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Dextrorphan
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{{Short description|Psychoactive cough suppressant medication}} {{Distinguish|Dextromethorphan|Dextrallorphan}} {{Infobox drug | Verifiedfields = changed | Watchedfields = changed | verifiedrevid = 408496712 | IUPAC_name = (+)-17-methyl-9a,13a,14a-morphinan-3-ol | image = Dextrorphan.svg | image_class = skin-invert-image | image2 = Dextrorphane 3d.gif <!--Clinical data-->| tradename = | legal_US = Unscheduled<ref>{{Cite web |last=Bensinger |first=Peter |date=October 1, 1976 |title=Dextrophan and Nalbuphine; Removal from Schedules |url=https://www.govinfo.gov/content/pkg/FR-1976-10-01/pdf/FR-1976-10-01.pdf |access-date=June 26, 2023 |website=[[NARA]]}}</ref> <!--Identifiers-->| CAS_number_Ref = {{cascite|correct|??}} | CAS_number = 125-73-5 | ATC_prefix = None | PubChem = 5360697 | UNII_Ref = {{fdacite|changed|FDA}} | UNII = 04B7QNO9WS | ChEMBL_Ref = {{ebicite|changed|EBI}} | ChEMBL = 1254766 | ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}} | ChemSpiderID = 10489895 | synonyms = DXO, Dextrorphanol <!--Chemical data-->| C = 17 | H = 23 | N = 1 | O = 1 | SMILES = CN1CC[C@@]23CCCC[C@@H]2[C@@H]1Cc4c3cc(O)cc4 | StdInChI_Ref = {{stdinchicite|changed|chemspider}} | StdInChI = 1S/C17H23NO/c1-18-9-8-17-7-3-2-4-14(17)16(18)10-12-5-6-13(19)11-15(12)17/h5-6,11,14,16,19H,2-4,7-10H2,1H3/t14-,16+,17+/m1/s1 | StdInChIKey_Ref = {{stdinchicite|changed|chemspider}} | StdInChIKey = JAQUASYNZVUNQP-PVAVHDDUSA-N }} '''Dextrorphan''' ('''DXO''') is a [[psychoactive drug]] of the [[morphinan]] class which acts as an [[antitussive]] or [[cough suppressant]] and in high doses a [[dissociative drug|dissociative]] [[hallucinogen]]. It is the [[dextrorotatory]] [[enantiomer]] of [[racemorphan]]; the [[Levorotation|levorotatory]] enantiomer is [[levorphanol]]. Dextrorphan is produced by O-demethylation of [[dextromethorphan]] by [[CYP2D6]]. Dextrorphan is an [[NMDA receptor antagonist|NMDA antagonist]] and contributes to the psychoactive effects of dextromethorphan.<ref>{{cite journal | vauthors = Zawertailo LA, Kaplan HL, Busto UE, Tyndale RF, Sellers EM | title = Psychotropic effects of dextromethorphan are altered by the CYP2D6 polymorphism: a pilot study | journal = Journal of Clinical Psychopharmacology | volume = 18 | issue = 4 | pages = 332β337 | date = August 1998 | pmid = 9690700 | doi = 10.1097/00004714-199808000-00014 }}</ref>
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