THE HISTORY OF CODEINE According to the World Health Organization, codeine is the most commonly used opiate in the world. Codeine was usually administered orally and has been applied in clinical medicine for quite a long time. Codeine also is currently approved for use as an oral analgesic for mild-to-moderate degrees of pain and as an antitussive for suppression of cough which is used in low dose. Codeine is the least addictive and kind of the safest opiate among all opiate drugs that have been prescribed nowadays and the most widely used analgesic drugs or mostly known as “pain-killers”. Even though codeine is the least addictive and safest, it doesn’t mean that codeine cannot give harm to people because many become physically and mentally addicted after extended or repeated use. Codeine is a natural alkaloid which is extracted directly from the seeds of the opium poppy, Papaver Somniferum. In early 1704, opium was quite known in England and at that time, most of opium was sold in elixirs form, for example paregoric which function as pain soothers. In 1804, a German pharmacist, Friedrich Wilhelm Adam Serturner has discovered how to isolate and extract morphine crystals that obtained from opium poppy seed. Codeine has been discovered and was first isolated in 1830 by a French chemist, Pierre Robiquet. The name, of “codeine” comes from the Greek word that refers to the head of the poppy plant. Drug manufacturers only can depend on using the tar from opiate poppies to produce opiate drugs such as codeine, morphine and other opiate drugs. This problem happened since President’s Nixon’s War on Drugs burden the people by make them difficult to obtain the poppies that mostly grow in the country that are unfriendly to America’s pharmaceutical interest, for example Afghanistan. Most drug manufacturers need to face with heroin dealers to purchase raw codeine product. This problem has led the chemists to discover a method to synthesize codeine from coal tar, which has freed the drug companies from competing with the illicit drug cartels. SYNTHESIS OF CODEINE METHYLATION The methylation of morphine is one of the key operations of the opium alkaloid industry. About 90% of the manufactured morphine is converted into codeine, which is the methyl ether of the phenolic hydroxyl of the morphine. Codeine can be directly obtained by extracting the opium. However, most codeine are prepared by methylation of morphine in a phase transfer reaction. This is because, even though some codeine can be obtained from opium directly, the quantity is still not enough to meet the extensive use of this alkaloid as a valuable medicinal agent. Codeine is the most used by people than morphine, so the process of methylation of morphine has been used to synthesis more codeine needed. In this process, the phenolic hydroxyl of the morphine is methylated with trimethylphenylammonium hydroxide. The first step is, dissolving the dry morphine in the solution of potassium hydroxide Dry morphine is dissolved in a solution of potassium hydroxide in the ethanol with which has low water content. After that, the methylating agent, trimethylphenylammonium hydroxide was inserted in the solution. Then, the solution will be heated to evaporate the ethanol. Next, the solution was slowly cooled. After cooling, the water is added and then the solution is acidified with sulfuric acid. Acidifying the solution causing the product to separate, and the alcohol was removed using distillation. Sodium hydroxide was used to precipitate the codeine. Precipitation of codeine showed that codeine was insoluble in alkaline solution. The unreacted morphine is held in solution by the sodium hydroxide. The crystalline form of codeine is purified by crystallization as the sulfate. PROPERTIES OF CODEINE 1. Colour and form Codeine is colourless and can came out as white crystals or powder. 2. Boiling point The boiling point of codeine is 480°F at 22mm/Hg 3. Melting point The melting point of codeine is 309 to 313 °F (after drying at 176° F) 4. Solubility The solubility of codeine can be less than 1 mg/mL at 70° F or not really soluble in water or soluble in alcohol 5. Density The density of codeine is 1.32 at 68 °F STRUCTURE OF CODEINE The molecular formula of codeine is C18H21NO3 . The chemical name of codeine is (5alpha,6alpha)-7,8-didehydro-4,5-epoxy-3methoxy-17-methylmorphinan-6-ol The other names of codeine are methylmorphine, morphine monomethyl ether. The molecular weight of codeine is 299.37 g/mol 2D Chemical structure 3D Chemical structure of codeine of codeine Crystal structure of codeine APPLICATION OF CODEINE 1) Analgesic Codeine is a weak opioid analgesic which achieves its analgesic action through metabolisation to morphine in the liver by the liver enzyme, CYP2D6. Usually 5 to 15% of a dose of codeine is metabolized to morphine. Approximately 6 to 10% of Caucasians and 1 to 2% of Asians are lack the CYP2D6 enzyme because of genetic differents. The lack of the enzyme causing the difficulty in conversion of codeine to morphine and are hard to achieve any pain relief with codeine 2) Antitussive Antitussive is cough suppressants. Codeine is used with combinations of other medications such as antihistamines, decongestants. This combination product is used to treat symptoms that resulted from the flu, allergies, fever, or breathing diseases. Codeine as antitussive help affect the specific part in the brain to reduce the cough urgency. Decongestants can help to soothe stuffy nose symptoms. Antihistamines can relieve watery and itchy eyes, runny nose or sneezing. Codeine should not be used by children who are younger than 18 years old because it can give serious side effects to them. 3) Anti-diarrheal Therapeutic doses of codeine can increase the net absorption in large intestine, thus reduce the stool volume by increasing the contact time between luminal fluid and mucosa cells. Codeine do not regulate intestinal absorption, so there is no increase of rate of absorption by cells.