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Morphine is a potent narcotic drug that directly affects the central nervous system. It is one of the main alkaloids extracted from the opium poppy. Morphine sulfate, the most common form of the drug, occurs as a white, feathery, crystalline powder. It has a pH around 7.4, which makes it highly water soluble, while pure morphine is not very water soluble. Morphine should be stored at room temperature, away from heat, light, and moisture. It is an effective pain reliever, cough suppressant, and anti-diarrheic, while it also produces euphoria. Tolerance and both physical and psychological dependence can develop rapidly with use.

Morphine was first isolated from opium around 1805 by Friedrich Wilhelm Adam Serturner, a German pharmacist, who identified the organic alkaloid and named it “morphium” after the Greek god of dreams, Morpheus. It was also known as “morphia” in the 19th century. By the 1820s Merck and other Western European pharmaceutical companies were marketing morphine. It was initially used as a narcotic analgesic and thought to be nonaddictive; it was even recommended as a cure for opium addiction. Morphine pills were widely marketed in early 19th-century Europe.

Morphine's use continued to spread rapidly and it soon displaced opium as an ingredient in many popular patent medicine cure-alls. Morphine was commonly applied directly on open wounds at the time; morphine pills were also produced. In the 1850s, the development of hypodermic syringes allowed the widespread practice of injecting morphine. Morphine was regularly used to treat soldiers during the U.S. Civil War, as well as the subsequent Franco-Austrian and Franco-Prussian Wars in Europe. These practices led to substantial expansions in the rates of opiate addiction. Morphine remained a popular drug with high rates of use until the early 20th century, when a series of laws limited its availability and criminalized its use. Today, morphine may be administered orally, intramuscularly, intravenously, rectally, epidurally, or intrathecally.

The elemental analysis of morphine was published in 1847 by the French chemist Auguste Laurent. The chemical structure of morphine was first clarified by Robert Robinson at Oxford University in 1925. However, the first complete synthesis of morphine was not achieved until 1952 by Marshall Gates and Gilg Tschudi.

Abuse and Treatment

Morphine effectively relieves pain, inhibits the cough reflex, and stops chronic diarrhea. Morphine attaches to the various opioid receptors in the central nervous system and elsewhere in the body. It has a half-life of about two hours, while about 90 percent of morphine is excreted in urine within 24 hours of use. Morphine use results in drowsiness, weakness, fainting, pin-point pupils, dreams, and sedation. A vast array of side effects is associated with the use of morphine. These side effects include constipation, dry mouth, loss of appetite, itching, lack of coordination, involuntary eye movement, rash, and tremor. Morphine is a highly addictive substance with tolerance and both physiological and psychological dependence developing rapidly with use.

Chronic use of morphine has been shown in experimental studies to cause biochemical as well as structural changes to brain cells. Changes demonstrated from chronic morphine use include a decrease in the size of mesolimbic dopamine neurons in the ventral tegmental area of the brain, while nondopaminergic neurons appear to remain unchanged. Considerable research has indicated the significance of dopamine in the control and experience of drug use. These structural and functional changes to neurons may contribute to the intense drug craving that characterizes the withdrawal syndrome associated with rapid cessation of morphine use. Addiction treatment approaches should recognize and address these biological changes.

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