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| Formula | C16H21NO2 |
| Molar mass | 259.349 g·mol−1 |
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Nortilidine [1] is the major active metabolite of tilidine. It is formed from tilidine by demethylation in the liver. The racemate has opioid analgesic effects roughly equivalent in potency to that of morphine. [2] The (1R,2S)-isomer has NMDA antagonist activity. The drug also acts as a dopamine reuptake inhibitor. [3] The reversed-ester of nortilidine is also known, as is the corresponding analogue with the cyclohexene ring replaced by cyclopentane, [4] which have almost identical properties to nortilidine. [5]
Nortilidine has been sold as a designer drug, first being identified in Poland in May 2020. [6] [7]
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