Opiates Flashcards

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1
Q

morphine

A

morphine is thr active medicinal ingredient in the latex extracted from opium seed pod and is used for 2 other drugs (codeine, diamorphine)

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2
Q

what must opiates have to be effective?

A
  • must travel to the brain and interfere with nerve impulses (CNS)
  • must have polar functional groups to keep solubility due to surrounding nonpolar layer of lipids
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3
Q

codeine

A

known as methylmorphine since one hydroxyl group is replaced with a methyl alkyl group via a methylation reaction

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4
Q

diamorphine

A

made synthetically by reacting morphine with ethanoic acid (esterification)

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5
Q

product of morphine and ethanoic acid reaction

A

ester linkage and elimination of water

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6
Q

how do the functional groups on morphine react with ethanoic acid

A

hydroxyl functional groups each react by a condensation reaction with carboxyl and ethanoic acid

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7
Q

how is pain received by the body?

A

pain sensation is caused by direct action of prostaglandins on the nerve endings locally at the trauma site or by acting on the perception of pain in the CNS of the brain

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8
Q

how are pain signals transmitted?

A

through neurons communicating through neurotransmitter to send pain signal to the spinal cord and then to the brain

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9
Q

how does opiate relieve pain?

A

interferes with the neurotransmitter and receptors in the transmission of pain signal across the body

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10
Q

endorphins

A

substances produced by the body to work as a natural pain reliever

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11
Q

endorphin receptors

A

endorphins/opiates bind to endorphin receptors in brain cells to intercept pain signal

(endorphin receptors cannot tell the difference between endorphins and opiates)

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12
Q

why are opiates addicitve

A

opiates produce endorphins in the body and creates a euphoric effect which can increase drug tolerance and thus, lead to addiction

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13
Q

what neurotransmitter makes opiates addictive

A

dopamine, which causes pleasure and is produced when endorphin receptor binds to a natural opiate

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14
Q

opiates from most polar to most nonpolar

A

morphine, codeine, diamorphine

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15
Q

methadone treatment

A

an opaite derivative that binds to opiate receptors but does not produce euphoric effect (exception: produces euphoric sensation at high doses)

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16
Q

what does methadone help with?

A

an effective treatment option to help with tolerance, addiction and withdrawal symptoms