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Pharmacology of Morphine in Obese Patients

by Bardin, Christophe , Linares, Célia Lloret , Decléves, Xavier , Clement, Karine , Lepine, Jean Pierre , Scherrmann, Jean Michel , Bergmann, Jean François , Mouly, Stéphane , Basdevant, Arnaud , Oppert, Jean Michel

in Analgesics - pharmacokinetics / Biological and medical sciences / Complications and side effects / Dosage and administration / General pharmacology / Humans / Internal Medicine / Medical sciences / Medicine / Medicine & Public Health / Metabolic diseases / Morphine / Morphine - metabolism / Morphine - pharmacokinetics / Obesity / Obesity - complications / Obesity - drug therapy / Pain - drug therapy / Pain - etiology / Pharmacokinetics / Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions / Pharmacology. Drug treatments / Pharmacology/Toxicology / Pharmacotherapy / Properties / Review Article

2009

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Pharmacology of Morphine in Obese Patients

2009

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Pharmacology of Morphine in Obese Patients

2009

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Journal Article

Pharmacology of Morphine in Obese Patients

Bardin, Christophe,

Linares, Célia Lloret,

Decléves, Xavier,

Clement, Karine,

Lepine, Jean Pierre,

Scherrmann, Jean Michel,

Bergmann, Jean François,

Mouly, Stéphane,

Basdevant, Arnaud,

Oppert, Jean Michel

2009

Overview

Morphine is an analgesic drug used to treat acute and chronic pain. Obesity is frequently associated with pain of various origins (e.g. arthritis, fibromyalgia, cancer), which increases the need for analgesic drugs. Obesity changes drug pharmacokinetics, and for certain drugs, specific modalities of prescription have been proposed for obese patients. However, scant data are available regarding the pharmacokinetics and pharmacodynamics of morphine in obesity. Prescription of morphine depends on pain relief but the occurrence of respiratory adverse effects correlates with obesity, and is not currently taken into account. Variations in the volume of distribution, elimination half-life and oral clearance of morphine, as well as recent advances in the respective roles of drug-metabolizing enzymes, catechol- O -methyltransferase and the μ opioid receptor in morphine pharmacokinetics and pharmacodynamics, may contribute to differences between obese and non-obese patients. In addition, drug-drug interactions may alter the disposition of morphine and its glucuronide metabolites, which may either increase the risk of adverse effects or reduce drug efficacy.

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Publisher

Springer International Publishing,Adis International,Wolters Kluwer Health, Inc,Springer Nature B.V

Subject

Analgesics - pharmacokinetics

/ Biological and medical sciences

/ Complications and side effects

/ Dosage and administration

/ General pharmacology

/ Humans

/ Internal Medicine