Ever since the Sumerians referred to the opium poppy as hul gil, or “plant of joy,” around 4000 bc, opium-derived substances have been popular for their stimulation of analgesia and euphoria. The recorded cultivation of opium poppy spans the ancient civilizations of Egypt and Persia, to the Greek and Roman empires, to China and contemporary Europe. Morphine was purified from opium in 1805, and heroin was introduced by Bayer as a cough suppressant nearly a century later. Morphine is produced in quantities of more than 1,000 tons per year, with Americans consuming four fifths of the global opioid supply. Hydrocodone-containing products were the second most commonly prescribed medication in 2006, with more than 130 million prescriptions dispensed in the United States. OxyContin (Purdue Pharma, Cranbury, NJ) contains a controlled-release version of oxycodone and is currently the most frequently abused prescription opioid. 1 Manchikanti L. Singh A. Therapeutic opioids: a ten-year perspective on the complexities and complications of the escalating use, abuse, and non-medical use of opioids. Pain Physician. 2008; 11: 63-88 Google Scholar Educational Objectives •Describe the mechanism of action for opioids •State the various opioid compounds and derivative medications •Define the basis for the placement of drugs into one of 5 schedules •Explain the pharmokinetics of opioid metabolism Earn up to 2 hours of CME credit per JHS issue when you read the related articles and take an online test. To pay the $20 fee and take this month's test, visit http://www.assh.org/professionals/jhs. •Describe the mechanism of action for opioids •State the various opioid compounds and derivative medications •Define the basis for the placement of drugs into one of 5 schedules •Explain the pharmokinetics of opioid metabolism Earn up to 2 hours of CME credit per JHS issue when you read the related articles and take an online test. To pay the $20 fee and take this month's test, visit http://www.assh.org/professionals/jhs.
Read full abstract