There are four broad classes of opioids: endogenous opioid peptides, produced in the body; opium alkaloids, such as morphine (the prototypical opioid) and codeine; semi-
synthetic opioids such as heroin and oxycodone; and fully
synthetic opioids such as pethidine and methadone that have structures unrelated to the opium alkaloids.
Not exact matches
Center stage on what experts consider to be a worsening
opioid crisis are heroin and the
synthetic opioid fentanyl — 30 to 40 times more potent than heroin by weight — and fentanyl - related medicines
such as carfentanil — 300 to 400 times stronger than heroin by weight, said Dr. Daniel Ciccarone, a professor of family and community medicine at the University of California, San Francisco.
And those drugs are sometimes spiked with more potent
opioids such as fentanyl (SN: 9/3/16, p. 14) or even carfentanil, a
synthetic opioid that's used to tranquilize elephants.