Levoamphetamine

CNS stimulant and isomer of amphetamine

Levoamphetamine
Stereo, Kekulé, skeletal formula of levoamphetamine
Names
Preferred IUPAC name
(2R)-1-Phenylpropan-2-amine[2]
Other names
l-Amphetamine, Levamfetamine[1]
Identifiers
CAS Number
  • 156-34-3 checkY
3D model (JSmol)
  • Interactive image
  • Interactive image
Beilstein Reference
2432739
ChEBI
  • CHEBI:42724 checkY
ChEMBL
  • ChEMBL19393 checkY
ChemSpider
  • 30477 checkY
ECHA InfoCard 100.005.320 Edit this at Wikidata
EC Number
  • 205-850-8
Gmelin Reference
1125855
IUPHAR/BPS
  • 2146
PubChem CID
  • 32893
UNII
  • R87US8P740 checkY
CompTox Dashboard (EPA)
  • DTXSID20166016 Edit this at Wikidata
InChI
  • InChI=1S/C9H13N/c1-8(10)7-9-5-3-2-4-6-9/h2-6,8H,7,10H2,1H3/t8-/m1/s1 checkY
    Key: KWTSXDURSIMDCE-MRVPVSSYSA-N checkY
  • C[C@@H](N)Cc1ccccc1
  • C[C@@H](N)CC1=CC=CC=C1
Properties
Chemical formula
C9H13N
Molar mass 135.2062 g mol−1
log P 1.789
Pharmacology
Routes of
administration
Oral (as part of Adderall, Evekeo, and generic amphetamine sulfate[3][4])
Legal status
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
checkY verify (what is checkY☒N ?)
Infobox references
Chemical compound

Levoamphetamine[note 1] is a central nervous system (CNS) stimulant known to increase wakefulness and concentration in association with decreased appetite and fatigue. Pharmaceuticals that contain levoamphetamine are currently indicated and prescribed for the treatment of attention deficit hyperactivity disorder (ADHD), obesity, and narcolepsy in some countries.

Levoamphetamine is the levorotatory stereoisomer of the amphetamine molecule. While pharmaceutical formulations containing enantiopure levoamphetamine are no longer manufactured, levomethamphetamine (levmetamfetamine) is still marketed and sold over-the-counter as a nasal decongestant.

Chemistry

Levoamphetamine is the levorotatory stereoisomer of the amphetamine molecule. Racemic amphetamine contains two optical isomers, dextroamphetamine, and levoamphetamine.[6][7]

Formulations

Racemic amphetamine

The first patented amphetamine brand, Benzedrine, was a racemic (i.e., equal parts) mixture of the free bases or the more stable sulfate salts of both amphetamine enantiomers (levoamphetamine and dextroamphetamine) that was introduced in the United States in 1934 as an inhaler for treating nasal congestion.[3] It was later realized that the amphetamine enantiomers could treat obesity, narcolepsy, and ADHD.[3][4] Because of the greater central nervous system effect of the dextrorotatory enantiomer (i.e., dextroamphetamine), sold as Dexedrine, prescription of the Benzedrine brand fell and was eventually discontinued.[8] However, in 2012, racemic amphetamine sulfate was reintroduced as the Evekeo brandname.[4][9]

Adderall

Adderall is a 3.1:1 mixture of dextro- to levo- amphetamine base equivalent pharmaceutical that contains equal amounts (by weight) of four salts: dextroamphetamine sulfate, amphetamine sulfate, dextroamphetamine saccharate and amphetamine (D,L)-aspartate monohydrate. This result is a 76% dextroamphetamine to 24% levoamphetamine, or 34 to 14 ratio.[6][7]

Evekeo

Evekeo is an FDA-approved medication that contains racemic amphetamine sulfate (i.e., 50% levoamphetamine sulfate and 50% dextroamphetamine sulfate).[4] It is approved for the treatment of narcolepsy, ADHD, and exogenous obesity.[4] The orally disintegrating tablets are approved for the treatment of attention deficit hyperactivity disorder (ADHD) in children and adolescents aged six to 17 years of age.[10]

Others

Products using amphetamine base are now marketed. Dyanavel XR, a liquid suspension form became available in 2015, and contains about 24% levoamphetamine.[11] Adzenys XR, an orally dissolving tablet came to market in 2016 and contains 25% levoamphetamine.[12][13]

See also

Notes

  1. ^ Synonyms and alternate spellings include: (2R)-1-phenylpropan-2-amine (IUPAC name), levamfetamine (International Nonproprietary Name [INN]), (R)-amphetamine, (−)-amphetamine, l-amphetamine, and L-amphetamine.[2][5]

References

  1. ^ CID 32893 from PubChem
  2. ^ a b "L-Amphetamine". PubChem Compound. United States National Library of Medicine – National Center for Biotechnology Information. 30 December 2017. Retrieved 2 January 2018.
  3. ^ a b c Heal DJ, Smith SL, Gosden J, Nutt DJ (June 2013). "Amphetamine, past and present – a pharmacological and clinical perspective". J. Psychopharmacol. 27 (6): 479–496. doi:10.1177/0269881113482532. PMC 3666194. PMID 23539642.
  4. ^ a b c d e "Evekeo- amphetamine sulfate tablet". DailyMed. 14 August 2019. Retrieved 7 April 2020.
  5. ^ "R(-)amphetamine". IUPHAR/BPS Guide to Pharmacology. International Union of Basic and Clinical Pharmacology. Retrieved 2 January 2018.
  6. ^ a b "Adderall XR- dextroamphetamine sulfate, dextroamphetamine saccharate, amphetamine sulfate and amphetamine aspartate capsule, extended release". DailyMed. 17 July 2019. Retrieved 7 April 2020.
  7. ^ a b "Adderall- dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate, and amphetamine sulfate tablet". DailyMed. 8 November 2019. Retrieved 7 April 2020.
  8. ^ "Benzedrine: FDA-Approved Drugs". U.S. Food and Drug Administration (FDA). Retrieved 4 September 2015.
  9. ^ "Evekeo: FDA-Approved Drugs". U.S. Food and Drug Administration (FDA). Retrieved 11 August 2015.
  10. ^ "Evekeo ODT- amphetamine sulfate tablet, orally disintegrating". DailyMed. 20 February 2020. Retrieved 7 April 2020.
  11. ^ "Dyanavel XR Prescribing Information". January 2017. Retrieved 14 May 2017.
  12. ^ "Adzenys XR-ODT- amphetamine tablet, orally disintegrating". DailyMed. 22 January 2020. Retrieved 7 April 2020. Adzenys XR-ODT (amphetamine extended-release orally disintegrating tablet) contains a 3 to 1 ratio of d- to l-amphetamine, a central nervous system stimulant.
  13. ^ "Adzenys ER- amphetamine suspension, extended release". DailyMed. 21 January 2020. Retrieved 7 April 2020.

External links

  • "Amphetamine". MedlinePlus.
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Levoamphetamine
N/A
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  • ProCentra
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Lisdexamfetamine
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