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Dissociatives The dissociative with the most action at opioid receptors?

For fent withdrawal I’ve found 3-ho-pce far superior to 3-ho-pcp. The pce actually brings decent relief, but I think ket is probably the best disso I’ve had for opioid wd.
 
That's interesting. That strongly suggests that 3-OH-PCM (the N-methyl homologue) would have even more opioid activity. People tend to think that most opioids are based on tertiary amines but tilidine is a prodrug - it's nortilidine that is active (compare strucures. Very similar) and of course dezocine is a primary amine (and thus looks really strange).

I believe that the 3-OH derivative of tilidine is mentioned in a patent BUT I think it was LESS active. I think it requires the ester moiety to be replaced by a ketone (see ketobemidone) because otherwide you end up with 1 enantiomer that is an agonist while the other is an antagonist.

I'm very interested in these small, potent opioids. Tilidine is small (MW 258,349) but has 3 (or possibly 4 is the olefinic bond overlays that of allylprodine or 14-alloxycodeine) moieties (5 have been elucidated) which is why the active enantiomer is as potent as diamorphine weight for weight. It's a forgotten corner of opioid chemistry but we are seeing NMDA/mu affinity overlapping the 2 structures. Camfentamine is also in this class, but lacks the ester function to have SIGNIFICANT opioid activity (it has some).
 
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