Noscapine

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Noscapine
Systematic (IUPAC) name
?
Identifiers
CAS number	912-60-7
ATC code	R05DA07
PubChem	4544
Chemical data
Formula	C22H23NO7
Mol. mass	413.421
Pharmacokinetic data
Bioavailability	?
Metabolism	?
Half life	?
Excretion	?
Therapeutic considerations
Pregnancy cat.	?
Legal status
Routes	?

Noscapine (also known as Narcotine or Anarcotine) is an alkaloid opioid agonist from plants of the Papaveraceae family, without significant painkilling properties [1]. It is grouped as part of the benzylisoquinolines, of which papaverine is also included. This agent is primarily used for its antitussive (cough-suppressing) effects. It has also been shown to have anticancer activity (PDF file).

Contents 1 Mechanism of action 2 Cancer and stroke treatment 3 Noscapine Abuse 4 Noscapine in Heroin 5 Possible side-effects 6 References

[edit] Mechanism of action

Noscapine's antitussive effects appear to be primarily mediated by its sigma receptor agonist activity. Evidence for this mechanism is suggested by experimental evidence in rats. Pretreatment with rimcazole, a sigma specific antagonist, causes a dose-dependent reduction in antitussive activity of noscapine [2].

[edit] Cancer and stroke treatment

Noscapine is currently under investigation for use in the treatment of several cancers and hypoxic ischemia in stroke patients. In cancer treatment, noscapine appears to interfere with microtubule function, and thus the division of cancer cells in a way similar to the taxanes. Early studies in treatment of prostate cancer are very promising.[3]

In stroke patients, noscapine blocks the bradykinine b-2 receptors. A 2003 study in Iran showed a dramatic decrease in mortality in patients treated with noscapine.[4]

Studies are currently underway to assess the effectiveness of this drug in cancer and stroke treatment. Noscapine is non-addictive, widely available, has a low side-effect incidence, and is easily administered orally, thus it has great potential for use, especially in developing countries.

[edit] Noscapine Abuse

Noscapine (Nospen) has a history of Over-the-counter drug abuse in a several countries being readily available from local pharmacies as a prescription drug. The effects, beginning around 45 to 120 mins after consumption, are similar to dextromethorphan and alcohol intoxication.

[edit] Noscapine in Heroin

Noscapine can survive the manufacturing processes of heroin and can be found in street heroin. This is useful for law enforcement agencies, as the amounts of contaminants can identify the source of seized drugs. In 2005 in Liege, Belgium, the average noscapine concentration was around 8%. Noscapine has also been used to identify drug users who are taking street heroin at the same time as prescribed diamorphine. Since diamorphine is chemically identical to heroin, examination of the contaminants is the only way to test whether street heroin has been used. Other contaminants used in urine samples alongside noscapine include papaverine and acetylcodeine. Noscapine is metabolised by the body, and is itself rarely found in urine, instead being present as the primary metabolites, cotarnine and meconine . Detection is usually by gas chromatography-mass spectrometry or Liquid Chromatography-Mass Spectrometry (LCMS) but can also use a variety of other analytical techniques.

[edit] Possible side-effects

• Loss of coordination
• Hallucinations (auditory and visual)
• Loss of sexual drive
• Swelling of prostate
• Loss of appetite
• Dilated pupils
• Increased heart rate
• Shaking and muscle spasms
• Increased alertness
• Loss of any sleepiness
• Loss of stereoscopic vision

The effects shown above are not permanent, the user may experience spasms the following day after yawning. It is possible to over dose (20+ pills) and avoid taking any other drug in combination to this medication.

WARNING: Do not take noscapine with any MAOIs (monoamine oxidase inhibitors), unknown and potentially fatal effects may occur. There are no significant contraindications listed for this drug but caution should be exercised.

[edit] References

1. Analysis of two year heroin seizures in the Liege area.
2. Validation of techniques to detect illicit heroin use in patients prescribed pharmaceutical heroin for the management of opioid dependence.
3. Noscapine, A safe cough suppressant with newly discovered effects in treating cancer and stroke.
4. A preliminary report on the application of noscapine in the treatment of stroke.