Pharmacokinetics of morphine after epidural administration in man

Arzneimittelforschung. 1986 Jul;36(7):1096-100.

Abstract

The concentration of morphine and morphine glucuronide in serum after epidural injection of 9 patients with aortic abdominal surgery was measured using gas chromatography-mass fragmentography. The decline of morphine serum concentration after epidural administration of 0.1 mg/kg was described by a bi- or triexponential decay equation with a mean terminal half-life (t1/2) of 134.7 +/- 107.9 min. Pharmacokinetic parameters were calculated from the fit parameters mean values for clearance and apparent volume of distribution were 1.16 +/- 0.65 l/min, and 156.6 +/- 107.3 l, respectively, for free morphine and 0.19 +/- 0.09 l/min and 37.2 +/- 17.7 l, respectively, for morphine glucuronide. Peak concentration of morphine 79 +/- 19 ng/ml was reached within 10 min after administration. Haemodynamic values, ECG, end-expiratory CO2 concentration, temperature, acid-base status, hemoglobin, Na+, K+, total Ca++, lactate, glucose concentration in the blood and the urine were registered before, during and after the operation.

MeSH terms

  • Aged
  • Anesthesia, Epidural*
  • Aorta, Abdominal / surgery
  • Female
  • Gas Chromatography-Mass Spectrometry
  • Half-Life
  • Humans
  • Kinetics
  • Male
  • Middle Aged
  • Morphine / administration & dosage
  • Morphine / blood
  • Morphine / metabolism*

Substances

  • Morphine