Hi y'all, I made a thread about this a little while back on the Eboka forums, but I thought this may be of interest to a wider audience here and to some of the more chemistry savvy peeps.
It is not my purpose to pick apart the iboga plant's chemistry to try and belittle it or rob it its unique and multifaceted power, particularly when it comes to treating addiction. I just thought it may be of interest to examine noribogaine in particular, as it may have potential as an anti-addiction or antidepressant compound, but without the side effects (ataxia, tremors, nausea) of iboga(ine) and potential safety concerns. Some relevant papers are attached, and detailed information on the chemistry of conversion follows this post.
From the paper abstract in the link below:
"Most importantly, NORIBO [noribogaine] appears less likely to produce the adverse effects associated with IBO [ibogaine] (i.e., tremors and stress-axis activation), suggesting that the metabolite may be a safer alternative for medication development."
www.ncbi.nlm.nih.gov
From Dr Chris Jenks:
What little I've heard about noribogaine is that it isn't psychoactive, at least at doses where ibogaine would be. Yes, rat studies suggested that it should reduce withdrawal, but if it were very useful I would have expected Deborah Mash to jump on it long ago, since she owns the patent on it. The simplest way I know to make it is from ibogaine using refluxing hydrobromic acid, as described in the 1957 patent of Janot and Goutarel:
It appears that the enzyme cytochrome P4502D6 (CYP2D6), or two or more variants of it, are responsible for the O-demethylation of ibogaine to 12-hydroxyibogamine (noribogaine) in human liver microsomes:
www.ncbi.nlm.nih.gov
Selected relevant abstracts:
Effects of noribogaine on the development of tolerance to antinociceptive action of morphine in mice.
Abstract
The effects of noribogaine, a metabolite of ibogaine, on the development of tolerance to the antinociception action of morphine was determined in male Swiss-Webster mice. Ibogaine is an alkaloid isolated from the bark of the African shrub, Tabernanthe iboga. Morphine tolerance in mice was developed by two different methods. Mice were rendered tolerant to morphine either by subcutaneous implantation of a pellet containing 25 mg morphine free base for 4 days or by injecting morphine (20 mg/kg, s.c.) twice a day for 4 days. Placebo pellet implanted mice or vehicle injected mice served as controls. To determine the effect of intraperitoneally administered noribogaine on tolerance development, the drug was injected in the appropriate dose twice a day. In pellet implanted mice, a dose of 20 mg/kg of noribogaine attenuated the tolerance to morphine whereas lower doses had no effect. Similarly, in mice given multiple injections of morphine, noribogaine attenuated tolerance development at 20 and 40 mg/kg doses. Previous studies from this laboratory had shown that ibogaine at 40 and 80 mg/kg doses inhibited tolerance to morphine. Because noribogaine could attenuate morphine tolerance at lower doses than ibogaine, it is concluded that the attenuating effect of ibogaine on morphine tolerance may be mediated by its conversion to noribogaine, a more active metabolite.
Ibogaine-like effects of noribogaine in rats
Abstract
Ibogaine is a naturally occurring alkaloid that has been claimed to be effective in treating addiction to opioids and stimulants; a single dose is claimed to be effective for 6 months. Analogously, studies in rats have demonstrated prolonged (one or more days) effect on ibogaine on morphine and cocaine self-administration even though ibogaine is mostly eliminated ffql” the body in several hours. These observations have suggested that a metabolite may mediate some of the effects of ibogaine. Recently, noribogaine was identified as a metabolite of ibogaine. Accordingly, the present study sought to determine, in rats, whether noribogaine had pharmacological effects mimicking those of ibogaine. Noribogaine (40 mg/kg) was found to decrease morphine and cocaine self-administration, reduce the locomotor stimulant effect of morphine, and decrease extracellular levels of dopamine in the nucleus accumbens and stiiatum. All of these effects were similar to effects previously observed with ibogaine (40 mg/kg); however, noribogaine did not induce any ibogaine-like tremors. The results suggest that noribogaine may be a mediator of ibogaine’s putative anti-addictive effects.
"The similarity of ibogaine’s and noribogaine’s effects raises the issue of the extent to which ibogaine’s effects are mediated by conversion to noribogaine. If noribogaine
were totally responsible for ibogaine’s effects, it might be expected that noribogaine would be much more potent than ibogaine."
Ibogaine and Noribogaine: Comparing Parent Compound to Metabolite
Abstract
Ibogaine has an acute and a prolonged effect on neurochemistry and behavior. Its metabolite, noribogaine (12-hydroxyibogamine), is produced through metabolic demethylation soon after oral ibogaine administration. Although, they share similar chemical structures, ibogaine and noribogaine display different binding profiles. In rodents both, ibogaine and noribogaine, decreased morphine and cocaine intake and modulated dopaminergic transmission. In rats trained to discriminate ibogaine from saline, complete generalization to noribogaine was obtained. Attempts to correlate brain levels of both, the parent compound and the metabolite indicate that noribogaine is primarily responsible for ibogaine discriminative stimulus. Ibogaine-induced neurotoxicity tends to occur at doses much higher than the proposed dose for humans, but caution is important when extrapolating data from ibogaine’s effects observed in rodents. Although a definitive clinical validation of purported ibogaine effects is still unavailable, ibogaine has opened new perspectives in the investigation of pharmacotherapies for drug addiction.
"The significant correlation between the distribution coefficient and maximal brain concentration of certain iboga alkaloids, including ibogaine and noribogaine, indicates that lipid solubility is an important factor for the initial concentration of the alkaloids in the brain (110). The 100-fold concentration of the drug in fatty tissue is consistent with the highly lipophilic nature of ibogaine (44). Ibogaine is lipophilic and concentrated in fat, and might be converted to noribogaine after slow release from fatty tissue. Adipose tissue may serve as a reservoir of ibogaine, generating the release and metabolism over longer periods (44)."
"It was hypothesized that sequestration of ibogaine into lipophilic compartments in the brain may result in lower drug concentrations in the extracellular fluid and that noribogaine may achieve higher extracellular fluid concentration than the parent compound due to the more polar nature of the metabolite (104). Slow elimination of noribogaine could result from O-demethylation of central nervous system (CNS)-stored ibogaine, which could contribute to some of the reported aftereffects of single dose of ibogaine (104)."
"Noribogaine is produced by metabolic demethylation of ibogaine soon after oral ibogaine
is given, indicating first-pass metabolism. Cytochrome P4502D6 catalyzes the Odemethylation
of ibogaine to noribogaine (68). The most probable site for metabolic demethylation of ibogaine is the methoxy group (68). Both ibogaine and noribogaine are stable in a human plasma matrix at room temperature for a period of at least 1 week (2)."
"Ibogaine and noribogaine have different affinities for several molecular targets (104,105). Although sharing similar chemical structures, noribogaine and ibogaine display
different binding profiles. Noribogaine binds to the serotonin (5-HT) transporter in the
mid-nanomolar range with a 10-fold higher potency than ibogaine and elevates 5-HT levels in the same range compared to ibogaine (63). Noribogaine was 50-fold more potent at displacing radioligand binding at the 5-HT transporter than at the dopamine (DA) transporter (63)."
"Conflicting results have been found regarding ibogaine and noribogaine affinities for
the 5-HT1A and 5-HT2 receptors. Studies have shown the absence of significant potency in
both the parent compound and the metabolite for binding to the 5-HT1A and 5-HT2 receptors
(104) or a lack of affinity of ibogaine for serotonin receptors (types 1A, 1B, 1C, 1D,
2, and 3) (20). Another study demonstrated, however, potencies in the low micromolar
range for ibogaine binding to the 5-HT2 ([3H]ketanserin, Ki = 4.8 ± 1.4 μM) and 5-HT3
([3H]GR-65630, IC50 = 3.9 ± 1.1 μM) receptor subtype (105). Ibogaine did not inhibit binding at the 5HT1 receptor in concentrations of up to 1 mM (105)."
"Noribogaine is more active than ibogaine at both μ- and κ-opioid receptors and, unlike
ibogaine, is active at the δ receptor (75,78,104). Ibogaine selectively inhibits the development of tolerance to morphine, a μ-opioid receptor agonist, but not to U-50,488 or
DPDPE, κ- and δ-opioid receptor agonists, respectively (16). Ibogaine interacts significantly with κ- (87) and μ-opioid (19) receptors, expressing at the latter a two-site binding model. Noribogaine acts as a full agonist at the μ-opioid receptor with a level of intrinsic activity comparable to the full agonists DAMGO and morphine (75). Evidence for roles of κ-opioid and NMDA receptors in the mechanism of the action of ibogaine have been presented elsewhere (36).
Ibogaine has been regarded as a noncompetitive blocker of nicotinic receptors, since it
has blocked 22NaCl influx through the ganglionic-type nicotinic receptor channels of rat
pheochromocytoma PC12 cells (5). Low concentration of ibogaine had a potent inhibitory
action on nicotinic acetylcholine receptor-mediated catecholamine release as observed in
cultured chromaffin cells (96). Ibogaine inhibits human muscle-type and ganglionic nicotinic acetylcholine receptors with IC50 values of 22.3 and 1.06 μM, respectively (27)."
[Receptor key:
κ- =kapa receptor, aka KOP, aka OP2
μ- =mu receptor, aka MOP, aka OP3
δ- =delta receptor, aka DOP, aka OP1]
Ibogaine and Noribogaine: Comparing Parent Compound to Metabolite
A single injection of 18-methoxycoronaridine (i.p.) significantly attenuated alcohol preferring rats’ preference for alcohol and alcohol consumption in a two-bottle choice procedure (89). Ibogaine reduced preference of C57BL/6By mice for cocaine consumption, which was developed after a period of forced exposure to either cocaine HCl or water (97).
Other reports, however, indicated that ibogaine failed to reduce these signs in the morphine-dependent mice (26) and rats (102)...In morphine-dependent mice, ibogaine did not reduce withdrawal signs but significantly increased the number of vertical jumps induced by naloxone within different epochs of chronic morphine treatment (26). In morphine-dependent monkeys, ibogaine reduced the total number of withdrawal signs but did not substitute completely for morphine, although signs of toxicity were evident particularly at the highest dose (8 mg/kg, s.c.) (1).
It is noteworthy that s.c. injections of ibogaine failed to block opiate withdrawal in animal as well as to reduce alcohol intake in alcohol-preferring rats (see below), whereas the i.p. route administration produced positive results in both circumstances.
As mentioned previously, considerably higher ibogaine levels were detected in most tissues, particularly in fat, after s.c. administration (44). Factors, such as formation of
local depots, poor absorption of ibogaine into the circulation, and lack of metabolic activation by the liver after s.c. administration, were cited as possible causes for ineffectiveness (88).
s.c. injection = subcutaneous injection [administered as a bolus into the subcutis, the layer of skin directly below the dermis and epidermis]
i.p. injection = Intraperitoneal injection [injection into the peritoneum (body cavity)]
Noribogaine in the treatment of pain and drug addiction
In accordance with the present invention, surprising and unexpected properties of noribogaine have been discovered. This compound is known to be a metabolite of ibogaine and is chemically identified as 12-hydroxyibogamine. In particular, noribogaine has been found to be useful as a non-addictive analgesic agent and as a treatment for drug dependency or abuse. Pharmaceutical compositions of noribogaine can be combined with one or more known opioid antagonists to treat addiction such that withdrawal symptoms are substantially eliminated or, at a minimum, surprisingly reduced. Such compositions are conveniently prepared in unit dose form with one or more unit doses providing a therapeutically effective amount of active ingredient.
Noribogaine, a metabolite of ibogaine, has properties that are well suited to the treatment of pain and to the withdrawal symptoms associated with drug dependency or abuse. In particular, it has been discovered that noribogaine binds to two classes of opioid receptors that have been associated with pain relief, the μ and κ receptors. In the case of the μ-type receptors, it appears that noribogaine acts as a full opiate agonist. In addition, noribogaine elevates brain serotonin levels by blocking synaptic reuptake. It is believed that such levels (as well as ligand interactions at the μ and κ opiate receptors) play a role in the anxiety and drug cravings experienced by addicts during withdrawal.
Noribogaine is synthesized by the O-demethylation of ibogaine. This may be accomplished, for example, by reacting ibogaine with boron tribromide/methylene chloride at room temperature and then purifying the product using known procedures. At present, noribogaine may also be obtained from the National Institute on Drug Abuse (Rockville, Md.). The compound has the following structure:
Chemical Form of Noribogaine
The present invention is not limited to any particular chemical form of noribogaine and the drug may be given to patients either as a free base or as a pharmaceutically acceptable acid addition salt. In the latter case, the hydrochloride salt is generally preferred, but other salts derived from organic or inorganic acids may also be used. Examples of such acids include, without limitation, hydrobromic acid, phosphoric acid, sulfuric acid, methane sulfonic acid, phosphorous acid, nitric acid, perchloric acid, acetic acid, tartaric acid, lactic acid, succinic acid, citric acid, malic acid, maleic acid, aconitic acid, salicylic acid, thalic acid, embonic acid, enanthic acid, and the like. As discussed above, noribogaine itself may be formed by the O-demethylation of ibogaine which, in turn, may be synthesized by methods known in the art (see e.g., Huffman, et al., J. Org. Chem. 50:1460 (1985)).
It is not my purpose to pick apart the iboga plant's chemistry to try and belittle it or rob it its unique and multifaceted power, particularly when it comes to treating addiction. I just thought it may be of interest to examine noribogaine in particular, as it may have potential as an anti-addiction or antidepressant compound, but without the side effects (ataxia, tremors, nausea) of iboga(ine) and potential safety concerns. Some relevant papers are attached, and detailed information on the chemistry of conversion follows this post.
From the paper abstract in the link below:
"Most importantly, NORIBO [noribogaine] appears less likely to produce the adverse effects associated with IBO [ibogaine] (i.e., tremors and stress-axis activation), suggesting that the metabolite may be a safer alternative for medication development."
Noribogaine (12-hydroxyibogamine): a biologically active metabolite of the antiaddictive drug ibogaine - PubMed
Ibogaine (IBO) is a plant-derived alkaloid that is being evaluated as a possible medication for substance use disorders. When administered peripherally to monkeys and humans, IBO is rapidly converted to an o-demethylated metabolite, 12-hydroxyibogamine (NORIBO). We have found in rats that peak...
From Dr Chris Jenks:
What little I've heard about noribogaine is that it isn't psychoactive, at least at doses where ibogaine would be. Yes, rat studies suggested that it should reduce withdrawal, but if it were very useful I would have expected Deborah Mash to jump on it long ago, since she owns the patent on it. The simplest way I know to make it is from ibogaine using refluxing hydrobromic acid, as described in the 1957 patent of Janot and Goutarel:
It appears that the enzyme cytochrome P4502D6 (CYP2D6), or two or more variants of it, are responsible for the O-demethylation of ibogaine to 12-hydroxyibogamine (noribogaine) in human liver microsomes:
Cytochrome P4502D6 catalyzes the O-demethylation of the psychoactive alkaloid ibogaine to 12-hydroxyibogamine - PubMed
Ibogaine is a psychoactive alkaloid that possesses potential as an agent to treat opiate and cocaine addiction. The primary metabolite arises via O-demethylation at the 12-position to yield 12-hydroxyibogamine. In this report, evidence is presented that the O-demethylation of ibogaine observed...
Selected relevant abstracts:
Effects of noribogaine on the development of tolerance to antinociceptive action of morphine in mice.
Abstract
The effects of noribogaine, a metabolite of ibogaine, on the development of tolerance to the antinociception action of morphine was determined in male Swiss-Webster mice. Ibogaine is an alkaloid isolated from the bark of the African shrub, Tabernanthe iboga. Morphine tolerance in mice was developed by two different methods. Mice were rendered tolerant to morphine either by subcutaneous implantation of a pellet containing 25 mg morphine free base for 4 days or by injecting morphine (20 mg/kg, s.c.) twice a day for 4 days. Placebo pellet implanted mice or vehicle injected mice served as controls. To determine the effect of intraperitoneally administered noribogaine on tolerance development, the drug was injected in the appropriate dose twice a day. In pellet implanted mice, a dose of 20 mg/kg of noribogaine attenuated the tolerance to morphine whereas lower doses had no effect. Similarly, in mice given multiple injections of morphine, noribogaine attenuated tolerance development at 20 and 40 mg/kg doses. Previous studies from this laboratory had shown that ibogaine at 40 and 80 mg/kg doses inhibited tolerance to morphine. Because noribogaine could attenuate morphine tolerance at lower doses than ibogaine, it is concluded that the attenuating effect of ibogaine on morphine tolerance may be mediated by its conversion to noribogaine, a more active metabolite.
Ibogaine-like effects of noribogaine in rats
Abstract
Ibogaine is a naturally occurring alkaloid that has been claimed to be effective in treating addiction to opioids and stimulants; a single dose is claimed to be effective for 6 months. Analogously, studies in rats have demonstrated prolonged (one or more days) effect on ibogaine on morphine and cocaine self-administration even though ibogaine is mostly eliminated ffql” the body in several hours. These observations have suggested that a metabolite may mediate some of the effects of ibogaine. Recently, noribogaine was identified as a metabolite of ibogaine. Accordingly, the present study sought to determine, in rats, whether noribogaine had pharmacological effects mimicking those of ibogaine. Noribogaine (40 mg/kg) was found to decrease morphine and cocaine self-administration, reduce the locomotor stimulant effect of morphine, and decrease extracellular levels of dopamine in the nucleus accumbens and stiiatum. All of these effects were similar to effects previously observed with ibogaine (40 mg/kg); however, noribogaine did not induce any ibogaine-like tremors. The results suggest that noribogaine may be a mediator of ibogaine’s putative anti-addictive effects.
"The similarity of ibogaine’s and noribogaine’s effects raises the issue of the extent to which ibogaine’s effects are mediated by conversion to noribogaine. If noribogaine
were totally responsible for ibogaine’s effects, it might be expected that noribogaine would be much more potent than ibogaine."
Ibogaine and Noribogaine: Comparing Parent Compound to Metabolite
Abstract
Ibogaine has an acute and a prolonged effect on neurochemistry and behavior. Its metabolite, noribogaine (12-hydroxyibogamine), is produced through metabolic demethylation soon after oral ibogaine administration. Although, they share similar chemical structures, ibogaine and noribogaine display different binding profiles. In rodents both, ibogaine and noribogaine, decreased morphine and cocaine intake and modulated dopaminergic transmission. In rats trained to discriminate ibogaine from saline, complete generalization to noribogaine was obtained. Attempts to correlate brain levels of both, the parent compound and the metabolite indicate that noribogaine is primarily responsible for ibogaine discriminative stimulus. Ibogaine-induced neurotoxicity tends to occur at doses much higher than the proposed dose for humans, but caution is important when extrapolating data from ibogaine’s effects observed in rodents. Although a definitive clinical validation of purported ibogaine effects is still unavailable, ibogaine has opened new perspectives in the investigation of pharmacotherapies for drug addiction.
"The significant correlation between the distribution coefficient and maximal brain concentration of certain iboga alkaloids, including ibogaine and noribogaine, indicates that lipid solubility is an important factor for the initial concentration of the alkaloids in the brain (110). The 100-fold concentration of the drug in fatty tissue is consistent with the highly lipophilic nature of ibogaine (44). Ibogaine is lipophilic and concentrated in fat, and might be converted to noribogaine after slow release from fatty tissue. Adipose tissue may serve as a reservoir of ibogaine, generating the release and metabolism over longer periods (44)."
"It was hypothesized that sequestration of ibogaine into lipophilic compartments in the brain may result in lower drug concentrations in the extracellular fluid and that noribogaine may achieve higher extracellular fluid concentration than the parent compound due to the more polar nature of the metabolite (104). Slow elimination of noribogaine could result from O-demethylation of central nervous system (CNS)-stored ibogaine, which could contribute to some of the reported aftereffects of single dose of ibogaine (104)."
"Noribogaine is produced by metabolic demethylation of ibogaine soon after oral ibogaine
is given, indicating first-pass metabolism. Cytochrome P4502D6 catalyzes the Odemethylation
of ibogaine to noribogaine (68). The most probable site for metabolic demethylation of ibogaine is the methoxy group (68). Both ibogaine and noribogaine are stable in a human plasma matrix at room temperature for a period of at least 1 week (2)."
"Ibogaine and noribogaine have different affinities for several molecular targets (104,105). Although sharing similar chemical structures, noribogaine and ibogaine display
different binding profiles. Noribogaine binds to the serotonin (5-HT) transporter in the
mid-nanomolar range with a 10-fold higher potency than ibogaine and elevates 5-HT levels in the same range compared to ibogaine (63). Noribogaine was 50-fold more potent at displacing radioligand binding at the 5-HT transporter than at the dopamine (DA) transporter (63)."
"Conflicting results have been found regarding ibogaine and noribogaine affinities for
the 5-HT1A and 5-HT2 receptors. Studies have shown the absence of significant potency in
both the parent compound and the metabolite for binding to the 5-HT1A and 5-HT2 receptors
(104) or a lack of affinity of ibogaine for serotonin receptors (types 1A, 1B, 1C, 1D,
2, and 3) (20). Another study demonstrated, however, potencies in the low micromolar
range for ibogaine binding to the 5-HT2 ([3H]ketanserin, Ki = 4.8 ± 1.4 μM) and 5-HT3
([3H]GR-65630, IC50 = 3.9 ± 1.1 μM) receptor subtype (105). Ibogaine did not inhibit binding at the 5HT1 receptor in concentrations of up to 1 mM (105)."
"Noribogaine is more active than ibogaine at both μ- and κ-opioid receptors and, unlike
ibogaine, is active at the δ receptor (75,78,104). Ibogaine selectively inhibits the development of tolerance to morphine, a μ-opioid receptor agonist, but not to U-50,488 or
DPDPE, κ- and δ-opioid receptor agonists, respectively (16). Ibogaine interacts significantly with κ- (87) and μ-opioid (19) receptors, expressing at the latter a two-site binding model. Noribogaine acts as a full agonist at the μ-opioid receptor with a level of intrinsic activity comparable to the full agonists DAMGO and morphine (75). Evidence for roles of κ-opioid and NMDA receptors in the mechanism of the action of ibogaine have been presented elsewhere (36).
Ibogaine has been regarded as a noncompetitive blocker of nicotinic receptors, since it
has blocked 22NaCl influx through the ganglionic-type nicotinic receptor channels of rat
pheochromocytoma PC12 cells (5). Low concentration of ibogaine had a potent inhibitory
action on nicotinic acetylcholine receptor-mediated catecholamine release as observed in
cultured chromaffin cells (96). Ibogaine inhibits human muscle-type and ganglionic nicotinic acetylcholine receptors with IC50 values of 22.3 and 1.06 μM, respectively (27)."
[Receptor key:
κ- =kapa receptor, aka KOP, aka OP2
μ- =mu receptor, aka MOP, aka OP3
δ- =delta receptor, aka DOP, aka OP1]
Ibogaine and Noribogaine: Comparing Parent Compound to Metabolite
A single injection of 18-methoxycoronaridine (i.p.) significantly attenuated alcohol preferring rats’ preference for alcohol and alcohol consumption in a two-bottle choice procedure (89). Ibogaine reduced preference of C57BL/6By mice for cocaine consumption, which was developed after a period of forced exposure to either cocaine HCl or water (97).
Other reports, however, indicated that ibogaine failed to reduce these signs in the morphine-dependent mice (26) and rats (102)...In morphine-dependent mice, ibogaine did not reduce withdrawal signs but significantly increased the number of vertical jumps induced by naloxone within different epochs of chronic morphine treatment (26). In morphine-dependent monkeys, ibogaine reduced the total number of withdrawal signs but did not substitute completely for morphine, although signs of toxicity were evident particularly at the highest dose (8 mg/kg, s.c.) (1).
It is noteworthy that s.c. injections of ibogaine failed to block opiate withdrawal in animal as well as to reduce alcohol intake in alcohol-preferring rats (see below), whereas the i.p. route administration produced positive results in both circumstances.
As mentioned previously, considerably higher ibogaine levels were detected in most tissues, particularly in fat, after s.c. administration (44). Factors, such as formation of
local depots, poor absorption of ibogaine into the circulation, and lack of metabolic activation by the liver after s.c. administration, were cited as possible causes for ineffectiveness (88).
s.c. injection = subcutaneous injection [administered as a bolus into the subcutis, the layer of skin directly below the dermis and epidermis]
i.p. injection = Intraperitoneal injection [injection into the peritoneum (body cavity)]
Noribogaine in the treatment of pain and drug addiction
In accordance with the present invention, surprising and unexpected properties of noribogaine have been discovered. This compound is known to be a metabolite of ibogaine and is chemically identified as 12-hydroxyibogamine. In particular, noribogaine has been found to be useful as a non-addictive analgesic agent and as a treatment for drug dependency or abuse. Pharmaceutical compositions of noribogaine can be combined with one or more known opioid antagonists to treat addiction such that withdrawal symptoms are substantially eliminated or, at a minimum, surprisingly reduced. Such compositions are conveniently prepared in unit dose form with one or more unit doses providing a therapeutically effective amount of active ingredient.
Noribogaine, a metabolite of ibogaine, has properties that are well suited to the treatment of pain and to the withdrawal symptoms associated with drug dependency or abuse. In particular, it has been discovered that noribogaine binds to two classes of opioid receptors that have been associated with pain relief, the μ and κ receptors. In the case of the μ-type receptors, it appears that noribogaine acts as a full opiate agonist. In addition, noribogaine elevates brain serotonin levels by blocking synaptic reuptake. It is believed that such levels (as well as ligand interactions at the μ and κ opiate receptors) play a role in the anxiety and drug cravings experienced by addicts during withdrawal.
Noribogaine is synthesized by the O-demethylation of ibogaine. This may be accomplished, for example, by reacting ibogaine with boron tribromide/methylene chloride at room temperature and then purifying the product using known procedures. At present, noribogaine may also be obtained from the National Institute on Drug Abuse (Rockville, Md.). The compound has the following structure:
Chemical Form of Noribogaine
The present invention is not limited to any particular chemical form of noribogaine and the drug may be given to patients either as a free base or as a pharmaceutically acceptable acid addition salt. In the latter case, the hydrochloride salt is generally preferred, but other salts derived from organic or inorganic acids may also be used. Examples of such acids include, without limitation, hydrobromic acid, phosphoric acid, sulfuric acid, methane sulfonic acid, phosphorous acid, nitric acid, perchloric acid, acetic acid, tartaric acid, lactic acid, succinic acid, citric acid, malic acid, maleic acid, aconitic acid, salicylic acid, thalic acid, embonic acid, enanthic acid, and the like. As discussed above, noribogaine itself may be formed by the O-demethylation of ibogaine which, in turn, may be synthesized by methods known in the art (see e.g., Huffman, et al., J. Org. Chem. 50:1460 (1985)).
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