R-4066

R-4066
Clinical data
Other names	N-(3,3-diphenyl-4-oxohex-1-yl)-7,8-benzo-3-azaspiro[5.5]undecane
Identifiers
	IUPAC name 6-{3,4-dihydro-2H-spiro[naphthalene-1,4'-piperidine]-1'-yl}-4,4-diphenylhexan-3-one;
CAS Number	66194-36-3 ; oxalate: 101564-56-1 ;
PubChem CID	380029;
ChemSpider	336763 ;
UNII	L4YPY81SBM; oxalate: DL9M9L165Z ;
ChEMBL	ChEMBL2010535 ;
CompTox Dashboard (EPA)	DTXSID101018281 DTXSID10906347, DTXSID101018281 ;
Chemical and physical data
Formula	C32H37NO
Molar mass	451.654 g·mol−1
3D model (JSmol)	Interactive image;
	SMILES CCC(=O)C(CCN1CCC2(CCCC3=CC=CC=C32)CC1)(C4=CC=CC=C4)C5=CC=CC=C5;
	InChI InChI=1S/C32H37NO/c1-2-30(34)32(27-14-5-3-6-15-27,28-16-7-4-8-17-28)22-25-33-23-20-31(21-24-33)19-11-13-26-12-9-10-18-29(26)31/h3-10,12,14-18H,2,11,13,19-25H2,1H3 ; Key:ZVFXEHSJPKPKDW-UHFFFAOYSA-N ;
	(what is this?) (verify)

R-4066 (Spirodone) is a drug which is an derivative of the opioid analgesic norpipanone, wherein the piperidine ring has been replaced by a tricyclic spiro heterocycle. Developed by Janssen Pharmaceutica,^[1] it is around 212× more potent than methadone as an analgesic in animal tests, with an effective oral dosage of 0.07 mg/kg, but is shorter acting, with a duration of action of around 3 hours. If the ketone function is reduced and acetylated, the racemate has a potency of 106× that of methadone and has an analgesic duration of 20.5 hours compared to 8 hours for methadone.^[2]

R-4066 has not been researched in humans, but would be expected to produce effects similar to those of fentanyl, including strong analgesia, sedation, euphoria, constipation, itching and respiratory depression which could be harmful or fatal.^{[citation needed]}

References[edit]

^ U.S. patent 3,125,580
^ Frincke JM, Henderson GL (May 1978). "Synthesis and analgesic activity of some long-acting piperidinospiro derivatives of methadone". Journal of Medicinal Chemistry. 21 (5): 474–6. doi:10.1021/jm00203a014. PMID 660594.

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[1] U.S. patent 3,125,580

[2] Frincke JM, Henderson GL (May 1978). "Synthesis and analgesic activity of some long-acting piperidinospiro derivatives of methadone". Journal of Medicinal Chemistry. 21 (5): 474–6. doi:10.1021/jm00203a014. PMID 660594.

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