RT Book, Section A1 Panus, Peter C. A1 Jobst, Erin E. A1 Masters, Susan B. A1 Katzung, Bertram A1 Tinsley, Suzanne L. A1 Trevor, Anthony J. SR Print(0) ID 6092707 T1 Chapter 20. Opioid Analgesics and Antagonists T2 Pharmacology for the Physical Therapist YR 2009 FD 2009 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-146043-9 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=6092707 RD 2024/04/19 AB Derivatives of the opium poppy have been used to relieve severe pain for hundreds (possibly thousands) of years. Morphine, the prototypic opioid agonist, does so with remarkable efficacy. This alkaloid (named after Morpheus, the Greek god of dreams) is extracted from crude opium, which is obtained from the opium poppy seed pod. Morphine remains the standard against which all drugs that have strong analgesic action are compared in terms of efficacy and potency. These drugs are collectively known as opioid analgesics and include not only the natural opium alkaloids and semisynthetic alkaloid derivatives from opium, but also synthetic surrogates (opioid-like analgesic drugs whose actions are blocked by the nonselective antagonist naloxone), and endogenous peptides that interact with several opioid receptor subtypes. Opioid analgesics are characterized by their ability to relieve moderate to severe pain. Many opioids also have useful antitussive or antidiarrheal effects.