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Opiates are naturally occurring chemicals that bind to the opiate receptor, and include opium, morphine, and codeine. In contrast, an opioid is any xenobiotic that has activity at the opiate receptors. Such drugs include the semisynthetic opioids, such as oxycodone or hydrocodone, as well as the synthetic opioids, such as fentanyl or methadone. In addition, more recently, several novel synthetic opioids have been created including U47700, MT-45, U-50488, and numerous fentanyl derivatives, such as acetylfentanyl and carfentanil Clinical trials indicate opioid antagonists (naltrexone and nalmefene) superior to placebo in the treatment of PG, and particularly helpful for individuals with strong gambling urges Like gambling with meme coins.