It would appear from the references that 7-OHM possesses high oral bioavailability relative to its parenteral bioavailability, whereas morphine has poor oral bioavailability relative to its parenteral bioavailability. Thus I would suspect (though to my knowledge this has not yet been confirmed in humans) that 7-OHM would be significantly more potent than morphine p.o.
The estimates of potency factors for 7-OHM and MPI are based on
in vitro assays (guinea-pig ileum, mouse vas deferens), and competitive binding assays. By these measures, MPI looks like a quite potent opioid.
"Mitragynine pseudoindoxyl, an oxidative derivative of mitragynine, was found to show potent opioid agonistic activity in the guinea pig ileum and in mouse vas deferens. The potency of MPI on
mu-opioid receptors in the guinea pig ileum was about 100- and 20-fold higher than that of mitragynine and morphine, respectively. Additionally, its potency on
delta-opioid receptors in mouse vas deferens was about 700- and 35-fold higher than that of mitragynine and morphine, respectively... "
PKi values:
morphine: 8.46 @ mu, 6.38 @ delta, 6.33 @ kappa (98.5%, 0.8%, 0.7% )
mitragynine: 8.14 @ mu, 7.22 @ delta, 5.96 @ kappa (88.7%, 10.7%, 0.6% )
MPI: 10.06 @ mu , 8.52 @ delta, 7.10 @ kappa (97.1%, 2.8%, 0.1% )
7-OHM: 7.87 @ mu, 6.81 @ delta, 6.91 @ kappa (83.3%, 6.6%, 10.1% )
However, when tested
in vivo, MPI did not have the expected antinociceptive potency and appears to be metabolicly labile even when injected directly into the brain of the mouse:
"Mitragynine pseudoindoxyl, administered by intracerebroventricular (icv) injections, showed antinociceptive effects in the tail flick test in mice. Its effect reached a maximum at about 15-45 min after the injection. The effect of mitragynine pseudoindoxyl
is less potent than that of morphine... Mitragynine pseudoindoxyl exhibited less potent analgesic activity than morphine, despite very high opioid activity in isolated guinea pig ileum test. We speculate that the low analgesic activity of mitragynine pseudoindoxyl results from the
instability of the compound in the brain."
Antinociceptive effect of 7-hydroxymitragynine in mice: Discovery of an orally active opioid analgesic from the Thai medicinal herb Mitragyna speciosa.
Kenjiro Matsumoto, Syunji Horie, Hayato Ishikawa, Hiromitsu Takayama, Norio Aimi, Dhavadee Ponglux, Kazuo Watanabe
Life Sci. 74(17), 2143-2155 (2004)
http://tinyurl.com/bbax6
Opioid receptor agonistic characteristics of mitragynine pseudoindoxyl in comparison with mitragynine derived from Thai medicinal plant Mitragyna speciosa
Leonardo T. Yamamoto, Syunji Horie, Hiromitsu Takayama, Norio Aimi, Shin-ichiro Sakai, Shingo Yano, Jie Shan, Peter K. T. Pang, Dhavadee Ponglux, Kazuo Watanabe
General Pharmacology 33, 73–81 (1999)
http://tinyurl.com/8v2uv
Studies on the Synthesis and Opioid Agonistic Activities of Mitragynine-Related Indole Alkaloids: Discovery of Opioid Agonists Structurally Different from Other Opioid Ligands
Hiromitsu Takayama, Hayato Ishikawa, Mika Kurihara, Mariko Kitajima, Norio Aimi, Dhavadee Ponglux, Fumi Koyama, Kenjiro Matsumoto, Tomoyuki Moriyama, Leonard T. Yamamoto, Kazuo Watanabe, Toshihiko Murayama, and Syunji Horie
J. Med. Chem. 45(9), 1949-1956 (2002)
http://tinyurl.com/aaeu6
7-OHM on the other hand, despite weaker binding to
mu receptors than morphine, appears to exhibit surprisingly good potency presumably because of its superior bioavailability by an oral route, and rapid-acting nature:
"Antinociceptive effects of 7-hydroxymitragynine and morphine were compared in acute thermal pain tests in mice... In the tail-flick test, the Maximum Possible Effect value of 7-hydroxymitragynine (5 mg/kg, s.c.) reached 100% between 15–30 min after its administration. On the other hand, the maximum MPE value of morphine (5 mg/kg, s.c.) was only about 69%, at 45 min after its administration... The results about oral administration are noteworthy in tail-flick and hot-plate tests... In the tail-flick test, 7-hydroxymitragynine (2.5–10 mg/kg, p.o.)showed a dose-dependent inhibition of pain response. The MPE value of 7-hydroxymitragynine (10 mg/kg, p.o.) reached 100% between 15–30 min after its administration, and a significant antinociceptive effect lasted for 90 min. On the contrary, the MPE value of morphine (20 mg/kg, p.o.) was only about 49% at 45 min after administration."
From the Life Sci reference, it looks like 7-OHM would be expected to be about 6-fold more potent taken orally than morphine taken orally, and perhaps 2-fold more potent taken subcutaneously than morphine taken subcutaneously. It also seems as though it would produce effects faster than morphine, but that the effects would last about as long.
To my knowledge, none of this has yet been confirmed in humans. (Except to the extent that 7-hydroxymitragynine is the main compound responsible for effects from Kratom.)
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About the ethics of putting potent opioids in the hands of people:
Putting potent opioids in the hands of people is defensible only in the context of human freedom, which includes the freedom to make ruinous or deadly mistakes.
Some societies, for example, believe strongly in the right of individuals to bear arms (own guns). This despite the fact that guns are weapons; their only function is to kill or harm living things.
In these societies, there is the belief that every individual has an innate, God-given right to kill and harm living things if they deem it appropriate or necessary under the circumstances. A belief, in other words, that each individual has free will, rational faculties, and is fundamentally responsible for his or her own actions. That these are endowed upon the individual by a divine authority, and therefore no mortal authority has the right to strip those freedoms away from the individual, even if those freedoms include the freedom to threaten to harm or kill.
Does such a belief make any sense? Perhaps, perhaps not... it depends on your view of human nature and what "freedom" truly means as an ideal. But, if you are willing to believe that people have been endowed with a God-given right to bear weapons, which can be used for nothing other than the sole function of killing or harming living things, then it makes no sense to believe that people must be prevented from the freedom and responsibility of access to things which merely COULD kill or harm.
Personally I am an atheist, and believe that people are biological machines with no free will. I see little or no difference between french fries, cigarettes, automobiles and 7-OHM. They all are addictive, and the use of the first three certainly each kill thousands or tens of thousands of people every year. Who is presumptuous enough to decide that people should not be permitted access to french fries, or cigarettes, or automobiles?
Well, at least that is what I suppose the french fry sellers, cigarette pushers and automobile makers tell themselves to get to sleep.