Narcotics codeine

Examples small amounts of narcotics (codeine) used as antitussives or antidiarrheals... 

Schedule V (c-v) - Limited abuse potential. Primarily small amounts of narcotics (codeine) used as antitussives or antidiarrheals. Under federal law, limited quantities of certain c-v drugs may be purchased without a prescription... 

Opioids/narcotics (codeine, fentanyl, hydrocodone, hydromorphone, meperidine [Demerol], morphine, oxycodone [OxyContin], propoxyphene [Darvon]) (see also individual agents in index) Street Names ... 

Morphine was the first alkaloid to be isolated from the sap of the opium poppy. Morphine is a strong analgesic, a drug that acts as a pain killer. However, it is a powerful and addictive narcotic. Codeine, also produced by the opium poppy, is a less powerful analgesic than morphine, but it is one of the most effective cough suppressants known. Heroin is produced in the laboratory by adding... 

Narcotic Codeine Nonnarcotic Dextromethorphan Cloperastine Others 5-Antagonist/ CT-agonist... 

Conversely, the demonstration of an antitnssive effect in the laboratory does not imply that a pharmacological agent will prove efficacious in a patient population. The opioid narcotic codeine, for example, has been shown in some clinical trials to inhibit capsaicin-induced cough (Dicpinigaitis et al. 1997 Fuller et al. 1988), yet was ineffective against cough due to URTI (Freestone and Eccles 1997). 

The Opiates. The International Narcotics Control Board—Vienna, tracks the tick production of narcotic dmgs and annually estimates world requkements for the United Nations. Thek most recent pubHcation (100) points out that more than 95% of the opium for Hcit medical and scientific purposes is produced by India and, in a declining trend, only about 600 t was utilized in 1988. This trend appears to be due to the fact that the United States, the largest user of opium for alkaloid extraction, reduced the amount of opium being imported from about 440 t in 1986 to 249 t in 1987 and 224 t in 1988. The United States used about 48 t of morphine (2, R = H) in 1988, most (about 90%) being converted to codeine (2, R = CH3) and the remainder being used for oral adrninistration to the terminally ill (about 2 t) and for conversion to other materials of minor commercial import which, while clearly alkaloid-derived, are not naturally occurring. 

Narcotic Antitussives. Since its isolation in 1832, codeine [76-57-3] (27) has been one of the most widely used and effective compounds for the treatment of cough. Though less potent than morphine [57-27-2] (28), it has become the reference against which most antitussives are measured. 

Modifications of the morphine skeleton have produced butorphanol [42408-82-2] (35) and drotebanol [3176-03-2] (36), which in animal models have demonstrated antitussive activity much greater than that of codeine (51,52). Butorphanol is also a potent analgetic of the narcotic antagonist type (51). Both compounds possess a unique 14-hydroxyl group. 

A characteristic feature of the action of the opium alkaloids is their simultaneous depressing and exciting action on the central nervous system. In this respect there is no clear line of demarcation between the morphine group—morphine, codeine and thebaine—and the papaverine-narcotine group, and as the series is ascended in the order, morphine, papaverine, codeine, narcotine, thebaine, narcotic action diminishes and power of rellex stimulation increases until in thebaine a strychnine-like effect is exhibited. 

Tramadol is a pain reliever (analgesic). Its action is similar to opioid narcotics such as codeine and morphine, but it does not depress breathing the way the others can, and less often leads to abuse and addiction. 

Few studies have explored the efficacy of opioids specifically for OA. The APS recommends against the use of codeine and propoxyphene for OA because of the high incidence of adverse effects and limited analgesic effectiveness. Oxycodone is the most extensively studied of the agents recommended for OA. However, other narcotic analgesics such as morphine, hydromorphone, methadone, and transdermal fentanyl are also effective. 

According to the 2004 statistics on narcotic drugs by the International Narcotic Control Board the main producers of legal morphine are Australia (123 t) Turkey (56.6 t) and France (56.1 t). Producers of medicinal codeine are UK (71 t), USA (64 t), France (411) and Australia (311). 

The PE spectra of some other alkaloids like methadone and the opiate narcotics morphine, codeine and heroin have been investigated by Klasinc and coworkers95. Also in this study structure-activity relationships based on IPs were sought but not found. Since the interaction of the drug molecule with the receptor is highly specific, it is not unreasonable that the molecular rather than the electronic structure is more important for the physiological activity. 

Dayer P, Desmeules J, Leemann T, Stribemi R. 1988. Bioactivation of the narcotic drug codeine in human liver is mediated by the polymorphic monooxygenase catalyzing debrisoquine 4-hydroxylation (cytochrome P-450 dbl/ bufl). Biochem Biophys Res Commun 152 411-416. 

Medazonamide [Medazoamide, L-1777, Catos CAS 300-22-1 (100)] has been reported to exhibit a non-narcotic antitussive effect, which, however, is less than that of codeine [426]. Its toxic side-effects have been studied [427]. 

The use of natural products as medicine has invoked the isolation of active compounds the first commercial pure natural product introduced for therapeutic use is generally considered to be the narcotic morphine (1), marketed by Merck in 1826, and the first semi-synthetic pure dmg aspirin (2), based on a natural product salicin (3) isolated from Salix alba, was introduced by Bayer in 1899. This success subsequently led to the isolation of early dmgs such as cocaine, codeine, digitoxin (4), quinine (5), and pilocarpine (6), of which some are still in use. ... 

Codeine. Is a narcotic derived from morphine and is addictive. It can be purchased over the counter, but you will have to sign for it. Sometimes you will have to show identification. It creates feelings of euphoria and weightlessness with doses of about 50 to 150 mg. It can also be made much more potent by hydrogenating to dihydrocodeinone as instructed in the analgesic chapter in this book. 

Opium alkaloids [Codeine (12), Morphine (13)] Papaver somniferum L. (opium poppy) Antitussive Narcotic analgesic... 

Patients dependent on narcotics Patients dependent on narcotics may experience withdrawal symptoms upon the administration of nalbuphine. If unduly troublesome, control by slow IV administration of small increments of morphine until relief occurs. If the previous analgesic was morphine, meperidine, codeine or another narcotic... 

The most known narcotics are the opium alkaloids such as morphine, codeine, thebaine, papaverine, noscapine and their derivatives and modified compounds such as nalmorphine, apomorphine, apomopholcodine, dihydrocodeine, hydro-morphone and heroine, also known as diamorphine. Synthetic narcotics share the structural skeleton of morphine and include dextromethorphan, pentazocine, phenazocine meperidine (pethidine), phentanyl, anfentaitil, remifentalin, methadone, dextropropoxyphene, levoproxyphene, dipipanone, dextromoramide, meptazinol and tramadol. Thebaine derivatives are also modified narcotics and include oxycodone, oxymorphone, etorphine, buprenorphine, nalbuphine, naloxone or naltrexone. Narcotics can be semi-synthesized or totally synthesized from the morphine and thebaine model. The compounds serve various purposes in clinical practise. 

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