"Paradoxical" analgesia induced by naloxone and naltrexone

Psychopharmacology (Berl). 1988;96(1):36-9. doi: 10.1007/BF02431530.

Abstract

Analgesic effects of pellet implantation of the opiate antagonists naloxone and naltrexone and of chronic administration of naloxone by subcutaneous injection were examined. Rats were implanted with a slow-release pellet containing 10 mg naloxone or 10 mg naltrexone and tested for paw-lick latency on a hotplate apparatus. Controls were implanted with placebo pellets or given saline injections as appropriate. There were five test trials at intervals up to 72 h after implantation of naloxone and up to 120 h after the implantation of naltrexone. In a separate experiment, 5 mg/kg naloxone was injected; there were single trials on 5 consecutive days. All drug-treated animals displayed clear and substantial analgesia by their second test trial. This "paradoxical" analgesia was gradually reversed in the pellet-implant groups as tissue levels of the antagonists declined, but increased progressively with each trial involving injections. It was hypothesized that blockade of endogenous opiates by antagonists resulted in a form of "super-pain" on the hotplate, which in turn activated a normally redundant "backup" analgesic system. The results with naloxone injections show that unlike opiate-mediated analgesia, this hypothetical system is resistant to tolerance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics*
  • Animals
  • Behavior, Animal / drug effects
  • Delayed-Action Preparations
  • Injections, Subcutaneous
  • Male
  • Naloxone / administration & dosage
  • Naloxone / pharmacology*
  • Naltrexone / administration & dosage
  • Naltrexone / pharmacology*
  • Rats
  • Rats, Inbred Strains

Substances

  • Analgesics
  • Delayed-Action Preparations
  • Naloxone
  • Naltrexone