The bioavailability and pharmacokinetics of morphine after intravenous, oral and buccal administration in healthy volunteers

Br J Clin Pharmacol. 1989 Apr;27(4):499-505. doi: 10.1111/j.1365-2125.1989.tb05399.x.

Abstract

1. The absolute bioavailability of morphine from oral aqueous solution, a controlled release oral tablet (MST-Continus) and a controlled release buccal tablet has been investigated in six healthy volunteers. 2. Analysis of plasma samples for morphine and its active metabolite morphine-6-glucuronide (M6G) was by means of a differential radioimmunoassay technique. Absolute bioavailability for morphine was estimated to be 23.9% after oral solution, 22.4% after MST-Continus and 18.7% after the buccal tablet. Maximum plasma morphine concentrations were seen at 45 min (oral solution), 2.5 h (MST) and 6 h (buccal). 3. There was no difference in the amount of M6G appearing in plasma after intravenous, oral or buccal administration but the mean ratio of AUCs for M6G: morphine in plasma after intravenous morphine was 2 : 1 compared with 11 : 1 after oral and buccal morphine.

Publication types

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

MeSH terms

  • Administration, Buccal
  • Administration, Oral
  • Adult
  • Biological Availability
  • Biotransformation
  • Female
  • Humans
  • Injections, Intravenous
  • Male
  • Morphine / administration & dosage
  • Morphine / metabolism
  • Morphine / pharmacokinetics*
  • Radioimmunoassay

Substances

  • Morphine