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Opiate Drugs, Narcotics, and other related Medications and Drugs

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DEMEROL -- Demerol is a narcotic analgesic with many actions similar to morphine. The general therapeutic effects of this drug are analgesia and sedation. Demerol is used to relieve moderate to severe pain, as a preoperative medication, and the support of anesthesia and for obstetrical analgesia. Side effects include confusion, convulsions, dizziness, drowsiness, low blood pressure, and slow heartbeat.

What is Demerol?

  • Demerol is in a class of drugs called narcotic analgesics. It relieves pain.
  • Demerol is used to treat moderate-to-severe pain.
  • Demerol may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Demerol?

  • Demerol may be habit forming. Physical and/or psychological dependence can occur, and withdrawal effects are possible if the medication is stopped suddenly after prolonged or high-dose treatment. Do not stop taking Demerol suddenly without first talking to your doctor if you have been taking it continuously for more than 5 to 7 days. Your doctor may want to gradually reduce the dose.
  • Demerol may increase the effects of other drugs that cause drowsiness, including other pain relievers, alcohol, antihistamines, sedatives (used to treat insomnia), antidepressants, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
  • Demerol may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increasing the amount of fiber in the diet can also help to alleviate constipation.
  • Never take more Demerol than is prescribed. If the pain is not being adequately treated, talk to your doctor.

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CODEINE -- Codeine is an opiate agonist - sedative and analgesic narcotic substance found in opium in concentrations between 0.1% and 2%. Codeine was first isolated from opium by the French chemist Pierre-Jean Robiquet in 1832. Because of the small concentration found in nature, most codeine found in medical products is synthesised from morphine. Codeine can be found in many pharmaceutical products all around the world, it's found in many forms including tablets, capsules, syrups, etc. The sulphate and phosphate salts are used most frequently in medicine. Codeine in most countries is a scheduled (controlled) substance not available as a sole product. Codeine is usually given orally as an ingredient in syrups to relieve non-productive cough. It is also combined with non-narcotic analgesics (eg paracetamol, aspirin, ibuprofen, and others) and is used orally to relieve pain. Generic injection is also available. Some products are available over the counter, but they usually contain limited amounts of codeine (eg 10mg). Products containing higher quantities of codeine require a prescription. The usual amount of codeine in over the counter tablets is too small to enjoy the effects and make it possible to overdose other substances (eg paracetamol, aspirin, etc.) contained in these tablets as well.

HYDROCODONE -- Hydrocodone (related to codeine) is in a class of drugs called narcotic analgesics. It is a pain reliever. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). It relieves pain and decreases inflammation. Hydrocodone and ibuprofen are used together for the short-term treatment of pain.

LORCET® -- Lorcet® is the brand name for the combination of acetaminophen (Tylenol) and hydrocodone. Prescribed for moderate to moderately severe pain, Lorcet® is similar in properties and risk of abuse and addiction as Vicodin® and other comparable opiates.

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METHADONE -- German scientists synthesized methadone during World War II because of a shortage of morphine. Although chemically unlike morphine or heroin, methadone produces many of the same effects.

Introduced into the United States in 1947 as an analgesic (Dolophine), Methadone is primarily used today for the treatment of narcotic addiction. The effects of methadone are longer-lasting than those of morphine-based drugs. Methadone's effects can last up to 24 hours, thereby permitting administration only once a day in heroin detoxification and maintenance programs.

Methadone is almost as effective when administered orally as it is by injection. Tolerance and dependence may develop, and withdrawal symptoms, though they develop more slowly and are less severe than those of morphine and heroin, are more prolonged. Ironically, methadone used to control narcotic addiction, is frequently encountered on the illicit market and has been associated with a number of overdose deaths.

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MORPHINE -- As a a powerful analgesic narcotic drug found primarily in opium, morphine may also be produced naturally by the human brain, according to recent research. Like other opiates, morphine acts directly on the central nervous system (CNS) to relieve pain, and at synapses of the arcuate nucleus, in particular. Side effects include impairment of mental performance, euphoria, drowsiness, lethargy, and blurred vision. It also decreases hunger, inhibits the cough reflex, and produces constipation. When not used as a treatment for pain, morphine is usually highly addictive, and tolerance and physical and psychological dependence develop quickly.

Morphine is frequently found in various preparations. Parenterally, it is given as subcutaneous, intravenous, or epidural injections. The military sometimes issues morphine loaded in an autoinjector. Orally, it comes as an elixir or in tablet form, though this is rare, as codeine is more effective orally. Morphine is rarely in suppository form.

Morphine is used legally in the following :

It was first isolated in 1803 by the German pharmacist Friedrich Wilhelm Adam Serturner, who named it 'morphium' after Morpheus, the Greek god of dreams. But it was not until the development of the hypodermic syringe (1853) that its use spread. It was used for pain relief and, ironically, as a 'cure' for opium or alcohol addiction. Its extensive use during the American Civil War resulted in over 400,000 sufferers from the 'soldiers disease' (addiction).

Heroin was derived from morphine in 1874. Along with other drugs, its possession without a prescription was criminalised in the US by the Harrison Narcotics Tax Act of 1914.

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