Narcotics vs. Opioids: How Do They Differ From Each Other?

Medically Reviewed:
Dr. Randy Gelow, MD, FASAM
Ray Hamilton, DNP, PMHNP-BC, FNP-C
Last Updated: February 14, 2025

Narcotics vs. Opioids

Opioids and narcotics are often used interchangeably, but they are not the same. Understanding the differences is crucial, especially as opioid addiction continues to be a public health crisis.

According to the Centers for Disease Control and Prevention (CDC), nearly 76% of drug overdose deaths in the United States in 2022 involved an opioid. Prescription opioids, once considered safe for pain management, have contributed to the opioid overdose epidemic.

With opioid use disorder on the rise, it is essential to clarify how narcotics and opioids differ and what risks they pose.

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What are Narcotics?

Narcotics were originally defined as substances that dull pain and induce sleep. Over time, the term has taken on different meanings. In medical contexts, narcotics generally refer to drugs that block pain and provide pain relief. However, in legal and law enforcement settings, narcotics can refer to a broader category of controlled substances, including illegal drugs like cocaine and heroin.

What are Opioids?

Opioids are a class of drugs that interact with opioid receptors in the brain to block pain signals. They include natural, semi-synthetic, and synthetic compounds derived from the poppy plant. Common opioid medications include:

  • Morphine
  • Oxycodone
  • Hydrocodone
  • Fentanyl
  • Codeine

Opioids are prescribed for pain medicine but carry a high risk of overdose and addiction. Long-term opioid use can lead to opioid use disorder, a chronic disease requiring medical intervention.

Are Narcotics and Opioids the Same?

While opioids are a type of narcotic, not all narcotics are opioids. The distinction lies in how these substances are classified. Opioids specifically refer to substances that act on opioid receptors, while narcotics in a legal sense include a wider range of drugs.

Health care professionals typically use the term “opioid” when discussing prescription pain medications, while law enforcement may classify all controlled pain-relieving substances as narcotics. Understanding this difference is essential for discussing pain management and addiction treatment accurately.

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Opioids vs. Narcotics: Key Differences

Opioids and narcotics differ in several ways. Medically, opioids are drugs that bind to opioid receptors in the brain and spinal cord to block pain. These drugs are commonly prescribed for pain relief and are derived from the poppy plant.

Narcotics, on the other hand, is a broader term used historically to describe substances that relieve pain and induce drowsiness. However, in legal contexts, narcotics encompass both opioids and other controlled substances, including illegal drugs like heroin and cocaine.

Medical Use

Another key distinction is how these substances are classified and used. Opioids are primarily prescribed for pain management, including post-surgical recovery, cancer treatment, and chronic pain conditions.

Narcotics, as defined legally, include opioids but also extend to other substances that may not be used in medical settings. This means that while all opioids can be considered narcotics in legal terms, not all narcotics are opioids.

Addiction Potential

Opioids carry a high risk of dependence and can lead to opioid use disorder. Their misuse has contributed to the opioid crisis in the United States. The risk of overdose is particularly high with opioids, especially synthetic versions like fentanyl.

Narcotics as a broader category include substances with varying degrees of addiction potential. However, opioids remain among the most widely abused and dangerous due to their strong effects on the brain’s pain and reward systems.

Are Opioids Considered Narcotics?

People often ask the question,”Are opioids narcotics?” As mentioned earlier, opioids are considered narcotics in legal terms.

However, medical professionals prefer the term “opioids” when discussing prescription opioids used for pain management. Many prescription opioids have been linked to addiction and overdose, contributing to the opioid epidemic.

Risks and Dangers of Narcotics and Opioids

Both narcotics and opioids pose serious risks, including:

  • Addiction: Long-term opioid use increases the risk of opioid addiction.
  • Risk of Overdose: High doses can suppress breathing, leading to death.
  • Withdrawal Symptoms: Stopping opioid medications suddenly can cause severe withdrawal symptoms, including nausea, chills, and muscle pain.
  • Side Effects: Common side effects include drowsiness, dizziness, nausea, and respiratory depression.
  • Legal Consequences: Unauthorized possession of prescription opioids or illegal drugs can result in criminal charges.

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Opioid Addiction Treatment Near Me

Understanding the difference between narcotics and opioids is essential, especially in discussions about opioid addiction and the opioid crisis in the United States. While opioids are a type of narcotic, the medical and legal definitions vary.

The misuse of opioid medications has led to increased awareness of their risks, including the potential for opioid use disorder, withdrawal symptoms, and overdose.

Our addiction rehab facilities in Scottsdale, Arizona, provide a supportive space for healing and recovery. Our experienced addiction specialists create personalized treatment plans tailored to your unique needs. Reach out today to learn more about our opioid treatment programs.

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