It is a potent narcotic analgesic, and its primary clinical
use is for moderately severe and severe pain. After heroin, morphine has the greatest dependence liability of the narcotic analgesics in common use. "M” Morph Miss Emma It is legally available only in the
form of water-soluble salts, such as
Morphine sulfate and
Morphine hydrochloride. Morphine is
taken orally, injected or inhaled, or taken
through rectal suppositories.
In 1805, morphine was first isolated from opium by a German pharmacist F.W.A. Serturner, who named the drug “morphium” after Morpheus, the Greek god of dreams.
From Morpheus to Morphine
The use of injectable morphine during the American Civil War is believed to be the onset of widespread addiction to injectable opiates. It was also used as a surgical anesthetic. Morphine addiction was called the “soldiers disease” as more than 400,000 wounded soldiers were sent home with morphine for relief of pain. “As concern grew about widespread narcotic addiction, the government began to consider taking action. In 1906, the Pure Food and Drug Act was passed, requiring certain products be labeled accordingly. Following the passage of this Act, Americans became more educated on the dangers of morphine and opium. It would be almost ten more years until the use of any opiate-derivative for anything but medicinal purposes was forbidden.” Morphine is so effective because it acts directly at pain-modulating receptors in the nervous system, termed opioid receptors. The receptors respond to natural compounds built by our bodies to control the level of pain experienced at different times. One site where morphine acts is in the reward center of the brain – the area that makes eating and other essential processes feel pleasurable. The brain responds to morphine by building more components for the G protein signaling system. Although morphine remains the most effective drug for pain relief, it is far from perfect. Morphine’s pharmacological effect is on the nervous system and the gastrointestinal tract. Morphine is highly addictive and tolerance and physical and psychological dependence develop quickly. Besides relieving pain, morphine also relieves fear and anxiety and inhibits the cough reflex. Some of the physiological effects of morphine include depressed heart rate, respiratory depression, nausea and vomiting, severe constipation, flushing of the face and neck, cramping, sweating, pupils fixed and constricted, diminished reflexes, and decrease in hunger. Psychologically, morphine produces a feeling of well-being, euphoria, relaxation, drowsiness, sedation, disconnectedness, self-absorption, mental clouding and delirium.
Other side effects include blurred vision, reduces the sex drive, and in women, it may interfere with the menstrual cycle.