A report on Morphine and Codeine

A localized reaction to intravenous morphine caused by histamine release in the veins
The recreational drug lean can be created with codeine syrup (pictured).
Before the Morphine by Santiago Rusiñol
Morphine Hydrochloride Ampoule for Veterinary Use
Latex bleeding from a freshly-scored seed pod
Morphine biosynthesis in the opium poppy
Chemical structure of morphine. The benzylisoquinoline backbone is shown in green.
Morphine structure showing its standard ring lettering and carbon numbering system.
Same structure, but in a three-dimensional perspective.
First generation production of alkaloids from licit latex-derived opium
Friedrich Sertürner
Advertisement for curing morphine addiction, c. 1900
An ampoule of morphine with integral needle for immediate use. Also known as a "syrette". From WWII. On display at the Army Medical Services Museum.
Example of different morphine tablets
Two capsules (5 mg & 10 mg) of morphine sulfate extended- release
1 milliliter ampoule containing 10 mg of morphine

Codeine is an opiate and prodrug of morphine used to treat pain, coughing, and diarrhea.

- Codeine

Morphine may also be metabolized into small amounts of normorphine, codeine, and hydromorphone.

- Morphine
A localized reaction to intravenous morphine caused by histamine release in the veins

25 related topics with Alpha

Overall

Chemical structure of morphine, the prototypical opioid.

Opioid

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Chemical structure of morphine, the prototypical opioid.
US. Top line represents the number of benzodiazepine deaths that also involved opioids. Bottom line represents benzodiazepine deaths that did not involve opioids.
Locants of the morphine molecule
INTA: selective agonist of KOR-DOR and KOR-MOR heteromers. Does not recruit β-arrestin II. Antinociceptive devoid of aversion, tolerance, and dependence in mice.
A sample of raw opium
US yearly deaths from all opioid drugs. Included in this number are opioid analgesics, along with heroin and illicit .<ref name=NIDA-deaths/>
US yearly deaths involving other, predominately Fentanyl.<ref name=NIDA-deaths/>
US yearly deaths involving prescription opioids. is a category dominated by illegally acquired fentanyl, and has been excluded.<ref name=NIDA-deaths>Overdose Death Rates. By National Institute on Drug Abuse (NIDA).</ref>
US yearly overdose deaths involving heroin.<ref name=NIDA-deaths/>

Opioids are substances that act on opioid receptors to produce morphine-like effects.

The weak opioid codeine, in low doses and combined with one or more other drugs, is commonly available without a prescription and can be used to treat mild pain.

Opium poppy seed pod exuding latex from a cut

Opium

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Dried latex obtained from the seed capsules of the opium poppy Papaver somniferum.

Dried latex obtained from the seed capsules of the opium poppy Papaver somniferum.

Opium poppy seed pod exuding latex from a cut
Poppy crop from the Malwa in India (probably Papaver somniferum var. album )
Opium users in Java during the Dutch colonial period c. 1870
Latin translation of Avicenna's Canon of Medicine, 1483
An artist's view of an Ottoman opium seller
An opium den in 18th-century China through the eyes of a Western artist
A Chinese opium house, photograph 1902
Destruction of opium at Humen, June 1839
British opium ships
British assault on Canton during the First Opium War, May 1841
Storage of opium at a British East India Company warehouse, c. 1850
The cover page of the book of The Truth about Opium Smoking
Map showing the amount of opium produced in China in 1908: The quote "We English, by the policy we have pursued, are morally responsible for every acre of land in China which is withdrawn from the cultivation of grain and devoted to that of the poppy; so that the fact of the growth of the drug in China ought only to increase our sense of responsibility." is by Lord Justice Fry.
Apothecary vessel for storage of opium as a pharmaceutical, Germany, 18th or 19th century
Modern vial of morphine first isolated from opium by Friedrich Sertürner
Harvesting opium
International drug routes
Afghanistan, Helmand province. A Marine greets local children working in the field of opium poppies near the base.
Afghanistan opium poppy cultivation, 1994–2016 (hectares)
200 g Spanish opium ball
An Akha man smokes a pipe containing opium mixed with tobacco

Approximately 12 percent of opium is made up of the analgesic alkaloid morphine, which is processed chemically to produce heroin and other synthetic opioids for medicinal use and for the illegal drug trade.

The latex also contains the closely related opiates codeine and thebaine, and non-analgesic alkaloids such as papaverine and noscapine.

Heroin paraphernalia in a Jack Daniels tin

Heroin

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Opioid used as a recreational drug for its euphoric effects.

Opioid used as a recreational drug for its euphoric effects.

Heroin paraphernalia in a Jack Daniels tin
Advertising sign from Bayer for use in US drug stores, dating from before the federal prohibition of Heroin in 1924
A 2010 study ranking various illegal and legal drugs based on statements by drug-harm experts. Heroin was found to be the second overall most dangerous drug.
Short-term effects of usage
Long-term effects of intravenous usage, including – and indeed primarily because of – the effects of the contaminants common in illegal heroin and contaminated needles.
Black tar heroin
Advertisement for Bayer Heroin
Bayer Heroin bottle
International drug routes
Afghanistan opium poppy cultivation, 1994–2016 (hectares)
Primary worldwide producers of heroin
Addiction experts in psychiatry, chemistry, pharmacology, forensic science, epidemiology, and the police and legal services engaged in delphic analysis regarding 20 popular recreational drugs. Heroin was ranked 1st in dependence, physical harm, and social harm.
Drug overdoses killed more than 70,200 in the US in 2017, with heroin involved in 15,482 of those deaths.<ref name=NIDA-deaths>{{cite web | url = http://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates | title = Overdose Death Rates | archive-url = https://web.archive.org/web/20151128091723/http://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates | archive-date=28 November 2015 | work = National Institute on Drug Abuse (NIDA) }}</ref>
US yearly overdose deaths involving heroin.<ref name=NIDA-deaths/>
US yearly deaths from all opioid drugs. Included in this number are opioid analgesics, along with heroin and illicit .<ref name=NIDA-deaths/>

Black tar heroin is a variable admixture of morphine derivatives—predominantly 6-MAM (6-monoacetylmorphine), which is the result of crude acetylation during clandestine production of street heroin.

Most commercial opiate screening tests cross-react appreciably with these metabolites, as well as with other biotransformation products likely to be present following usage of street-grade diamorphine such as 6-acetylcholine and codeine.

Oxycodone

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Semi-synthetic opioid medication used for treatment of moderate to severe pain.

Semi-synthetic opioid medication used for treatment of moderate to severe pain.

A liquid solution containing 10mg of oxycodone per 1ml
Main side effects of oxycodone
Two tablets (10 mg) of oxycodone and safety blisters
Canadian oxycodone HCL/acetaminophen 5/325 mg tablet

Those allergic to codeine may also be allergic to oxycodone.

When taken by mouth, it has roughly 1.5 times the effect of the equivalent amount of morphine.

Thebaine

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Opiate alkaloid, its name coming from the Greek Θῆβαι, Thēbai (Thebes), an ancient city in Upper Egypt.

Opiate alkaloid, its name coming from the Greek Θῆβαι, Thēbai (Thebes), an ancient city in Upper Egypt.

A minor constituent of opium, thebaine is chemically similar to both morphine and codeine, but has stimulatory rather than depressant effects.

Hydrocodone and paracetamol (acetaminophen) 10-325 tablets (Mallinckrodt)

Hydrocodone

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Opioid used to treat pain and as a cough suppressant.

Opioid used to treat pain and as a cough suppressant.

Hydrocodone and paracetamol (acetaminophen) 10-325 tablets (Mallinckrodt)

Hydrocodone 10 mg is equivalent to about 10 mg of morphine by mouth.

Hydrocodone is a semisynthetic opioid, converted from codeine or less often from thebaine.

Harvesting the poppy pod.

Opiate

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Substance derived from opium.

Substance derived from opium.

Harvesting the poppy pod.
A chart outlining the structural features that define opiates and opioids, including distinctions between semi-synthetic and fully synthetic opiate structures
Codeine
Chemical structure of morphine
Morphine addiction cure advertisement in the year 1900

The psychoactive compounds found in the opium plant include morphine, codeine, and thebaine.

Governments of opium-producing Parties are required to "purchase and take physical possession of such crops as soon as possible" after harvest to prevent diversion into the illicit market.

Single Convention on Narcotic Drugs

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International treaty that controls activities (production, supply, trade, use) of specific narcotic drugs and establishes a system of regulations (licenses, measures for treatment, research, etc.) for their medical and scientific uses.

International treaty that controls activities (production, supply, trade, use) of specific narcotic drugs and establishes a system of regulations (licenses, measures for treatment, research, etc.) for their medical and scientific uses.

Governments of opium-producing Parties are required to "purchase and take physical possession of such crops as soon as possible" after harvest to prevent diversion into the illicit market.
The Single Convention was the first international treaty to prohibit cannabis.
Under Article 37, "Any drugs, substances and equipment used in or intended for the commission of any of the offenses . . . shall be liable to seizure and confiscation."
Different nations have drawn different conclusions as to whether the treaty requires criminalization of drug possession for personal use.
Articles 23 and 28 of the Single Convention on Narcotic Drugs require cannabis-producing nations to have a government agency that controls cultivation.

Earlier treaties had only controlled opium, coca, and derivatives such as morphine, heroin, and cocaine.

codeine – alkaloid contained in opium and poppy straw

U.S. Food and Drug Administration agents inspect packages for illegal drug shipments at an international mail facility in New York

Controlled Substances Act

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Statute establishing federal U.S. drug policy under which the manufacture, importation, possession, use, and distribution of certain substances is regulated.

Statute establishing federal U.S. drug policy under which the manufacture, importation, possession, use, and distribution of certain substances is regulated.

U.S. Food and Drug Administration agents inspect packages for illegal drug shipments at an international mail facility in New York

Heroin, is the brand name for diacetylmorphine or morphine diacetate, which is an inactive prodrug that exerts its effects after being converted into the major active metabolite morphine, and the minor metabolite 6-MAM - which itself is also rapidly converted to morphine. Some European countries still use it as a potent pain reliever in terminal cancer patients, and as second option, after morphine sulfate; it is about twice as potent, by weight, as morphine and, indeed, becomes morphine upon injection into the bloodstream. The two acetyl groups attached to the morphine make a prodrug which delivers morphine to the opioid receptors twice as fast as morphine can.

Codeine (pure) and any drug for non-parenteral administration containing the equivalent of more than 90 mg of codeine per dosage unit;

Controlled Drugs and Substances Act

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Canada's federal drug control statute.

Canada's federal drug control statute.

2) Codeine (methylmorphine)

3) Morphine (7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol)