A report on Morphine and Oxycodone

A localized reaction to intravenous morphine caused by histamine release in the veins
Before the Morphine by Santiago Rusiñol
A liquid solution containing 10mg of oxycodone per 1ml
Morphine Hydrochloride Ampoule for Veterinary Use
Main side effects of oxycodone
Latex bleeding from a freshly-scored seed pod
Two tablets (10 mg) of oxycodone and safety blisters
Morphine biosynthesis in the opium poppy
Canadian oxycodone HCL/acetaminophen 5/325 mg tablet
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

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

- Oxycodone

When compared to the opioids hydromorphone, fentanyl, oxycodone, and pethidine/meperidine, former addicts showed a strong preference for heroin and morphine, suggesting that heroin and morphine are particularly susceptible to abuse and addiction.

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

17 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.

Other opioids are semi-synthetic and synthetic drugs such as hydrocodone, oxycodone and fentanyl; antagonist drugs such as naloxone; and endogenous peptides such as the endorphins.

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.

When compared to the opioids hydromorphone, fentanyl, oxycodone, and pethidine (meperidine), former addicts showed a strong preference for heroin and morphine, suggesting that heroin and morphine are particularly susceptible to misuse and causing dependence.

The recreational drug lean can be created with codeine syrup (pictured).

Codeine

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The recreational drug lean can be created with codeine syrup (pictured).

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

Codeine has been used in the past as the starting material and prototype of a large class of mainly mild to moderately strong opioids; such as hydrocodone (1920 in Germany), oxycodone (1916 in Germany), dihydrocodeine (1908 in Germany), and its derivatives such as nicocodeine (1956 in Austria).

Fentanyl

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Powerful opioid used as a pain medication and, together with other medications, for anesthesia.

Powerful opioid used as a pain medication and, together with other medications, for anesthesia.

A fentanyl nasal spray with a strength of 100 μg per use
A fentanyl transdermal patch with a release rate of 12 micrograms per hour, on a person's arm
US yearly overdose deaths, and some of the drugs involved. Among the more than 70,200 deaths estimated in 2017, the sharpest increase occurred among deaths related to fentanyl and fentanyl analogs (other ) with over 28,400 overdose deaths.
US yearly deaths involving other, predominantly fentanyl.
A package of 30 tablets, 600 mcg of fentanyl, each
Fentanyl powder (23% fentanyl) seized by a sheriff

Fentanyl is commonly used to create counterfeit pills disguised as OxyContin, Xanax, Adderall, among others.

It is around 100 times stronger than morphine and about 50 times stronger than heroin.

Controlled Drugs and Substances Act

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Canada's federal drug control statute.

Canada's federal drug control statute.

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

28) Oxycodone (dihydrohydroxycodeinone)

Active and inactive μ-opioid receptors

Pain management

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Aspect of medicine and health care involving relief of pain in various dimensions, from acute and simple to chronic and challenging.

Aspect of medicine and health care involving relief of pain in various dimensions, from acute and simple to chronic and challenging.

Active and inactive μ-opioid receptors
Young children can indicate their level of pain by pointing to the appropriate face on a children's pain scale

Morphine is the gold standard to which all narcotics are compared.

Oxycodone is used across the Americas and Europe for relief of serious chronic pain.

Opium poppies such as this one provide ingredients for the class of analgesics called opiates

Analgesic

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Analgesic, pain reliever, or painkiller, is any member of the group of drugs used to achieve relief from pain .

Analgesic, pain reliever, or painkiller, is any member of the group of drugs used to achieve relief from pain .

Opium poppies such as this one provide ingredients for the class of analgesics called opiates
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Morphine, the archetypal opioid, and other opioids (e.g., codeine, oxycodone, hydrocodone, dihydromorphine, pethidine) all exert a similar influence on the cerebral opioid receptor system.

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.

Oxycodone (semi-synthetic opioid; active ingredient in Percocet, OxyContin, and Percodan)

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.

While thebaine is not used therapeutically, it is the main alkaloid extracted from Papaver bracteatum (Iranian opium / Persian poppy) and can be converted industrially into a variety of compounds, including hydrocodone, hydromorphone, oxycodone, oxymorphone, nalbuphine, naloxone, naltrexone, buprenorphine, butorphanol and etorphine.

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Pethidine

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Synthetic opioid pain medication of the phenylpiperidine class.

Synthetic opioid pain medication of the phenylpiperidine class.

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Compared with morphine, pethidine was thought to be safer, carry a lower risk of addiction, and to be superior in treating the pain associated with biliary spasm or renal colic due to its putative anticholinergic effects.

A study which compared 75mg pethidine administered via intravenous injection (IV) and 100mg administered orally (PO) to 15mg oxycodone (IV) and 10mg (PO), 10mg morphine (IV) and 20mg (PO), 2mg hydromorphone (IV) and 4mg (PO), and placebo (C) in the subject's self-reported subjective effects such as 'drug-liking' (how many of the subjects enjoyed or not, the experience; if yes, what was the most enjoyable part and why?, etc.) and how eagerly did subject 'want to re-experience it', and after IV doses were administered, pethidine produced the 75mg second highest rates of 'drug-liking', after morphine 10mg.