r/DrugNerds • u/MildlySuspiciousBlob • 25d ago
Have you heard influencers or other media fearmonger-ers say that 7-OH is "13 times more powerful than morphine"? Here's the context: it is 13x more potent at inhibiting the contractions of guinea pig intestines compared to morphine
https://www.fda.gov/media/187899/download?attachmentFrom 7-Hydroxymitragynine (7-OH): An Assessment of the Scientific Data and Toxicological Concerns Around an Emerging Opioid Threat (page 15):
Similarly, Matsumoto and colleagues concluded that 7-OH was “found to have an opioid agonist property on µ- and/or κ-opioid receptors” based on its ability to inhibit contraction of isolated guinea pig ileum. In this assay, 7-OH displayed approximately 13-fold greater potency than morphine and 46-fold greater potency than mitragynine. The inhibition was reversed by naloxone, suggesting the effects are mediated via mu opioid receptors (Matsumoto et al., 2004). Other functional assays produced results that are aligned with Matsumoto and colleagues. For example, using a cAMP mobilization assay as a measure of functional effects, 7-OH acted as a full agonist with an EC50 of 7.6 nM, and was more potent than mitragynine (EC50 307.5 nM) (Obeng et al., 2020). Likewise, when evaluating the agonist activity of 7-OH in an electrically stimulated guinea pig ileum, 7-OH acted as a full agonist and was more potent than morphine (Takayama et al., 2002). Finally, using a [35S] GTPγS functional assay, 7-OH produced an Emax of 77% with an EC50 of 53.4 nM, further demonstrating its agonist effects (Varadi et al., 2016).
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u/Majestic_True_Lilly 25d ago
Wait til these halfwits learn about loperamide...
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u/dylanneedsalife 25d ago
Shhhhh, that's our lil secret lol
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u/Majestic_True_Lilly 25d ago
"Theres a opioid 1000x stronger than fentanyl in your local grocery store! Learn how to keep your children safe and more at 11 oclock, here on your trusted news source."
Then the segment is 10 seconds of a professional stating its an opioid thats 1000x better at inhibiting intestinal mobility than fent, followed by 10 minutes of ignorant idiots hysterically misconstruing what that means, then extrapolating more incorrect shit to be mad at (ancient aliens style), capped with a 5 second clip of the professional from the first clip stating it doesnt cross the BBB and so cant get you high or kill you. Then everyone confuses the incorrect shit said by the idiots as being from the actual expert, and a brand new hysteria is born, merch and subs are sold, and big pharma gets to release a patented new derivative that doesnt work as well after cheap generic lope is banned.
Same typa shit happens every day
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u/pickledeggmanwalrus 25d ago
I feel like anyone who has ever taken 7oh and morphine is aware that those marketing claims don’t mean what the maker tries to portray.
I was using it for sciatic nerve pain. It was the most effective thing I have used to try to relieve the pain. Worked better than steroids, muscle relaxers, NDAIDs and even strong THC extracts. THC extracts would help me ignore the pain but 7OH would actually make it go away for a few hours.
I only used daily for about 6 months and at the highest was taking 200mg+ per day but when the ban was announced i tapered myself down to 60mg per day for a week or so and then quit. The withdrawal symptoms were rough but not as bad as I was expecting after reading all the horror stories online. Honestly think reading online and preparing for the withdrawals caused some unneeded anxiety and may have even worsened symptoms because I was “expecting” the side effects to be severe. Withdrawal began about 8 hours after my last dose and lasted about 36 hours total. The worst of it being hours 12-24. After the 24 hour mark it began to ease up a lot. I did use copious amounts of D9THC/thca(500mg+ vaped), HHC (1000mg+ vaped), and took a small dose(5mg) of THCp during the withdrawal window and that probably helped some of the negative side effects.
I think they should bring it back but this time let it be schedule 3 and let doctors prescribe it for acute pain like they used to be able to do with opiate based opioids. I feel it’s safe to do so since it doesn’t have the respiratory depression risks that other opiate opioids carry
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u/evincarofautumn 25d ago
Yeah, 7-OH-mitragynine was really the only thing I found to work for sciatic nerve pain as well. And likewise I don’t use it anymore. It helped me quit drinking, which removed a lot of the inflammation that had been exacerbating my chronic pain to begin with. Tapering off did take a while but it was fine.
Personally I think it should just be legal with an age limit, but failing that, I absolutely agree that hydroxymitragynine should be available by prescription. It’s essentially the best alternative to opiate pain meds and “replacement therapy” meds that we have right now.
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u/Sert1991 24d ago
People also confuse potency with the strength a drug exhibits on receptors.
For example buprenorphine is said to be over 100 times more potent than morphine, because it requires micrograms to work.
But try to saturate 90% of your receptors with buprenorphine and then do it with morphine, tell me if buprenorphine is over 100 times stronger than morphine.
Oh wait, you can't tell me cause you're dead.
Maybe this is a similar confusion?
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u/Former_Quality_9867 20d ago
Yh people don’t understand intrinsic efficacy or affinity and how the two work together. People just associate potency with strength
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u/SiNoSe_Aprendere 5d ago
This explains why the constipation was so bad even at moderate doses of 7OH... I really wish I saw this sooner.
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u/RecklessPope 25d ago
I’m a scientist studying this topic, feel free to ask away. In my hands 7-OH is nearly equipotent to morphine in GTPyS, with a similar binding affinity. Guinea pig ileum contractions are a very old school way of measuring ligand activity (thing 1960s, 1970s)