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| Formula | C16H25NO |
| Molar mass | 247.382 g·mol−1 |
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Picenadol (LY-97435) is a 4-phenylpiperidine derivative that is anopioidanalgesic drug developed by Eli Lilly in the 1970s.[1]
Picenadol is an effective analgesic with similar efficacy topethidine (meperidine). It has been investigated for some applications such asobstetrics[2] anddentistry,[3] but never commercialised.
It is unusual in that oneenantiomer is a pureμ-opioidagonist, while the other is anantagonist.[4] The (3R,4R) isomer is the agonist, while (3S,4S) is antagonist.[5] This means that the racemic mix of the two enantiomers is a mixed agonist-antagonist, with relatively lowabuse potential, and little of theκ-opioid activity that tends to cause problems with other opioid mixed agonist-antagonists such aspentazocine.[6]

