Bezitramide

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Bezitramide
Bezitramide.svg
Systematic (IUPAC) name
4-[4-(2-oxo-3-propanoyl-2,3-dihydro-1H-benzimidazol-1-yl)piperidin-1-yl]-2,2-diphenylbutanenitrile
Clinical data
Legal status
Routes of
administration
Oral
Identifiers
CAS Number 15301-48-1
ATC code N02AC05 (WHO)
PubChem CID: 61791
DrugBank DB01459 YesY
ChemSpider 55675 YesY
UNII 3KXW0Y310I YesY
ChEMBL CHEMBL2104149
Chemical data
Formula C31H32N4O2
Molecular mass 492.611 g/mol
  • O=C(N2c1ccccc1N(C2=O)C5CCN(CCC(C#N)(c3ccccc3)c4ccccc4)CC5)CC
  • InChI=1S/C31H32N4O2/c1-2-29(36)35-28-16-10-9-15-27(28)34(30(35)37)26-17-20-33(21-18-26)22-19-31(23-32,24-11-5-3-6-12-24)25-13-7-4-8-14-25/h3-16,26H,2,17-22H2,1H3 YesY
  • Key:FLKWNFFCSSJANB-UHFFFAOYSA-N YesY
  (verify)

Bezitramide is an opioid analgesic. Bezitramide itself is a prodrug which is readily hydrolyzed in the gastrointestinal tract to its main metabolite, despropionyl-bezitramide. Bezitramide was discovered at Janssen Pharmaceutica in 1961.[1][2][3] It is most commonly marketed under the trade name Burgodin.

The drug was pulled from the shelves in the Netherlands in 2004 after fatal overdose cases, including one where a five-year-old child took one tablet from his mother's purse, ate it, and promptly died.[4]

Bezitramide is regulated much the same as morphine in all known jurisdictions and is a Schedule II substance under the United States' Controlled Substances Act of 1970, with an ACSCN of 9800 and zero annual manufacturing quota.[5] However, it has to this point never been marketed in the United States.

References

  1. US patent 3196157, Paul A. J. Janssen., "BENZIMIDAZOLINYL PIPERIDINES", published 1963-06-11, issued 1965-07-20 
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  5. Title 21 United States Code (USC) Controlled Substances Act



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