Opium opiate opioid are different words for a reason. If you think opiates and opioids are the same thing idk what to tell you.
Thanks doc!!!! 
Discussion
I think the doc is correct on this one.
Opioids encompasses both natural (opiates) and synthetic drugs. Opiates are natural opioids.
I think this is just hair splitting though. Synthetic opioids appear to lead the crisis, probably due to changes that make them more addictive and/or harmful.
That was my point. Using opioid as opiate is not the same thing. A doctor knows that. Opium opiate opioid are different words because they mean different things. Red and blue are both colors. Just because they’re both colors it does not make them the same thing. Honestly regret opening that can of words but me and “doc” are best pals it’s all good
You’re right, they’re not the same thing. Are all Chevy Tahoes SUVs? Yes. Are all SUVs Tahoes? No.
Opiates are part of the class of drugs known as opiods. So when you say that “All opiods are man made”, you’re wrong.
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Are you an “anesthesiologist” because you don’t have the temperament to work with people???
You’re arguing semantics in an area of medicine and pharmacology that is imperfect and not universally agreed upon. The class of drugs is opioid. Opiate is a less frequently used term that describes the naturally derived alkyloid from the poppy. In practice, we use synthetic, semisynthetic and natural to describe drugs within this class. Drugs like fentanyl are synthetic opiods, which as an anesthesiologist I use every day. Not sure what your background is, but it’s clearly not clinical medicine.
It’s imperfect but I’m factually wrong, right? The entire point was to say, opioids generally refer to opiate based compounds synthesized in a lab. Opium and opioids are different and you know that. That was the original point to the troll who initially commented. I don’t care what you think about my background because similarly to “you” I was a pre med student and I have a significant background in toxicology. If you can’t handle my heat you have to leave my kitchen because I am COOKING young man