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Posted by ortegaygasset 5 days ago

The first non-opoid painkiller(www.worksinprogress.news)
246 points | 226 commentspage 2
ck2 5 days ago|
While suzetrigine is fascinating and great to see development in that field

technically Low‐Dose-Naltrexone (aka LDN) is not an opioid and reduces pain

(however it does it by modulating opioid receptors so okay I guess it's opioid-related)

found more background here

https://www.newyorker.com/magazine/2025/06/02/the-radical-de...

ChrisMarshallNY 5 days ago||
We'll have to see how this pans out, once people start getting it prescribed.

If you want to see what a "non-addictive" painkiller is like, watch Dopesick.

Perenti 5 days ago||
The paragraph on the relation to Brugada Syndrome hits home, as I have that rare disease. What isn't clear is if it's safe for Brugada patients - a hell of a lot of drugs are not advisable for us. As I also have CRPS type II (complex regional pain syndrome) I'd like a non-narcotic strong pain killer that doesn't induce arrhythmia.
cadamsdotcom 5 days ago||
One thing people barely notice is how well the FDA is working.

A government agency with very high trust that partners with companies and helps to get things approved but only when they’re safe and has gotten more efficient since Covid is a rare and precious thing.

api 5 days ago||
If you read the parts about the discovery, and how the trail went, you'll see how basic research into all kinds of things feed into innovations like this.

Which is why some bean counter or ideologue cutting this stuff will halt progress all over the place.

hamilyon2 5 days ago||
Everyone's pain tolerance is different. I am also very aware on stomach and kidney issues those drugs have.

Having said that, ketorolac is a very potent pain inhibitor, can be prescribed for 6 days, causes no dependence issues. Pretty sure can be prescribed more. Cheap, out of patent protection. Took it when broke my hand, it was a miracle of painkiller.

Y_Y 5 days ago||
Other comments have mentioned NSAIDs, but also there's nitrous oxide, ethanol, meditation, etc.

This is a silly headline.

croemer 5 days ago|
It should have "suitable for treating post-surgery pain" added to it - that qualification is in the body of the article.
cue_the_strings 4 days ago||
I'd say "suitable for treating post-surgery pain for US patients", because the rest of us get metamizole for that a lot of the time.
echelon_musk 5 days ago||
> Traditional opioids mimic opium, a compound found in the poppy plant that contains morphine.

Huh? How can a compound contain another compound. I thought opium was the term for an extract which contained opiates (compounds) and not the other way round.

dudeinjapan 5 days ago||
In the original sentence, "contains morphine" is probably modifying "compound", not “poppy plant”

---

"Opium" is the dried latex (milky fluid) that comes from the seed capsules of the opium poppy (Papaver somniferum).

Opium contains ~12% morphine, ~2.5% codeine, and ~1.5% thebaine, all of which are analgesic alkaloids that act on the μ-opioid receptors. So opium itself is a cocktail of these, plus non-analgesics like noscapine (a cough suppressant) and papaverine (a vasodilator.)

Heroin is synthesized from morphine by acetylation.

Oxycodone is synthesized from thebaine in a more complex, multi-step process.

As for the terms "opiate" vs. "opioid", the terms are sometimes used interchangeably but "opiate" generally refers to naturally occurring chemical (morphine, codiene, thebaine, etc.) while "opioid" is a catch-all Heroin is often lumped in with the opiates since it is a simple synthesis; oxycodone could be called a "semi-synthetic" opioid, and fully synthetic opioids include fentanyl, methadone, and tramadol. Relative to morphine, codeine is about 1/10th the potency, heroin is 4x, fentanyl is 50-100x, and the veterinary analgesic carfentanil (given to elephants and rhinos) is 10,000x--yikes!

mrob 5 days ago|||
Two different meanings of the word. The article is using the traditional non-scientific meaning. Opium is a compound (as in a mixture), containing several different chemical compounds (as in molecules containing more than one element).
bravesoul2 5 days ago||
This sentence confused me too!
rconti 5 days ago||
Typo in title
croemer 5 days ago|
s/opoid/opioid/
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