To provide a spirocyclic
morphine derivative having κ-
opioid receptor agonist activity. 【Solution means】 A compound represented by the following general formula (I) or a pharmaceutically acceptable salt thereof: TIFF2026086955000362.tif5071 (In the formula, R 1 ~R 5 , R 7 ~R 1 3 represents a
hydrogen atom, a C 1-6
alkyl group, etc., R 6 represents a
hydrogen atom, a
hydroxy group, etc., A represents a heterocycle which may contain at least one
heteroatom selected from N, O and S as ring-constituting atoms, etc., W represents a C 1-6 alkylene group, etc., X represents a C 1-6 alkylene group, etc., Y represents a C 1-6 alkylene, etc., Z represents a C 3-7 saturated
hydrocarbon ring, etc.).