Morphine: Opiate Analgesic Drug
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Questions and Answers

What is the primary mechanism of action of morphine in relieving pain?

  • Acting directly on the central nervous system (CNS) (correct)
  • Inhibiting histamine release
  • Contracting the muscles of the bowel and urinary tract
  • Stimulating the chemotactic trigger zone

What is the result of histamine release when morphine is injected?

  • Intense contraction sensation in the muscles (correct)
  • Nausea and vomiting
  • Respiratory depression
  • Cough suppression

What is the effect of morphine on the pupil size?

  • Has no effect on the pupils
  • Dilates the pupils
  • Makes the pupils very small (correct)
  • Increases the sensitivity of the pupils

What is the reason for morphine's poor oral bioavailability?

<p>Not specified in the content (A)</p> Signup and view all the answers

What is the effect of morphine on the bowel and urinary tract?

<p>Contracts the sphincter and reduces peristalsis (D)</p> Signup and view all the answers

What is the most dangerous side effect of morphine?

<p>Respiratory depression (D)</p> Signup and view all the answers

What is the 'rush' produced by morphine mediated by?

<p>Several different receptors in the CNS (A)</p> Signup and view all the answers

How does morphine compare to other substances in terms of addiction?

<p>It is highly addictive (B)</p> Signup and view all the answers

What is the potency of oral morphine compared to parenteral morphine?

<p>It is one-sixth to one-third as potent (B)</p> Signup and view all the answers

What is morphine sometimes issued in by the military?

<p>An autoinjector (A)</p> Signup and view all the answers

Study Notes

Morphine Characteristics

  • Morphine is a highly potent opiate analgesic drug and the principal active agent in opium.
  • It is the prototypical opiate, acting directly on the central nervous system (CNS) to relieve pain.

Mechanism of Action

  • Morphine acts on the central nervous system (CNS) and synapses of the nucleus accumbens in particular.
  • It produces an intense contraction sensation in muscles due to histamine release.
  • It produces a strong 'rush' mediated by several receptors in the CNS.

Administration

  • Morphine can be administered parenterally through subcutaneous, intravenous, or epidural injections.
  • It can also be administered orally as an elixir, concentrated solution, powder, or in tablet form.
  • Oral morphine is only one-sixth to one-third of the potency of parenteral morphine due to poor oral bioavailability.

Side Effects

  • Respiratory depression is the most dangerous side effect, which can lead to decreased respiratory rate, sedation, and small pupils.
  • Other common side effects include nausea, vomiting, cough suppression, sedation, and dependence leading to addiction.
  • Morphine can also cause constipation, delayed emptying of the stomach, and urinary retention due to its effect on the muscle of the bowel and urinary tract.

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Learn about morphine, a highly potent opiate analgesic drug, its effects on the central nervous system, and its addictive properties.

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