Abstract
The pharmacokinetics of oral controlled release morphine and metoclopramide were investigated in 20 patients in a double-blind, randomly allocated study. The concurrent administration of metoclopramide and oral controlled release morphine led to a faster onset and increased level of sedation compared with the administration of oral controlled release morphine alone. Whilst the increased sedation may be advantageous in anaesthetic practice, it may be a potential problem in patients starting longer term therapy with these drugs.
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Selected References
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- Albibi R., McCallum R. W. Metoclopramide: pharmacology and clinical application. Ann Intern Med. 1983 Jan;98(1):86–95. doi: 10.7326/0003-4819-98-1-86. [DOI] [PubMed] [Google Scholar]
- Ingram D. M., Sheiner H. J. Postoperative gastric emptying. Br J Surg. 1981 Aug;68(8):572–576. doi: 10.1002/bjs.1800680816. [DOI] [PubMed] [Google Scholar]
- Kay B., Healy T. E. Premedication by controlled-release morphine. Anaesthesia. 1984 Jun;39(6):587–589. doi: 10.1111/j.1365-2044.1984.tb07369.x. [DOI] [PubMed] [Google Scholar]
- Leslie S. T., Rhodes A., Black F. M. Controlled release morphine sulphate tablets--a study in normal volunteers. Br J Clin Pharmacol. 1980 May;9(5):531–534. doi: 10.1111/j.1365-2125.1980.tb05858.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Park G. R., Weir D. A comparison of the effect of oral controlled release morphine and intramuscular morphine on gastric emptying. Anaesthesia. 1984 Jul;39(7):645–648. doi: 10.1111/j.1365-2044.1984.tb06471.x. [DOI] [PubMed] [Google Scholar]
- Pelton C. I. Vecuronium in myasthenia gravis. Anaesthesia. 1985 Jan;40(1):82–83. doi: 10.1111/j.1365-2044.1985.tb10514.x. [DOI] [PubMed] [Google Scholar]
- Pinder R. M., Brogden R. N., Sawyer P. R., Speight T. M., Avery G. S. Metoclopramide: a review of its pharmacological properties and clinical use. Drugs. 1976;12(2):81–131. doi: 10.2165/00003495-197612020-00001. [DOI] [PubMed] [Google Scholar]
- Pinnock C. A., Derbyshire D. R., Elling A. E., Smith G. Comparison of oral slow release morphine (MST) with intramuscular morphine for premedication. Anaesthesia. 1985 Nov;40(11):1082–1085. doi: 10.1111/j.1365-2044.1985.tb10606.x. [DOI] [PubMed] [Google Scholar]
- Popović J. High-pressure liquid chromatographic method for determination of metoclopramide in serum, urine, and saliva, with a pharmacokinetic study in patients. Ther Drug Monit. 1984;6(1):77–82. [PubMed] [Google Scholar]
- Ramaswamy S., Bapna J. S. Analgesic effect of metoclopramide and its mechanism. Life Sci. 1986 Apr 7;38(14):1289–1292. doi: 10.1016/0024-3205(86)90421-2. [DOI] [PubMed] [Google Scholar]
- Revill S. I., Robinson J. O., Rosen M., Hogg M. I. The reliability of a linear analogue for evaluating pain. Anaesthesia. 1976 Nov;31(9):1191–1198. doi: 10.1111/j.1365-2044.1976.tb11971.x. [DOI] [PubMed] [Google Scholar]
- Shimomura K., Kamata O., Ueki S., Ida S., Oguri K. Analgesic effect of morphine glucuronides. Tohoku J Exp Med. 1971 Sep;105(1):45–52. doi: 10.1620/tjem.105.45. [DOI] [PubMed] [Google Scholar]
- Slowey H. F., Reynolds A. D., Mapleson W. W., Vickers M. D. Effect of premedication with controlled-release oral morphine on postoperative pain. A comparison with intramuscular morphine. Anaesthesia. 1985 May;40(5):438–440. doi: 10.1111/j.1365-2044.1985.tb10844.x. [DOI] [PubMed] [Google Scholar]
- Vater M., Smith G., Aherne G. W., Aitkenhead A. R. Pharmacokinetics and analgesic effect of slow-release oral morphine sulphate in volunteers. Br J Anaesth. 1984 Aug;56(8):821–827. doi: 10.1093/bja/56.8.821. [DOI] [PubMed] [Google Scholar]
