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    Morphine-N-oxide molecular structure

    Morphine-N-oxide Stats & Data

    NPS DataHub
    MW301.34
    FormulaC17H19NO4
    CAS639-46-3
    IUPAC(4~{R},4~{a}~{R},7~{S},7~{a}~{R},12~{b}~{S})-3-methyl-3-oxido-2,4,4~{a},7,7~{a},13-hexahydro-1~{H}-4,12-methanobenzofuro[3,2-e]isoquinolin-3-ium-7,9-diol
    SMILESOC1C=CC2C3Cc4ccc(O)c5OC1C2(CCN3(C)=O)c45
    InChIKeyAMAPEXTUMXQULJ-APQDOHRLSA-N
    Chemical Class Morphinan
    Psychoactive Class Depressant

    Effect Profile

    Curated
    Opioid 5.1

    Strong euphoria with moderate itching/nausea, mild sedation

    Euphoria / Warmth×3
    9
    Analgesia×2
    0
    Sedation / Relaxation×1
    5
    Itching / Nausea×1
    6

    Tolerance & Pharmacokinetics

    drugs.wiki

    No tolerance chart. Our decay curves for opioids were estimates, and a curve can make tolerance look longer-lasting than it is, which is the dangerous direction.

    Opioid tolerance drops fast when you stop, and even a few days off can be enough, so a dose that used to be normal can now stop your breathing. Overdose deaths rise sharply after prison, detox or leaving treatment, and tolerance also falls during a hospital stay. After any break, start with a much smaller amount, try a test dose first, don't use alone, and keep naloxone within reach. Alcohol, benzodiazepines, gabapentinoids and other sedatives make an opioid overdose much more likely.

    Sources: FRANK: heroin · National Harm Reduction Coalition · WHO: opioid overdose · Merrall et al. 2010 · Binswanger et al. 2007 · Strang et al. 2003 · FDA 2019: gabapentinoids and breathing

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