Title:  Methylnaltrexone Bromide 
CAS Registry Number:  73232-52-7;  83387-25-1 (methylnaltrexonium) 
CAS Name:  17-(Cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-17-methyl-6-oxo-morphinanium bromide 
Additional Names:  N-cyclopropylmethyl-noroxymorphone methobromide;  naltrexone methobromide 
Molecular Formula:  C21H26BrNO4 
Molecular Weight:  436.34 
Percent Composition:  C 57.80%, H 6.01%, Br 18.31%, N 3.21%, O 14.67% 
Literature References:  Peripheral opioid receptor antagonist; quaternary derivative of naltrexone, q.v., that does not readily cross the blood brain barrier.  Prepn:  L. I. Goldberg et al., US 4176186 (1979 to Boehringer Ing.).  Determn by HPLC and solid phase extraction in plasma and urine:  J. Osinski et al., J. Chromatogr. B 780, 251 (2002).  Clinical evaluation in methadone-induced constipation:  C.-S. Yuan et al., J. Am. Med. Assoc. 283, 367 (2000).  Clinical pharmacokinetics:  idem et al., J. Clin. Pharmacol. 45, 538 (2005).  Review of therapeutic potential in opioid-induced bowel dysfunction:  J. F. Foss, Am. J. Surg. 182, 19S-26S (2001); of preclinical and clinical experience:  C.-S. Yuan, J. Support Oncol. 2, 111-117 (2004). 
Properties:  Crystals from methanol/ether, mp 253°. 
Melting point:  mp 253° 
Therap-Cat:  Narcotic antagonist.  In treatment of opioid bowel dysfunction. 
Keywords:  Narcotic Antagonist.   |