DISPOSITION OF MORPHINE-6-GLUCURONIDE AND MORPHINE IN HEALTHY-VOLUNTEERS

被引:68
作者
HANNA, MH
PEAT, SJ
KNIBB, AA
FUNG, C
机构
[1] Pain Relief Research Unit, Kings College Hospital, School of Medicine and Dentistry, London SE5 9RS, Denmark Hill
关键词
ANALGESICS; MORPHINE; MORPHINE-6-GLUCURONIDE; PHARMACOKINETICS; ANALGESIC ACTIVITY; COMPUTER-PROGRAM; RENAL-FAILURE; METABOLITES; PLASMA; BRAIN; CSF;
D O I
10.1093/bja/66.1.103
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The pharmacokinetics and subjective side effects of i.v. morphine sulphate 120-mu-g kg-1 and morphine-6-glucuronide (M6G) 30-mu-g kg-1 were determined in six healthy volunteers, using a placebo-controlled, single-blind randomized crossover design. Five of these volunteers underwent an additional (non-randomized) study of M6G 60-mu-g kg-1. Subjective side effects were similar following both drugs, but of shorter duration following M6G. Morphine was not detected after administration of M6G. For M6G 30-mu-g kg-1 the mean (SD) volume of distribution, elimination half-life and clearance were 29.38 (18.36) litre, 2.05 (1.2) h and 187.81 (37.41) litre h-1, respectively. These values were not significantly different from those obtained for M6G 60-mu-g kg-1. In all subjects the volumes of distribution and clearances were significantly smaller for M6G than for morphine, but the elimination half-lives were similar.
引用
收藏
页码:103 / 107
页数:5
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