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samidorphan

Structure via PubChem · Public domain (PubChem)

EntityQ7409428· pop 7· linked from 696 articles

samidorphan

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Also known as ALKS-33

Samidorphan (, ) is an opioid antagonist that in the form of olanzapine/samidorphan (sold as Lybalvi) is used in the treatment of schizophrenia and bipolar disorder. Samidorphan reduces the weight gain associated with olanzapine. Samidorphan is taken by mouth.

Chemical data

Formula
C21H26N2O4
Molecular weight
370.4 g/mol
IUPAC name
(1R,9R,10S)-17-(cyclopropylmethyl)-3,10-dihydroxy-13-oxo-17-azatetracyclo[7.5.3.01,10.02,7]heptadeca-2(7),3,5-triene-4-carboxamide
SMILES
C1CC1CN2CC[C@]34CC(=O)CC[C@]3([C@H]2CC5=C4C(=C(C=C5)C(=O)N)O)O
InChIKey
RYIDHLJADOKWFM-MAODMQOUSA-N
XLogP
1.1
Polar surface area
104 Ų
H-bond donors
3
H-bond acceptors
5
Formal charge
0

via PubChem

Drug data · ChEMBL

Max clinical phase
Approved
Molecule type
Small molecule
First approval
2021
Admin. routes
oral
Indications
eating disorder, schizophrenia, alcohol dependence, cocaine abuse

via ChEMBL · EBI

Wikidata facts

Mass
370.189
Show 4 more facts
chemical formula
C₂₁H₂₆N₂O₄
isomeric SMILES
C1CC1CN2CC[C@]34CC(=O)CC[C@]3([C@H]2CC5=C4C(=C(C=C5)C(=O)N)O)O
canonical SMILES
C1CC1CN2CCC34CC(=O)CCC3(C2CC5=C4C(=C(C=C5)C(=O)N)O)O
Commons category
Samidorphan
Sources (2)

via Wikidata · CC0

~4 min read

Encyclopedic overview

9 sections
Contents
  • Development
  • Side effects
  • Pharmacology
  • Pharmacodynamics
  • Pharmacokinetics
  • Chemistry
  • References
  • See also
  • External links

Samidorphan (, ) is an opioid antagonist that in the form of olanzapine/samidorphan (sold as Lybalvi) is used in the treatment of schizophrenia and bipolar disorder. Samidorphan reduces the weight gain associated with olanzapine. Samidorphan is taken by mouth.

Samidorphan was under development as a standalone medication for various indications but has been discontinued. Buprenorphine/samidorphan for the treatment of major depressive disorder was rejected by the US Food and Drug Administration (FDA) due to insufficient evidence of effectiveness, but remains in preregistration as of September 2021. Development of baclofen/samidorphan has also been discontinued.

Excerpted from Wikipedia’s “samidorphan” article, available under the CC BY-SA 4.0 licence.

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via Wikidata sitelinks · CC0