Journal of Pharmacological and Toxicological Methods · 1995 · 103 citations · 53 references
MedicinePharmacologyNeuropharmacologyPain MedicinePharmacodynamicsAnalgesiaAnalgesic PharmacologyOpioid AnalgesicsOpioid PharmacologyOpioid TherapyPain MeasurementAcute ToleranceAnalgesic Dose-response RelationshipsAnalgesic Drug MechanismsAnalgesic Efficacy AssessmentContinuous Infusion PharmacologyHot PlatesPain PharmacologyPharmacodynamics Of Analgesics
The development of tolerance to continuous morphine infusion (2, 4 and 6 mg x kg(-1) x hr(-1) was assessed in rats using two different methods for evaluation of nociception, tail flick (TF) and hot plate (HP). The influence of repeated testing on nociception was evaluated using two regimens; series 1 was tested repeatedly 1, 2, 4, 6, and 8 hr after initiating the morphine infusion and series 2 was tested only twice, at maximum morphine effect and at 8 hr. Both, TF and HP showed pain threshold elevation after the morphine administration of 4 or 6 mg x kg(-1) x hr(-1), which reached a maximum at 2 hr after the start of the infusion. HP: reduction of the effect was found in group 4 mg x kg(-1) x hr(-1) in the series subjected to repeated testing; group 6 mg x kg(-1) x hr(-1) showed reduced effect in both sides. TF: the response latencies did not show reduction at 8 hr. Since TF is predominantly a spinal response and HP is predominantly supraspinal, the results suggest that tolerance during the first 8 hr of morphine infusion develops mainly at supraspinal level.
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EPIDURAL MORPHINE IN TREATMENT OF PAIN
M Behar, D. Olshwang, F Magora et al. · The Lancet · 1979 · 632 citations
MOLECULAR BASIS FOR MILD FORMS OF HOMOZYGOUS BETA-THALASSAEMIA
D. J. Weatherall · The Lancet · 1981 · 485 citations
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