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Enhanced potency of intravenous, but not intrathecal, morphine and morphine-6-glucuronide after burn trauma

Identifieur interne : 00D699 ( Main/Exploration ); précédent : 00D698; suivant : 00D700

Enhanced potency of intravenous, but not intrathecal, morphine and morphine-6-glucuronide after burn trauma

Auteurs : Agnes Langlade [États-Unis, France] ; Daniel B. Carr [États-Unis] ; Alain Serrie [France] ; Brendan S. Silbert [États-Unis, Australie] ; Stanislaw K. Szyfelbein [États-Unis] ; Andrzej W. Lipkowski [États-Unis, Pologne]

Source :

RBID : ISTEX:32C13B7C090F4099606FD5776D06B95C56D20E58

Descripteurs français

English descriptors

Abstract

Abstract: We examined the analgesic effect of morphine (M) and its metabolite morphine-6-glucuronide (M6G) in a rat model of acute thermal trauma. M or M6G were given by intrathecal (IT) or intravenous (IV) routes after brief burn or sham burn delivered during inhalational anesthesia. In the sham group, M6G was significantly less potent than M when given IV, yet tended to be more potent than M when given IT. For both drugs, thermal injury increased IV potency, yet decreased (for M) or displayed a trend to decrease (for M6G) IT potency. The increased potency seen with IV but not IT opioid administration may reflect pharmacokinetic (e.g., diminished clearance) and/or pharmacodynamic responses (e.g., activation of peripheral opioid receptors) after thermal injury.

Url:
DOI: 10.1016/0024-3205(94)00610-5


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Abstract: We examined the analgesic effect of morphine (M) and its metabolite morphine-6-glucuronide (M6G) in a rat model of acute thermal trauma. M or M6G were given by intrathecal (IT) or intravenous (IV) routes after brief burn or sham burn delivered during inhalational anesthesia. In the sham group, M6G was significantly less potent than M when given IV, yet tended to be more potent than M when given IT. For both drugs, thermal injury increased IV potency, yet decreased (for M) or displayed a trend to decrease (for M6G) IT potency. The increased potency seen with IV but not IT opioid administration may reflect pharmacokinetic (e.g., diminished clearance) and/or pharmacodynamic responses (e.g., activation of peripheral opioid receptors) after thermal injury.</div>
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