.<ref>https://pubchem.ncbi.nlm.nih.gov/compound/Methiodone</ref>
==Chemistry==
 
== Chemistry ==
Methiodone is chemically described as the iodide salt of a methadone analogue. Its chemical formula is C21H28INO.<ref>https://pubchem.ncbi.nlm.nih.gov/compound/Methiodone</ref> The iodide salt improves water solubility compared to the methadone base. The compound belongs to the diphenylheptanone class of opioids, characterized by a seven-carbon backbone with two phenyl rings and a ketone group. Its chemical name according to patents is (±)-6-(dimethylamino)-4,4-diphenylheptan-3-one iodide.<ref>https://patents.google.com/patent/US2722457A/en</ref>
Methiodone is chemically described as the iodide salt of a methadone analogue. Its chemical formula is C21H28INO.<ref>https://pubchem.ncbi.nlm.nih.gov/compound/Methiodone</ref> The iodide salt improves water solubility compared to the methadone base. The compound belongs to the diphenylheptanone class of opioids, characterized by a seven-carbon backbone with two phenyl rings and a ketone group. Its chemical name according to patents is (±)-6-(dimethylamino)-4,4-diphenylheptan-3-one iodide.<ref>https://patents.google.com/patent/US2722457A/en</ref>


== Pharmacology ==
==Pharmacology==
Methiodone is presumed to be a potent mu-opioid receptor agonist, similar to methadone.<ref>Goodman & Gilman’s The Pharmacological Basis of Therapeutics, 13th Edition</ref><ref>Trescot AM, et al. Opioid pharmacology. Pain Physician. 2008 Mar;11(2 Suppl):S133-53. https://pubmed.ncbi.nlm.nih.gov/18443633/</ref> The opioid receptor agonism produces typical opioid effects such as analgesia, sedation, euphoria, respiratory depression, and potential for dependence and addiction. No direct pharmacological or clinical studies on methiodone exist; all knowledge is inferred from its close chemical relation to methadone and other diphenylheptanone opioids.
Methiodone is presumed to be a potent mu-opioid receptor agonist, similar to methadone.<ref>Goodman & Gilman’s The Pharmacological Basis of Therapeutics, 13th Edition</ref><ref>Trescot AM, et al. Opioid pharmacology. Pain Physician. 2008 Mar;11(2 Suppl):S133-53. https://pubmed.ncbi.nlm.nih.gov/18443633/</ref> The opioid receptor agonism produces typical opioid effects such as analgesia, sedation, euphoria, respiratory depression, and potential for dependence and addiction. No direct pharmacological or clinical studies on methiodone exist; all knowledge is inferred from its close chemical relation to methadone and other diphenylheptanone opioids.


== Effects ==
==Effects==
Effects are predicted based on the opioid class and include:   
Effects are predicted based on the opioid class and include:   
* Analgesia (pain relief) 
* Sedation and relaxation 
* Euphoria 
* Respiratory depression (dangerous at high doses) 
* Nausea and vomiting 
* Constipation 
* High potential for tolerance, dependence, and addiction


== Dosage ==
*Analgesia (pain relief)
*Sedation and relaxation
*Euphoria
*Respiratory depression (dangerous at high doses)
*Nausea and vomiting
*Constipation
*High potential for tolerance, dependence, and addiction
 
==Dosage==
There is no medically approved or documented dosage information. Any dosing is speculative and should be approached with extreme caution due to overdose risk.
There is no medically approved or documented dosage information. Any dosing is speculative and should be approached with extreme caution due to overdose risk.


== Duration ==
==Duration==
Estimated duration is several hours, roughly comparable to methadone (typically 8–12 hours), but specific pharmacokinetic data is unavailable.<ref>Eap CB, et al. Clinical pharmacokinetics of methadone. Clin Pharmacokinet. 2002;41(14):1235-65. https://pubmed.ncbi.nlm.nih.gov/12485646/</ref>
Estimated duration is several hours, roughly comparable to methadone (typically 8–12 hours), but specific pharmacokinetic data is unavailable.<ref>Eap CB, et al. Clinical pharmacokinetics of methadone. Clin Pharmacokinet. 2002;41(14):1235-65. https://pubmed.ncbi.nlm.nih.gov/12485646/</ref>


== History ==
==History==
Methiodone was first synthesized in the 1950s as part of research into opioid analgesics aiming to improve methadone derivatives.<ref>https://patents.google.com/patent/US2722457A/en</ref><ref>Reynolds, James A. The Chemistry of Opium Alkaloids. 1957.</ref> It never gained medical approval or widespread use and remains mainly of chemical and patent interest.
Methiodone was first synthesized in the 1950s as part of research into opioid analgesics aiming to improve methadone derivatives.<ref>https://patents.google.com/patent/US2722457A/en</ref><ref>Reynolds, James A. The Chemistry of Opium Alkaloids. 1957.</ref> It never gained medical approval or widespread use and remains mainly of chemical and patent interest.


== Legal status ==
==Legal status==
Methiodone is not explicitly scheduled in most countries but, due to its opioid nature, it may fall under analogue or controlled substance laws depending on jurisdiction.<ref>EMCDDA – European Monitoring Centre for Drugs and Drug Addiction – NPS and analogue legislation reports</ref> Legal status should be checked locally.
Methiodone is not explicitly scheduled in most countries but, due to its opioid nature, it may fall under analogue or controlled substance laws depending on jurisdiction.<ref>EMCDDA – European Monitoring Centre for Drugs and Drug Addiction – NPS and analogue legislation reports</ref> Legal status should be checked locally.


== Harm reduction and warnings ==
==Harm reduction and warnings==
* Methiodone is a potent opioid with significant risk of respiratory depression and fatal overdose, especially without medical supervision.
 
* Combining methiodone with other central nervous system depressants (alcohol, benzodiazepines, other opioids) greatly increases overdose risk.
*Methiodone is a potent opioid with significant risk of respiratory depression and fatal overdose, especially without medical supervision.
* There is no reliable dosing information or clinical guidance for methiodone use.
*Combining methiodone with other central nervous system depressants (alcohol, benzodiazepines, other opioids) greatly increases overdose risk.
* Dependence, addiction, and withdrawal symptoms are expected with repeated use.
*There is no reliable dosing information or clinical guidance for methiodone use.
* Testing substances for purity and identity is recommended if obtained illicitly.
*Dependence, addiction, and withdrawal symptoms are expected with repeated use.
* Seek emergency medical help immediately if signs of overdose occur (slow breathing, unconsciousness).
*Testing substances for purity and identity is recommended if obtained illicitly.
* Use is strongly discouraged outside medical contexts.
*Seek emergency medical help immediately if signs of overdose occur (slow breathing, unconsciousness).
*Use is strongly discouraged outside medical contexts.


== References ==
==References==
<references />
<references />


== External links ==
==External links==
* [PubChem entry for Methiodone](https://pubchem.ncbi.nlm.nih.gov/compound/Methiodone)
 
* [US Patent US2722457A](https://patents.google.com/patent/US2722457A/en)
*[PubChem entry for Methiodone](https://pubchem.ncbi.nlm.nih.gov/compound/Methiodone)
* [Goodman & Gilman’s The Pharmacological Basis of Therapeutics](https://accesspharmacy.mhmedical.com/book.aspx?bookid=2189) (textbook reference)
*[US Patent US2722457A](https://patents.google.com/patent/US2722457A/en)
*[Goodman & Gilman’s The Pharmacological Basis of Therapeutics](https://accesspharmacy.mhmedical.com/book.aspx?bookid=2189) (textbook reference)
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