O-Desmethyltramadol or O-DSMT for short (also called desmetramadol, Omnitram) is an opioid substance of the phenylpropylamine class, a highly active metabolite of tramadol with sedative and analgesic properties.
The structure of O-DSMT has a similar structure to tramadol, systematic name 3-(2-((dimethylamino)methyl)-1-hydroxycyclohexyl)phenol, and the actual does not apply to morphine opioids, and is more similar to codeine, it contains a cyclohexane ring associated with a phenyl ring in R1, which is replaced in R3 by a hydroxyl group, has an additional hydroxyl group, where the cyclohexane ring is connected to in the phenyl ring and has a third substitution on the ring in R2, which is connected to the dimethylamine group.

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