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Fact Sheet on Narcotic AnalgesicsOpiates Counseling Skills and Practice 11/9/2012 Jesslyn Guenther Fact Sheet on Narcotic Analgesics -Opiates Definition: Any of a class of compounds that bind with the opioid receptors in the central nervous system to block the perception of pain or affect the emotional response to pain, including opium and its derivatives (Medical Dictionary). Types of Opiate Drugs Opium- Extracted from seed pods of papaver somniferum the opium poppy, by ancient Egyptians, Greeks and Romans. Smoking opium produces an addicting sense of relaxation. Morphine- First medicinal plant alkaloid ever isolated. Extracted from opium in 1817, and was used to kill pain on civil war battlefields in the United States. It became known as “Soldiers Disease,” and is a controlled substance in the U.S. Heroin- Chemical acetic anhydride used in producing Diacetylmorphine or heroin from morphine. Heroin can cross the blood-brain barrier more readily than morphine and became illegal in the U.S. in 1924. Codeine- Extracted from opium in 1832, effective cough suppressant and is the most common used narcotic in the world. Example, Tylenol #3 contains 30 MG of codeine. The Bain- Weak opiate, chemical modifications of codeine and the bain have produced the opioids hydrocodone (vicodin) and oxycodone (oxycontin). Both are stronger than codeine and are popular drugs of abuse. Prescription Opiates Patent Name Generic Name Street Name Avinza, Kadian MS Contin Morphine God’s Drug, Dreamer Telenol-Codeine #3,Vopac Codeine Cody, Schoolboy Vicodin, Anexsia Hydrocodone Vikes, Hydro Oxycontin, Roxdone Oxycodone Roxies, Blues Diskets, Methadose Methadone Fizzies, Salvia Fentora, Onsolis Fentanyl Apache, China Girl Demerol Meperidine Demmies, Demoral Illicit Opiate Patent Name Generic Name Heroin Belladonna/Opium Street Name Smack, Horse, Skag Paregoric, Dovers Powder Therapeutic Uses of Prescription Opiates -Primarily used for relieving pain -Relaxes the person Physiological Effects from Opiate Abuse -Constrict pupil of eye -Depress respiratory system -Decrease heart rate (bradycardia) -Low blood pressure (hypotension) -Spasm of gallbladder duct (extra release of bile from the gall bladder) -Nausea and vomiting (caused by delayed emptying of stomach contents) -Constipation -Shaking hands -Mood change -Addiction Withdrawal Effects from Opiates -Agitation -Vomiting -Anxiety -Diarrhea -Tremors -Seizures -Muscle aches -Nausea -Hot and cold flashes Health Risks from Abusing Opiates -Difficult, slow or labored breathing -Intestinal tract and stomach spasms, constipation -Decreased Blood Pressure -Convulsions -Central Nervous System Problems -Cardiovascular Problems Treatment Approaches to Opiate Abuse and Dependence -Cognitive-Behavioral Therapy (inpatient and outpatient) -Drug Replacement Therapy -Spiritual Therapy -Rapid detox References: Narcotic Analgesic – Definition of Narcotic Analgesic in the Medical Dictionary, www.medical-dictionary.thefreedictionary.com/narcotic+analgasic Types of Opiate Drugs; Livestrong.Com, Mar. 08, 2011, Mary Earhart, www.livestrong.com/article/75425-types-opiate-drugs/ Street names for Opiates/Opiate rehab Treatment, www.opiaterehabtreatment.com/street-names-opiates Opioids – Opiates, Mar. 5, 2012, www.opiates.com>opiates Opiate Withdrawal/Symptoms of Opiate Narcotic Addiction, www.99detox.com/opiatewithdrawal.php Opiate Abuse Side Effects, SaadM, July 14, 2011, www.livestrong.com/article/69826opiate-abuse-side-effects/ Opiate Drug Effects/Livestrong.Com, May 13, 2010, www.livestrong.com/article/122051opiate-drug-effects/ Drugs.Com/Prescription Drug Information Interactions and Side Effects, www.drugs.com/