Morphine-6-glucuronide: effects on ventilation in normal volunteers

Pain. 1991 Apr;45(1):101-104. doi: 10.1016/0304-3959(91)90170-3.

Abstract

The respiratory responses to intravenous morphine sulphate (0.12 mg/kg), morphine-6-glucuronide (M6G: 0.03 mg/kg) and placebo were assessed in 6 healthy volunteers, using a single blind randomised crossover design. Five of these subjects underwent an additional study of M6G at 0.06 mg/kg. Respiratory rate, minute volume and end-tidal CO2 were continuously measured using a low resistance non-rebreathing circuit, a mass spectrometer and a dry gas meter. The ventilatory responses to CO2 exposures (5.5% for 4 min) were assessed 40 and 20 min before, and 20, 40 and 80 min after drug administration. Following placebo and M6G (at both doses) no change in end-tidal CO2 occurred whilst the subjects were breathing air, whereas following morphine a significant rise was seen (P less than 0.05). Morphine reduced the ventilatory response to 5.5% CO2 at all times tested (P less than 0.05) and M6G (at both doses) reduced the response to CO2 at 20 and 40 min after administration, but to a lesser degree than did morphine (P less than 0.05).

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Pressure / drug effects
  • Carbon Dioxide / blood
  • Female
  • Heart Rate / drug effects
  • Humans
  • Male
  • Morphine / pharmacology
  • Morphine Derivatives / pharmacology*
  • Oxygen / blood
  • Random Allocation
  • Reference Values
  • Respiration / drug effects*

Substances

  • Morphine Derivatives
  • Carbon Dioxide
  • morphine-6-glucuronide
  • Morphine
  • Oxygen