The Chemical and Addictive Properties of Opium

Although the nervous system is often discussed in terms of peripheral and central components, it should be regarded as a highly integrated whole in which the central nervous system (brain and spinal cord) plays a critical information gathering and processing role. The peripheral nervous system is often divided into the autonomic and somatic components. The somatic system controls the voluntary functions of the body, like those of the skeletal muscles. The 

Adapted from Moraes, Francis, and Debra Moraes. Opium. Oakland, Calif. Ronin Publishing, 2003, p. 58.  

The autonomic nervous system is divided into the sympathetic and parasympathetic components, which typically exert opposing effects. The sympathetic system is involved in the fight or flight reaction (increased blood pressure and heart rate, and accommodation for increased vision, for example) that prepares the organism for stressful situations. The parasympathetic system conversely establishes a more relaxed situation, for instance, the rest period after a meal. The autonomic nervous system that is responsible for the independent control of the mechanical and secretory functions of the gastrointestinal tract is sometimes called the enteric system. 

Drugs that affect the central nervous system may also have a major action in the gut. Thus, the constipating effects of opium alkaloids are exerted through this system and a number of the important withdrawal symptoms reflect the actions of the enteric nervous system. The nervous system is often regarded as a command (efferent) system that sends instructions to be executed. However, there is also a sensory (afferent) component, that receives information from innervated systems 

The individual unit of the nervous system is the neuron, a specialized cell that both receives and transmits information. The nervous system contains more than 100 billion neurons and is a major user of metabolic energy in the human body. It is also a region particularly susceptible to injury from toxic chemicals, lack of oxygen, and other assaults. Depending on the nervous region in which they reside, neurons may have different anatomical features and may use different chemical transmitters. Neurons communicate with each other and with their end organs by these chemical signals, which are released from the nerve terminal and interact with specific receptors on adjacent neurons or cells. 

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In relation to their chemical structure and action, they can be classified into two categories. The first are phenanthrene alkaloids and are under international control morphine (MO), codeine (COD), and thebaine (TB), which act on the central nervous system and are used as analgesics, narcotics, and potentially addicting compounds (pain relievers). Heroin is synthesized from MO. The second group is isoquinoline alkaloids Papaverine (PV) and narcotine (also known as noscapine). Narcotine acts only to relax involuntary smooth muscles, for which it is considered an antitussive, and lacks addictive, analgesic, respiratory, narcotic, depressant, and sedative properties. Next to MO, which constitute about 10% by weight of raw opium, is the second most abundant alkaloid present in opium. The three last alkaloids (PV, narcotine, and narceine) are not under international control specially, narcotine and narceine which have scarcely any medical or other uses. Consequently, the five economically significant alkaloids of opium are MO, COD, TB, PV, and narcotine. 

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