Skip to content
O-desmethyltramadol

Structure via PubChem · Public domain (PubChem)

EntityQ1949486· pop 8· linked from 2,338 articles

O-desmethyltramadol

Sign in to save

Desmetramadol (), also known as '''O-desmethyltramadol (O-DSMT'''), is an opioid analgesic and the main active metabolite of tramadol. Tramadol is demethylated by the liver enzyme CYP2D6 to desmetramadol in the same way as codeine, and so similarly to the variation in effects seen with codeine, individuals who have a less active form of CYP2D6 will tend to have reduced analgesic effects from tramadol. Because desmetramadol itself does not need to be metabolized to induce an analgesic effect, it can be used in individuals with CYP2D6 inactivating mutations.

Chemical data

Formula
C15H23NO2
Molecular weight
249.35 g/mol
IUPAC name
3-[2-[(dimethylamino)methyl]-1-hydroxycyclohexyl]phenol
SMILES
CN(C)CC1CCCCC1(C2=CC(=CC=C2)O)O
InChIKey
UWJUQVWARXYRCG-UHFFFAOYSA-N
XLogP
2.3
Polar surface area
43.7 Ų
H-bond donors
2
H-bond acceptors
3
Formal charge
0

via PubChem

Drug data · ChEMBL

Molecule type
Small molecule

via ChEMBL · EBI

Wikidata facts

Mass
249.172878976
Show 3 more facts
chemical formula
C₁₅H₂₃NO₂
canonical SMILES
CN(C)CC1CCCCC1(C2=CC(=CC=C2)O)O
Commons category
Desmethyltramadol
Sources (2)

via Wikidata · CC0

~4 min read

Encyclopedic overview

12 sections
Contents
  • Pharmacology
  • Pharmacodynamics
  • Pharmacokinetics
  • Metabolites
  • Society and culture
  • Recreational use
  • Legality
  • United States
  • United Kingdom
  • Germany
  • See also
  • References

Desmetramadol (), also known as '''O-desmethyltramadol (O-DSMT'), is an opioid analgesic and the main active metabolite of tramadol. Tramadol is demethylated by the liver enzyme CYP2D6 to desmetramadol in the same way as codeine, and so similarly to the variation in effects seen with codeine, individuals who have a less active form of CYP2D6 will tend to have reduced analgesic effects from tramadol. Because desmetramadol itself does not need to be metabolized to induce an analgesic effect, it can be used in individuals with CYP2D6 inactivating mutations.

Desmetramadol is commonly encountered as a designer drug online in powder form or as an ingredient in pressed pills due to being unscheduled in many jurisdictions. Outside of its role as a metabolite, a chemical used in research, and as a recreational drug, desmetramadol has a very limited history of human usage and is not approved for medicinal use in any country as of 2025.

Excerpted from Wikipedia’s “O-desmethyltramadol” article, available under the CC BY-SA 4.0 licence.

Available in 7 languages

via Wikidata sitelinks · CC0