Naldemedine
Used to relieve constipation caused by opioid pain medications, this drug blocks opioid receptors specifically in the gut without affecting pain relief in the brain. It helps restore normal bowel function in people taking opioids for chronic pain.
Molecular Weight
570.6000 g/mol
LogP
3.20
TPSA
141.00 Ų
Lipinski RO5
Pass
Therapeutic Areas
Mechanism of Action
Binds to mu (μ), kappa (κ), and/or delta (δ) opioid receptors in the central and peripheral nervous system, mimicking endogenous endorphins. Activation of these G-protein-coupled receptors inhibits pain signal transmission and modulates the emotional response to pain.
Pharmacokinetics (PK)
Pharmacodynamics (PD)
Binds to mu (μ), kappa (κ), and/or delta (δ) opioid receptors in the central and peripheral nervous system, mimicking endogenous endorphins. Activation of these G-protein-coupled receptors inhibits pain signal transmission …
2D Structure
Cite this structure
Embed this structure
SMILES
CC(C)(NC(=O)C1=C(O)[C@@H]2Oc3c(O)ccc4c3[C@@]23CCN(CC2CC2)[C@H](C4)[C@]3(O)C1)c1nc(-c2ccccc2)no1
InChI
InChI=1S/C32H34N4O6/c1-30(2,29-33-27(35-42-29)18-6-4-3-5-7-18)34-28(39)20-15-32(40)22-14-19-10-11-21(37)25-23(19)31(32,26(41-25)24(20)38)12-13-36(22)16-17-8-9-17/h3-7,10-11,17,22,26,37-38,40H,8-9,12-16H2,1-2H3,(H,34,39)/t22-,26+,31+,32-/m1/s1
Molecular Formula
C32H34N4O6
HBD / HBA
4 / 9
Rotatable Bonds
6
Heavy Atoms
42
No targets recorded
Target interaction data is not yet available for this drug.
No interactions recorded
Drug interaction data is not yet available for this compound.
No side effects recorded
Side effect data is not yet available for this drug.
Frequently Asked Questions
Used to relieve constipation caused by opioid pain medications, this drug blocks opioid receptors specifically in the gut without affecting pain relief in the brain. It helps restore normal bowel function in people taking opioids for chronic pain.
Binds to mu (μ), kappa (κ), and/or delta (δ) opioid receptors in the central and peripheral nervous system, mimicking endogenous endorphins. Activation of these G-protein-coupled receptors inhibits pain signal transmission and modulates the emotional response to pain.
Yes, Naldemedine is an approved drug. It has reached clinical phase 4. It is classified as a Small molecule.
References & Data Sources
- ChEMBL — European Bioinformatics Institute (EBI). CHEMBL2105755. Open-access bioactivity database.
- PubChem — National Center for Biotechnology Information (NCBI). CID 54732242. Chemical information database.
Data aggregated from publicly available pharmacological databases. Last updated 2026-03-28.
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