6-MAM occurs as a metabolite of heroin. Once it has passed
first-pass metabolism, 6-MAM is then metabolized into morphine or excreted in
urine. Heroin is rapidly metabolized by
esterase enzymes in the brain and has an extremely short half-life. It has also relatively weak affinity to
μ-opioid receptors because the 3-hydroxy group, essential for effective binding to the receptor, is masked by the acetyl group. Therefore, heroin acts as a
prodrug, serving as a lipophilic transporter for the systemic delivery of
morphine, which actively binds with μ-opioid receptors. 6-MAM already has a free 3-hydroxy group and shares the high
lipophilicity of heroin, so it penetrates the brain just as quickly and does not need to be deacetylated at the 6-position in order to be bioactivated; this makes 6-MAM somewhat more potent than heroin. ==Availability==