an agent that acts as an antagonist at
opioid receptors. Generally, opioid antagonists are synthetic derivatives of morphine that, as a result of structural changes in the molecule, bind to opioid receptors but do not produce the effects of euphoria, respiratory depression, or analgesia that are observed with
opioid agonists. Opioid antagonists may be complete (pure) or mixed. Complete antagonists, such as
naloxone,
naltrexone,
nalmefene (U.S. trade name: Revex), and
nalorphine, are generally used to reverse the effects of opiate overdose (notably respiratory depression). Mixed
agonist–antagonist opioids, such as
butorphanol and
pentazocine (U.S. trade name: Talwin), were developed in attempts to produce opioid analgesics that did not possess the abuse potential of opioid agonists. Also called
narcotic antagonist.