Narcotic/Opioid Analgesics

Natural Opioids (Derived from the Opium Poppy):

• Morphine (e.g., MS Contin, Kadian)

• Codeine (e.g., Tylenol with Codeine)

Natural Opioid-like alkaloids:

• Mitragynine (Derived from kratom)

• 7-HO-Mitragynine (Derived from kratom)

• Akuammine (Derived from the seeds of the akuamma plant)

Semi-Synthetic Opioids (Modified from natural opioids):

• Heroin (Diacetylmorphine)

• Oxycodone (e.g., OxyContin, Percocet)

• Hydrocodone (e.g., Vicodin, Norco)

• Oxymorphone (e.g., Opana)

• Hydromorphone (e.g., Dilaudid)

• Buprenorphine (e.g., Suboxone, Subutex)

Fully Synthetic Opioids:

Phenylpiperidine Derivatives:

• Fentanyl (Illicitly manufactured and prescription)

• Carfentanil (Illicitly manufactured; and as elephant tranquilizer)

• Acetylfentanyl (Illicit fentanyl analog)

• Meperidine (e.g., Demerol)
  
  

Nitazene Derivatives:

• Isotonitazene

• Protonitazene

• Metonitazene

• Etonitazene

• Flunitazene

• Butonitazene

• Clonitazene

• Metodesnitazene

• Etodesnitazene
  
  

Other Fully Synthetic Opioids:

• Methadone (e.g., Dolophine, Methadose)

• Tramadol (e.g., Ultram, ConZip)

• U-47700 (commonly called “Pink”; not to be confused with "Pink Cocaine" a.k.a. "Tusi" [a drug "cocktail" which is dyed pink])

• Brorphine

• AH-7921

• MT-45

Opioid Analgesics (Narcotics) are substances like heroin, morphine, nitazenes, fentanyl, and prescription painkillers that relieve pain by binding to opioid receptors in the brain and body. They can produce effects such as pain relief, euphoria, and relaxation but also carry significant risks including respiratory depression, drowsiness, constipation, addiction, and overdose.