Skip to main content
British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1988 Dec;26(6):741–746. doi: 10.1111/j.1365-2125.1988.tb05313.x

Comparison of the effect of cisapride and metoclopramide on morphine-induced delay in gastric emptying.

D J Rowbotham 1, P A Bamber 1, W S Nimmo 1
PMCID: PMC1386589  PMID: 3072016

Abstract

1. The effects of metoclopramide or cisapride on morphine-induced delay in gastric emptying in patients before surgery were compared. 2. Forty patients were allocated randomly to receive one of four premedications i.m.: placebo only, morphine 10 mg alone, morphine 10 mg with metoclopramide 10 mg and morphine 10 mg with cisapride 10 mg. Gastric emptying after each premedication was assessed indirectly from the rate of absorption of oral paracetamol. 3. Cisapride 10 mg reversed the delay in gastric emptying due to morphine. Its effects were significantly greater than those of metoclopramide 10 mg.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adelhøj B., Petring O. U., Pedersen N. O., Andersen R. D., Busch P., Vestergård A. S. Metoclopramide given pre-operatively empties the stomach. Acta Anaesthesiol Scand. 1985 Apr;29(3):322–325. doi: 10.1111/j.1399-6576.1985.tb02208.x. [DOI] [PubMed] [Google Scholar]
  2. Aitkenhead A. R., Vater M., Achola K., Cooper C. M., Smith G. Pharmacokinetics of single-dose i.v. morphine in normal volunteers and patients with end-stage renal failure. Br J Anaesth. 1984 Aug;56(8):813–819. doi: 10.1093/bja/56.8.813. [DOI] [PubMed] [Google Scholar]
  3. Harrington R. A., Hamilton C. W., Brogden R. N., Linkewich J. A., Romankiewicz J. A., Heel R. C. Metoclopramide. An updated review of its pharmacological properties and clinical use. Drugs. 1983 May;25(5):451–494. doi: 10.2165/00003495-198325050-00002. [DOI] [PubMed] [Google Scholar]
  4. Howard F. A., Sharp D. S. Effect of metoclopramide on gastric emptying during labour. Br Med J. 1973 Feb 24;1(5851):446–448. [PMC free article] [PubMed] [Google Scholar]
  5. Howie D., Adriaenssens P. I., Prescott L. F. Paracetamol metabolism following overdosage: application of high performance liquid chromatography. J Pharm Pharmacol. 1977 Apr;29(4):235–237. doi: 10.1111/j.2042-7158.1977.tb11295.x. [DOI] [PubMed] [Google Scholar]
  6. Murphy D. F., Nally B., Gardiner J., Unwin A. Effect of metoclopramide on gastric emptying before elective and emergency caesarean section. Br J Anaesth. 1984 Oct;56(10):1113–1116. doi: 10.1093/bja/56.10.1113. [DOI] [PubMed] [Google Scholar]
  7. Nimmo W. S., Heading R. C., Wilson J., Tothill P., Prescott L. F. Inhibition of gastric emptying and drug absorption by narcotic analgesics. Br J Clin Pharmacol. 1975 Dec;2(6):509–513. doi: 10.1111/j.1365-2125.1975.tb00568.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Nimmo W. S., Wilson J., Prescott L. F. Narcotic analgesics and delayed gastric emptying during labour. Lancet. 1975 Apr 19;1(7912):890–893. doi: 10.1016/s0140-6736(75)91687-6. [DOI] [PubMed] [Google Scholar]
  9. Olsson G. L., Hallén B. Pharmacological evacuation of the stomach with metoclopramide. Acta Anaesthesiol Scand. 1982 Oct;26(5):417–420. doi: 10.1111/j.1399-6576.1982.tb01791.x. [DOI] [PubMed] [Google Scholar]
  10. Rowbotham D. J., Nimmo W. S. Effect of cisapride on morphine-induced delay in gastric emptying. Br J Anaesth. 1987 May;59(5):536–539. doi: 10.1093/bja/59.5.536. [DOI] [PubMed] [Google Scholar]
  11. Todd J. G., Nimmo W. S. Effect of premedication on drug absorption and gastric emptying. Br J Anaesth. 1983 Dec;55(12):1189–1193. doi: 10.1093/bja/55.12.1189. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society

RESOURCES