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Chemistry

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Also known as: 16590-41-3, Vivitrol, Revia, N-cyclopropylmethylnoroxymorphone, Vivitrex, Celupan
Molecular Formula
C20H23NO4
Molecular Weight
341.4  g/mol
InChI Key
DQCKKXVULJGBQN-XFWGSAIBSA-N
FDA UNII
5S6W795CQM

Naltrexone
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.
Naltrexone is an Opioid Antagonist. The mechanism of action of naltrexone is as an Opioid Antagonist.
1 2D Structure

Naltrexone

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(4R,4aS,7aR,12bS)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1H-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one
2.1.2 InChI
InChI=1S/C20H23NO4/c22-13-4-3-12-9-15-20(24)6-5-14(23)18-19(20,16(12)17(13)25-18)7-8-21(15)10-11-1-2-11/h3-4,11,15,18,22,24H,1-2,5-10H2/t15-,18+,19+,20-/m1/s1
2.1.3 InChI Key
DQCKKXVULJGBQN-XFWGSAIBSA-N
2.1.4 Canonical SMILES
C1CC1CN2CCC34C5C(=O)CCC3(C2CC6=C4C(=C(C=C6)O)O5)O
2.1.5 Isomeric SMILES
C1CC1CN2CC[C@]34[C@@H]5C(=O)CC[C@]3([C@H]2CC6=C4C(=C(C=C6)O)O5)O
2.2 Other Identifiers
2.2.1 UNII
5S6W795CQM
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Antaxone

2. Celupan

3. En 1639a

4. En-1639a

5. En1639a

6. Nalorex

7. Naltrexone Hydrochloride

8. Nemexin

9. Revia

10. Trexan

2.3.2 Depositor-Supplied Synonyms

1. 16590-41-3

2. Vivitrol

3. Revia

4. N-cyclopropylmethylnoroxymorphone

5. Vivitrex

6. Celupan

7. N-cyclopropylmethyl-14-hydroxydihydromorphinone

8. 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxymorphinan-6-one

9. 17-(cyclopropylmethyl)-4,5alpha-epoxy-3,14-dihydroxymorphinan-6-one

10. 5s6w795cqm

11. Chebi:7465

12. En-1639a Free Base

13. Nemexin

14. Nsc-758439

15. (4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one

16. Um-792

17. En-1639a [as Hydrochloride]

18. Dsstox_cid_26313

19. Dsstox_rid_81532

20. Dsstox_gsid_46313

21. Naltrexonum [inn-latin]

22. (4r,4as,7ar)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one

23. Naltrexona [inn-spanish]

24. Naltrexona

25. Naltrexonum

26. (-)-naltrexone

27. Morphinan-6-one, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-, (5.alpha.)-

28. (1s,5r,13r,17s)-4-(cyclopropylmethyl)-10,17-dihydroxy-12-oxa-4-azapentacyclo[9.6.1.0^{1,13}.0^{5,17}.0^{7,18}]octadeca-7(18),8,10-trien-14-one

29. Naltrexone [usan:inn:ban]

30. Naltrexone Base Anhydrous

31. Cas-16590-41-3

32. Ccris 3506

33. Hsdb 6750

34. Einecs 240-649-9

35. Brn 3596648

36. Unii-5s6w795cqm

37. (-)naltrexone

38. Pti-555

39. Ncgc00162274-02

40. Vivitrol (tn)

41. Naltrexone [mi]

42. Naltrexone [inn]

43. (4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one;hydrochloride

44. Naltrexone (usan/inn)

45. Prestwick0_000116

46. Prestwick1_000116

47. Prestwick2_000116

48. Prestwick3_000116

49. Naltrexone [hsdb]

50. Naltrexone [usan]

51. Naltrexone [vandf]

52. Naltrexone [mart.]

53. Naltrexone [usp-rs]

54. Naltrexone [who-dd]

55. Us9107954, Naltrexone

56. Schembl34681

57. Bspbio_000132

58. Bidd:gt0405

59. Chembl19019

60. Spbio_002071

61. Bpbio1_000146

62. Gtpl1639

63. Zinc1773

64. 17-(cyclopropylmethyl)-4,5.alpha.-epoxy-3,14-dihydroxymorphinan-6-one

65. Dtxsid4046313

66. Naltrexone [orange Book]

67. Bdbm60212

68. Cid_5485201

69. Cyclopropylmethyl(dihydroxy)[?]one

70. Hms2089o11

71. Bcp07022

72. Ex-a4863

73. Tox21_112007

74. Bdbm50000787

75. Mfcd00242996

76. Pdsp2_000847

77. Akos015994596

78. Morphinan-6-one, 17-(cyclopropylmethyl)-4,5-alpha-epoxy-3,14-dihydroxy-

79. Tox21_112007_1

80. Cs-0880

81. Db00704

82. Hs-0002

83. Naltrexone Component Of Contrave

84. Nsc 758439

85. Morphinan-6-one, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-, (5alpha)-

86. Smp1_000206

87. Ncgc00024427-03

88. Ncgc00024427-04

89. Ncgc00024427-05

90. Ac-36726

91. Hy-76711

92. C07253

93. D05113

94. Ab00174152-14

95. Ab00174152_17

96. Ar-270/43507956

97. Q409587

98. Brd-k88172511-003-21-1

99. Brd-k88172511-310-03-8

100. 3,14-dihydroxy-17-(cyclopropylmethyl)-4,5alpha-epoxymorphinan-6-one

101. 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxmorphinan-6-one, (5.alpha.)-

102. Naltrexone Solution, 1.0 Mg/ml In Methanol, Ampule Of 1 Ml, Certified Reference Material

103. (4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-bis(oxidanyl)-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one;hydrochloride

104. (4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,3,4,4a,5,6-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7(7ah)-one

105. (4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one

106. 4-(cyclopropylmethyl)-10,17-dihydroxy-12-oxa-4-azapentacyclo[9.6.1.0~1,13~.0~5,17~.0~7,18~]octadeca-7(18),8,10-trien-14-one

2.4 Create Date
2005-06-24
3 Chemical and Physical Properties
Molecular Weight 341.4 g/mol
Molecular Formula C20H23NO4
XLogP31.9
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count5
Rotatable Bond Count2
Exact Mass341.16270821 g/mol
Monoisotopic Mass341.16270821 g/mol
Topological Polar Surface Area70 Ų
Heavy Atom Count25
Formal Charge0
Complexity621
Isotope Atom Count0
Defined Atom Stereocenter Count4
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 4  
Drug NameRevia
PubMed HealthNaltrexone
Drug ClassesEthanol Dependency, Opioid Dependency, Toxicology-Antidote Agent
Drug LabelREVIA (naltrexone hydrochloride tablets USP), an opioid antagonist, is a synthetic congener of oxymorphone with no opioid agonist properties. Naltrexone differs in structure from oxymorphone in that the methyl group on the nitrogen atom is replaced...
Active IngredientNaltrexone hydrochloride
Dosage FormTablet
RouteOral
Strength50mg
Market StatusPrescription
CompanyTeva Womens

2 of 4  
Drug NameVivitrol
PubMed HealthNaltrexone
Drug ClassesEthanol Dependency, Opioid Dependency, Toxicology-Antidote Agent
Active IngredientNaltrexone
Dosage FormFor suspension, extended release
RouteIntramuscular
Strength380mg/vial
Market StatusPrescription
CompanyAlkermes

3 of 4  
Drug NameRevia
PubMed HealthNaltrexone
Drug ClassesEthanol Dependency, Opioid Dependency, Toxicology-Antidote Agent
Drug LabelREVIA (naltrexone hydrochloride tablets USP), an opioid antagonist, is a synthetic congener of oxymorphone with no opioid agonist properties. Naltrexone differs in structure from oxymorphone in that the methyl group on the nitrogen atom is replaced...
Active IngredientNaltrexone hydrochloride
Dosage FormTablet
RouteOral
Strength50mg
Market StatusPrescription
CompanyTeva Womens

4 of 4  
Drug NameVivitrol
PubMed HealthNaltrexone
Drug ClassesEthanol Dependency, Opioid Dependency, Toxicology-Antidote Agent
Active IngredientNaltrexone
Dosage FormFor suspension, extended release
RouteIntramuscular
Strength380mg/vial
Market StatusPrescription
CompanyAlkermes

4.2 Therapeutic Uses

Narcotic Antagonists

National Library of Medicine's Medical Subject Headings. Naltrexone. Online file (MeSH, 2017). Available from, as of Oct 4, 2017: https://meshb.nlm.nih.gov/search


/CLINICAL TRIALS/ ClinicalTrials.gov is a registry and results database of publicly and privately supported clinical studies of human participants conducted around the world. The Web site is maintained by the National Library of Medicine (NLM) and the National Institutes of Health (NIH). Each ClinicalTrials.gov record presents summary information about a study protocol and includes the following: Disease or condition; Intervention (for example, the medical product, behavior, or procedure being studied); Title, description, and design of the study; Requirements for participation (eligibility criteria); Locations where the study is being conducted; Contact information for the study locations; and Links to relevant information on other health Web sites, such as NLM's MedlinePlus for patient health information and PubMed for citations and abstracts for scholarly articles in the field of medicine. Naltrexone is included in the database.

NIH/NLM; ClinicalTrials.Gov. Available from, as of August 30, 2017: https://clinicaltrials.gov/


Naltrexone hydrochloride is designated an orphan drug by the US Food and Drug Administration (FDA) and is used orally for its opiate antagonist effects as an adjunct to a medically supervised behavior modification program in the maintenance of opiate cessation (opiate-free state) in individuals formerly physically dependent on opiates and who have successfully undergone detoxification. /Included in US product label/

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2318


Naltrexone is used orally or im in the management of alcohol dependence in conjunction with a comprehensive management program that includes psychosocial support. /Included in US product label/

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2318


For more Therapeutic Uses (Complete) data for Naltrexone (31 total), please visit the HSDB record page.


4.3 Drug Warning

Naltrexone hydrochloride is contraindicated in: 1. Patients receiving opioid analgesics. 2. Patients currently dependent on opioids, including those currently maintained on opiate agonists (e.g., methadone ) or partial agonists (e.g., buprenorphine). 3. Patients in acute opioid withdrawal. 4. Any individual who has failed the naloxone challenge test or who has a positive urine screen for opioids. 5. Any individual with a history of sensitivity to naltrexone hydrochloride or any other components of this product. It is not known if there is any cross-sensitivity with naloxone or the phenanthrene containing opioids.

NIH; DailyMed. Current Medication Information for Naltrexone hydrochloride tablet, film coated (Updated: February 2017). Available from, as of October 12, 2017: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=49aa3d6d-2270-4615-aafa-b440859ab870


Cases of hepatitis and clinically significant liver dysfunction were observed in association with naltrexone hydrochloride exposure during the clinical development program and in the postmarketing period. Transient, asymptomatic hepatic transaminase elevations were also observed in the clinical trials and postmarketing period. When patients presented with elevated transaminases, there were often other potential causative or contributory etiologies identified, including pre-existing alcoholic liver disease, hepatitis B and/or C infection, and concomitant usage of other potentially hepatotoxic drugs. Although clinically significant liver dysfunction is not typically recognized as a manifestation of opioid withdrawal, opioid withdrawal that is precipitated abruptly may lead to systemic sequelae, including acute liver injury. Patients should be warned of the risk of hepatic injury and advised to seek medical attention if they experience symptoms of acute hepatitis. Use of naltrexone hydrochloride should be discontinued in the event of symptoms and/or signs of acute hepatitis.

NIH; DailyMed. Current Medication Information for Naltrexone hydrochloride tablet, film coated (Updated: February 2017). Available from, as of October 12, 2017: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=49aa3d6d-2270-4615-aafa-b440859ab870


An increase in naltrexone AUC of approximately 5- and 10-fold in patients with compensated and decompensated liver cirrhosis, respectively, compared with subjects with normal liver function has been reported. These data also suggest that alterations in naltrexone bioavailability are related to liver disease severity.

NIH; DailyMed. Current Medication Information for Naltrexone hydrochloride tablet, film coated (Updated: February 2017). Available from, as of October 12, 2017: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=49aa3d6d-2270-4615-aafa-b440859ab870


Studies to evaluate possible interactions between naltrexone hydrochloride and drugs other than opiates have not been performed. Consequently, caution is advised if the concomitant administration of naltrexone hydrochloride and other drugs is required. The safety and efficacy of concomitant use of naltrexone hydrochloride and disulfiram is unknown, and the concomitant use of two potentially hepatotoxic medications is not ordinarily recommended unless the probable benefits outweigh the known risks. Lethargy and somnolence have been reported following doses of naltrexone hydrochloride and thioridazine. Patients taking naltrexone hydrochloride may not benefit from opioid containing medicines, such as cough and cold preparations, antidiarrheal preparations, and opioid analgesics. In an emergency situation when opioid analgesia must be administered to a patient receiving naltrexone hydrochloride, the amount of opioid required may be greater than usual, and the resulting respiratory depression may be deeper and more prolonged.

NIH; DailyMed. Current Medication Information for Naltrexone hydrochloride tablet, film coated (Updated: February 2017). Available from, as of October 12, 2017: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=49aa3d6d-2270-4615-aafa-b440859ab870


For more Drug Warnings (Complete) data for Naltrexone (36 total), please visit the HSDB record page.


4.4 Drug Indication

Used as an adjunct to a medically supervised behaviour modification program in the maintenance of opiate cessation in individuals who were formerly physically dependent on opiates and who have successfully undergone detoxification. Also used for the management of alcohol dependence in conjunction with a behavioural modification program.


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

Naltrexone, a pure opioid antagonist, is a synthetic congener of oxymorphone with no opioid agonist properties. Naltrexone is indicated in the treatment of alcohol dependence and for the blockade of the effects of exogenously administered opioids. It markedly attenuates or completely blocks, reversibly, the subjective effects of intravenously administered opioids. When co-administered with morphine, on a chronic basis, naltrexone blocks the physical dependence to morphine, heroin and other opioids. In subjects physically dependent on opioids, naltrexone will precipitate withdrawal symptomatology.


5.2 MeSH Pharmacological Classification

Alcohol Deterrents

Substances interfering with the metabolism of ethyl alcohol, causing unpleasant side effects thought to discourage the drinking of alcoholic beverages. Alcohol deterrents are used in the treatment of alcoholism. (See all compounds classified as Alcohol Deterrents.)


Narcotic Antagonists

Agents inhibiting the effect of narcotics on the central nervous system. (See all compounds classified as Narcotic Antagonists.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
NALTREXONE
5.3.2 FDA UNII
5S6W795CQM
5.3.3 Pharmacological Classes
Mechanisms of Action [MoA] - Opioid Antagonists
5.4 ATC Code

N - Nervous system

N07 - Other nervous system drugs

N07B - Drugs used in addictive disorders

N07BB - Drugs used in alcohol dependence

N07BB04 - Naltrexone


5.5 Absorption, Distribution and Excretion

Absorption

Although well absorbed orally, naltrexone is subject to significant first pass metabolism with oral bioavailability estimates ranging from 5 to 40%.


Route of Elimination

Both parent drug and metabolites are excreted primarily by the kidney (53% to 79% of the dose), however, urinary excretion of unchanged naltrexone accounts for less than 2% of an oral dose and fecal excretion is a minor elimination pathway. The renal clearance for naltrexone ranges from 30 to 127 mL/min and suggests that renal elimination is primarily by glomerular filtration.


Volume of Distribution

1350 L [intravenous administration]


Clearance

~ 3.5 L/min [after IV administration]


Naltrexone hydrochloride is rapidly and almost completely (about 96%) absorbed from the GI tract following oral administration, but the drug undergoes extensive first-pass metabolism in the liver. Only 5-40% of an orally administered dose reaches systemic circulation unchanged. Considerable interindividual variation in absorption of the drug during the first 24 hours after a single dose has been reported. The bioavailability of naltrexone hydrochloride tablets is reportedly similar to that of an oral solution of the drug (not commercially available in the US).

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


Peak plasma concentrations of naltrexone and 6-beta-naltrexol (the major metabolite of naltrexone) usually occur within 1 hour following oral administration of the tablets and 0.6 hours following oral administration of the solution. Because orally administered naltrexone undergoes substantial first-pass metabolism, plasma concentrations of 6-beta-naltrexol following oral administration are substantially higher than corresponding concentrations of naltrexone. Following oral administration, the area under the serum concentration-time curve (AUC) for 6-beta-naltrexol is 10-30 times greater than the AUC for naltrexone. Following single- or multiple-dose (i.e., once daily) oral administration of naltrexone hydrochloride 50 mg in healthy individuals, peak plasma concentrations of naltrexone and 6-beta-naltrexol averaged 10.6-13.7 and 109-139 ng/mL, respectively.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


Little, if any, accumulation of naltrexone and/or 6-beta-naltrexol appears to occur following chronic administration of the drug. Following chronic administration of naltrexone, plasma concentrations of 6-beta-naltrexol are at least 40% higher than those following administration of a single dose of the drug; however, plasma concentrations of naltrexone and 6-beta-naltrexol 24 hours after each dose of chronically administered drug are similar to concentrations 24 hours after a single dose of the drug in most patients.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


Naltrexone hydrochloride is widely distributed throughout the body, but considerable interindividual variation in distribution parameters during the first 24 hours following a single oral dose has been reported. Following subcutaneous administration of radiolabeled drug in rats, the drug distributes into CSF within 30 minutes. In animals, CSF naltrexone concentrations are reported to be approximately 30% of concurrent peak plasma concentrations. The drug and its metabolites have been shown to distribute into saliva and erythrocytes following oral administration in humans.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


For more Absorption, Distribution and Excretion (Complete) data for Naltrexone (13 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Hepatic. When administered orally, naltrexone undergoes extensive biotransformation and is metabolized to 6 beta-naltrexol (which may contribute to the therapeutic effect) and other minor metabolites.


Naltrexone is metabolized in the liver principally by reduction of the 6-keto group of naltrexone to 6-beta-naltrexol (6-beta-hydroxynaltrexone). Naltrexone also undergoes metabolism by catechol-O-methyl transferase (COMT) to form 2-hydroxy-3-methoxy-6-beta-naltrexol (HMN) and 2-hydroxy-3-methoxynaltrexone. Several minor metabolites have also been identified, including noroxymorphone and 3-methoxy-6-beta-naltrexol. Because oral but not im administration of naltrexone results in substantial first-pass hepatic metabolism of the drug, 6-beta-naltrexol concentrations following im administration are substantially lower than concentrations of the metabolite obtained following oral administration. Naltrexone does not appear to inhibit or induce its own metabolism following chronic administration. Cytochrome P-450 (CYP) isoenzymes are not involved in the metabolism of naltrexone. Naltrexone and its metabolites undergo conjugation with glucuronic acid. The major fraction of total drug and metabolites in both plasma and urine consists of conjugated metabolites. The drug and its metabolites may undergo enterohepatic circulation.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


Metabolites of naltrexone may contribute to the opiate antagonist activity of the drug. Like naltrexone, 6-beta-naltrexol is an essentially pure opiate antagonist, with a potency of 6-8% that of naltrexone in precipitating withdrawal symptoms in dogs physically dependent on morphine and 1.25-2% that of naltrexone in mice. Because of its weak affinity for opiate receptors, 2-hydroxy-3-methoxy-6-beta-naltrexol (HMN) may not contribute appreciably to the opiate antagonist activity of naltrexone; however, the in vivo opiate antagonist activity of HMN or 2-hydroxy-3-methoxynaltrexone has not been studied. Noroxymorphone, a minor metabolite of naltrexone, is a potent opiate agonist and may be responsible for the agonist activity (eg, miosis) that occurs infrequently in individuals receiving naltrexone.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


Naltrexone and its metabolites (unconjugated and conjugated) are excreted principally in urine via glomerular filtration; 6-beta-naltrexol, conjugated 6-beta-naltrexol, and conjugated naltrexone are also excreted via tubular secretion. Naltrexone may also undergo partial reabsorption by the renal tubules. Following single- or multiple-dose oral administration of naltrexone hydrochloride, respectively, approximately 38-60 or 70% of a dose has been recovered in urine, principally as 6-beta-naltrexol (conjugated and unconjugated). Most urinary excretion of naltrexone occurs within the first 4 hours after oral administration. Less than 2% of an orally administered dose is excreted unchanged in urine within 24 hours. Approximately 5-10, 19-35, 7-16, 3.5-4.6, and 0.45% of an oral dose are excreted in urine as conjugated naltrexone, 6-beta-naltrexol, conjugated 6-beta-naltrexol, 2-hydroxy-3-methoxy-6-beta-naltrexol (HMN), and 2-hydroxy-3-methoxynaltrexone, respectively, within 24 hours. Less than 5% of a dose is excreted in feces, principally as 6-beta-naltrexol, within 24 hours following single- or multiple-dose oral administration of the drug. Following oral administration of 50 mg of radiolabeled naltrexone in one patient, approximately 93% of the radiolabeled dose was excreted within 133 hours; about 79 and 14% were excreted in urine and feces, respectively.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325-6


Following im administration of naltrexone extended-release injection, the half-life of naltrexone and 6-beta-naltrexol is 5-10 days.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2326


For more Metabolism/Metabolites (Complete) data for Naltrexone (6 total), please visit the HSDB record page.


Naltrexone has known human metabolites that include Naltrexone-3-glucuronide.

S73 | METXBIODB | Metabolite Reaction Database from BioTransformer | DOI:10.5281/zenodo.4056560


5.7 Biological Half-Life

4 hours for naltrexone and 13 hours for the active metabolite 6 beta-naltrexol.


Plasma concentrations of naltrexone and 6-beta-naltrexol, the major metabolite, appear to decline in a biphasic manner during the first 24 hours following a single oral dose or during chronic administration of the drug. Following oral administration of single or multiple doses of naltrexone hydrochloride, the plasma half-lives of naltrexone and 6-beta-naltrexol in the initial phase (t1/2 alpha) average 1.1-3.9 and 2.3-3.1 hours, respectively, and the plasma half-lives in the terminal phase (t1/2 beta) average 9.7-10.3 and 11.4-16.8 hours, respectively. Plasma concentrations of naltrexone and 6-beta-naltrexol have also been reported to decline in a triphasic manner following oral administration, with a terminal elimination half-life after the first 24 hours of 96 hours for naltrexone and 18 hours for 6-beta-naltrexol, possibly resulting from initial distribution into body tissues and subsequent redistribution into systemic circulation.

American Society of Health-System Pharmacists 2017; Drug Information 2017. Bethesda, MD. 2017, p. 2325


Pharmacokinetics of naltrexone hydrochloride (NTX) and naltrexone glucuronide was studied in the dog using HPLC-electrochemical detection with naloxone as internal standard. After iv 5 mg or po 10 mg NTX, ... the elimination half-lives of NTX were 78 +/- 6 min and 74 +/- 6 min, respectively. ... The major metabolite of NTX in dog plasma was beta-glucuronidase-hydrolyzable conjugate. Dosing NTX intravenously and orally, ... the elimination half-lives of the glucuronide from plasma were 3.4 hr and 12.6 hr, respectively.

PMID:9208648 Li H et al; Yao Xue Xue Bao 31 (4): 254-7 (1996)


5.8 Mechanism of Action

Naltrexone is a pure opiate antagonist and has little or no agonist activity. The mechanism of action of naltrexone in alcoholism is not understood; however, involvement of the endogenous opioid system is suggested by preclinical data. Naltrexone is thought to act as a competitive antagonist at mc, , and receptors in the CNS, with the highest affintiy for the receptor. Naltrexone competitively binds to such receptors and may block the effects of endogenous opioids. This leads to the antagonization of most of the subjective and objective effects of opiates, including respiratory depression, miosis, euphoria, and drug craving. The major metabolite of naltrexone, 6--naltrexol, is also an opiate antagonist and may contribute to the antagonistic activity of the drug.


Naltrexone competes for opiate receptors and displaces opioid drugs from these receptors, thus reversing their effects. It is capable of antagonizing all opiate receptors.

Papich, M.G. Saunders Handbook of Veterinary Drugs Small and Large Animal. 3rd ed. St. Louis, MO: Elsevier Saunders, 2011, p. 533


API SUPPLIERS

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01

LGM Pharma

U.S.A

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02

Faran Shimi Pharmaceutical

Iran

USDMF, CEP/COS, JDMF, EU-WC, NDC, KDMF, VMF, Others

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Faran Shimi Pharmaceutical

03

Temad Co

Iran

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04

EUROAPI

France

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05

Rusan Pharma

India

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Virtual BoothRusan Pharma: Over 30 years of specializing in the treatment of Addiction and Pain Management.

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Rusan Pharma

06

Medichem S.A

Spain

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07

Noramco

U.S.A

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CHONGQING LAND TOWER PHARMACEUTICA...

China

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China

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Saneca Pharmaceuticals

Slovakia

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Saneca Pharmaceuticals

Slovakia

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Tasmanian Alkaloids Pty Ltd

Australia

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Australia

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GDUFA

DMF Review : Complete

Rev. Date : 2016-04-23

Pay. Date : 2016-04-07

DMF Number : 22992

Submission : 2009-07-28

Status : Active

Type : II

Noramco

02

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GDUFA

DMF Review : Complete

Rev. Date : 2016-01-12

Pay. Date : 2015-09-22

DMF Number : 29619

Submission : 2015-09-30

Status : Active

Type : II

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Diosynth Bv

United Kingdom

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Diosynth Bv

United Kingdom
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DMF Review : N/A

Rev. Date :

Pay. Date :

DMF Number : 15221

Submission : 2001-01-03

Status : Inactive

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Specgx Llc

Ireland

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Specgx Llc

Ireland
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GDUFA

DMF Review : Complete

Rev. Date : 2019-02-13

Pay. Date : 2019-02-08

DMF Number : 9572

Submission : 1992-03-03

Status : Active

Type : II

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Nv Organon

U.S.A

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Nv Organon

U.S.A
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DMF Review : N/A

Rev. Date :

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DMF Number : 17563

Submission : 2004-07-20

Status : Inactive

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Saneca Pharmaceuticals As

Slovakia

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Siegfried Ag

Switzerland

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Siegfried Ag

Switzerland
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DMF Review : N/A

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DMF Number : 40414

Submission : 2024-12-20

Status : Active

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Australia

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Listed Suppliers

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Naltrexone

About the Company : LGM Pharma is a global leader in sourcing hard-to-find APIs and intermediates for the pharmaceutical and biotech industries. LGM is also a full service CDMO providing formulation, ...

LGM Pharma is a global leader in sourcing hard-to-find APIs and intermediates for the pharmaceutical and biotech industries. LGM is also a full service CDMO providing formulation, analytical method development and testing, and commercial manufacturing. LGM Pharma offers custom API synthesis, analytical development, and regulatory services. With a network of over 300 accredited CGMP manufacturing partners, LGM provides unparalleled supply chain security. And, with over 100,000 square feet of FDA-inspected cGMP manufacturing and warehouse capacity, LGM Pharma provides a one-stop solution for solid dose, powder, semi-solid and liquid drugs.
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Naltrexone

About the Company : Faran Shimi Pharmaceutical Company, established in 2001 and affiliated with Golrang Pharmaceutical Investment Co, manufactures high-quality Active Pharmaceutical Ingredients (APIs)...

Faran Shimi Pharmaceutical Company, established in 2001 and affiliated with Golrang Pharmaceutical Investment Co, manufactures high-quality Active Pharmaceutical Ingredients (APIs) and finished dosage forms. For the past three years, the company focused on extracting alkaloid opiates, controlled substances, and narcotics. The APIs are widely used by major pharmaceutical companies nationwide and exported to the Middle East. All production adheres to local GMP standards in an SOP-driven environment with modern systems and utilities, ensuring the highest quality and safety.
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Temad Co

Iran
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Naltrexone

About the Company : Established in 1997, Temad Co. is one of the largest producers of APIs in Iran & an innovative manufacturer of narcotic and non-narcotic products of world-class quality in the Midd...

Established in 1997, Temad Co. is one of the largest producers of APIs in Iran & an innovative manufacturer of narcotic and non-narcotic products of world-class quality in the Middle East. Apart from complying with Iranian GMP regulations, Temad has acquired the national & international standards of API manufacturing such as ISO 9001/14001/17025/45001 and OHSAS 18001. It currently manufactures more than 115 pharmaceutical products, including narcotics and non-narcotics, in accordance with GMP and WHO standards and regulations. Temad exports its products to 45 countries worldwide.
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EUROAPI

France
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Naltrexone

About the Company : EUROAPI is the market leader in small molecule APIs with projected sales of about €1 billion in 2022. With around 200 APIs, it has one of the largest portfolios in the market. Th...

EUROAPI is the market leader in small molecule APIs with projected sales of about €1 billion in 2022. With around 200 APIs, it has one of the largest portfolios in the market. Thanks to its excellent R&D skills and six manufacturing facilities across Europe, EUROAPI guarantees API manufacturing of the highest quality to its clients in over 80 countries. Its strong innovation and R&D skills helps it to speed the development of more complex molecule segments through CDMO operations. It also offers experience in supply, regulation and quality. EUROAPI employs 3,350 people and is listed on Euronext.
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Rusan Pharma

India
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Naltrexone

About the Company : Rusan Pharma is a fully integrated global pharmaceutical company specializing in the treatment of addiction & pain management. We manufacture & market a wide range of APIs & formul...

Rusan Pharma is a fully integrated global pharmaceutical company specializing in the treatment of addiction & pain management. We manufacture & market a wide range of APIs & formulations, in the area of controlled substances. Our facilities are GMP-approved by Health Canada, EU, TGA, ANVISA, PIC/S, WHO, Russia & SAHPRA. We have CEP approval for various APIs such as Buprenorphine, Fentanyl, Naltrexone, Methadone, Bisoprolol & we also manufacture Naloxone, Nalbuphine, Nalmefene, Apomorphine, Efflornithine & Sodium Oxybate. We also develop & manufacture various transdermal patches & long-acting formulations such as depot injections & Implants.
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Medichem S.A

Spain
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Naltrexone

About the Company : Medichem is an indepently-owned company based in Barcelona. Founded in 1972 and with more than 45 years, Medichem has been engaged in the process development and manufacture of Act...

Medichem is an indepently-owned company based in Barcelona. Founded in 1972 and with more than 45 years, Medichem has been engaged in the process development and manufacture of Active Pharmaceutical Ingredients (APIs), including Highly Potent. In 2016, Medichem merged with Combino Pharm, which is devoted to the development and manufacture (licensing) of Finished Dosage Forms. With this merger, Medichem has become a vertically integrated pharmaceutical company which can offer a complete range of products and services for the pharmaceutical industry with the highest standards of quality, operational excellence and environment respect.
Medichem

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Noramco

U.S.A
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Naltrexone

About the Company : Founded in 1979, Noramco specializes in the development and manufacturing of APIs for both opioid and non-opioid products. With expertise in controlled substance development and ma...

Founded in 1979, Noramco specializes in the development and manufacturing of APIs for both opioid and non-opioid products. With expertise in controlled substance development and manufacturing, Noramco offers services like supply-chain integration for high-purity controlled substances, efficient routes to APIs, analytical data, stability studies, regulatory help, formulation-friendly particle size grades, extended technical packages, DEA-compliant security and production capacity from kilos to multi-ton supply. Noramco also offers world-class supply security for controlled substances, from Schedule I to Schedule III.
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Naltrexone

About the Company : Hasti Aria Shimi (H.A.S.) is established in 2010 as an R&D center of GPI. This company states (determined) R&D activities for developing API and technical know-how to other subsidi...

Hasti Aria Shimi (H.A.S.) is established in 2010 as an R&D center of GPI. This company states (determined) R&D activities for developing API and technical know-how to other subsidiary companies equipped with knowledgeable specialists and state-of-the-art facilities. To attain it’s determined goals, HAS benefits from technical units such as R&D department, Pharmaceutical Engineering Department, Market Research Department, Kilo Lab Unit and Mini Plant.
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About the Company : Micro Orgo Chem is a pharmaceutical establishment, manufacturing niche Active Pharmaceutical Ingredients (API). Founded in 1992, we have a mission of providing high quality drugs t...

Micro Orgo Chem is a pharmaceutical establishment, manufacturing niche Active Pharmaceutical Ingredients (API). Founded in 1992, we have a mission of providing high quality drugs to the market. Over these years, we have expanded our product portfolio to hormones, narcotics analgesics, steroids and more. We aspire to use our experience of over two decades to continue to provide Micro Orgo Chem’s finest drugs to those in need.
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About the Company : We are the largest pharmaceutical company in Slovakia with site originally established in the 1940s. Our multi-purpose headquarters is easily reachable from all central European hu...

We are the largest pharmaceutical company in Slovakia with site originally established in the 1940s. Our multi-purpose headquarters is easily reachable from all central European hubs like Vienna, Prague and Budapest. We, at Saneca, carry on the tradition of commitments to quality and customer service level. Everything that we do we approach from the customer perspective.
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API Reference Price

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[{"dataSource":"API Export","activeIngredients":"NALTREXONE HYDROCHLORIDE","year":"2021","qtr":"Q1","strtotime":1610303400,"product":"NALTREXONE HYDROCHLORIDE - BULK DRUG","address":"ACME PLAZA, ANDHERI KURLA ROAD,ANDHERI EAST","city":"MUMBAI, MAHARASHTRA.","supplier":"SUN PHARMACEUTICAL INDUSTRIES LIMITED","supplierCountry":"INDIA","foreign_port":"GUARULHOS","customer":"TRECHO 1 CONJUNTO ","customerCountry":"BRAZIL","quantity":"49.30","actualQuantity":"49.3","unit":"KGS","unitRateFc":"5797.3","totalValueFC":"289375.8","currency":"USD","unitRateINR":429290.69979716028,"date":"11-Jan-2021","totalValueINR":"21164031.5","totalValueInUsd":"289375.8","indian_port":"BOMBAY AIR","hs_no":"29339990","bill_no":"7811906","productDescription":"API","marketType":"LESS REGULATED MARKET","country":"BRAZIL","selfForZScoreResived":"Pharma Grade","supplierPort":"BOMBAY AIR","supplierAddress":"ACME PLAZA, ANDHERI KURLA ROAD,ANDHERI EAST, MUMBAI, MAHARASHTRA.","customerAddress":""},{"dataSource":"API Export","activeIngredients":"NALTREXONE HYDROCHLORIDE","year":"2021","qtr":"Q1","strtotime":1610649000,"product":"NALTREXONE HYDROCHLORIDE EP (TAX.INV.NO.","address":"PLOT NO.58-D,GOVT. INDL.ESTATE,CHARKOP,KANDIVALI,","city":"MUMBAI ,MAHARASHTRA","supplier":"RUSAN PHARMA","supplierCountry":"INDIA","foreign_port":"GUARULHOS","customer":"EUROFARMA LABORATORIOS S.A","customerCountry":"BRAZIL","quantity":"2.00","actualQuantity":"2","unit":"KGS","unitRateFc":"7500","totalValueFC":"14794.2","currency":"USD","unitRateINR":541000,"date":"15-Jan-2021","totalValueINR":"1082000","totalValueInUsd":"14794.2","indian_port":"BOMBAY AIR","hs_no":"29420090","bill_no":"7933457","productDescription":"API","marketType":"LESS REGULATED MARKET","country":"BRAZIL","selfForZScoreResived":"Pharma Grade","supplierPort":"BOMBAY AIR","supplierAddress":"PLOT NO.58-D,GOVT. 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05-Jan-2021
19-Dec-2024
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ABOUT THIS PAGE

Looking for 16590-41-3 / Naltrexone API manufacturers, exporters & distributors?

Naltrexone manufacturers, exporters & distributors 1

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PharmaCompass offers a list of Naltrexone API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Naltrexone manufacturer or Naltrexone supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Naltrexone manufacturer or Naltrexone supplier.

PharmaCompass also assists you with knowing the Naltrexone API Price utilized in the formulation of products. Naltrexone API Price is not always fixed or binding as the Naltrexone Price is obtained through a variety of data sources. The Naltrexone Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Naltrexone

Synonyms

16590-41-3, Vivitrol, Revia, N-cyclopropylmethylnoroxymorphone, Vivitrex, Celupan

Cas Number

16590-41-3

Unique Ingredient Identifier (UNII)

5S6W795CQM

About Naltrexone

Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.

Naltrexone Manufacturers

A Naltrexone manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Naltrexone, including repackagers and relabelers. The FDA regulates Naltrexone manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Naltrexone API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Naltrexone manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Naltrexone Suppliers

A Naltrexone supplier is an individual or a company that provides Naltrexone active pharmaceutical ingredient (API) or Naltrexone finished formulations upon request. The Naltrexone suppliers may include Naltrexone API manufacturers, exporters, distributors and traders.

click here to find a list of Naltrexone suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Naltrexone USDMF

A Naltrexone DMF (Drug Master File) is a document detailing the whole manufacturing process of Naltrexone active pharmaceutical ingredient (API) in detail. Different forms of Naltrexone DMFs exist exist since differing nations have different regulations, such as Naltrexone USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Naltrexone DMF submitted to regulatory agencies in the US is known as a USDMF. Naltrexone USDMF includes data on Naltrexone's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Naltrexone USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Naltrexone suppliers with USDMF on PharmaCompass.

Naltrexone WC

A Naltrexone written confirmation (Naltrexone WC) is an official document issued by a regulatory agency to a Naltrexone manufacturer, verifying that the manufacturing facility of a Naltrexone active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting Naltrexone APIs or Naltrexone finished pharmaceutical products to another nation, regulatory agencies frequently require a Naltrexone WC (written confirmation) as part of the regulatory process.

click here to find a list of Naltrexone suppliers with Written Confirmation (WC) on PharmaCompass.

Naltrexone NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Naltrexone as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Naltrexone API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Naltrexone as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Naltrexone and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Naltrexone NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Naltrexone suppliers with NDC on PharmaCompass.

Naltrexone GMP

Naltrexone Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Naltrexone GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Naltrexone GMP manufacturer or Naltrexone GMP API supplier for your needs.

Naltrexone CoA

A Naltrexone CoA (Certificate of Analysis) is a formal document that attests to Naltrexone's compliance with Naltrexone specifications and serves as a tool for batch-level quality control.

Naltrexone CoA mostly includes findings from lab analyses of a specific batch. For each Naltrexone CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Naltrexone may be tested according to a variety of international standards, such as European Pharmacopoeia (Naltrexone EP), Naltrexone JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Naltrexone USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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