Dextropropoxyphene is a synthetic opioid analgesic used to treat mild to moderate pain. It works by binding to opioid receptors in the central nervous system, reducing the perception of pain. First synthesized in the 1950s, dextropropoxyphene was introduced as a less potent alternative to stronger opioids like morphine, aiming to provide effective pain relief with a lower risk of severe side effects. It was commonly combined with acetaminophen or aspirin in prescription formulations. Over time, concerns about its safety, including risk of overdose, cardiac toxicity, and dependence, led to restrictions and withdrawal of the drug in many countries, although it remains in limited use in some regions under strict medical supervision.