Opiates and Opioids: History and Uses
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Questions and Answers

What invention by Alexander Wood in 1853 led to a new and efficient way to administer drugs?

  • Oral solutions
  • Hypodermic syringe (correct)
  • Sustained-release tablets
  • Suppositories
  • What addiction became known as the 'soldier’s disease' during the Civil War?

  • Opium addiction
  • Heroin addiction
  • Cocaine addiction
  • Morphine addiction (correct)
  • Which country is the main provider of heroin, as mentioned in the text?

  • Belgium
  • Iran
  • Afghanistan (correct)
  • Mexico
  • What is the recommended dose of morphine, as mentioned in the text?

    <p>10-20mg</p> Signup and view all the answers

    Which substance was quickly metabolized to morphine, as stated in the text?

    <p>6-acetylmorphine</p> Signup and view all the answers

    What type of heroin is known as black tar heroin?

    <p>Mexican Brown (base form)</p> Signup and view all the answers

    What is the origin of the word 'narcotics'?

    <p>Greek word meaning 'stupor'</p> Signup and view all the answers

    Which substance is derived from the opium poppy Papaver somniferum?

    <p>Morphine</p> Signup and view all the answers

    In the 19th century, what was used as an opium tincture with no laws requiring labeling of its content?

    <p>Laudanum</p> Signup and view all the answers

    Which region is NOT a major area of cultivation for Papaver somniferum?

    <p>Colombia</p> Signup and view all the answers

    What percentage of global opium production comes from Afghanistan?

    <p>80%</p> Signup and view all the answers

    In which countries is opium legally produced on government-regulated farms?

    <p>India and Turkey</p> Signup and view all the answers

    Which method is NOT a common way of using opium?

    <p>Injected</p> Signup and view all the answers

    What is the main alkaloid responsible for the psychological effects and addiction in opium?

    <p>Morphine</p> Signup and view all the answers

    When was morphine isolated from opium?

    <p>1800s</p> Signup and view all the answers

    What was the main reason for the addiction of many soldiers during the Civil War?

    <p>Administration of morphine for injuries and dysentery</p> Signup and view all the answers

    What is the main form of morphine used by drug addicts?

    <p>Injectable preparations</p> Signup and view all the answers

    Which country is the main provider of heroin?

    <p>Afghanistan</p> Signup and view all the answers

    What is the primary method of administration for heroin that allows the drug to enter the bloodstream more quickly?

    <p>Injecting</p> Signup and view all the answers

    Which substance is highly lipophilic and 3 times more active than morphine?

    <p>Diacetylmorphine (Heroin)</p> Signup and view all the answers

    What is the main alkaloid responsible for the psychological effects and addiction in opium?

    <p>Morphine</p> Signup and view all the answers

    What was the initial purpose of recommending heroin as an anti-cough agent?

    <p>Cough suppression</p> Signup and view all the answers

    Which substance is obtained by semisynthesis and was mass-produced by the Bayer pharmaceutical company?

    <p>Diacetylmorphine (Heroin)</p> Signup and view all the answers

    What was the main reason for dismantling four heroin production sites in the EU in 2020?

    <p>Local heroin production</p> Signup and view all the answers

    What is the primary color and form of Heroin in SW Asia and Mexico?

    <p>Black sticky substance, known as black tar heroin</p> Signup and view all the answers

    What was Laudanum?

    <p>A type of opium tincture</p> Signup and view all the answers

    What is the primary use of Opium?

    <p>Painkiller</p> Signup and view all the answers

    Which alkaloid is responsible for determining the quality of opium?

    <p>Morphine</p> Signup and view all the answers

    Where is the majority of global opium production located?

    <p>Afghanistan</p> Signup and view all the answers

    What is the main alkaloid responsible for the psychological effects and addiction in opium?

    <p>Morphine</p> Signup and view all the answers

    Which method is a common way of using opium?

    <p>Smoking</p> Signup and view all the answers

    What substance is derived from the opium poppy Papaver somniferum?

    <p>Morphine</p> Signup and view all the answers

    Study Notes

    Drug Administration and Addiction

    • Alexander Wood invented the hypodermic syringe in 1853, allowing for efficient drug administration directly into the bloodstream.
    • The addiction known as "soldier’s disease" during the Civil War referred to morphine addiction among soldiers due to its medical use for pain relief.

    Heroin Supply and Usage

    • Afghanistan is the main provider of heroin globally.
    • The recommended dose of morphine varies, but typical dosages are tailored to individual patient needs.
    • Heroin metabolizes quickly into morphine in the body.
    • Black tar heroin is a type of heroin that is sticky and dark due to its manufacturing process.

    Terminology and Composition

    • The word 'narcotics' originates from the Greek word "narkōsis," meaning numbness or sleep.
    • Opium is derived from the opium poppy, scientifically known as Papaver somniferum.
    • In the 19th century, opium tinctures were unregulated, allowing potentially dangerous ingredients to be marketed without proper labeling.

    Opium Cultivation and Production

    • Regions such as China and India are not major areas for Papaver somniferum cultivation.
    • Approximately 85% of global opium production comes from Afghanistan.
    • Countries like Turkey and India legally produce opium on government-regulated farms.

    Common Usage Practices

    • Smoking is not typically a common method of using opium.
    • Morphine is the main alkaloid responsible for psychological effects and addiction.
    • Morphine was isolated from opium in the early 19th century, specifically in 1804.

    Medical and Recreational Use

    • Many soldiers became addicted during the Civil War due to the widespread use of morphine for pain relief.
    • The main form of morphine abused by drug addicts is injectable morphine.
    • The primary administration method for heroin is intravenous injection, facilitating rapid entry into the bloodstream.

    Chemical Properties

    • Fentanyl, a substance three times more active than morphine, is highly lipophilic.
    • Heroin was initially recommended as an anti-cough agent due to its sedative effects.
    • Diacetylmorphine, known as heroin, was obtained through semisynthesis and was mass-produced by Bayer.

    Regulation and Control

    • Dismantling of four heroin production sites in the EU in 2020 was based on increased concerns over heroin trafficking.
    • In Southwest Asia and Mexico, heroin typically appears as a white or brown powder.
    • Laudanum was an opium tincture popular in the 19th century, often used as a pain reliever.

    Quality and Production Statistics

    • The quality of opium is determined primarily by its morphine content.
    • The majority of global opium production is concentrated in Afghanistan and surrounding regions.
    • Once again, morphine is noted as the main alkaloid tied to psychological effects and addiction associated with opium.

    Administration Methods

    • A common method of using opium involves smoking, while both ingestion and topical applications also exist.
    • Opium poppy remains the source from which opium is derived, reinforcing its pivotal role in drug pharmacology.

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    Description

    This quiz covers the history, uses, and properties of opiates and opioids, including their origins from the opium poppy and their historical medicinal uses. Test your knowledge on this important class of narcotics!

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