Abstract
Intravenous doses of 30, 20 and 10 mg nicomorphine (Vilan) are extremely quickly metabolized into the metabolites 6-nicotinoylmorphine and morphine. The half-lives of elimination are respectively 3 min for nicomorphine, 3 and 15 min for 6-nicotinoylmorphine, and 135-190 min for morphine. The kinetics of the 30 and 20 mg dose are comparable, the 10 mg dose shows patient dependent variations in metabolism. The AUC of the parent drug and its metabolites is linearly related to the dose.
Publication types
-
Clinical Trial
-
Randomized Controlled Trial
MeSH terms
-
Adult
-
Anesthesia, Epidural
-
Anesthesia, Intravenous
-
Bupivacaine
-
Female
-
Half-Life
-
Humans
-
Injections, Intravenous
-
Metabolic Clearance Rate
-
Middle Aged
-
Morphine / blood
-
Morphine / pharmacokinetics
-
Morphine Derivatives / administration & dosage
-
Morphine Derivatives / blood
-
Morphine Derivatives / metabolism*
-
Morphine Derivatives / pharmacokinetics*
-
Nicotinic Acids / administration & dosage
-
Nicotinic Acids / blood
-
Nicotinic Acids / metabolism
-
Nicotinic Acids / pharmacokinetics
-
Preanesthetic Medication
-
Thiopental
Substances
-
Morphine Derivatives
-
Nicotinic Acids
-
morphine 6-nicotinate
-
Morphine
-
morphine 3-nicotinate
-
Thiopental
-
Bupivacaine
-
nicomorphine