Page last updated: 2024-12-10

morphine

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Meconium: The thick green-to-black mucilaginous material found in the intestines of a full-term fetus. It consists of secretions of the INTESTINAL GLANDS; BILE PIGMENTS; FATTY ACIDS; AMNIOTIC FLUID; and intrauterine debris. It constitutes the first stools passed by a newborn. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

FloraRankFlora DefinitionFamilyFamily Definition
PapavergenusA genus of Eurasian herbaceous plants, the poppies (family PAPAVERACEAE of the dicotyledon class Magnoliopsida), that yield OPIUM from the latex of the unripe seed pods.[MeSH]PapaveraceaeThe poppy plant family of the order Papaverales, subclass Magnoliidae, class Magnoliopsida. These have bisexual, regular, cup-shaped flowers with one superior pistil and many stamens; 2 or 3 conspicuous, separate sepals and a number of separate petals. The fruit is a capsule. Leaves are usually deeply cut or divided into leaflets.[MeSH]
Papaver somniferumspecies[no description available]PapaveraceaeThe poppy plant family of the order Papaverales, subclass Magnoliidae, class Magnoliopsida. These have bisexual, regular, cup-shaped flowers with one superior pistil and many stamens; 2 or 3 conspicuous, separate sepals and a number of separate petals. The fruit is a capsule. Leaves are usually deeply cut or divided into leaflets.[MeSH]

Cross-References

ID SourceID
PubMed CID5288826
CHEMBL ID70
CHEBI ID17303
SCHEMBL ID2997
MeSH IDM0014064

Synonyms (153)

Synonym
BIDD:GT0147
gtpl1627
(1s,5r,13r,14s,17r)-4-methyl-12-oxa-4-azapentacyclo[9.6.1.0^{1,13}.0^{5,17}.0^{7,18}]octadeca-7,9,11(18),15-tetraene-10,14-diol
17-methyl-7,8-didehydro-4,5alpha-epoxymorphinan-3,6alpha-diol
(5r,6s,9r,13s,14r)-4,5-epoxy-n-methyl-7-morphinen-3,6-diol
(5alpha,6alpha)-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol
(5alpha,6alpha)-17-methyl-7,8-didehydro-4,5-epoxymorphinan-3,6-diol
morfina
(-)-morphine
CHEBI:17303 ,
9h-9,9c-iminoethanophenanthro(4,5-bcd)furan-3,5-diol, 4a,5,7a,8-tetrahydro-12-methyl-
einecs 200-320-2
nepenthe
morphine [ban]
dea no. 9300
m-eslon
morphinan-3,6-diol, 7,8-didehydro-4,5-epoxy-17-methyl- (5..alpha.,6.alpha.)-
(-)morphine sulfate
morphinum
meconium
morphium
moscontin
l-morphine
duromorph
methyl[?]diol
morphin
(-)(5.alpha.,6.alpha.)-7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol
morphina
morphinism
ospalivina
morphia
4,5alpha-epoxy-17-methyl-7-morphinen-3,6alpha-diol
morfina [italian]
(5alpha,6alpha)-7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol
dreamer
ccris 5762
hsdb 2134
cube juice
hard stuff
morphinan-3,6-diol, 7,8-didehydro-4,5-epoxy-17-methyl-, (5alpha,6alpha)-
dulcontin
unkie
morphinan-3,6-alpha-diol, 7,8-didehydro-4,5-alpha-epoxy-17-methyl-
morphin [german]
morphina [italian]
9h-9,9c-iminoethanophenanthro(4,5-bcd)furan-3,5-diol, 4alpha,5,7alpha,8-tetrahydro-12-methyl-
7,8-didehydro-4,5-epoxy-17-methyl-morphinan-3,6-diol
morpho
RMS ,
hocus
ms emma
C01516
57-27-2
MORPHINE ,
MOR ,
(7r,7as,12bs)-3-methyl-2,3,4,4a,7,7a-hexahydro-1h-4,12-methano[1]benzofuro[3,2-e]isoquinoline-7,9-diol
MOI ,
anhydrous morphine
DB00295
7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol
CHEMBL70 ,
n02aa01
ids-nm-009
morphine anhydrous
hydromorphone hydrochloride impurity, morphine-
morphine (anhydrous)
morphine extended release
morphine polistirex
morphine (ban)
substitol (tn)
D08233
morfina dosa (tn)
4-methyl-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol (morphine)
4-methyl-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol(morphine)
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol((morphine))
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diolmorphine
2-{4-[2,4-diamino-6-pteridinylmethyl(methyl)amino]phenylcarboxamido}pentanedioic acid(morphine)
6,11-dimethyl-3-(3-methyl-but-2-enyl)-1,2,3,4,5,6-hexahydro-2,6-methano-benzo[d]azocin-8-ol(morphine)
(morphine)
6-tert-butyl-3-methyl-1,2,3,4,5,6-hexahydro-2,6-methano-benzo[d]azocine
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol(morphine sulfate)
4-methyl-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol
bdbm50000092
(1s,5r,13r,14s)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol,sulfate(morphinesulfate)
(-)-(etorphine)
7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol(morphine)
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol(morphine)
(morphine) 4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol
morphine;4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol ;sulphate salt(morphine)
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol ; hydrochloride
3-(4-hydroxy-phenyl)-1-propyl-piperidine-3-carboxylic acid ethyl ester
4-methyl-(1s,5r,13r,14s,17r)-12-oxa-4-azapentacyclo[9.6.1.01,13.05,17.07,18]octadeca-7(18),8,10,15-tetraene-10,14-diol(morphine)(hcl)
d-(-)-morphine
AKOS015966554
dimorf
unii-76i7g6d29c
dinamorf
aguettant
sevredol
76i7g6d29c ,
EPITOPE ID:116646
morphine [mart.]
morphine [hsdb]
codeine hydrochloride dihydrate impurity b [ep impurity]
morphine [who-dd]
codeine monohydrate impurity b [ep impurity]
codeine phosphate sesquihydrate impurity b [ep impurity]
codeine phosphate hemihydrate impurity b [ep impurity]
7,8-didehydro-4,5alpha-epoxy-17-methylmorphinan-3,6alpha-diol
hydromorphone hydrochloride impurity, morphine- [usp impurity]
hydromorphone hydrochloride impurity c [ep impurity]
(5.alpha.,6.alpha.)-7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol
ethylmorphine hydrochloride impurity b [ep impurity]
morphine [mi]
dihydrocodeine hydrogen tartrate impurity b [ep impurity]
morphine [vandf]
hydrocodone hydrogen tartrate 2.5-hydrate impurity a [ep impurity]
morphinan-3,6-diol, 7,8-didehydro-4,5-epoxy-17-methyl, (5.alpha.,6.alpha.)-
apomorphine hydrochloride hemihydrate impurity b [ep impurity]
7,8-didehydro-4,5.alpha.-epoxy-17-methylmorphinan-3,6.alpha.-diol
4,5.alpha.-epoxy-17-methyl-7,8-didehydromorphinan-3,6.alpha.-dio
morphine (anhydrous) [vandf]
SCHEMBL2997
BQJCRHHNABKAKU-KBQPJGBKSA-N
(5-alpha,6-alpha)-7,8-didehydro-4,5-epoxy-17-methylmorphinan-3,6-diol
DTXSID9023336 ,
(1s,5r,13r,14s,17r)-4-methyl-12-oxa-4-azapentacyclo[9.6.1.0^{1,13}.0^{5,17}.0^{7,18}]octadeca-7(18),8,10,15-tetraene-10,14-diol
morphine 1.0 mg/ml in methanol
morphine anhydrate
morphine 0.1 mg/ml in methanol
(5alpha,6beta)-17-methyl-7,8-didehydro-4,5-epoxymorphinan-3,6-diol
Q81225
(4r,4ar,7s,7ar,12bs)-3-methyl-2,4,4a,7,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7,9-diol
(1s,5r,13r,14s,17r)-4-methyl-12-oxa-4-azapentacyclo[9.6.1.0?,??.0?,??.0?,??]octadeca-7,9,11(18),15-tetraene-10,14-diol
bdbm579485
us11484525, compound morphine
dtxcid203336
opium tincture deodorized
substitol
morfina dosa
morphine tincture
(7r,7as,12bs)-3-methyl-2,3,4,4a,7,7a-hexahydro-1h-4,12-methano(1)benzofuro(3,2-e)isoquinoline-7,9-diol
9h-9,9c-iminoethanophenanthro(4,5-bcd)furan-3,5-diol,4a, 5,7a,8-tetrahydro-12-methyl-
4a,5,7a,8-tetrahydro-12-methyl-9h-9,9c-iminoethanophenanthro(4,5-bcd)furan-3,5-diol
morphinan-3,6-diol, 7,8-didehydro-4,5-epoxy-17-methyl-(5alpha,6alpha)-
i-morphine
morphinan-3,6-diol, 7,8-didehydro-4,5-epoxy-17-methyl, (5alpha,6alpha)-
morphine base
4,5alpha-epoxy-17-methyl-7,8-didehydromorphinan-3,6alpha-dio
morphine (mart.)

Research Excerpts

Overview

Morphine is a drug of choice for the treatment of severe and chronic pain, but tolerance to the antinociceptive effect limits its use. Oral morphine is a feasible alternative to oxycodone/acetaminophen for analgesia in the ED.

ExcerptReferenceRelevance
"Morphine is a potent opioid analgesic with high propensity for the development of antinociceptive tolerance. "( Morphine-induced kinase activation and localization in the periaqueductal gray of male and female mice.
Bobeck, EN; Edwards, TM; McCarty, A; McDermott, MV; Ram, A, 2021
)
3.51
"Morphine is a potent analgesic used to manage the pain following total knee arthroplasty (TKA). "( Efficacy and safety of intrathecal morphine in total knee arthroplasty: A systematic review and meta-analysis.
Abdelghany, EA; AbdelQadir, YH; Elmegeed, AA; Mohamed, AG; Nabhan, AE; Nourelden, AZ; Ragab, KM; Tokhey, ASE,
)
1.85
"Morphine is an opioid drug often used in treating moderate to severe pain. "( Cannabinoid Receptor Type 2 Agonist Reduces Morphine Tolerance via Mitogen Activated Protein Kinase Phosphatase Induction and Mitogen Activated Protein Kinase Dephosphorylation.
Kong, Q; Ma, C; Tian, S; Wang, G; Zhang, M, 2022
)
2.43
"Morphine is an analgesic agent used for cancer pain management. "( Morphine promotes migration and lung metastasis of mouse melanoma cells.
Abediny, R; Dana, N; Ghasemi, A; Javanmard, SH; Laher, I; Vaseghi, G,
)
3.02
"IO morphine is a safe and effective method to lessen postoperative pain in TKA patients."( Intraosseous Morphine Decreases Postoperative Pain and Pain Medication Use in Total Knee Arthroplasty: A Double-Blind, Randomized Controlled Trial.
Brozovich, AA; Clyburn, TA; Incavo, SJ; Lambert, BS; Park, KJ; Sullivan, TC; Taraballi, F; Wininger, AE, 2022
)
1.6
"Morphine is a widely used analgesic, but its use in clinical precision medicine is limited by the variance in response among individuals. "( Morphine analgesia in male inbred genetic diversity mice recapitulates the among-individual variance in response to morphine in humans.
Guan, B; Meng, A; Wang, W; Wei, Q; Yang, Y, 2022
)
3.61
"Morphine is a drug of choice for the treatment of severe and chronic pain, but tolerance to the antinociceptive effect limits its use. "( Metformin prevents morphine-induced apoptosis in rats with diabetic neuropathy: a possible mechanism for attenuating morphine tolerance.
Avci, O; Gursoy, S; Inan, ZDS; Ozdemir, E; Taskiran, AS, 2022
)
2.49
"Oral morphine is a feasible alternative to oxycodone/acetaminophen for analgesia in the ED."( Efficacy and tolerability of oral morphine versus oxycodone/acetaminophen for analgesia in the emergency department.
Brodie, K; Cacciapuoti, M; Gibson, C; Harvey, H; Mazer-Amirshahi, M; Motov, SM; Nelson, LS; Ramadan, L; Tefera, E; Yu, GG,
)
0.92
"Morphine is a drug used in chronic pain such as diabetic neuropathy, but the development of tolerance to its antinociceptive effect is an important clinical problem. "( Aspirin attenuates morphine antinociceptive tolerance in rats with diabetic neuropathy by inhibiting apoptosis in the dorsal root ganglia.
Avcı, O; Gunes, H; Gursoy, S; Inan, ZDS; Ozdemir, E; Taskiran, AS, 2023
)
2.68
"Morphine is a potent analgesic opiate used to treat chronic pain, mostly in cancer patients. "( Influence of chronic administration of morphine and its withdrawal on the behaviour of zebrafish.
Agrewala, JN; Malik, JA; Nanda, S; Sehrawat, S; Zafar, MA, 2023
)
2.62
"Morphine is a common analgesic often used to manage chronic pain, especially for patients with pain due to malignancies. "( Roles of UGT2B7 C802T gene polymorphism on the efficacy of morphine treatment on cancer pain among the Chinese han population.
Chen, Y; Guo, L; Hu, J; Hu, X; Ni, J; Ning, M; Shen, H; Tao, Y, 2019
)
2.2
"Morphine tolerance is a classic, challenging clinical issue. "( Liproxstatin-1 Attenuates Morphine Tolerance through Inhibiting Spinal Ferroptosis-like Cell Death.
Chen, X; Feng, M; Liu, T; Wan, L; Yao, W; Zhang, B; Zhang, C; Zhang, Y, 2019
)
2.26
"Morphine is a strong painkiller acting through mu-opioid receptor (MOR). "( Morphine produces potent antinociception, sedation, and hypothermia in humanized mice expressing human mu-opioid receptor splice variants.
Chang, HF; Chang, YC; Chuang, JY; Huang, YH; Loh, HH; Tao, PL; Wu, YW; Yeh, SH, 2020
)
3.44
"Morphine is a natural alkaloid which derived from the opium poppy Papaver somniferum. "( The neuroprotective effect of NeuroAid on morphine-induced amnesia with respect to the expression of TFAM, PGC-1α, ΔfosB and CART genes in the hippocampus of male Wistar rats.
Hashemi, M; Malboosi, N; Nasehi, M; Vaseghi, S; Zarrindast, MR, 2020
)
2.27
"Morphine is a potent analgesic agent used to control acute or chronic pain. "( Melatonin and morphine: potential beneficial effects of co-use.
Dehdashtian, E; Fatemi, I; Hemati, K; Hosseinzadeh, A; Mehrzadi, S; Pourhanifeh, MH; Reiter, RJ, 2021
)
2.42
"Morphine pumps are a great help when patients in end-of-life stage cannot swallow oral morphine anymore."( [Intensive treatment in family medicine : use of pumps and continuous glucose measurement systems].
Gastaldi, G; Jelk-Morales, L; Léocadie, F; Pautex, S; Sierro, C; Sommer, J, 2020
)
1.28
"Morphine as an opioid is an important drug in the treatment of moderate to severe pain. "( Morphine Induces Apoptosis, Inflammation, and Mitochondrial Oxidative Stress via Activation of TRPM2 Channel and Nitric Oxide Signaling Pathways in the Hippocampus.
Akyuva, Y; Nazıroğlu, M; Osmanlıoğlu, HÖ; Yıldırım, MK; Yıldızhan, K, 2020
)
3.44
"Morphine is a key drug for the treatment of pain but its side effects limit its clinical application. "( Endomorphin analog exhibited superiority in alleviating neuropathic hyperalgesia via weak activation of NMDA receptors.
Cui, J; Liu, X; Luo, K; Ma, M; Wang, J; Wang, R; Wang, Y; Wang, Z; Wei, S; Zhao, L, 2020
)
2
"Morphine is a nonselective opioid receptor agonist that has been commonly used for analgesia and to treat ischaemic heart disease."( Morphine and myocardial ischaemia-reperfusion.
Hu, R; Wu, LN; Yu, JM, 2021
)
2.79
"Morphine is an opiate alkaloid characterized by various clinical effects, among which the most prominent are its analgesic and psychoactive effects. "( Cardiogenic shock induced by a high dose of intravenous morphine.
Korolkiewicz, PK; Sein Anand, J; Sein Anand, Ł, 2021
)
2.31
"Like morphine, methadone is a pure agonist at the µ opioid receptor. "( Methadone: applications in pediatric anesthesiology and critical care medicine.
Tobias, JD, 2021
)
1.14
"Morphine is a commonly used opioid drug to treat acute pain by binding to the mu-opioid receptor (MOR), but its effective analgesic efficacy via triggering of the heterotrimeric G"( Probing biased activation of mu-opioid receptor by the biased agonist PZM21 using all atom molecular dynamics simulation.
Bong, D; Floyd, C; Liao, S; Pino, MJ; Tan, K; Wu, C, 2021
)
2.06
"Morphine-induced itch is a very common and debilitating side effect that occurs in laboring women who receive epidural analgesia and in patients who receive spinal morphine for relief of perioperative pain. "( Morphine acts on spinal dynorphin neurons to cause itch through disinhibition.
Ding, H; Hachisuka, J; Ko, MC; Lim, G; Nguyen, E; Ross, SE, 2021
)
3.51
"Morphine is an opioid agonist and a nonselective mu, kappa and delta receptor agonist. "( Involvement of TCF7L2 in generation of morphine-induced antinociceptive tolerance and hyperalgesia by modulating TLR4/ NF-κB/NLRP3 in microglia.
Chen, J; Huo, X; Kong, Y; Ma, C; Sun, T; Wang, G, 2021
)
2.33
"Morphine is a widely used opioid analgesic, which shows large differences in clinical response in children, even when aiming for equivalent plasma drug concentrations. "( Physiologically based pharmacokinetic/pharmacodynamic model for the prediction of morphine brain disposition and analgesia in adults and children.
de Wildt, SN; Koenderink, JB; Litjens, CHC; Mathijssen, RHJ; Russel, FGM; Verbeek, MM; Verscheijden, LFM, 2021
)
2.29
"Morphine (MOR) is a strong analgesic that is often used in treatment of severe pains during cancer treatment, and thus might be concomitantly used with anticancer drugs as cisplatin (CP). "( Morphine Deteriorates Cisplatin-Induced Cardiotoxicity in Rats and Induces Dose-Dependent Cisplatin Chemoresistance in MCF-7 Human Breast Cancer Cells.
El-Sheikh, AAK; Khired, Z, 2021
)
3.51
"Morphine is an opioid analgesic indicated in the treatment of acute and chronic moderate to severe pain. "( Pharmacogenomics and Morphine.
B Ettienne, E; Ofoegbu, A, 2021
)
2.38
"Morphine is an opioid pain killer and a strong analgesic that is used to treat chronic pain."( Morphine attenuates neurotoxic effects of MPTP in zebrafish embryos by regulating oxidant/antioxidant balance and acetylcholinesterase activity.
Alturfan, AA; Cansız, D; Emekli-Alturfan, E; Unal, I; Ustundag, UV, 2022
)
2.89
"Morphine tolerance is a clinical challenge in pain management. "( miR-219-5p targets CaMKIIγ to attenuate morphine tolerance in rats.
Ding, Z; Guo, Q; He, Z; Huang, J; Shao, J; Wang, J; Xu, W; Zou, W, 2017
)
2.17
"Morphine (MOR) is an opiate alkaloid widely used to treat severe acute and chronic pain."( Application of 1-Dimensional and 2-Dimensional Solid-State Nuclear Magnetic Resonance Spectroscopy to the Characterization of Morphine, Morphine Hydrochloride, and Their Hydrates.
Alves de Santana, MS; Ayala, AP; Chattah, AK; Garro-Linck, Y; Manzo, RH; Monti, GA; Olivera, ME; Romañuk, CB, 2017
)
1.38
"Morphine is a widely used analgesic for various types of pain. "( Role of endogenous melatoninergic system in development of hyperalgesia and tolerance induced by chronic morphine administration in rats.
Fan, Y; Liang, X; Song, L; Wang, R, 2017
)
2.11
"Morphine tolerance is a clinical challenge, and its pathogenesis is closely related to the neuroinflammation mediated by Toll-like receptor 4 (TLR4). "( Lidocaine alleviates morphine tolerance via AMPK-SOCS3-dependent neuroinflammation suppression in the spinal cord.
Han, Y; Hu, L; Jiang, CY; Liu, WT; Qian, Y; Qu, J; Tao, GJ; Zhang, G; Zhang, Y, 2017
)
2.22
"Morphine is a well-characterized and effective analgesic commonly used to provide pain relief to patients suffering from both acute and chronic pain conditions. "( PolyMorphine provides extended analgesic-like effects in mice with spared nerve injury.
Chen, R; Kolber, B; Lax, NC; Leep, SR; Uhrich, K; Yu, L,
)
2.13
"Morphine is a representative pain killer. "( Music therapy inhibits morphine-seeking behavior via GABA receptor and attenuates anxiety-like behavior induced by extinction from chronic morphine use.
Kim, KJ; Lee, BH; Lee, SN, 2018
)
2.23
"Morphine tolerance is a challenging clinical problem that limits the use of morphine in pain treatment, but the mechanisms of morphine tolerance remain unclear. "( Identification of lncRNA expression profiles and ceRNA analysis in the spinal cord of morphine-tolerant rats.
Guo, Q; Huang, J; Liu, C; Pan, Y; Shao, J; Wang, J; Zou, W, 2018
)
2.15
"Morphine is a molecule of great cultural relevance, as the agent that single-handedly transformed our understanding of pharmacognosy, receptor dynamics, and substance abuse and dependence disorders."( DARK Classics in Chemical Neuroscience: Morphine.
Cunningham, CW; Devereaux, AL; Mercer, SL, 2018
)
1.47
"Morphine is an opioid alkaloid commonly used in clinical practice for its analgesic properties. "( Morphine, a potential inhibitor of myeloperoxidase activity.
Franck, T; Hoebeke, M; Minguet, G; Mouithys-Mickalad, A; Nyssen, P; Sauvage, E; Wouters, J, 2018
)
3.37
"Morphine ARER is a novel oral, abuse-deterrent, extended-release (ER) formulation of morphine sulfate with physical and chemical properties that deter misuse and abuse by nonoral routes of administration. "( Relative Oral Bioavailability of an Abuse-deterrent, Extended-release Formulation of Morphine Versus Extended-release Morphine: A 2-period, Single-dose, Randomized Crossover Study in Healthy Subjects.
Aigner, S; Kinzler, ER; Pantaleon, C, 2018
)
2.15
"Morphine is an analgesic drug therapeutically administered to relieve pain. "( The Impact of Morphine on the Characteristics and Function Properties of Human Mesenchymal Stem Cells.
Bohacova, P; Cechova, K; Hajkova, M; Hermankova, B; Holan, V; Javorkova, E; Kossl, J; Krulova, M; Svoboda, P; Zajicova, A, 2018
)
2.28
"Morphine is a substrate of OCT1 and OCT2. "( Irinotecan Alters the Disposition of Morphine Via Inhibition of Organic Cation Transporter 1 (OCT1) and 2 (OCT2).
Guo, D; Guo, J; Huang, S; Li, Q; Polli, JE; Shu, Y; Xiong, Z; Ye, Z; Zhang, W; Zhou, H; Zhu, P, 2018
)
2.2
"Morphine-induced CPP is a common method to consider motivational properties of morphine in animals."( Intra-hippocampal administration of orexin receptor antagonists dose-dependently attenuates reinstatement of morphine seeking behavior in extinguished rats.
Alizamini, MM; Fatahi, Z; Haghparast, A; Karimi-Haghighi, S; Kavianpour, M, 2018
)
1.41
"Morphine is a classic opioid drug used for reducing pain and is commonly prescribed as an effective drug to control cancer pain. "( The dual effect of morphine on tumor development.
Cui, J; Tuerxun, H, 2019
)
2.29
"Morphine is a commonly used drug in encephalopathic neonates treated with therapeutic hypothermia after perinatal asphyxia. "( Pharmacokinetics of morphine in encephalopathic neonates treated with therapeutic hypothermia.
Cools, F; de Haan, TR; Dijk, PH; Dijkman, KP; Dudink, J; Egberts, TCG; Favié, LMA; Groenendaal, F; Huitema, ADR; Nuytemans, DHGM; Rademaker, CMA; Rijken, M; van Bel, F; van den Broek, MPH; van der Lee, JH; van Heijst, A; van Straaten, HLM; Zecic, A; Zonnenberg, IA, 2019
)
2.28
"Morphine is a unique opioid analgesic that activates the mu-opioid receptor (MOR) without efficiently promoting its endocytosis that may underlie side effects. "( Convallatoxin enhance the ligand-induced mu-opioid receptor endocytosis and attenuate morphine antinociceptive tolerance in mice.
Chang, HF; Chang, WT; Chao, PK; Chen, SC; Chuang, JY; Hsu, JT; Law, PY; Lee, PT; Loh, HH; Ou, LC; Tao, PL; Ueng, SH; Yeh, SH, 2019
)
2.18
"Morphine is a potent analgesic for cancer pain, and radiation therapy is a conventional treatment for cancer."( Evaluation of effects of morphine and ionizing radiation in cancer cell lines.
Amooheidari, A; Javanmard, SH; Naderi, J; Samani, F; Vahabzadeh, G; Vaseghi, G, 2019
)
1.54
"Morphine is a potent opioid analgesic used to alleviate moderate or severe pain, but the development of drug tolerance and dependence limits its use in pain management. "( The role of IRAS/Nischarin involved in the development of morphine tolerance and physical dependence.
Li, F; Li, J; Li, S; Lu, GY; Wang, ZY; Wu, N; Zhao, TY, 2019
)
2.2
"Morphine tolerance is an adaptive process induced by chronic morphine that has been shown to result from complex alterations at the molecular level with"( The Emerging Perspective of Morphine Tolerance: MicroRNAs.
Hua, Z; Qiu, Y; Zhang, TJ, 2019
)
1.53
"Morphine is a potent analgesic, but its molecular mechanism for tolerance formation is not fully understood. "( [Endoplasmic reticulum stress and opioid tolerance withdrawal].
Aoe, T, 2013
)
1.83
"Morphine was found to be a reasonable alternative to haloperidol in the treatment of postoperative hyperactive delirious patients after cardiac surgery."( Morphine is a reasonable alternative to haloperidol in the treatment of postoperative hyperactive-type delirium after cardiac surgery.
Akgün, S; Atalan, N; Başaran, C; Efe Sevim, M; Fazlıoğulları, O, 2013
)
2.55
"Morphine is a transporter substrate at the human blood-brain barrier. "( Cyclosporine-inhibitable blood-brain barrier drug transport influences clinical morphine pharmacodynamics.
Avram, MJ; Blood, J; Francis, AM; Kharasch, ED; Meissner, K; Yermolenka, V, 2013
)
2.06
"Morphine is a classic analgesic for the treatment of chronic pain. "( An integrated quantitative proteomics and systems biology approach to explore synaptic protein profile changes during morphine exposure.
Devi, LA; Stockton, SD, 2014
)
2.05
"Morphine is a potent agonist of μ-opioid receptor and is widely used to relieve severe pain, including cancer pain. "( Activation of CXCL10/CXCR3 signaling attenuates morphine analgesia: involvement of Gi protein.
Bu, H; Gao, F; Guan, X; Guo, G; Shu, B; Tian, X; Wang, W; Xiang, H; Yang, H; Ye, D, 2014
)
2.1
"Morphine is an opioid agonist widely used to treat severe and chronic pain, as for example cancer pain."( Morphine modulates cell proliferation through mir133b &mir128 in the neuroblastoma SH-SY5Y cell line.
Gonzalez-Nunez, V; Noriega-Prieto, JA; Rodríguez, RE, 2014
)
2.57
"Morphine is a commonly encountered opiate in postmortem toxicology known to have stable blood concentrations in peripheral vessels."( Morphine concentrations in skeletal muscle.
Hargrove, VM; Molina, DK, 2014
)
2.57
"Morphine is an opioid compound exhibiting special antagonistic interaction with 5-HT3A receptors. "( Direct effects of morphine but not of fentanyl-type opioids on human 5-HT3A receptors in outside-out patch-clamp studies.
Lyutenska, M; Schaaf, T; Urban, BW; Wittmann, M, 2014
)
2.18
"Morphine appears to be an acceptable breathlessness treatment option to these people with CHF."( Attitudes to morphine in chronic heart failure patients.
Clark, AL; Johnson, MJ; Jones, L; Oxberry, SG, 2012
)
1.47
"Morphine is a known substrate of P-glycoprotein (P-gp) at the blood-brain-barrier (BBB) however, little is known about the interaction of heroin and 6-MAM with P-gp."( Impact of P-glycoprotein at the blood-brain barrier on the uptake of heroin and its main metabolites: behavioral effects and consequences on the transcriptional responses and reinforcing properties.
Chapy, H; Chiadmi, F; Cisternino, S; Courtin, C; Marie-Claire, C; Noble, F; Scherrmann, JM; Schlatter, J; Seleman, M; Smirnova, M, 2014
)
1.12
"Morphine is a potent analgesic opioid used extensively for pain treatment. "( Therapeutic concentration of morphine reduces oxidative stress in glioma cell line.
Almeida, MB; Costa-Malaquias, A; Crespo-López, ME; Herculano, AM; Nascimento, JL; Oliveira, KR, 2014
)
2.14
"Morphine is a commonly prescribed and commonly encountered opiate medication that is often found in postmortem examinations, both as a cause of death and also as an incidental finding."( Peripheral postmortem redistribution of morphine.
Hargrove, VM; Molina, DK, 2014
)
1.39
"Morphine is a major option for pain management; its global consumption more than quadrupled in the last decade."( Morphine protects against methylmercury intoxication: a role for opioid receptors in oxidative stress?
Almeida, MB; Costa-Malaquias, A; Crespo-Lopez, ME; do Nascimento, JL; Macchi, Bde M; Souza Monteiro, JR, 2014
)
2.57
"Morphine is an opioid analgesic drug commonly used for pain relief in cancer patients. "( Morphine promotes cancer stem cell properties, contributing to chemoresistance in breast cancer.
Gao, P; Guan, Z; Han, QN; Li, JL; Li, TT; Liu, Q; Niu, DG; Peng, F; Wang, KL; Wen, QP; Xu, F; Zhang, W; Zhang, Y; Zhao, HD; Zheng, FM, 2015
)
3.3
"Oral morphine is a feasible alternative for outpatient analgesia; however, the pharmacokinetics of morphine after oral administration have been previously described only sparsely, and there is little information in healthy children."( A Compartmental Analysis for Morphine and Its Metabolites in Young Children After a Single Oral Dose.
Aleksa, K; Carleton, BC; Castañeda-Hernandez, G; Cooke, E; Dawes, J; Gonzalez-Ramirez, R; Jacobo-Cabral, CO; Jimenez-Mendez, R; Koren, G; Montgomery, CJ; Rieder, MJ; Velez de Mendizabal, N, 2015
)
1.16
"Morphine is a widely used opioid for treatment of moderate to severe pain, but large interindividual variability in patient response and no clear guidance on how to optimise morphine dosage regimen complicates treatment strategy for clinicians. "( A review of morphine and morphine-6-glucuronide's pharmacokinetic-pharmacodynamic relationships in experimental and clinical pain.
Christrup, LL; Drewes, AM; Kreilgaard, M; Lund, TM; Olesen, AE; Sverrisdóttir, E, 2015
)
2.24
"Morphine is a psychoactive medication that is used as a standard analgesic treatment to relieve pain in clinics. "( Investigation of genes in chronic and acute morphine-treated mice using microarray datasets.
Ding, L; Sheng, LF; Yu, SH; Zhang, JL, 2015
)
2.12
"Morphine is an opioid analgesic drug often used for pain relief in cancer patients. "( Morphine, a potential antagonist of cisplatin cytotoxicity, inhibits cisplatin-induced apoptosis and suppression of tumor growth in nasopharyngeal carcinoma xenografts.
Cao, LH; Li, HT; Lin, WQ; Tan, HY; Xie, L; Zhong, ZJ; Zhou, JH, 2016
)
3.32
"Morphine is a well-known opioid used to treat different types of pain."( Combined Effects of Bee Venom Acupuncture and Morphine on Oxaliplatin-Induced Neuropathic Pain in Mice.
Go, D; Kim, MJ; Kim, SK; Kim, W; Min, BI; Na, HS, 2016
)
1.41
"Morphine has proven to be an effective treatment for dyspnea and is recommended in clinical practice guidelines, but questions concerning benefits and respiratory adverse effects remain."( A randomized controlled trial on the benefits and respiratory adverse effects of morphine for refractory dyspnea in patients with COPD: Protocol of the MORDYC study.
Dirksen, CD; Franssen, FM; Janssen, DJ; Schols, JM; van den Beuken-van Everdingen, MH; Verberkt, CA; Wouters, EF, 2016
)
1.38
"Morphine is a drug used for cardiogenic pulmonary edema and its effect on Mesobuthus tamulus (MBT) venom-induced changes is not known."( Morphine blocks the Mesobuthus tamulus venom-induced augmentation of phenyldiguanide reflex and pulmonary edema in anesthetized rats.
Akella, A; Deshpande, SB; Rai, OP; Tiwari, AK,
)
2.3
"Morphine is an agonist of the µ and k receptors, whose activation results in analgesia. "( Metabolism and pharmacokinetics of morphine in neonates: A review.
Pacifici, GM, 2016
)
2.15
"Morphine is an opioid analgesic drug often used for pain relief in cancer patients. "( Morphine enhances renal cell carcinoma aggressiveness through promotes survivin level.
Ding, P; He, M; Ma, S; Ma, Y; Ren, Z; Wang, D; Yan, W, 2017
)
3.34
"Morphine is a μ-opioid analgesic drug which is used in the treatment and management of chronic pain. "( Thalidomide attenuates the development and expression of antinociceptive tolerance to μ-opioid agonist morphine through l-arginine-iNOS and nitric oxide pathway.
Dehpour, AR; Ejtemaei-Mehr, S; Hassanipour, M; Khan, MI; Moghaddaskho, F; Momeny, M; Mumtaz, F; Ostadhadi, S, 2017
)
2.11
"Morphine tolerance is a challenging clinical problem that limits its clinical application in pain treatment. "( miR-365 targets β-arrestin 2 to reverse morphine tolerance in rats.
Ding, Z; Dong, X; Guo, Q; Song, Z; Wang, J; Xu, W; Zhong, T; Zou, W; Zou, Y, 2016
)
2.14
"Morphine is an opioid analgesic used to relieve moderate-to-severe pain, including pain in neonates at the intensive care unit. "( Morphine exposure during early life alters thermal and mechanical thresholds in rats.
Caumo, W; de Freitas, JS; de Souza, A; Kuo, J; Macedo, IC; Medeiros, LF; Nunes, EA; Rozisky, JR; Torres, ILS, 2017
)
3.34
"Morphine is a well-known mu-opioid receptor (MOR) agonist and an efficient analgesic, but its long-term use inevitably leads to drug addiction and tolerance. "( Improvement of morphine-mediated analgesia by inhibition of β-arrestin2 expression in mice periaqueductal gray matter.
Kang, J; Li, Y; Liu, C; Liu, X; Pei, G; Wu, C; Yang, J, 2009
)
2.15
"Morphine sensitization is a model of latent, functionally inducible increase in dopamine D(1) receptor-mediated transmission, which may be unmasked by an external stimulus. "( Dopamine D1 receptor-dependent modifications in the dopamine and cAMP-regulated phosphoprotein of Mr 32 kDa phosphorylation pattern in striatal areas of morphine-sensitized rats.
Crociani, A; De Montis, MG; Gambarana, C; Scheggi, S; Tagliamonte, A, 2009
)
1.99
"Morphine is a powerful analgesic natural product produced by the opium poppy Papaver somniferum. "( CYP719B1 is salutaridine synthase, the C-C phenol-coupling enzyme of morphine biosynthesis in opium poppy.
Díaz Chávez, ML; Gesell, A; Huang, FC; Kutchan, TM; Rolf, M; Ziegler, J, 2009
)
2.03
"Morphine is a mu-opioid receptor agonist commonly used for pain treatment but is associated with side effects that can be serious."( NT69L, a novel analgesic, shows synergy with morphine.
Barbut, D; Boules, M; Liang, Y; Richelson, E; Shaw, A, 2009
)
1.33
"Morphine is an analgesic drug used to treat acute and chronic pain. "( Pharmacology of morphine in obese patients: clinical implications.
Bardin, C; Basdevant, A; Bergmann, JF; Clement, K; Declèves, X; Lepine, JP; Lloret Linares, C; Mouly, S; Oppert, JM; Scherrmann, JM, 2009
)
2.14
"Morphine is a potent analgesic, but the molecular mechanism for tolerance formation after repeated use is not fully understood. "( BiP, an endoplasmic reticulum chaperone, modulates the development of morphine antinociceptive tolerance.
Aoe, T; Dobashi, T; Jin, H; Mimura, N; Nishino, T; Tanabe, S; Yamamoto, T, 2010
)
2.04
"Morphine is a commonly prescribed analgesic for wound pain. "( Morphine enhances tissue content of collagen and increases wound tensile strength.
Chang, PJ; Chen, MY; Huang, CC; Huang, YS; Lam, CF; Lee, CH; Tsai, YC, 2010
)
3.25
"Morphine is a potent opioid analgesic. "( Valproate attenuates the development of morphine antinociceptive tolerance.
Aoe, T; Dobashi, T; Jin, H; Nishino, T; Tanabe, S, 2010
)
2.07
"Morphine is a widely used analgesic in humans that is associated with multiple untoward effects, such as addiction and physical dependence. "( A dopamine D1 receptor-dependent β-arrestin signaling complex potentially regulates morphine-induced psychomotor activation but not reward in mice.
Caron, MG; Daigle, TL; Urs, NM, 2011
)
2.04
"Morphine is an analgesic widely used to alleviate cancer pain. "( Morphine and tumor growth and metastasis.
Afsharimani, B; Cabot, P; Parat, MO, 2011
)
3.25
"Morphine is an immunosuppressive drug, and when it is used chronically, it can lead to an increased incidence of infections and a delay in the healing process."( Does sleep deprivation and morphine influence wound healing?
Andersen, ML; Egydio, F; Tomimori, J; Tufik, S, 2011
)
1.39
"Morphine is an antagonist at 5-HT(3) A receptors. "( The 5-HT3B subunit affects high-potency inhibition of 5-HT3 receptors by morphine.
Baptista-Hon, DT; Deeb, TZ; Hales, TG; Othman, NA; Sharp, D, 2012
)
2.05
"Morphine is a highly potent analgesic with high addictive potential in specific contexts. "( Neuronal circuits underlying acute morphine action on dopamine neurons.
Barrot, M; Bourdy, R; Courtin, J; Georges, F; Jalabert, M; Manzoni, OJ; Veinante, P, 2011
)
2.09
"Morphine is a drug commonly administered via the epidural or intrathecal route, and is regarded by many as the 'gold-standard' single-dose neuraxial opioid due to its postoperative analgesic efficacy and prolonged duration of action. "( Neuraxial morphine and respiratory depression: finding the right balance.
Carvalho, B; Gutierrez, MC; Sultan, P, 2011
)
2.21
"Morphine is a widely used drug for analgesia and substance abuse. "( Influence of morphine on host immunity.
Chang, MC; Cheng, WF; Fan, SZ; Hsiao, PN; Sun, WZ, 2011
)
2.18
"Morphine is a potent and effective analgesic, but substance abuse patients can manifest cross-tolerance to it, making it difficult to satisfy their analgesic/anesthetic requirements."( Carbamazepine potentiates morphine analgesia on postoperative pain in morphine-dependent rats.
Moini Zanjani, T; Naseri, K; Sabetkasaei, M; Saghaei, E, 2012
)
1.4
"Morphine is a widely abused, addictive drug that modulates immune function. "( Morphine and galectin-1 modulate HIV-1 infection of human monocyte-derived macrophages.
Aalinkeel, R; Hui, R; Law, WC; Mahajan, SD; Mammen, MJ; Nair, B; Prasad, PN; Reynolds, JL; Schwartz, SA; Sykes, DE; Yong, KT, 2012
)
3.26
"Morphine is a drug with immunosuppressant properties whose chronic use may lead to increased infection and delayed wound healing."( Influence of sleep deprivation and morphine on the expression of inducible nitric oxide synthase and cyclooxygenase-2 in skin of hairless mice.
Andersen, ML; Egydio, F; Noguti, J; Ribeiro, DA; Tufik, S, 2012
)
1.38
"Morphine is a mainstay for chronic pain treatment, but its efficacy has been hampered by physical tolerance. "( Intrathecal PLC(β3) oligodeoxynucleotides antisense potentiates acute morphine efficacy and attenuates chronic morphine tolerance.
Derong, C; Jing, W; Li, W; Moxi, C; Quanhong, Z; Tao, X; Wei, J; Xiaoli, Z; Xin, Z; Ying, X, 2012
)
2.06
"Morphine is an immunosuppressive drug, and when it is used chronically, it can lead to an increased incidence of infections and a delay in the healing process."( Can morphine interfere in the healing process during chronic stress?
Andersen, ML; Egydio, F; Ruiz, FS; Tomimori, J; Tufik, S, 2012
)
1.66
"Morphine tolerance is a common drawback of chronic morphine exposure, hindering use of this drug. "( Proteomic analysis of PKCγ-related proteins in the spinal cord of morphine-tolerant rats.
Guo, Q; Li, M; Liu, C; Song, Z; Zhang, J; Zou, W, 2012
)
2.06
"Morphine is an important drug used to alleviate moderate to severe pain. "( Inhibition of morphine glucuronidation in the liver microsomes of rats and humans by monoterpenoid alcohols.
Iida, N; Ishii, Y; Mackenzie, PI; Miyauchi, Y; Yamada, H, 2012
)
2.18
"Morphine is a powerful analgesic but its effect is often diminished owing to the development of tolerance. "( Microglial activation involved in morphine tolerance is not mediated by toll-like receptor 4.
Fukagawa, H; Fukuda, K; Kakuyama, M; Koyama, T, 2013
)
2.11
"Morphine is an opioid commonly used in children to manage perioperative pain."( Morphine clearance in children: does race or genetics matter?
Chidambaran, V; Esslinger, HR; Fukuda, T; Krekels, EH; Ngamprasertwong, P; Sadhasivam, S; Vinks, AA; Zhang, K,
)
2.3
"Morphine is an effective analgesic that acts by binding to the µ-opioid receptor (MOR) coded in the human by the OPRM1 gene. "( Regulation of mammalian MOR-1 gene expression after chronic treatment with morphine.
Badisa, RB; Goodman, CB; Luscar, E; Prenus, RV; Zhu, ZP, 2012
)
2.04
"Morphine is a gold standard analgesic commonly used to alleviate pain. "( Antinociceptive effect of intrathecal loperamide: role of mu-opioid receptor and calcium channels.
Kumar, R; Ray, SB; Reeta, KH, 2012
)
1.82
"Oral morphine is a recommended option for the treatment of neonatal abstinence syndrome (NAS). "( Stability of dilute oral morphine solution for neonatal abstinence syndrome.
Kim, JH; Rossi, S; Sauberan, J,
)
0.95
"Morphine is a widely used analgesic in management of postoperative pain with well documented analgesic properties and side effects. "( [Comparison of postoperative analgesia with tramadol, morphine versus their combination in patients undergoing abdominal cancer surgery].
Li, W; Lin, WQ; Xu, MX; Zeng, WA; Zhong, ZJ, 2002
)
2.01
"Morphine is a naturally occurring opiate that is metabolized chiefly through glucuronidation by uridine diphosphate glucuronosyl transferase (UGT) enzymes in the liver."( Pharmacokinetic drug interactions of morphine, codeine, and their derivatives: theory and clinical reality, part I.
Armstrong, SC; Cozza, KL,
)
1.13
"Diamorphine is a semisynthetic derivative of morphine that is currently licensed for use in the treatment of moderate to severe acute pain, administered by the intramuscular, intravenous or subcutaneous routes. "( Intranasal diamorphine as an alternative to intramuscular morphine: pharmacokinetic and pharmacodynamic aspects.
Kendall, JM; Latter, VS, 2003
)
1.3
"Morphine was shown to be an effective analgesic."( Oral morphine for cancer pain.
Barden, J; Edwards, JE; McQuay, HJ; Wiffen, PJ, 2003
)
1.55
"Morphine is a P-glycoprotein substrate in vitro, and P-glycoprotein affects morphine brain access and pharmacodynamics in animals."( Role of P-glycoprotein in the intestinal absorption and clinical effects of morphine.
Hoffer, C; Kharasch, ED; Sheffels, P; Whittington, D, 2003
)
1.27
"Morphine is a poor inducer of micro-opioid receptor (MOR) internalization, but a potent inducer of cellular tolerance. "( Morphine induces terminal micro-opioid receptor desensitization by sustained phosphorylation of serine-375.
Höllt, V; Koch, T; Mayer, D; Pfeiffer, M; Schulz, S; Stumm, R, 2004
)
3.21
"Morphine is a preferred narcotic since meperidine forms toxic metabolites. "( Determinants of prescribing meperidine compared to morphine in hospitalized patients.
Desbiens, N; Doshi, N; Panda, M; Sheldon, S, 2004
)
2.02
"Morphine is a plant (opium poppy)-derived alkaloid and one of the strongest known analgesic compounds. "( Endogenous formation of morphine in human cells.
Brandsch, M; Dräger, B; Poeaknapo, C; Schmidt, J; Zenk, MH, 2004
)
2.07
"Morphine is an effective analgesic, but adverse effects limit its clinical use in higher doses. "( Dextromethorphan potentiates morphine antinociception at the spinal level in rats.
Chow, LH; Ho, ST; Huang, EY; Lee, TY; Tao, PL, 2004
)
2.06
"Morphine is a strong and widely used opioid analgesic in pain management, but some adverse effects limit its clinical use at high doses. "( Dextromethorphan potentiates morphine-induced antinociception at both spinal and supraspinal sites but is not related to the descending serotoninergic or adrenergic pathways.
Chow, LH; Ho, ST; Huang, EY; Tao, PL; Tsai, SK,
)
1.87
"Morphine is a potent analgesic, yet, like most opioid narcotics, it exerts unwanted side effects such as constipation and respiratory suppression, thereby limiting its clinical utility. "( Morphine side effects in beta-arrestin 2 knockout mice.
Bohn, LM; Raehal, KM; Walker, JK, 2005
)
3.21
"Morphine is an exceptionally effective analgesic whose utility is compromised by the development of tolerance and dependence to the drug. "( An opiate cocktail that reduces morphine tolerance and dependence.
He, L; Whistler, JL, 2005
)
2.05
"Morphine sulfate is an effective antitussive in intractable chronic cough at the doses of 5 to 10 mg twice daily."( Opiate therapy in chronic cough.
Everett, CF; Jackson, J; Menon, MS; Morice, AH; Mulrennan, SA; Thompson, R; Wright, C, 2007
)
1.78
"Morphine is an opiate drug widely used as an analgesic in multiple medical diseases. "( [Morphine maintenance treatment in opiate dependent patients].
Casas Brugué, M; Castells Cervelló, X; Roncero Alonso, C; Sáez Francàs, N, 2007
)
2.69
"Morphine is an analgesic drug used for the treatment of acute and chronic pain syndromes for cancer patients. "( Morphine glucuronosyltransferase activity in human liver microsomes is inhibited by a variety of drugs that are co-administered with morphine.
Hara, Y; Miyamoto, K; Nakajima, M; Yokoi, T, 2007
)
3.23
"Morphine was shown to be an effective analgesic."( Oral morphine for cancer pain.
McQuay, HJ; Wiffen, PJ, 2007
)
1.57
"Morphine is a prototypical mu-opioid receptor (MOR) agonist, and can directly inhibit pain transmission at both spinal and supraspinal levels. "( Post-synaptic action of morphine on glutamatergic neuronal transmission related to the descending antinociceptive pathway in the rat thalamus.
Amano, T; Hashimoto, K; Nakamura, A; Narita, M; Niikura, K; Suzuki, T, 2008
)
2.1
"Morphine is a better drug as compared to tramadol for attenuation of laryngoscopy and endotracheal intubation response."( Haemodynamic response of intravenous tramadol and intravenous morphine during laryngoscopy and endotracheal intubation.
Abbas, MQ; Hoda, MQ; Khan, MU; Sabir, S, 2008
)
2.03
"Morphine is a long-standing therapy in acute decompensated heart failure (ADHF), despite few supporting data. "( Morphine and outcomes in acute decompensated heart failure: an ADHERE analysis.
Diercks, DB; Emerman, CL; Fonarow, G; Hollander, JE; Lopatin, M; Peacock, WF, 2008
)
3.23
"Morphine is a standard medication in pain therapy; opioids are grouped in step two and three of the WHO analgesic ladder. "( [Does morphine have a life-shortening effect?].
Baust, G, 2008
)
2.27
"Morphine chloride is a more potent inhibitor of 3H-ethylketocyclazocine binding and tritiated mu ligand in hypotonic Tris-HCl buffer than in isotonic HEPES buffer."( The effect of two different buffers on the high affinity 3H-ethylketocyclazocine and 3H-SKF10047 binding to guinea pig brain membranes.
Enger, M; Grynne, BH; Holmen, AT; Maurset, AR, 1984
)
0.99
"Morphine sulfate is a weak analgesic in the frog Rana pipiens pipiens, causing a slight increase in nociceptive threshold at a dose of 10 mg/kg and a pronounced increase at 100 mg/kg. "( Morphine-induced analgesia and explosive motor behavior in an amphibian.
Pezalla, PD, 1983
)
3.15
"Morphine is a relatively poorly lipophilic opioid but equilibrates with tissue of the brain relatively easily."( 1994 John J. Bonica Lecture. The clinical effects of morphine pharmacology.
Mather, LE,
)
1.1
"Morphine dependence is a long lasting form of neuronal plasticity. "( Precipitated morphine withdrawal stimulates multiple activator protein-1 signaling pathways in rat brain.
Couceyro, P; Douglass, J, 1995
)
2.1
"Morphine is a drug of abuse with an ability to down-regulate immune responsiveness that could have potentially serious consequences in both heroin addicts and in the clinical environment. "( A mechanism of action for morphine-induced immunosuppression: corticosterone mediates morphine-induced suppression of natural killer cell activity.
Freier, DO; Fuchs, BA, 1994
)
2.03
"Morphine is a potent analgesic when microinjected into the periaqueductal gray (PAG), the rostral ventral medulla (RVM) which contains the nuclei raphe magnus and reticularis gigantocellularis and the dorsolateral pons (DLP) which includes the locus coeruleus. "( Synergistic brainstem interactions for morphine analgesia.
Bodnar, RJ; Pasternak, GW; Rossi, GC, 1993
)
2
"Morphine-6-glucuronide is a metabolite of morphine that shows significant analgesic effects in animals and humans. "( Disposition of morphine and its glucuronide metabolites after oral and rectal administration: evidence of route specificity.
Babul, N; Darke, AC, 1993
)
2.08
"Morphine is a potent opioid analgesic widely used for the treatment of acute pain and for long-term treatment of severe pain. "( Morphine metabolites.
Christrup, LL, 1997
)
3.18
"Morphine is an analgesic agent used for the symptomatic relief of moderate to severe pain. "( Preparation and use of morphine capsules in paediatric patients with burns.
Amirat-Combralier, V; Balansard, G; Bues-Charbit, M; Dejode, JM; Elias, R; Jentile, B; Lagier, P,
)
1.88
"Morphine is a potent inhibitor of nocturnal uterine contractions (UCs) in the pregnant baboon, and these contractions are known to be induced by oxytocin (OT). "( Morphine inhibits nocturnal oxytocin secretion and uterine contractions in the pregnant baboon.
Kowalski, WB; Pak, SC; Parsons, MT; Wilson, L, 1998
)
3.19
"Morphine is a potent analgesic and is widely used in the clinical management of severe acute and chronic pain; however, its clinical usefulness is limited due to the development of both tolerance and dependence after repeated morphine administration. "( [Production of morphinone as a metabolite of morphine and its physiological role].
Toki, S; Yamano, S, 1999
)
2.01
"Morphine is a widely used analgesic for the treatment of severe cancer pain. "( Stability and compatibility of morphine.
Remon, JP; Vermeire, A, 1999
)
2.03
"Morphine is an agonist of mu-opioid receptors and inhibits N-type VSCC channels via a G-protein coupling mechanism."( Interactions of intrathecally administered ziconotide, a selective blocker of neuronal N-type voltage-sensitive calcium channels, with morphine on nociception in rats.
Bowersox, SS; Gao, D; Pettus, M; Phillips, C; Wang, YX, 2000
)
1.23
"Morphine (MOR) is an opioid analgesic used for the treatment of moderate to severe pain. "( Simultaneous assay of morphine, morphine-3-glucuronide and morphine-6-glucuronide in human plasma using normal-phase liquid chromatography-tandem mass spectrometry with a silica column and an aqueous organic mobile phase.
Hulse, JD; Jiang, X; Lee, JW; Lin, PP; Naidong, W; Wehling, M, 1999
)
2.06
"Morphine is an effective training drug in drug discrimination procedures. "( Morphine discriminative control is mediated by the mu opioid receptor: assessment of delta opioid substitution and antagonism.
Cañadas, F; Rice, KC; Riley, AL; Stevenson, GW; Zhang, X, 2000
)
3.19
"Morphine itself acts as a chemokinetic factor for fish leucocytes as it increases their random movements."( Inhibitory effects of morphine on some inflammation-related parameters in the goldfish Carassius auratus L.
Chadzinska, M; Plytycz, B; Scislowska-Czarnecka, A, 2000
)
1.34
"Morphine is a powerful pain reliever, but also a potent inducer of tolerance and dependence. "( Mu-opioid receptor desensitization by beta-arrestin-2 determines morphine tolerance but not dependence.
Bohn, LM; Caron, MG; Gainetdinov, RR; Lefkowitz, RJ; Lin, FT, 2000
)
1.99
"Morphine is a known substrate for rat UGT2B1 and human UGT2B7 and both total morphine glucuronidation (3-O- and 6-O-glucuronides) and diclofenac glucuronidation reactions showed a strong correlation with one another in human liver microsome samples."( Characterization of rat and human UDP-glucuronosyltransferases responsible for the in vitro glucuronidation of diclofenac.
Braun, M; King, C; Ngui, J; Tang, W; Tephly, T, 2001
)
1.03
"Morphine is a principal axis in drug therapy of pain, especially at the end stage of cancer."( [Effects of morphine on cancer pain and tumor growth and metastasis].
Kuraishi, Y, 2001
)
1.41
"morphine is a naloxone-sensitive, centrally mediated event not associated with activation of the central emetic mechanism."( Centrally mediated intestinal stimulation by morphine.
Burks, TF; Stewart, JJ; Weisbrodt, NW, 1977
)
1.24
"Morphine-6-glucuronide is a metabolite of morphine that binds to the opioid receptor and is analgesic in animals and humans. "( The metabolite morphine-6-glucuronide contributes to the analgesia produced by morphine infusion in patients with pain and normal renal function.
Foley, KM; Friedlander-Klar, H; Inturrisi, CE; Portenoy, RK; Thaler, HT, 1992
)
2.08
"Morphine was confirmed to be a metabolite of pholcodine by reversed-phase chromatography and electrochemical detection."( Column-switching high-performance liquid chromatographic detection of pholcodine and its metabolites in urine with fluorescence and electrochemical detection.
Johansen, M; Rasmussen, KE; Tønnesen, F, 1992
)
1
"Morphine is a very safe drug, correctly prescribed in chronic pain therapy, the only severe side effect being constipation."( Morphine myths: sedation, tolerance, addiction.
Zenz, M, 1991
)
2.45
"Morphine is a key drug for cancer pain management. "( Relationship between plasma concentration of morphine and analgesic effectiveness.
Hiraga, K; Konishi, M; Oguma, T; Yokokawa, N, 1991
)
1.98
"Morphine-6-glucuronide is an active metabolite of morphine that has analgesic properties and is measurable in the plasma and cerebrospinal fluid of patients treated with this opioid. "( Chronic nausea and morphine-6-glucuronide.
Cerbone, DJ; Foley, KM; Hagen, NA; Inturrisi, CE; Portenoy, RK, 1991
)
2.05
"Morphine acts as a strong agonist with an EC50 of 50 to 100 nM which falls into the therapeutic range expected for narcotic analgesic effects mediated by the mu receptor."( Efficacy and tolerance of narcotic analgesics at the mu opioid receptor in differentiated human neuroblastoma cells.
Sadée, W; Yu, VC, 1988
)
1

Effects

Morphine has a variety of actions on the release of pituitary hormones in addition to its analgesic actions. Morphine withdrawal has a manifest harm in hippocampal CA1 region of rat.

Morphine has no effect on clinical parameters, flare, or expression levels of inflammatory mediators in a rabbit model of uveitis induced by intravitreal injection of LPS. Morphine has proven to be an effective treatment for dyspnea and is recommended in clinical practice guidelines.

ExcerptReferenceRelevance
"Morphine has a strong analgesic effect and is suitable for various types of pain, so it is widely used. "( The Dopaminergic System in the Ventral Tegmental Area Contributes to Morphine Analgesia and Tolerance.
Gao, F; Li, Z; Tu, Y; Wang, J, 2023
)
2.59
"Morphine has a phenolic and an alcoholic OH group, while codeine bears only an alcoholic OH group. "( Using gas-phase chloride attachment for selective detection of morphine in a morphine/codeine mixture by ion mobility spectrometry.
Ilbeigi, V; Valadbeigi, Y, 2021
)
2.3
"Morphine has a direct role in the central nervous system to relieve pain, but because of its peripheral functions, morphine also has some side effects, such as nausea, constipation, and addiction (Gupta et al."( The dual effect of morphine on tumor development.
Cui, J; Tuerxun, H, 2019
)
1.56
"Morphine has a profound role in neurofilament (NF) expression. "( Morphine causes persistent induction of nitrated neurofilaments in cortex and subcortex even during abstinence.
Das, S; Pal, A, 2015
)
3.3
"Morphine chloride has an inhibitory effect on the contractility of rabbit small intestine in vitro or in vivo. "( [Effect of morphine chloride on contractility of small intestinal muscle in vitro or in vivo and its mechanisms].
Feng, ZY; Lu, Y; Mao, LG, 2008
)
2.18
"Morphine withdrawal has a manifest harm in hippocampal CA1 region of rat."( [The expression of BDNF and PSD-95 in hippocampal CA1 region of morphine-withdrawn rat with different dependent times].
Chen, GD; Chen, P; Han, JG; Liu, XN; Luo, LM; Wang, CB; Zhu, H, 2008
)
1.31
"Morphine has a negative effect on Th cell balance induced by PMA and ionomycin, the mechanism is related to T-bet and GATA3."( Morphine, but not ketamine, decreases the ratio of Th1/Th2 in CD4-positive cells through T-bet and GATA3.
Gao, M; Jin, W; Qian, Y; Sun, J, 2012
)
2.54
"As morphine has a vasopressin releasing and a brain L-asparaginase inhibiting effect the antidiuretic action of morphine was considered to be linked to its inhibitory effect on the brain L-asparaginase."( Vasopressin release by D-aspartic acid, morphine and prolyl-leucyl-glycinamide (PLG) in DI Brattleboro rats.
Berkman, K; Hatipoğlu, I; Koyuncuoğlu, H; Sabuncu, H, 1984
)
1.05
"Morphine has a variety of actions on the release of pituitary hormones in addition to its analgesic actions. "( Different receptors mediate morphine-induced prolactin and growth hormone release.
Kourides, IA; Pasternak, GW; Spiegel, K,
)
1.87
"Morphine has a significant protective effect on ethanol-induced gastric lesions. "( Gastric cytoprotective effect of morphine is probably not mediated by mu-receptors.
Bhounsule, SA; D'Souza, RS; Dhume, VG,
)
1.86
"Morphine augmentation has a reasonably good, though imperfect, specificity and positive predictive value, that are significantly better than for delayed imaging, in addition to its logistical advantage (shortening the imaging time)."( Pharmacologic intervention for the diagnosis of acute cholecystitis: cholecystokinin pretreatment or morphine, or both?
Kim, CK, 1997
)
1.23
"Morphine, which has a single substituted ammonium group, avidly binds in vitro to antibodies that react with NMBDs."( Immunoassays in the diagnosis of anaphylaxis to neuromuscular blocking drugs: the value of morphine for the detection of IgE antibodies in allergic subjects.
Baldo, BA; Fisher, MM, 2000
)
1.25
"Morphine alone has a longer time of onset, with less effect on the pain scores during the 24-hour observation period."( The use of intra-articular opioids and bupivacaine for analgesia following temporomandibular joint arthroscopy: a prospective, randomized trial.
Furst, IM; Kryshtalskyj, B; Weinberg, S, 2001
)
1.03
"Morphine has a unique metabolism via glucuronidation (UGT2B7), which results in an active metabolite (morphine-6-glucuronide)."( Morphine in cancer pain management: a practical guide.
Davis, MP; Donnelly, S; Naughton, M; Walsh, D, 2002
)
2.48
"A--Morphine has a direct depressive action at a spinal level on the activity of neurones of the grey matter of the dorsal horn which run towards the higher centres of the encephalon."( [Morphine analgesia: neurobiologic data].
Besson, JM; Le Bars, D; Oliveras, JL, 1978
)
1.68
"Morphine has a good arresting effect in attacks of cardiac asthma and corrects or reduces the respiratory alkalosis typical of the disease but at the same time reduces the saturation of blood with oxygen."( [Acid-base state and blood oxygenation in cardiac insufficiency treated by drug agents].
Inzel', TN; Markov, VA; Shteingardt, IuN, 1978
)
0.98
"Morphine probably has a direct effect on cholinergic neurons rather than modifying acetylcholine indirectly through catecholamine neurons."( Effect of hydroxydopamine on the morphine-induced reduction in brain acetylcholine turnover.
Slater, P, 1979
)
1.26
"Morphine has a significant protective effect on ethanol-induced gastric lesions. "( Protective effect of morphine on ethanol-induced gastric lesions in rats: are ATP-dependent potassium channels involved?
Bhounsule, SA; Dhume, VG; Diniz D'Souza, RS,
)
1.89
"The morphine ELISA has an I50 for morphine of about 1.5 ng/mL, while the etorphine ELISA has an I50 for etorphine of 250 pg/mL."( Morphine and etorphine: XIV. Detection by ELISA in equine urine.
Blake, J; Green, M; Henry, P; Jeganathan, A; Stanley, S; Tai, HH; Turner, S; Watt, D; Wood, T; Woods, WE,
)
2.05
"Morphine has a dose-dependent biphasic effect on colonic myoelectric and contractile activity and alters colonic motility patterns by inhibiting migrating contractions and clusters of contractions."( Effects of morphine on colonic myoelectric and motor activity in subhuman primates.
Condon, RE; Cowles, V; Frantzides, CT; Schulte, WJ, 1990
)
1.39
"Morphine has analgesic effects in both phases of the rat formalin test."( The regulatory role of nitric oxide in morphine-induced analgesia in the descending path of pain from the dorsal hippocampus to the dorsolateral periaqueductal gray.
Hashemi, M; Karami, M; Zarrindast, M, 2022
)
1.71
"Morphine has no additive effect and there is insufficient evidence on epinephrine and clonidine."( The Efficacy and Safety of Periarticular Injection in Total Joint Arthroplasty: A Direct Meta-Analysis.
Casambre, FD; Della Valle, CJ; Fillingham, YA; Hamilton, WG; Hannon, CP; Kamath, AF; Karas, V; Nelson, N; Spangehl, MJ; Verity, TJ, 2022
)
1.44
"Morphine has pharmacological properties that make it particularly difficult to assess the causality of morphine administration with a patient's death, such as its slow transfer between plasma and central nervous sites of action and the existence of the active metabolite morphine-6-glucuronide with opioid agonistic effects, Furthermore, there is no well-defined toxic dose or plasma/blood concentration for morphine."( Pharmacological data science perspective on fatal incidents of morphine treatment.
Dudziak, R; Kringel, D; Lötsch, J; Noufal, Y; Toennes, SW, 2023
)
1.87
"Morphine has a strong analgesic effect and is suitable for various types of pain, so it is widely used. "( The Dopaminergic System in the Ventral Tegmental Area Contributes to Morphine Analgesia and Tolerance.
Gao, F; Li, Z; Tu, Y; Wang, J, 2023
)
2.59
"Morphine addiction has been associated with astrocytic connexin 43 (Cx43), which plays a role in synaptic homeostasis."( Maladaptive plasticity induced by morphine is mediated by hippocampal astrocytic Connexin-43.
Darvishmolla, M; Heysieattalab, S; Hosseinmardi, N; Janahmadi, M; Saeedi, N; Tavassoli, Z, 2023
)
1.91
"Morphine, for example, has shown a dysbiotic effect on the bacterial microbiota in addition to inducing an increase in intestinal permeability facilitating bacterial translocation."( Opioid system influences gut-brain axis: Dysbiosis and related alterations.
Cardona, D; Cruz, F; Hone, AJ; Molina-Torres, G; Roman, P; Rueda-Ruzafa, L; Sánchez-Labraca, N, 2020
)
1.28
"Morphine has a phenolic and an alcoholic OH group, while codeine bears only an alcoholic OH group. "( Using gas-phase chloride attachment for selective detection of morphine in a morphine/codeine mixture by ion mobility spectrometry.
Ilbeigi, V; Valadbeigi, Y, 2021
)
2.3
"Morphine has been widely used for pain relief, but chronic administration of morphine causes analgesic tolerance, hyperalgesia, and addiction, all of which limit its clinical usage."( Molecular Mechanism of Neuroprotective Effect of Melatonin on Morphine Addiction and Analgesic Tolerance: an Update.
Jiao, L; Liu, Q; Su, LY; Yao, YG, 2021
)
1.58
"Morphine has been shown to increase the expression of brain-derived neurotrophic factor (BDNF) in the brain. "( Morphine Withdrawal Increases Brain-Derived Neurotrophic Factor Precursor.
Bachis, A; Campbell, LA; Jenkins, K; Mocchetti, I; Wenzel, E, 2017
)
3.34
"Morphine has shown both tumor growth-promoting and growth-inhibiting effects in many published research studies."( Morphine: double-faced roles in the regulation of tumor development.
Chu, HC; Dai, Z; Liang, YX; Yan, Y; Zhang, XY, 2018
)
2.64
"Morphine has unwanted hemodynamic and respiratory side effects."( Intravenous morphine versus intravenous paracetamol after cardiac surgery in neonates and infants: a study protocol for a randomized controlled trial.
Bogers, AJJC; Jansen, NJG; Kneyber, MCJ; Koomen, E; Maebe, S; Tibboel, D; van den Berghe, G; van Dijk, M; van Rosmalen, J; Vlasselaers, D; Wildschut, ED; Zeilmaker-Roest, GA, 2018
)
1.58
"Morphine has large pharmacokinetic variability, which is further complicated by developmental changes in neonates and small infants. "( PBPK Model of Morphine Incorporating Developmental Changes in Hepatic OCT1 and UGT2B7 Proteins to Explain the Variability in Clearances in Neonates and Small Infants.
Emoto, C; Fukuda, T; Hahn, D; Johnson, TN; Neuhoff, S; Vinks, AA, 2018
)
2.28
"Morphine has potent pro-dopamine effects that can be manifested as hyper-locomotion and these behavioral effects can undergo conditioning and sensitization. "( Reversal of morphine conditioned behavior by an anti-dopaminergic post-trial drug treatment during re-consolidation.
Carey, RJ; Carrera, MP; de Mello Bastos, JM; Leite Junior, JB; Samuels, RI, 2019
)
2.34
"Morphine has been used in the treatment of pain for centuries. "( Morphine as a treatment of cancer-induced pain-is it safe? A review of in vivo studies and mechanisms.
Brinkman, D; Redmond, HP; Wang, JH, 2018
)
3.37
"Morphine has a direct role in the central nervous system to relieve pain, but because of its peripheral functions, morphine also has some side effects, such as nausea, constipation, and addiction (Gupta et al."( The dual effect of morphine on tumor development.
Cui, J; Tuerxun, H, 2019
)
1.56
"Morphine has substantial pro-dopamine effects and in rodents, this is expressed in behavior as increased locomotor activation. "( Morphine administered post-trial can induce potent conditioned morphine effects.
Carey, RJ; Carrera, MP; de Mello Bastos, JM; Oliveira, LR; Samuels, RI; Santos, BGD, 2019
)
3.4
"Morphine has long been the gold standard in first line treatment, but recent publications conclude that ziconotide has largely proven its efficiency and that adverse effects are controllable."( Intrathecal therapy for pain in cancer patients.
Dupoiron, D, 2019
)
1.24
"Morphine has also protective properties, which were observed in low concentrations, for nerve cells and also seem to have the ability to reduce cell death in neural cell lines."( Effects of low-dose morphine suppress methamphetamine-induced cell death by inhibiting the ROS generation and caspase-3 activity.
Amini, K; Tahvilian, R; Zhaleh, H, 2019
)
1.56
"Morphine has unfavorable side effects including analgesic tolerance. "( The Emerging Perspective of Morphine Tolerance: MicroRNAs.
Hua, Z; Qiu, Y; Zhang, TJ, 2019
)
2.25
"Morphine has been a pivotal therapy in acute heart failure (AHF) for more than a century. "( Adverse dose-dependent effects of morphine therapy in acute heart failure.
Aronson, D; Caspi, O; Halfin, E; Naami, R, 2019
)
2.24
"Morphine has been shown to increase the expression of brain-derived neurotrophic factor (BDNF) in the brain. "( Conditioned aversive memory associated with morphine withdrawal increases brain-derived neurotrophic factor in dentate gyrus and basolateral amygdala.
Almela, P; Laorden, ML; Martínez-Laorden, E; Milanés, MV; Navarro-Zaragoza, J, 2020
)
2.26
"Morphine has also been shown to induce apoptotic cell death in vitro studies, but its in vivo effect in developing rat brain is unknown."( Morphine-enhanced apoptosis in selective brain regions of neonatal rats.
Bajic, D; Commons, KG; Soriano, SG, 2013
)
2.55
"Morphine has been reported to accelerate the progression of chronic kidney disease. "( Morphine induces albuminuria by compromising podocyte integrity.
Chandel, N; Cheng, K; Crosson, JT; Gupta, K; Husain, M; Lan, X; Lederman, R; Malhotra, A; Mathieson, PW; Rai, P; Saleem, MA; Singhal, PC, 2013
)
3.28
"Morphine clearance has been successfully scaled from preterm neonates to 3-year-old children on the basis of a bodyweight-based exponential (BDE) function and age younger or older than 10 days. "( Developmental changes in morphine clearance across the entire paediatric age range are best described by a bodyweight-dependent exponent model.
Dahan, A; Danhof, M; Knibbe, CA; Krekels, EH; Sadhavisvam, S; Tibboel, D; Vinks, AA; Wang, C, 2013
)
2.14
"Morphine has been used for many years to relieve pain."( Oral morphine for cancer pain.
Moore, RA; Wee, B; Wiffen, PJ, 2013
)
1.63
"Morphine has been shown to induce a re-distribution of a MOR-interacting protein Wntless (WLS, a transport molecule necessary for secretion of neurotrophic Wnt proteins), from cytoplasmic to membrane compartments in rat striatal neurons."( Morphine-induced trafficking of a mu-opioid receptor interacting protein in rat locus coeruleus neurons.
Berrettini, WH; Ebersole, B; Grigson, PS; Jaremko, KM; Jenney, CB; Jin, J; Levenson, R; Reyes, BA; Thompson, NL; Van Bockstaele, EJ, 2014
)
2.57
"Morphine has been found to elevate dopamine levels, which indicates a potential therapeutic effect in PD treatment that has not been investigated previously."( Acute morphine treatments alleviate tremor in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated monkeys.
Hu, X; Huang, B; Li, H; Ma, Y; Rizak, JD; Yan, T; Yang, S, 2014
)
1.6
"As morphine has been shown to increase striatal dopamine, whereas 6-MAM has not been studied in this respect, we gave i.v."( Role of 6-monoacetylmorphine in the acute release of striatal dopamine induced by intravenous heroin.
Boix, F; Gottås, A; Mørland, J; Vindenes, V; Øiestad, EL, 2014
)
1.24
"Morphine has been widely used for the treatment of acute, chronic, and cancer pain and is considered the strongest analgesic in clinical care. "( [Mechanism of spinal pain transmission and its regulation].
Watanabe, C, 2014
)
1.85
"Morphine has been used for several decades in cases of pulmonary oedema due to the anxiolytic and vasodilatory properties of the drug. "( [Morphine in the treatment of acute pulmonary oedema].
Agewall, S; Ellingsrud, C, 2014
)
2.76
"Morphine has a profound role in neurofilament (NF) expression. "( Morphine causes persistent induction of nitrated neurofilaments in cortex and subcortex even during abstinence.
Das, S; Pal, A, 2015
)
3.3
"Morphine has long been known to affect VTA DA cells via GABAergic interneurons."( Persistent Adaptations in Afferents to Ventral Tegmental Dopamine Neurons after Opiate Withdrawal.
Aston-Jones, G; Kaufling, J, 2015
)
1.14
"Morphine has for a long time, been used in patients with acute pulmonary oedema due to its anticipated anxiolytic and vasodilatory properties, however a discussion about the benefits and risks has been raised recently. "( Morphine in the treatment of acute pulmonary oedema--Why?
Agewall, S; Ellingsrud, C, 2016
)
3.32
"Morphine has no effect on clinical parameters, flare, or expression levels of inflammatory mediators in a rabbit model of uveitis induced by intravitreal injection of LPS."( Effects of morphine on the expression of cytokines and inflammatory mediators in a rabbit model of endotoxin-induced experimental uveitis.
Aldrovani, M; Crivelaro, RM; Kobashigawa, KK; Laus, JL; Mineo, TW; Ortencio, KP; Renzo, R; Ribeiro, AP; Silva, GA; Sobrinho B, AA,
)
1.96
"Morphine has proven to be an effective treatment for dyspnea and is recommended in clinical practice guidelines, but questions concerning benefits and respiratory adverse effects remain."( A randomized controlled trial on the benefits and respiratory adverse effects of morphine for refractory dyspnea in patients with COPD: Protocol of the MORDYC study.
Dirksen, CD; Franssen, FM; Janssen, DJ; Schols, JM; van den Beuken-van Everdingen, MH; Verberkt, CA; Wouters, EF, 2016
)
1.38
"Morphine has been used for many years to relieve pain."( Oral morphine for cancer pain.
Moore, RA; Wee, B; Wiffen, PJ, 2016
)
1.67
"Morphine has been widely used as rescue treatment for heart attack and failure in humans for many decades. "( Spinal Neuronal NOS Signaling Contributes to Morphine Cardioprotection in Ischemia Reperfusion Injury in Rats.
He, S; Hu, J; Jiang, L; Zhang, L; Zhang, Y, 2016
)
2.14
"Oral morphine has been proposed as an effective and safe alternative to codeine for after-discharge pain in children following surgery but there are few data guiding an optimum safe oral dose."( Oral morphine dosing predictions based on single dose in healthy children undergoing surgery.
Aleksa, K; Anderson, BJ; Brand, KA; Carleton, BC; Cooke, EM; Dawes, JM; Hannam, JA; Jimenez-Mendez, R; Koren, G; Lauder, GR; Montgomery, CJ; Rieder, MJ; Winton, P, 2017
)
1.48
"Morphine has been used for several decades in cases of acute pulmonary edema (APE) due to the anxiolytic and vasodilatory properties of the drug. "( Study Design and Rationale of "A Multicenter, Open-Labeled, Randomized Controlled Trial Comparing MIdazolam Versus MOrphine in Acute Pulmonary Edema": MIMO Trial.
Abreu-Gonzalez, P; Aldea-Perona, A; Burillo-Putze, G; Dominguez-Rodriguez, A; Garcia-Saiz, MDM; Harmand, MG; Mirò, O, 2017
)
2.11
"Morphine chloride has an inhibitory effect on the contractility of rabbit small intestine in vitro or in vivo. "( [Effect of morphine chloride on contractility of small intestinal muscle in vitro or in vivo and its mechanisms].
Feng, ZY; Lu, Y; Mao, LG, 2008
)
2.18
"Morphine has been used for pain treatment with a long history. "( Prolonged morphine application modulates Bax and Hsp70 levels in primary rat neurons.
Chen, Q; Cui, J; Yu, LC; Zhang, Y, 2008
)
2.19
"Morphine withdrawal has a manifest harm in hippocampal CA1 region of rat."( [The expression of BDNF and PSD-95 in hippocampal CA1 region of morphine-withdrawn rat with different dependent times].
Chen, GD; Chen, P; Han, JG; Liu, XN; Luo, LM; Wang, CB; Zhu, H, 2008
)
1.31
"Morphine addiction has become a long-time, serious medical and social problem. "( Chronic morphine application is protective against cell death in primary human neurons.
Chen, Q; Cui, J; Yu, LC; Zhang, Y, 2008
)
2.22
"Morphine has demonstrated efficacy in the treatment of acute postoperative pain, yet codeine phosphate is commonly preferred as the standard treatment."( Morphine infusions after pediatric cranial surgery: a retrospective analysis of safety and efficacy.
Bowen-Roberts, T; Hammond, AM; Kent, SK; Ou, CH; Steinbok, P; Warren, DT, 2008
)
2.51
"Morphine, which has been previously shown to be unable to desensitize or internalize deltaOR, also behaved as TIPP in failure to utilize Src to regulate deltaOR signaling."( Role of Src in ligand-specific regulation of delta-opioid receptor desensitization and internalization.
Chen, J; Chi, ZQ; Hong, MH; Ji, JL; Liu, JG; Tao, YM; Wang, YJ; Xie, X; Xu, C; Xu, XJ, 2009
)
1.07
"Morphine has been widely used for pain management. "( Morphine induces apoptosis of human endothelial cells through nitric oxide and reactive oxygen species pathways.
Chang, MC; Chen, CA; Cheng, WF; Hsiao, PN; Hsieh, CY; Lin, HW; Sun, WZ, 2009
)
3.24
"Morphine has been shown to be an effective intra-articular analgesic, and its anti-inflammatory role seen in this study makes it a potential alternative to bupivacaine."( The effect of bupivacaine and morphine in a coculture model of diarthrodial joints.
Anz, A; Branson, K; Cook, JL; Linville, C; Markway, H; Smith, MJ; Stoker, A, 2009
)
1.36
"Like morphine, heroin has high affinity and selectivity for mu-receptors, but its residual analgesia in exon 1 MOR-1 knockout mice that do not respond to morphine suggests a different mechanism of action."( Involvement of exon 11-associated variants of the mu opioid receptor MOR-1 in heroin, but not morphine, actions.
Matulonis, JE; Pan, YX; Pasternak, GW; Rossi, GC; Xu, J; Xu, M, 2009
)
1.03
"Morphine has been shown to affect the function of immune system, but the precise mechanism remains to be elucidated. "( Morphine induces DNA damage and P53 activation in CD3+ T cells.
Fukuda, K; Mizota, T; Shoda, T; Tsujikawa, H, 2009
)
3.24
"Morphine has been used in a series of experiments in the baboon to characterize developmental changes in fetal glucuronidation."( Molecular cloning of the baboon UDP-glucuronosyltransferase 2B gene family and their activity in conjugating morphine.
Abildskov, K; Garland, M; Weldy, P, 2010
)
1.29
"Morphine has been shown to alter gene expression of the major histocompatibility complex, class II (MHC-II) in circulating rat immunocytes. "( Morphine suppresses MHC-II expression on circulating B lymphocytes via activation of the HPA.
Bayer, BM; Houghtling, RA; Nugent, AL, 2011
)
3.25
"Morphine has been predicted to show nonlinear blood-brain barrier transport at lower concentrations. "( Morphine brain pharmacokinetics at very low concentrations studied with accelerator mass spectrometry and liquid chromatography-tandem mass spectrometry.
Forsgard, N; Hammarlund-Udenaes, M; Possnert, G; Sadiq, MW; Salehpour, M, 2011
)
3.25
"Morphine has well-established antiinflammatory properties and likely attenuates the postburn inflammatory response more than fentanyl, resulting in lower body temperatures."( Do fentanyl and morphine influence body temperature after severe burn injury?
Beers, RJ; Kahn, SA; Lentz, CW,
)
1.2
"Morphine has a negative effect on Th cell balance induced by PMA and ionomycin, the mechanism is related to T-bet and GATA3."( Morphine, but not ketamine, decreases the ratio of Th1/Th2 in CD4-positive cells through T-bet and GATA3.
Gao, M; Jin, W; Qian, Y; Sun, J, 2012
)
2.54
"  Morphine has high interindividual variability in its analgesic response and side effects profile. "( Is ethnicity associated with morphine's side effects in children? Morphine pharmacokinetics, analgesic response, and side effects in children having tonsillectomy.
Anderson, GD; Farin, FM; Jimenez, N; Lynn, AM; Nielsen, SS; Seidel, K; Shen, DD, 2012
)
1.39
"Morphine has long been known to have immunosuppressive properties in vivo, but the molecular and immunologic changes induced by it are incompletely understood. "( Morphine produces immunosuppressive effects in nonhuman primates at the proteomic and cellular levels.
Angel, TE; Brown, JN; Chan, EY; Clauss, TR; Gritsenko, M; Jacobs, JM; Katze, MG; Larsen, K; McCune, JM; Murnane, RD; Ortiz, GM; Palermo, RE; Purdy, DE; Shukla, AK; Smith, RD, 2012
)
3.26
"Morphine has become the preferred drug for analgesia. "( Preventive and therapeutic effects of penehyclidine hydrochloride on morphine-induced increased bladder pressure, urinary bladder sphincter pressure and histological damage in rabbits.
Cui, XG; Li, WZ; Pan, P; Shi, WD; Wang, WW; Zhang, B, 2012
)
2.06
"Morphine has been considered the gold standard for treating moderate-to-severe pain, although many new opioid products and formulations have been marketed in the last two decades and should be considered when examining opioid consumption. "( Using a morphine equivalence metric to quantify opioid consumption: examining the capacity to provide effective treatment of debilitating pain at the global, regional, and country levels.
Cleary, JF; Gilson, AM; Maurer, MA; Rathouz, PJ; Ryan, KM, 2013
)
2.27
"Morphine has long been used to relieve symptoms in acute failure, but there is little evidence about this potentially useful palliative therapy in CHF."( Morphine for the relief of breathlessness in patients with chronic heart failure--a pilot study.
Dargie, HJ; Harkness, A; Johnson, MJ; McDonagh, TA; McKay, SE, 2002
)
2.48
"Morphine has been reported to alter immune function. "( Morphine-induced macrophage apoptosis modulates migration of macrophages: use of in vitro model of urinary tract infection.
Malik, AA; Radhakrishnan, N; Reddy, K; Singhal, PC; Smith, AD, 2002
)
3.2
"Morphine has been used to relieve pain for many years. "( Oral morphine for cancer pain.
Barden, J; Edwards, JE; McQuay, HJ; Wiffen, PJ, 2003
)
2.28
"Morphine consumption has been increasing each year in many countries including Japan based on the understanding of the WHO report on the treatment of cancer pain."( [Consumption of morphine preparations in Toyama Medical and Pharmaceutical University Hospital].
Adachi, I; Kawakami, J; Kawashiri, N; Mimura, Y; Nagata, Y; Yamanouchi, T, 2004
)
1.39
"1. Morphine has been shown to slow the renal excretion of other drugs. "( Effects of morphine on methotrexate disposition in mice.
Hurwitz, A; Li, Y; Looney, GA, 2004
)
1.33
"Morphine sulfate has long been used for analgesia, but clinical applications can be limited by side effects, tolerance, and potential for addiction at therapeutic doses. "( Intrathecal gabapentin enhances the analgesic effects of subtherapeutic dose morphine in a rat experimental pancreatitis model.
Lu, Y; Smiley, MM; Vera-Portocarrero, LP; Westlund, KN; Zidan, A, 2004
)
2
"Morphine has cardioprotective effects against ischemic-reperfusion injuries. "( Morphine mimics the antiapoptotic effect of preconditioning via an Ins(1,4,5)P3 signaling pathway in rat ventricular myocytes.
Barrère-Lemaire, S; Combes, N; Nargeot, J; Piot, C; Richard, S; Sportouch-Dukhan, C, 2005
)
3.21
"Morphine has long been the gold standard in the control of cancer pain."( Morphine use for at-home cancer patients in Japan.
Kotani, K, 2004
)
2.49
"Morphine has been used as a potent analgesic, having a high propensity to induce tolerance and physical dependence following their repeated administration. "( Proteomic analysis of phosphotyrosyl proteins in morphine-dependent rat brains.
Chudapongse, N; Ho, IK; Kim, SY; Lee, SM; Levin, MC; Oh, JT; Park, HJ, 2005
)
2.03
"Morphine co-injection has anti-inflammatory effects on zymosan-induced peritonitis in several strains of mice except that of CBA. "( Mast cells are responsible for the lack of anti-inflammatory effects of morphine in CBA mice.
Plytycz, B; Stankiewicz, E; Wypasek, E, 2004
)
2
"Morphine has been found in cancer cell lines originating from human and animal cells. "( Human gliomas contain morphine.
Olsen, P; Rasmussen, M; Stefano, GB; Tonnesen, E; Zhu, W, 2005
)
2.09
"Morphine has been widely accepted as the opioid agonist that sustains signaling because it does not cause receptor desensitization or internalization. "( Morphine-Induced mu-opioid receptor desensitization.
Dang, VC; Williams, JT, 2005
)
3.21
"Morphine has been an optimal choice for cancer pain management. "( Immunosuppression by morphine-induced lymphocyte apoptosis: is it a real issue?
Itoh, T; Ohara, T; Takahashi, M, 2005
)
2.09
"(3) Morphine has no such effects."( Tramadol, fentanyl and sufentanil but not morphine block voltage-operated sodium channels.
Ahrens, J; Dengler, R; Foadi, N; Haeseler, G; Hecker, H; Leuwer, M, 2006
)
1.08
"Morphine has been used widely on the treatment of many types of chronic pain. "( Attenuation of morphine tolerance and withdrawal syndrome by coadministration of nalbuphine.
Ho, IK; Jang, S; Jeong, MW; Kim, D; Kim, H; Kim, S; Ma, T; Oh, S, 2006
)
2.13
"Morphine has been reported to suppress human immune response. "( Effects of morphine, fentanyl and tramadol on human immune response.
Gao, F; Liu, Z; Tian, Y, 2006
)
2.17
"Morphine has been shown to alter several behavioural processes. "( Effects of intracerebroventricularly-injected morphine on anxiety, memory retrieval and locomotor activity in rats: involvement of vasopressinergic system and nitric oxide pathway.
Gulec, G; Kahveci, N; Ozluk, K, 2006
)
2.03
"Morphine has shown efficacy and tolerability."( [Morphine maintenance treatment in opiate dependent patients].
Casas Brugué, M; Castells Cervelló, X; Roncero Alonso, C; Sáez Francàs, N, 2007
)
1.97
"Morphine has been used for many years to relieve pain."( Oral morphine for cancer pain.
McQuay, HJ; Wiffen, PJ, 2007
)
1.57
"Morphine tablets have been formulated to produce an easily ingested effervescent solution when placed in water. "( Effervescent morphine results in faster relief of breakthrough pain in patients compared to immediate release morphine sulfate tablet.
Braun, D; Freye, E; Levy, JV, 2007
)
2.15
"Morphine has been contraindicated for pain treatment in acute pancreatitis because of its presumed opioid-induced sphincter of Oddi dysfunction. "( Efficacy and tolerance of metamizole versus morphine for acute pancreatitis pain.
de Madaria, E; Horga, JF; Llorens, P; Martínez, E; Martínez, J; Peiró, AM; Pérez-Mateo, M, 2008
)
2.05
"Morphine has traditionally been the drug of choice for managing chest pain in acute coronary syndrome (ACS) due to its high analgesic potency, though its physiological effects are poorly understood."( [Is morphine still the analgesic of choice in acute myocardial infarction?].
Bascuñana, P; Domínguez, B; Gancedo, V; Hernández, A; Rochera, MI; Sola, MA, 2008
)
1.63
"Morphine has received intensive research interest for a long time. "( Morphine: a protective or destructive role in neurons?
Chen, Q; Yu, LC; Zhang, Y, 2008
)
3.23
"Morphine has been shown to protect the myocardium against ischemia-reperfusion injury through inhibition of glycogen synthase kinase-3beta (GSK-3beta). "( Cardioprotective effect of morphine and a blocker of glycogen synthase kinase 3 beta, SB216763 [3-(2,4-dichlorophenyl)-4(1-methyl-1H-indol-3-yl)-1H-pyrrole-2,5-dione], via inhibition of the mitochondrial permeability transition pore.
Assaly, R; Berdeaux, A; Dubois-Randé, JL; Morin, D; Obame, FN; Plin-Mercier, C; Zini, R, 2008
)
2.09
"Morphine has been universally assumed to act solely on opiate receptors, and predominantly on mu receptors. "( The role of dopaminergic mechanisms in mediating the central behavioral effects of morphine in rodents.
Feigenbaum, J; Yanai, J, 1984
)
1.94
"Morphine has been determined in serum, cerebrospinal fluid (c.s.f.) and in five brain regions in the rat after a single intravenous dose, using high performance liquid chromatography with an electrochemical detector. "( Morphine concentrations in serum, brain and cerebrospinal fluid in the rat after intravenous administration of a single dose.
Bolander, H; Kourtopoulos, H; Lundberg, S; Persson, SA, 1983
)
3.15
"As morphine has a vasopressin releasing and a brain L-asparaginase inhibiting effect the antidiuretic action of morphine was considered to be linked to its inhibitory effect on the brain L-asparaginase."( Vasopressin release by D-aspartic acid, morphine and prolyl-leucyl-glycinamide (PLG) in DI Brattleboro rats.
Berkman, K; Hatipoğlu, I; Koyuncuoğlu, H; Sabuncu, H, 1984
)
1.05
"Morphine has very little effect on the metabolism of DA and NA in the spinal cord."( Mass fragmentographic analysis of monoamine metabolites in the spinal cord of rat after the administration of morphine.
Commissiong, JW, 1983
)
1.2
"Morphine has been found in cow and human milk at concentrations of 200 to 500 nanograms per liter. "( Morphine in cow and human milk: could dietary morphine constitute a ligand for specific morphine (mu) receptors?
Brent, DA; Chang, KJ; Cuatrecasas, P; Findlay, JW; Hazum, E; Sabatka, JJ, 1981
)
3.15
"Morphine has a variety of actions on the release of pituitary hormones in addition to its analgesic actions. "( Different receptors mediate morphine-induced prolactin and growth hormone release.
Kourides, IA; Pasternak, GW; Spiegel, K,
)
1.87
"Morphine (M) treatment has been shown to suppress LH release in rats. "( Effects of intraventricular administration of catecholamines on luteinizing hormone release in morphine-treated rats.
Gallo, RV; Kalra, SP, 1983
)
1.93
"Morphine has both excitatory and disruptive effects on MMC cycling, while motilin has only excitatory effects."( Morphine versus motilin in the initiation of migrating myoelectric complexes.
Condon, RE; Cowles, V; Sarna, S, 1983
)
2.43
"Morphine has no effect at all on behavioral performance of the unconditioned reflex response."( Selective, naloxone-reversible morphine depression of learned behavioral and hippocampal responses.
Mauk, MD; Thompson, RF; Warren, JT, 1982
)
1.27
"Morphine, which has been suggested to inhibit stimulus-evoked substance P release from primary afferent terminals, reduced the early phase of the neurogenic oedema response but it also reduced blood pressure."( Pharmacology of the neurogenic oedema response to electrical stimulation of the saphenous nerve in the rat.
Chahl, LA; Morton, CR, 1980
)
0.98
"Morphine has paradoxical effects in learning experiments. "( Morphine-induced taste avoidance is attenuated with multiple conditioning trials.
Moroz, I; Parker, LA; Siegel, S, 1995
)
3.18
"Morphine has been shown to alter various aspects of the immune response. "( Proinflammatory effects of morphine in the rat adjuvant arthritis model.
Blake, DR; Claxson, AW; Earl, JR; Morris, CJ, 1994
)
2.03
"Morphine has a significant protective effect on ethanol-induced gastric lesions. "( Gastric cytoprotective effect of morphine is probably not mediated by mu-receptors.
Bhounsule, SA; D'Souza, RS; Dhume, VG,
)
1.86
"Morphine has no immediate effect on KA-induced activity but is able to bring about a long-term inhibition of sensitization to KA, an effect that is reversed by naloxone."( Morphine modulates excitatory amino acid-induced activity in the mouse spinal cord: short-term effects on N-methyl-D-aspartate (NMDA) and long-term effects on kainic acid.
Larson, AA, 1994
)
2.45
"Morphine sulfate has previously been shown to produce a dose-dependent decrease in hepatic phagocytosis when administered as 8-, 25- and 75-mg pellets implanted subcutaneously. "( Hepatic and splenic phagocytosis in female B6C3F1 mice implanted with morphine sulfate pellets.
Brown, RD; Fuchs, BA; Harris, LS; Levier, DG; McCay, JA; Munson, AE, 1993
)
1.96
"Morphine has been reported to possess immunosuppressive actions in both in vitro as well as in vivo assays of immune function. "( Morphine-induced alterations in thymocyte subpopulations of B6C3F1 mice.
Freier, DO; Fuchs, BA, 1993
)
3.17
"Morphine has been extensively used in the treatment of pulmonary edema, and its action is believed to be mediated in part by its ability to produce peripheral venodilation. "( Morphine-induced venodilation in humans.
Abiose, A; Blaschke, TF; Grossmann, M; Hoffman, BB; Tangphao, O, 1996
)
3.18
"Like morphine, M6G has been shown to be relatively more selective for mu-receptors than for delta- and kappa-receptors while M3G does not appear to compete for opioid receptor binding."( Morphine metabolites.
Christrup, LL, 1997
)
2.19
"Morphine augmentation has a reasonably good, though imperfect, specificity and positive predictive value, that are significantly better than for delayed imaging, in addition to its logistical advantage (shortening the imaging time)."( Pharmacologic intervention for the diagnosis of acute cholecystitis: cholecystokinin pretreatment or morphine, or both?
Kim, CK, 1997
)
1.23
"Morphine has been demonstrated to modulate immune function. "( Morphine induces splenocyte apoptosis and enhanced mRNA expression of cathepsin-B.
Franki, N; Gibbons, N; Reddy, K; Sanwal, V; Singhal, PC, 1997
)
3.18
"Morphine has been shown to decrease proliferative responses of rat T-lymphocytes via central opioid receptors, however, the specific receptor subtype(s) mediating this effect have not been established. "( Role of central opioid receptor subtypes in morphine-induced alterations in peripheral lymphocyte activity.
Bayer, BM; Mellon, RD, 1998
)
2
"Morphine has been the standard opioid in patient-controlled analgesia (PCA). "( Comparison of analgesic efficacy of oxycodone and morphine in postoperative intravenous patient-controlled analgesia.
Pitkänen, M; Rosenberg, P; Seppälä, T; Silvasti, M; Svartling, N, 1998
)
2
"Morphine has stimulatory effects on feeding and locomotion that are in part mediated by the mesolimbic dopamine system."( Individual differences in the feeding and locomotor stimulatory effects of acute and repeated morphine treatments.
Sills, TL; Vaccarino, FJ, 1998
)
1.24
"Morphine has been proposed as a treatment for breathlessness in patients with severe chronic obstructive pulmonary disease (COPD), but there is uncertainty as to whether or not it is effective. "( The effect of sustained-release morphine on breathlessness and quality of life in severe chronic obstructive pulmonary disease.
Black, PN; Poole, PJ; Veale, AG, 1998
)
2.03
"Morphine has been reported to increase extracellular levels of dopamine in the brain of intact rats and to potentiate turning induced by amphetamine in nigrally-lesioned rats. "( Dissociation of morphine-induced potentiation of turning and striatal dopamine release by amphetamine in the nigrally-lesioned rat.
Holtzman, SG; Justice, JB; Kimmel, HL, 1998
)
2.09
"The morphine metabolism has been studied in order to elucidate its pharmacological actions as well as its adverse effects."( [Production of morphinone as a metabolite of morphine and its physiological role].
Toki, S; Yamano, S, 1999
)
1.04
"Morphine, which has a single substituted ammonium group, avidly binds in vitro to antibodies that react with NMBDs."( Immunoassays in the diagnosis of anaphylaxis to neuromuscular blocking drugs: the value of morphine for the detection of IgE antibodies in allergic subjects.
Baldo, BA; Fisher, MM, 2000
)
1.25
"Morphine has long been known to have potent effects on body temperature. "( Involvement of NMDA receptors and nitric oxide in the thermoregulatory effect of morphine in mice.
Akpolat, M; Dokmeci, D; Dokmeci, I; Dost, T; Karadag, CH; Ulugol, A, 2000
)
1.98
"Morphine and codeine have been identified and measured in a human urine matrix using high-field asymmetric waveform ion mobility spectrometry (FAIMS) in a tandem combination with electrospray ionization (ESI) and mass spectrometric (MS) detection. "( Quantitation of morphine and codeine in human urine using high-filed asymmetric waveform ion mobility spectrometry (FAIMS) with mass spectrometric detection.
Barnett, DA; Ells, B; Guevremont, R; McCooeye, MA; Purves, RW, 2001
)
2.1
"Morphine has multiple cardiovascular effects, but its action on hydrolysis of endothelin 1 (ET-1) has not been investigated."( Intravenous morphine reduces plasma endothelin 1 concentration through activation of neutral endopeptidase 24.11 in patients with myocardial infarction.
Chang, H; Wang, TL, 2001
)
2.13
"Morphine alone has a longer time of onset, with less effect on the pain scores during the 24-hour observation period."( The use of intra-articular opioids and bupivacaine for analgesia following temporomandibular joint arthroscopy: a prospective, randomized trial.
Furst, IM; Kryshtalskyj, B; Weinberg, S, 2001
)
1.03
"Morphine has a unique metabolism via glucuronidation (UGT2B7), which results in an active metabolite (morphine-6-glucuronide)."( Morphine in cancer pain management: a practical guide.
Davis, MP; Donnelly, S; Naughton, M; Walsh, D, 2002
)
2.48
"Morphine has been shown to affect cell-mediated and humoral immune parameters. "( Differential morphine tolerance development in the modulation of macrophage cytokine production in mice.
Gaspani, L; Limiroli, E; Panerai, AE; Sacerdote, P, 2002
)
2.13
"A--Morphine has a direct depressive action at a spinal level on the activity of neurones of the grey matter of the dorsal horn which run towards the higher centres of the encephalon."( [Morphine analgesia: neurobiologic data].
Besson, JM; Le Bars, D; Oliveras, JL, 1978
)
1.68
"Morphine has a good arresting effect in attacks of cardiac asthma and corrects or reduces the respiratory alkalosis typical of the disease but at the same time reduces the saturation of blood with oxygen."( [Acid-base state and blood oxygenation in cardiac insufficiency treated by drug agents].
Inzel', TN; Markov, VA; Shteingardt, IuN, 1978
)
0.98
"Morphine probably has a direct effect on cholinergic neurons rather than modifying acetylcholine indirectly through catecholamine neurons."( Effect of hydroxydopamine on the morphine-induced reduction in brain acetylcholine turnover.
Slater, P, 1979
)
1.26
"Morphine has been reported to both lower blood pressure (BP) and cause excitation in some species. "( Biphasic effects of morphine on cardiovascular system of the cat.
Wallenstein, MC, 1979
)
2.03
"Morphine has little if any effect on the enhanced stimulation produced by acetylcholine thus indicating that the drug does not act directly upon the ganglion."( Mechanism of morphine block of electrical activity in ganglia of Auerbach's plexus.
Comaty, JE; Ehrenpreis, S; Sato, T; Takagi, K; Takayanagi, I, 1976
)
1.35
"This morphine-like compound has biological activity as it inhibits the electrically induced contractions both of the guinea pig ileum and mouse vas deferens but the inhibition is not reversed by naloxone or naltrexone."( Antibodies as a means of isolating and characterizing biologically active substances: presence of a non-peptide, morphine-like compound in the central nervous system.
Gintzler, AR; Levy, A; Spector, S, 1976
)
0.92
"Morphine has a significant protective effect on ethanol-induced gastric lesions. "( Protective effect of morphine on ethanol-induced gastric lesions in rats: are ATP-dependent potassium channels involved?
Bhounsule, SA; Dhume, VG; Diniz D'Souza, RS,
)
1.89
"Morphine treatment has been shown to suppress several immunologic parameters. "( Differential effects of morphine and naltrexone on the antibody response in various mouse strains.
Adler, MW; Bussiere, JL; Eisenstein, TK; Rogers, TJ, 1992
)
2.03
"Morphine tolerance has proven to be accompanied by alterations in the efficiency of many neuronal signals, as well as by an inversion of the noradrenergic signal response of cortical acetylcholine terminals and gamma-aminobutyric acid (GABA) neurons in vivo (decreased acetylcholine and increased GABA release in normal animals, vice versa in tolerant). "( Alpha-2 adrenoreceptor-mediated decrease in gamma-aminobutyric acid outflow in cortical slices and synaptosomes during morphine tolerance.
Beani, L; Bianchi, C; Ferraro, L; Morari, M; Simonato, M; Spalluto, G; Tanganelli, S, 1991
)
1.93
"Morphine has been considered to be primarily a mu opiate receptor agonist. "( Delta receptor involvement in morphine suppression of noxiously evoked activity of spinal WDR neurons in cats.
Collins, JG; Kitahata, LM; Nakatani, K; Omote, K, 1991
)
2.01
"The morphine ELISA has an I50 for morphine of about 1.5 ng/mL, while the etorphine ELISA has an I50 for etorphine of 250 pg/mL."( Morphine and etorphine: XIV. Detection by ELISA in equine urine.
Blake, J; Green, M; Henry, P; Jeganathan, A; Stanley, S; Tai, HH; Turner, S; Watt, D; Wood, T; Woods, WE,
)
2.05
"Morphine has been widely used in the treatment of acute left ventricular failure and ANP is a recently discovered hormone which possesses unique favourable effects in patients with congestive heart failure when administered exogenously."( Morphine increases plasma immunoreactive atrial natriuretic peptide levels in humans.
Isbir, M; Oğütman, C; Ozben, T; Sadan, G; Trakya, A, 1990
)
2.44
"Morphine has a dose-dependent biphasic effect on colonic myoelectric and contractile activity and alters colonic motility patterns by inhibiting migrating contractions and clusters of contractions."( Effects of morphine on colonic myoelectric and motor activity in subhuman primates.
Condon, RE; Cowles, V; Frantzides, CT; Schulte, WJ, 1990
)
1.39
"Morphine has been intraperitoneally administered twice daily for seven days into rats."( Morphine affects prodynorphin gene expression in some areas of rat brain.
Ferri, S; Lesa, G; Romualdi, P, 1990
)
2.44
"Morphine sulfate has been used in hepatobiliary imaging to cause contraction of the sphincter of Oddi, thereby increasing pressure in the biliary tree. "( Two false-negative results using morphine sulfate in hepatobiliary imaging.
Mack, JM; Slavin, JD; Spencer, RP, 1989
)
2
"Morphine has species-characteristic effects on pupillary size The effects of morphine on pupillary size, fluctuations and the light reflex were tested with an infrared video pupillometer in the gallamine-paralyzed cat. "( Morphine-induced mydriasis and inhibition of pupillary light reflex and fluctuations in the cat.
Pickworth, WB; Sharpe, LG, 1985
)
3.15
"Both morphine and PGE2 have been shown to depress macrophage functions."( Enhanced prostaglandin E2 and thromboxane B2 release from resident peritoneal macrophages isolated from morphine-dependent rats.
Dzoljic, MR; Elliott, GR; van Batenburg, MJ, 1987
)
0.94
"Morphine sulfate has been used by several investigators in the cholescintigraphic diagnosis of acute cholecystitis. "( Intravenous administration of morphine sulfate in hepatobiliary imaging for acute cholecystitis: a review of clinical efficacy.
Greenspan, G; Pretorius, HT; Rimkus, DS; Vasquez, TE, 1988
)
2.01
"Morphine has been reported to both stimulate and suppress fetal breathing movements (FBM). "( Dual action of morphine on fetal breathing movements.
Amione, J; Clare, S; Dwyer, G; Szeto, HH; Umans, JG; Zhu, YS, 1988
)
2.07
"Morphine has been shown to reduce renal and hepatic clearance of several xenobiotics in rodents. "( Morphine effects on gentamicin disposition and toxicity in mice.
Ben-Zvi, Z; Garty, M; Hurwitz, A, 1988
)
3.16
"Morphine has been shown to produce a significant potentiation of indomethacin-induced gastric lesions in rats. "( Studies on the possible mechanism of morphine-induced potentiation of the gastroulcerogenic effect of indomethacin in rats.
Ageel, AM; Parmar, NS; Tariq, M, 1987
)
1.99
"Morphine has been the most frequently used narcotic for epidural analgesia."( Epidural catheter analgesia for the management of postoperative pain.
Cullen, ML; Staren, ED, 1986
)
0.99
"Morphine has active metabolic products and the accumulation of these in patients with impaired renal function may lead to a clinically observable prolongation of its effect."( Pharmacokinetics of morphine in two children before and after liver transplantation.
Cory, EP; Park, GR; Shelly, MP, 1986
)
1.32

Actions

Morphine did not lower arginine vasopressin or catecholamine levels. Morphine had a much slower onset of action with the peak effect being observed 30 min after dosing. The morphine-induced increase in ADP-ribosylation occurred in both Gi and Go.

ExcerptReferenceRelevance
"Morphine/heroin may increase oxidative stress in drug-dependent persons. "( Morphine may have a role in telomere shortening.
Darvishi, FZ; Saadat, M, 2022
)
3.61
"Morphine prevented the increase of salivary cortisol typically observed following acute stress exposure."( Opioid-blunted cortisol response to stress is associated with increased negative mood and wanting of social reward.
Lamm, C; Massaccesi, C; Müller, D; Nater, UM; Quednow, BB; Silani, G; Willeit, M, 2022
)
1.44
"Morphine plays an important role in postoperative analgesia after total knee arthroplasty (TKA). "( Effects of Adding Morphine to Periarticular Infiltration Analgesia Combined with Single Dose Epidural Morphine in Total Knee Arthroplasty: A Randomized Controlled Study.
Cao, L; Gu, W; Guo, X; Li, Y; Wulamu, W; Yushan, N; Zhang, X, 2023
)
2.69
"Morphine does not cause significant MOR internalization or downregulation, and can readily induce tolerance."( DAMGO-induced μ opioid receptor internalization and recycling restore morphine sensitivity in tolerant rat.
Chen, R; Huang, M; Jiang, W; Kim, DK; Luo, L; Ma, X; Wang, W; Xu, T, 2020
)
1.51
"Morphine promotes neuroinflammation after NOD-like receptor protein 3 (NLRP3) oligomerization in glial cells, but the capacity of other opioids to induce neuroinflammation and its relationship to the development of analgesic tolerance is unknown. "( Morphine and Fentanyl Repeated Administration Induces Different Levels of NLRP3-Dependent Pyroptosis in the Dorsal Raphe Nucleus of Male Rats via Cell-Specific Activation of TLR4 and Opioid Receptors.
Carranza-Aguilar, CJ; Cruz, SL; González-Espinosa, C; Hernández-Mendoza, A; Mejias-Aponte, C; Morales, M; Rice, KC, 2022
)
3.61
"Morphine did not enhance wound healing compared to placebo-treated patients. "( Topical application of morphine for wound healing and analgesia in patients with oral lichen planus: a randomized, double-blind, placebo-controlled study.
Güthoff, C; Schmidt-Westhausen, AM; Schramm, C; Stein, C; Zaslansky, R, 2018
)
2.23
"Morphine can inhibit cell growth by blocking the cell cycle and promote apoptosis in MCF-7 cells."( Morphine Can Inhibit the Growth of Breast Cancer MCF-7 Cells by Arresting the Cell Cycle and Inducing Apoptosis.
Chen, J; Chen, Y; Li, L; Qin, Y; Xie, Y; Zhang, X, 2017
)
2.62
"Morphine was able to increase total antioxidant capacity of H9c2 cells and to reduce the production of reactive oxygen species, protein carbonylation, and lipid peroxidation."( Protective Effect of Morphine Against the Oxidant-Induced Injury in H9c2 Cells.
Hejnova, L; Karlovska, I; Novotny, J; Skrabalova, J, 2018
)
1.52
"Morphine can cause central nervous system side effects which impair driving skills. "( In silico (computed) modelling of doses and dosing regimens associated with morphine levels above international legal driving limits.
Berry, DJ; Boland, JW; Ferreira, D; Johnson, M, 2018
)
2.15
"Morphine promotes cell proliferation, migration, and invasion in vitro and in vivo in mouse models."( The mu-opioid receptor is a molecular marker for poor prognosis in hepatocellular carcinoma and represents a potential therapeutic target.
Chen, DT; Chen, YH; Pan, JH; Xing, W; Yan, Y; Yuan, YF; Zeng, WA, 2019
)
1.24
"morphine PCA was lower in the ketorolac group vs control group {0-6 h: 0 (0-0) vs 5 (0-10) mg, P<0.0001; 0-48 h: 10 (0-22.5) vs 48.75 (30-82.5) mg, P<0.0001 [median (inter-quartile range, IQR)]}."( Local infiltration analgesia for total knee arthroplasty: should ketorolac be added?
Andersen, KV; Haraldsted, V; Nikolajsen, L; Odgaard, A; Søballe, K, 2013
)
1.11
"I.t. morphine did not inhibit the display of CPA but significantly increased PWL, suppressing hyperalgesia (P<0.05)."( DAMGO in the central amygdala alleviates the affective dimension of pain in a rat model of inflammatory hyperalgesia.
Berman, BM; Lao, L; Li, A; Pan, L; Ren, K; Zhang, M; Zhang, RX, 2013
)
0.84
"Morphine did not activate ERK and Dyn-DN administration had no effect on morphine-induced antinociception in saline-pretreated rats. "( Change in functional selectivity of morphine with the development of antinociceptive tolerance.
Bobeck, EN; Ingram, SL; Macey, TA; Morgan, MM; Suchland, KL, 2015
)
2.13
"Morphine might increase testicular cell apoptosis and reduce sperm concentration by upregulating the expressions of Bax and Caspase-3 in the rat model of morphine tolerance."( [Impact of morphine on the reproductivity of male rats].
Li, WY; Liu, QZ; Shang, XJ; Shao, Y, 2014
)
2.23
"Morphine can inhibit the differentiation of Th1 lymphocytes and decrease the ratio of Th1/Th2 via the pathway of PI3K/AKT."( Morphine Suppresses T helper Lymphocyte Differentiation to Th1 Type Through PI3K/AKT Pathway.
Mao, M; Qian, Y; Sun, J, 2016
)
2.6
"Morphine was found to produce a longer-lasting analgesic effect in the tail immersion test in the control group than in rats. "( Evaluation of the analgesic effect of morphine on models of acute nociceptive pain in rats with a central noradrenergic system lesion.
Babuska-Roczniak, M; Brodziak-Dopierala, B; Cipora, E; Nowak, PG; Oswiecimska, JM; Roczniak, W, 2016
)
2.15
"Morphine can increase the generation of free radicals."( Protective Effect of Thymoquinone Against Morphine Injuries to Kidneys of Mice.
Hoseini, M; Jalili, C; Roshankhah, S; Salahshoor, MR; Shabanizadeh, A; Sohrabi, M, 2017
)
1.44
"The morphine-induced increase in ACh release was blocked by nor-BNI but not by naloxone."( Morphine increases acetylcholine release in the trigeminal nuclear complex.
Baghdoyan, HA; Bowman, HR; Lydic, R; Zhu, Z, 2008
)
2.27
"Morphine caused an increase in antinociception, with early methylphenidate (5.0 mg/kg) exposure potentiating the effects of 5.0 mg/kg morphine."( Methylphenidate potentiates morphine-induced antinociception, hyperthermia, and locomotor activity in young adult rats.
Chisum, AM; Crawford, CA; Furqan, F; Halladay, LR; Iñiguez, SD; Previte, MC, 2009
)
1.37
"Morphine caused an increase in FBF at doses of 30 microg min(-1)[3.25 (0.26) ml min(-1) 100 ml(-1)][mean (SEM)] doubling at 100 microg min(-1) to 5.23 (0.53) ml min(-1) 100 ml(-1). "( Morphine is an arteriolar vasodilator in man.
Afshari, R; Bateman, DN; Maxwell, SR; Webb, DJ, 2009
)
3.24
"Morphine had a slower onset of action than ROPI, but a stronger analgesic effect of longer duration."( Effects of intraarticular ropivacaine and morphine on lipopolysaccharide-induced synovitis in horses.
de Moraes, AN; Saito, ME; Santos, LC, 2009
)
1.34
"The morphine had a lower level of MDA and higher levels of SOD and HSP27 than those in I/R."( [Preconditioning of morphine protects rabbit myocardium from ischemia-reperfusion injury].
CHANG, YT; LU, XH; RAN, K; XU, JM, 2009
)
1.16
"The morphine-induced increase in OA-sensitive PP activity was dependent on the dose and attenuated by the concurrent administration of naloxone (1 mg/kg)."( Increment of activated serine/threonine protein phosphatase in brain membrane fraction synchronized with antinociceptive effect of morphine in mice.
Kiguchi, N; Kishioka, S; Kobayashi, Y; Maeda, T; Ozaki, M, 2010
)
1.05
"morphine is known to inhibit cholinergic contractions of the guinea pig small intestine. "( Unexpected insensitivity of the cholinergic motor responses to morphine in the human small intestine.
Bartho, L; Benko, R; Cseke, L; Dékány, A; Illényi, L; Kelemen, D; Molnár, Z; Nemes, D; Papp, A; Varga, G, 2010
)
2.04
"Morphine could increase the activity of 5α-redutase, the enzyme that converts testosterone into its respective 5α-redutase derivative dihydrotestosterone (DHT)."( Could the endogenous opioid, morphine, prevent neural stem cell proliferation?
Sharif, S; Shoae-Hassani, A; Tabatabaei, SA; Verdi, J, 2011
)
1.38
"Morphine was found to inhibit LPS-induced TNF-α but not CCL2 release in the peritoneal cavity. "( Morphine decreases early peritoneal innate immunity responses in Swiss-Webster and C57BL6/J mice through the inhibition of mast cell TNF-α release.
Cruz, SL; Gonzalez-Espinosa, C; Madera-Salcedo, IK, 2011
)
3.25
"Morphine can inhibit metabolism and reduce the oxygen consumption."( [Protection against acute hypoxic/reoxygenation injury to kidney for rabbit with morphine hypoxic preconditioning by observing the expression of caspase-3 protein].
Huang, W; Jiang, X; Li, H; Luo, J; Ni, J; Wang, Y; Yang, P, 2011
)
1.32
"Morphine-induced SCS increase was prevented by NLX, but not MEC."( Pharmacological relationship between nicotinic and opioid systems in analgesia and corticosterone elevation.
Kiguchi, N; Kishioka, S; Kobayashi, Y; Maeda, T; Ueno, K; Yamamoto, A; Yamamoto, C, 2011
)
1.09
"Morphine at lower doses (0.5, 1, and 3 mg/kg) increased and, at higher doses (15, 30, and 75 mg/kg), decreased the seizure threshold. "( The role of alpha2-adrenoceptors in the modulatory effects of morphine on seizure susceptibility in mice.
Dehpour, AR; Homayoun, H; Khavandgar, S, 2002
)
2
"Morphine is known to inhibit nocturnal uterine contractions in several animal models, and oxytocin is known to be a primary causative factor of uterine contractions. "( Tocolytic Effect of Morphine via Increased Metabolic Clearance of Oxytocin in the Baboon.
Bai, YH; Choi, BC; Pak, SC; Wilson, L, 2002
)
2.08
"Morphine use was lower in the femoral group than in the intra-articular group (P <.001)."( Femoral block provides superior analgesia compared with intra-articular ropivacaine after anterior cruciate ligament reconstruction.
Benard, A; Cochard, G; Iskandar, H; Manaud, B; Ruel-Raymond, J,
)
0.85
"morphine and fentanyl cause variable degrees of urinary retention."( Urodynamic changes following intrathecal administration of morphine and fentanyl to dogs.
Abu el-Nasr, LM; el-Bindary, EM,
)
1.1
"Morphine levels were lower in T/T patients (median, 18 ng/mL [range, 18-1490 ng/mL]) as compared with C/T and C/C patients combined (median, 66 ng/m; range, 18-3995 ng/mL) (P =.04)."( A pharmacogenetic study of uridine diphosphate-glucuronosyltransferase 2B7 in patients receiving morphine.
Badner, J; Boyett, JM; Cheng, C; Cook, E; Das, S; Innocenti, F; Pantle-Fisher, FH; Pei, D; Ramírez, J; Ratain, MJ; Sawyer, MB; Wright, C, 2003
)
1.26
"Morphine can increase DP, BPSO, CASO, PCBD, but anisodamine atropine and buscopan can antagonize the effect of morphine."( Effect of morphine and M-cholinoceptor blocking drugs on human sphincter of Oddi during choledochofiberscopy manometry.
Jin, JZ; Kong, J; Wang, W; Wu, SD; Zhang, Q, 2003
)
1.44
"Morphine at lower doses (0.5-3 mg/kg) had a significant anticonvulsant effect in males and estrus females compared with that in vehicle-treated controls, whereas female mice in diestrus phase showed a relative subsensitivity to this effect."( Sex and estrus cycle differences in the modulatory effects of morphine on seizure susceptibility in mice.
Dehghani, M; Dehpour, AR; Gaskari, SA; Homayoun, H; Honar, H; Rashidi, N; Riazi, K; Sadeghipour, H, 2004
)
1.29
"Morphine did not produce overestimation of time as assessed by the production or categorization of IRTs."( The effects of morphine on the production and discrimination of interresponse times.
Odum, AL; Ward, RD, 2004
)
1.4
"Morphine use was lower in the celecoxib group at all postoperative time-intervals."( The effect of cyclooxygenase-2 inhibition on analgesia and spinal fusion.
Ekman, EF; Reuben, SS, 2005
)
1.05
"Morphine at lower doses (1-3mg/kg) increased and at higher doses (30, 60 mg/kg) decreased the seizure threshold."( The synergistic anticonvulsant effect of agmatine and morphine: possible role of alpha 2-adrenoceptors.
Dehpour, AR; Ebrahimkhani, MR; Ghaffari, K; Homayoun, H; Honar, H; Jannati, A; Kiani, S; Noorian, AR; Rashidi, N; Riazi, K, 2005
)
1.3
"Morphine at lower doses than that used for antinociceptive assay produced both retching and vomiting, whereas fentanyl failed to produce the retching and vomiting in ferrets."( Effect of a selective GABA(B) receptor agonist baclofen on the mu-opioid receptor agonist-induced antinociceptive, emetic and rewarding effects.
Imai, S; Khotib, J; Nakamura, A; Narita, M; Nurrochmad, A; Ozaki, M; Shibasaki, M; Suzuki, T; Yajima, Y, 2005
)
1.05
"Morphine-induced increase in muscle resistance was independent on the velocity of the ankle rotatio"( Measurement of peripheral muscle resistance in rats with chronic ischemia-induced paraplegia or morphine-induced rigidity using a semi-automated computer-controlled muscle resistance meter.
Hefferan, MP; Kakinohana, O; Marsala, J; Marsala, M; Nakamura, S; Tomori, Z, 2005
)
1.27
"IA morphine 5 mg does not produce clinically significant pain relief in patients with moderate or severe pain after knee arthroscopy."( Intra-articular morphine 5 mg after knee arthroscopy does not produce significant pain relief when administered to patients with moderate to severe pain via an intra-articular catheter.
Rosseland, LA; Solheim, N; Stubhaug, A,
)
1.1
"Morphine failed to cause tolerance in beta2-AR knockout mice."( The beta2 adrenergic receptor regulates morphine tolerance and physical dependence.
Clark, JD; Li, J; Li, X; Liang, DY; Shi, X, 2007
)
1.33
"The morphine-induced increase in DBI mRNA expression and its content were completely inhibited by naloxone and beta-FNA, and the inhibitory potential of naloxonazine was about half that of beta-FNA."( Increase in diazepam binding inhibitor expression by sustained morphine exposure is mediated via mu-opioid receptors in primary cultures of mouse cerebral cortical neurons.
Honda, T; Katsura, M; Ohkuma, S; Shibasaki, M; Sumimoto, A; Torigoe, F; Tsujimura, A, 2007
)
1.06
"Morphine produces an increase in DA release in the brain, which may provide positive reinforcement contributing to the development of motivational aspects of drug-seeking and maintenance behavior."( Potential roles of GABA receptors in morphine self-administration in rats.
Choi, KH; Jang, EY; Kim, HS; Kim, JA; Kim, MR; Lee, BH; Shim, I; Yang, CH; Yoon, SS; Yun, J, 2007
)
1.33
"Morphine can inhibit inflammatory edema in experimental animals. "( Intrathecally injected morphine inhibits inflammatory paw edema: the involvement of nitric oxide and cyclic-guanosine monophosphate.
Brock, SC; Tonussi, CR, 2008
)
2.1
"The morphine induced increase of striatal DOPAC (3,4-dihydroxyphenylacetic acid) content was also inhibited by ACTH treatment, however, neither the analgesia, nor the hypermotility caused by morphine were affected."( Loss of sensitivity to morphine induced by prolonged ACTH treatment.
Fekete, MI; Kanyicska, B; Stark, E; Szentendrei, T, 1984
)
1.06
"Morphine alone did not cause an increase in the number of jumping mice, but increased the reaction time which reached a maximum 1 h after administration and gradually returned to the control level after 6 h."( Alterations by captopril of pain reactions due to thermal stimulation of the mouse foot: interactions with morphine, naloxone and aprotinin.
Ercan, ZS; Ilhan, M; Türker, RK, 1980
)
1.2
"Morphine-induced increase of dopamine metabolism in the striatum and nucleus accumbens was studied in rats treated with parachlorophenylalanine, an inhibitor of serotonin synthesis, or metergoline and mianserin, two serotonin antagonists. "( Evidence of serotonin involvement in the effect of morphine on dopamine metabolism in the rat nucleus accumbens but not in the striatum.
Invernizzi, R; Samanin, R; Spampinato, U, 1984
)
1.96
"7 Morphine may produce peripheral analgesia by inhibiting adenylatecyclase activity at the nociceptors."( Peripheral analgesia: mechanism of the analgesic action of aspirin-like drugs and opiate-antagonists.
Ferreira, SH, 1980
)
0.82
"Morphine was shown to produce the naloxone-removable activation of adenylate cyclase, the relationship between enzymatic activity and opiate concentration in the medium being complex in nature."( [Effect of morphine on the cAMP level of lymphocytes].
Kost, NV; Zozulia, AA,
)
1.24
"The morphine-induced increase in locomotor activity and analgesia was attenuated in PCP (40 mg/kg per day i.p."( Attenuation of pharmacological effects and increased metabolism of phencyclidine in morphine tolerant mice.
Ho, IK; Nabeshima, T; Sivam, SP, 1984
)
0.97
"The morphine-induced increase did not require the presence of intact central connections."( Effects of morphine on superior cervical ganglion and iris of the immature rat.
Kirby, ML; Mattio, TG, 1983
)
1.14
"Morphine caused an increase in urine flow which was variable in magnitude and duration."( Antinatriuretic effect of acute morphine administration in conscious rats.
Murphy, JC; Walker, LA, 1984
)
1.27
"I.m. morphine caused an increase in forehead pain threshold, depression of the carbon dioxide response and some deterioration of cerebral function."( Experimental comparison of extradural and i.m. morphine.
Clark, M; Crawford, M; Liberman, H; Pybus, DA; Torda, TA, 1980
)
0.97
"The morphine-produced increase in Type A cells was antagonized by 0.10 mg/kg of naloxone, whereas the suppression of B cells was blocked only by pretreatment with 5.0 mg/kg of naloxone."( The effects of low doses of morphine on the activity of dopamine-containing cells and on behavior.
Caggiula, AR; Hatfield, CB; Ostrowski, NL,
)
0.91
"A morphine-induced increase in locomotion was first seen on Day 17 (after 0.5 mg/kg morphine)."( Ontogenesis of morphine-induced behavior in the rat.
Caza, PA; Spear, LP, 1980
)
1.17
"Morphine is known to produce mydriasis in mice. "( Enkephalin mydriasis in mice.
Eshel, Y; Keren, O; Korczyn, AD, 1980
)
1.7
"Morphine did not inhibit noncholinergic contractions."( Differential inhibition of cholinergic and noncholinergic neurogenic contractions by mu opioid and alpha-2 adrenergic agonists in guinea pig ileum.
Galligan, JJ, 1993
)
1.01
"Morphine did not produce any modification in plasma corticosterone at doses of 3 or 10 mg/kg i.p., whereas it produced a significant increase in corticosterone secretion at doses of 20 or 30 mg/kg i.p., 30 min after its administration."( Involvement of kappa-opioid receptor mechanisms in the calcitonin-induced potentiation of opioid effects at the hypothalamus-pituitary-adrenocortical axis.
Martín, MI; Milanés, MV; Vargas, ML, 1994
)
1.01
"Only morphine was able to increase the cAMP response to isoproterenol."( Effects of opioid substances on cAMP response to the beta-adrenergic agonist isoproterenol in human mononuclear leukocytes.
Ioverno, A; Lotti, G; Musso, NR; Pende, A; Vergassola, C, 1995
)
0.75
"Morphine was found to inhibit sex behavior in a dose dependent way."( Opioids and sexual behavior in the male rabbit: the role of central and peripheral opioid receptors.
Agmo, A; Contreras, JL; Paredes, RG, 1994
)
1.01
"The morphine induced increase in blood glucose in the fed rats was abolished by naloxone (p < 0.001)."( Morphine and morphine/naloxone modification of glucose, glucagon and insulin levels in fasted and fed rats.
Burhol, PG; Jensen, T; Johansen, O; Jorde, R; Reikerås, O; Tønnesen, T, 1993
)
2.21
"morphine, produce analgesia that can be potentiated by restraint stress."( Restraint stress potentiates analgesia induced by 5'-N-ethylcarboxamidoadenosine: comparison with morphine.
Holtzman, SG; Woolfolk, DR, 1993
)
1.22
"morphine did not produce antagonism of the antinociceptive action of this mu opiate, the leftward displacement of the i.c.v."( Modulation of morphine antinociception by swim-stress in the mouse: involvement of supraspinal opioid delta-2 receptors.
Bowen, WD; Hruby, VJ; Mosberg, HI; Porreca, F; Portoghese, PS; Sultana, M; Takemori, AE; Vanderah, TW; Wild, KD, 1993
)
1.37
"Morphine prevented the increase of fluorescein uptake, but naloxone failed to antagonize this effect."( Involvement of opioid receptors in shaking behaviour induced by paraquat in rats.
Endo, T; Hara, S; Iwata, N; Kano, S; Kawaguchi, N; Kuriiwa, F, 1993
)
1.01
"Morphine did not produce any demonstrable effect on the sympathetic nervous system nor did it provide pain relief for any patient."( Morphine injected around the stellate ganglion does not modulate the sympathetic nervous system nor does it provide pain relief.
Casale, R; Glynn, C, 1993
)
2.45
"Morphine did not cause a further suppression of the antibody response in beige mice compared to placebo."( Effects of in vivo morphine treatment on antibody responses in C57BL/6 bgJ/bgJ (beige) mice.
Adler, MW; Bussiere, JL; Eisenstein, TK; Rogers, TJ, 1993
)
1.34
"Morphine's potency to inhibit cAMP accumulation is the same before and after chronic treatment, suggesting that the apparent tolerance results from cyclase activation, rather than from receptor desensitization."( Adenylylcyclase supersensitization in mu-opioid receptor-transfected Chinese hamster ovary cells following chronic opioid treatment.
Avidor-Reiss, T; Bayewitch, M; Levy, R; Matus-Leibovitch, N; Nevo, I; Vogel, Z, 1995
)
1.01
"morphine to produce antiallodynic effects may be due, in part, to the lack of available functional spinal opioid mu-receptors which may occur following nerve injury."( Characterization of the antiallodynic efficacy of morphine in a model of neuropathic pain in rats.
Bian, D; Lai, J; Nichols, ML; Ossipov, MH; Porreca, F, 1995
)
1.27
"The morphine-induced increase in acetylcholine output was suppressed by the blockade of dopamine D1 receptors with SCH 23390 (R(+)-7-chloro-8-hydroxy-3-methyl-1-phenyl-2,3,4, 5-tetrahydro-1H-3-benzazepine) (0.1 mg/kg s.c.), which also suppressed the morphine-induced motor stimulation."( Chronic morphine increases hippocampal acetylcholine release: possible relevance in drug dependence.
Carta, G; Casu, MA; Gessa, GL; Imperato, A; Mascia, MS; Obinu, MC, 1996
)
1.21
"The morphine-induced increase in locomotor activity occurred significantly earlier and was greater in the deficient diet group."( Influence of a dietary alpha-linolenic acid deficiency on learning in the Morris water maze and on the effects of morphine.
Bourre, JM; Clément, M; Coudereau, JP; Francès, H; Monier, C; Sandouk, P, 1996
)
0.99
"Morphine seems to enhance the accumulation of macromolecules in the mesangium, independent of its action on mesangial cells."( Morphine modulates mesangial immunoglobulin G uptake in rats with antithymocyte serum-induced mesangial cell injury.
Pan, CQ; Sagar, S; Singhal, PC; Stahl, RA; Valderrama, E, 1996
)
2.46
"5. Morphine did not inhibit forskolin-stimulated cyclicAMP formation in cultured cells expressing the nociceptin receptor."( Characterization of nociceptin hyperalgesia and allodynia in conscious mice.
Hara, N; Imanishi, T; Ito, S; Minami, T; Mori, H; Okuda-Ashitaka, E; Onaka, M; Sakai, M; Shingu, K; Sugimoto, T, 1997
)
0.81
"morphine recorded lower pain scores and required less supplementary analgesia."( The efficacy of intra-articular morphine for postoperative knee arthroscopy analgesia.
Bjorksten, AR; Hart, JA; McCullough, K; Richardson, MD, 1997
)
1.3
"The morphine-induced increase in DA oxidative metabolism is highly correlated with that of xanthine."( Effect of naloxone on morphine-induced changes in striatal dopamine metabolism and glutamate, ascorbic acid and uric acid release in freely moving rats.
De Natale, G; Desole, MS; Enrico, P; Esposito, G; Miele, E; Miele, M; Migheli, R; Mura, MA; Serra, P, 1998
)
1.1
"morphine 50 microg may produce better postoperative analgesia with fewer side effects than i.t."( The efficacy of intrathecal neostigmine, intrathecal morphine, and their combination for post-cesarean section analgesia.
Chin, YJ; Chung, CJ; Kim, JS; Park, HS, 1998
)
1.27
"Morphine showed a lower peak percentage maximum possible effect (%MPE) in the colorectal distension test than in the tail flick test."( Interaction of intrathecally infused morphine and lidocaine in rats (part I): synergistic antinociceptive effects.
Kaneko, M; Kirihara, Y; Kosaka, Y; Saito, Y; Sakura, S, 1998
)
1.29
"Morphine did not produce a change in subjectively evaluated vigilance and the blood pH."( [Value of orally administered retard morphine for therapy of severe pulmonary emphysema of the pink-puffer type. A pilot study].
Köhler, D; Schönhofer, B, 1998
)
1.29
"Morphine alone did not enhance the generation of TNF-alpha by mesangial cells, however, an enhanced (P < 0.001) TNF-alpha production was observed when mesangial cells were first treated with morphine for 18 h and then activated further with LPS. "( Morphine stimulates mesangial cell TNF-alpha and nitrite production.
Gibbons, N; Kapasi, AA; Mattana, J; Singhal, PC, 2000
)
3.19
"The morphine-induced increase in SPARC levels in the basolateral amygdala persisted after morphine withdrawal and coincided with the duration of locomotor sensitization."( Increased sensitivity to the stimulant effects of morphine conferred by anti-adhesive glycoprotein SPARC in amygdala.
Ikemoto, M; Imamura, T; Inoue, K; Takita, M, 2000
)
1.04
"The morphine-induced increase in dopamine (DA) turnover in the limbic forebrain was suppressed under inflammation, and the suppression was abolished by the pretreatment with nor-BNI."( Mechanism of opioid dependence and interaction between opioid receptors.
Kishimoto, Y; Narita, M; Ozaki, S; Suzuki, T, 2001
)
0.79
"Morphine is found to inhibit both ATP-synthetase and ATP-ase activities in mitochondria, but not in submitochondrial particles."( [Mechanism of opiate of oxidative phosphorylation in mitochondria].
Chistiakov, VV; Gegenava, GP, 1976
)
0.98
"The morphine-induced increase in brain 5-HT turnover is likely to be involved in the morphine-induced decrease in locomotor activity and hypothermia in rats."( Effects of narcotic analgesics on serotonin metabolism in brain of rats and mice.
Oka, T; Sawa, A, 1976
)
0.74
"morphine caused an increase and AOAA, a decrease."( Suppression by GABAergic drugs of the locomotor stimulation induced by morphine, amphetamine, and apomorphine: evidence for both pre- and post-synaptic inhibition of catecholamine systems.
Cott, J; Engel, J, 1977
)
1.21
"Morphine induced an increase in the frequency of group formations without disruption of grooming and rearing patterns."( Behavioral effects of low, acute doses of morphine in nontolerant groups of rats in an open-field test.
Hecht, A; Schiørring, E, 1979
)
1.25
"Morphine did not produce hypothermia at any dose tested.3 Injection of 10 mug morphine sulphate into the third ventricle produced similar hyperthermias at ambient temperatures (tas) of 4-6, 21-23 and 33-36 degrees C."( Hyperthermic responses to central and peripheral injections of morphine sulphate in the cat.
Clark, WG; Cumby, HR, 1978
)
1.22
"of morphine produced an increase in locomotor activity and a concomitant increase in ACh utilization."( Tolerance development to the biphasic effects of morphine on locomotor activity and brain acetylcholine in the rat.
Domino, EF; Vasko, MR, 1978
)
1.03
"Antimorphine antibodies inhibit the activity of morphine conjugates of mitochondrial malate dehydrogenase. "( Mechanism by which antibodies inhibit hapten-malate dehydrogenase conjugates. An enzyme immunoassay for morphine.
Huisjen, J; Rowley, GL; Rubenstein, KE; Ullman, EF, 1975
)
1.03
"The morphine-induced increase in cAMP content also disappeared after naloxone treatment.(ABSTRACT TRUNCATED AT 250 WORDS)"( Modifications of striatal D2 dopaminergic postsynaptic sensitivity during development of morphine tolerance-dependence in mice.
Cebeira, M; Fernández-Ruiz, JJ; Hernández, ML; Navarro, M; Ramos, JA; Rodriguez de Fonseca, F, 1992
)
0.99
"The morphine-produced increase in the mechanical withdrawal threshold, however, was shifted rightward in a parallel fashion by intrathecal pretreatment with atropine."( Tonic cholinergic inhibition of spinal mechanical transmission.
Gebhart, GF; Zhuo, M, 1991
)
0.76
"Morphine did not inhibit protein synthesis or adenylate cyclase activity in a T cell clone under identical conditions, indicating that MS, in this concentration range, does not simply interfere with all cell functions in a nonspecific manner."( Effect of high doses of morphine on Con-A induced lymphokine production in vitro.
Jessop, JJ; Taplits, MS,
)
1.16
"Morphine was shown to enhance dopamine release in the rat olfactory tubercle, nucleus accumbens, prefrontal cortex and pyriform cortex, as assessed by increased 3-methoxytyramine (3-MT) levels and 3-MT accumulation after pargyline treatment. "( Morphine stimulation of mesolimbic and mesocortical but not nigrostriatal dopamine release in the rat as reflected by changes in 3-methoxytyramine levels.
Rao, TS; Wood, PL, 1991
)
3.17
"Morphine was found to inhibit human granulocyte aggregation and ATP, thromboxane B2 (TxB2), and leukotriene B4 (LTB4) secretion during cell aggregation. "( Peptide opioids and morphine effects on inflammatory process.
Fioravanti, A; Frigo, GM; Lecchini, S; Marcoli, M; Mazzone, A; Notario, A; Pasotti, D; Ricevuti, G, 1990
)
2.05
"Morphine given to cause spasm of the sphincter increased basal pressure and frequency of the phasic waves in all controls."( Sphincter of Oddi motor activity in patients with anomalous pancreaticobiliary junction.
Ikeda, S; Matsumoto, S; Tanaka, M; Yoshimoto, H, 1991
)
1
"Morphine was found to increase histamine-induced bronchospasm and to prevent serotonin-induced bronchoconstriction."( [The effect of morphine and naloxone on histamine- and serotonin-induced bronchospasms].
Karpov, OI,
)
1.21
"Both morphine and halothane produce a dose-related inhibition of electrically induced muscle contraction."( Synergistic interaction of morphine and halothane in the guinea pig ileum: effects of pertussis toxin.
Puig, MM; Turndorf, H; Warner, W, 1990
)
1.03
"Morphine did not produce a significant effect in femoral arteries."( Effect of morphine on the cat middle cerebral artery.
Lopez-Rico, M; Marin, J; Recio, L; Reviriego, J; Salaices, M, 1986
)
1.39
"Morphine caused an increase in the affinity for agonist binding to the D-2-HI site (83-fold increase)."( Cyclo (Leu-Gly) attenuates the striatal dopaminergic supersensitivity induced by chronic morphine.
DeLeon-Jones, F; Fields, JZ; Lee, JM; Ritzmann, RF, 1987
)
1.22
"The morphine-induced increase in ADP-ribosylation occurred in both Gi and Go, and was observed over a 30-fold range of NAD concentrations used."( Regulation of G proteins by chronic morphine in the rat locus coeruleus.
Duman, RS; Erdos, JJ; Nestler, EJ; Tallman, JF; Terwilliger, R, 1989
)
1.03
"Morphine did not increase the mean duration of bupivacaine analgesia significantly, but increased the rate of inadequate pain relief."( Controlled trial of extradural bupivacaine with fentanyl, morphine or placebo for pain relief in labour.
Conseiller, C; Dailland, P; Jacquinot, P; Jasson, J; Jorrot, JC; Lirzin, JD; Talafre, ML, 1989
)
1.24
"Morphine was shown to enhance dopamine metabolism, as assessed by increased dihydroxyphenylacetic acid measurements, in the mesocortical dopaminergic projections of the rat (cingulate, pyriform and prefrontal cortices). "( Reversal of the actions of morphine on mesocortical dopamine metabolism in the rat by the kappa agonist MR-2034: tentative mu-2 opioid control of mesocortical dopaminergic projections.
Iyengar, S; Kim, HS; Wood, PL, 1987
)
2.01
"Morphine had a much slower onset of action with the peak effect being observed 30 min after dosing."( kappa-Opioid agonists produce antinociception after i.v. and i.c.v. but not intrathecal administration in the rat.
Hill, RG; Hughes, J; Leighton, GE; Rodriguez, RE, 1988
)
1
"The morphine-induced increase in adenylate cyclase required chronic exposure to the opiate, as shorter treatment times, namely 2 hr and 1 day, failed to produce this effect."( Acute and chronic opiate-regulation of adenylate cyclase in brain: specific effects in locus coeruleus.
Duman, RS; Nestler, EJ; Tallman, JF, 1988
)
0.76
"Morphine does not cause this excitatory interaction, and is the drug of choice provided an allowance is made for possible potentiation of the depressive narcotic effect."( Monoamine oxidase inhibitors and narcotic analgesics. A critical review of the implications for treatment.
Browne, B; Linter, S, 1987
)
0.99
"Morphine did not lower arginine vasopressin or catecholamine levels."( Morphine inhibits the pituitary-adrenal response to ovine corticotropin-releasing hormone in normal subjects.
Chrousos, GP; Cutler, GB; Goldstein, DS; Koppelman, MC; Loriaux, DL; Rittmaster, RS; Sobel, DO, 1985
)
2.43
"morphine increase tonic descending inhibitory processes? and 2) what are the effects of i.c.v."( Intracerebroventricular morphine decreases descending inhibitions acting on lumbar dorsal horn neuronal activities related to pain in the rat.
Bouhassira, D; Le Bars, D; Villanueva, L, 1988
)
1.3
"Morphine was found to produce a potent analgesia, as measured by latency to retract a hindpaw from a 52 degree C hotplate, in rat pups as young as 1 day of age."( The ontogeny of opiate tolerance and withdrawal in infant rats.
Cramer, CP; Fanselow, MS, 1988
)
1
"Morphine was found to produce a temporal course of excessive grooming quite different from that produced by codeine."( Excessive grooming induced by the administration of codeine and morphine.
Brakkee, J; Danks, AM; Gispen, WH; Isaacson, RL; Schefman, K, 1988
)
1.23
"5. Morphine failed to activate an aganglionic rectum in a patient with Hirschsprung's disease, indicating that it had no direct effect on smooth muscle cells."( Effects of morphine on electrical activity of the rectum in man.
Bouvier, M; Grimaud, JC; Naudy, B; Salducci, J, 1987
)
1.18
"Morphine-induced increase in resistance to passage from the common duct to the intestines in normals is of a magnitude that forces the total amount of bile to accumulate in the gallbladder."( The effects of morphine on biliary dynamics. A scintigraphic study with 99mTc-HIDA.
Kraglund, K; Oster-Jørgensen, E; Pedersen, SA, 1987
)
1.35
"morphine and NE can produce effective analgesia with minimal effects on cardiovascular and respiratory function."( Analgesia and autonomic function following intrathecal administration of morphine and norepinephrine to the rat.
Cervenko, FW; Jhamandas, K; Loomis, CW; Milne, B; Sutak, M, 1985
)
1.22
"The morphine-induced increase in DOPAC and HVA concentrations in the brain are discussed in the light of the hypothesis that dopamine might participate not only in the extrapyramidal motor system but also in the sensory mechanisms of the brain."( Effect of morphine on the cerebral contents of metabolites of dopamine in normal and tolerant mice: its possible relation to analgesic action.
Fukui, K; Takagi, H, 1972
)
1.13
"For morphine, a 33.3% increase at 4°C and a 23.4% increase at RT were observed after 2 weeks, respectively, possibly due to 6-AM degradation, while no changes ≥20% were observed at 37°C."( Stability of 21 Cocaine, Opioid and Benzodiazepine Drug Analytes in Spiked Meconium at Three Temperatures.
Marin, SJ; McMillin, GA; Wu, F, 2017
)
0.94

Treatment

Morphine-treated mice had higher energy expenditure and respiratory quotient, indicating a shift toward carbohydrate metabolism. Morphine treatment created an immunosuppressive environment, blunting initial responses to infection, which persisted during antiretroviral treatment.

ExcerptReferenceRelevance
"no morphine treatment in AHF patients."( Intravenous morphine use in acute heart failure increases adverse outcomes: a meta-analysis.
Chen, Q; Chen, Y; Dong, S; Lin, Y; Liu, H; Pang, X; Yuan, J, 2021
)
1.51
"Morphine treatment also increases gastric acid secretion and causes delays in gastric emptying."( Opioid Use in Murine Model Results in Severe Gastric Pathology that May Be Attenuated by Proton Pump Inhibition.
Ghosh, N; Kesh, K; Ramakrishnan, S; Roy, S, 2022
)
1.44
"Morphine-treated mice had higher energy expenditure and respiratory quotient, indicating a shift toward carbohydrate metabolism."( Sustained Morphine Delivery Suppresses Bone Formation and Alters Metabolic and Circulating miRNA Profiles in Male C57BL/6J Mice.
Barlow, D; Bouxsein, ML; Brooks, DJ; Carvalho, AL; Farina, NH; Houseknecht, KL; King, T; Langlais, AL; Lian, JB; Morrill, B; Motyl, KJ, 2022
)
1.85
"Morphine treatment significantly increased the physical interaction of α2δ-1 with GluN1 and their synaptic trafficking in the NAc."( α2δ-1 protein drives opioid-induced conditioned reward and synaptic NMDA receptor hyperactivity in the nucleus accumbens.
Chen, H; Chen, SR; Jin, D; Pan, HL, 2023
)
1.63
"Morphine treatment created an immunosuppressive environment, blunting initial responses to infection, which persisted during antiretroviral treatment."( Morphine suppresses peripheral responses and transforms brain myeloid gene expression to favor neuropathogenesis in SIV infection.
Acharya, A; Buch, S; Byrareddy, SN; Callen, S; Dyavar, SR; Emanuel, K; Eudy, J; Fletcher, CV; Fox, HS; Guda, C; Kubik, G; Lamberty, BG; Morsey, BM; Niu, M; Periyasamy, P, 2022
)
2.89
"Morphine treatment counteracted pain, anxio-depressive behaviors and neuroinflammatory activation in both young adult and older adult mice."( Supraspinal neuroinflammation and anxio-depressive-like behaviors in young- and older- adult mice with osteoarthritis pain: the effect of morphine.
Amodeo, G; Baciarello, M; Bignami, EG; D'Agnelli, S; Franchi, S; Galimberti, G; Sacerdote, P, 2023
)
1.83
"Morphine-treated group was subdivided into seven subgroups for receiving vehicle, normal saline, cinnamaldehyde (1.25, 5, and 20 mg/kg), naloxone, and cinnamaldehyde plus naloxone before morphine."( Behavioral, histopathological, and biochemical evaluations on the effects of cinnamaldehyde, naloxone, and their combination in morphine-induced cerebellar toxicity.
Farshid, AA; Imani, M; Mahmoudi, S; Noroozinia, F; Tamaddonfard, E, 2022
)
1.65
"In morphine-treated rats, level of BDNF and p-CREB/CREB ratio reduced during both forms of decision making while p-GSK3β/GSK3β ratio increased during delay-based and did not have a significant difference with the control group during effort-based decision making."( Naloxone-precipitated withdrawal ameliorates impairment of cost-benefit decision making in morphine-treated rats: Involvement of BDNF, p-GSK3-β, and p-CREB in the amygdala.
Fatahi, Z; Haghparast, A; Karimi-Haghighi, S; Khodagholi, F; Moradi, M; Zeinaddini-Meymand, A, 2020
)
1.29
"Morphine-treated socially exploring mice developed greater locomotor sensitization than those in morphine-treated socially avoiding mice."( Response to opioids is dependent on sociability levels.
Eitan, S; Madison, CA; Wellman, PJ, 2020
)
1.28
"Mean morphine treatment duration was significantly longer with clonidine (34.4 days, SD = 10.6) compared with phenobarbital (25.5 days, SD = 7.3, p = 0.026)."( Clonidine versus phenobarbital as adjunctive therapy for neonatal abstinence syndrome.
Brusseau, C; Burnette, T; Heidel, RE, 2020
)
1.01
"Morphine treatment markedly attenuated viability and proliferative ability in HT-22 cells, while apoptotic rate increased. "( Morphine induces the apoptosis of mouse hippocampal neurons HT-22 through upregulating miR-181-5p.
An, XH; Liu, JH; Wang, JW; Wang, YL; Yang, ZY; Zhang, XQ, 2020
)
3.44
"The Morphine for Treatment of Dyspnea in Patients With COPD (MORDYC) study was a randomized, double-blind, and placebo-controlled study of a 4-week intervention. "( Effect of Sustained-Release Morphine for Refractory Breathlessness in Chronic Obstructive Pulmonary Disease on Health Status: A Randomized Clinical Trial.
Hameleers, N; Janssen, DJA; Schols, JMGA; van den Beuken-van Everdingen, MHJ; Verberkt, CA; Wouters, EFM, 2020
)
1.41
"Morphine treatment (Mor) reduced fecal outputs starting on"( An opioid receptor-independent mechanism underlies motility dysfunction and visceral hyperalgesia in opioid-induced bowel dysfunction.
Fu, Y; Hegde, S; Huang, LM; Lin, YM; Shi, DW; Shi, XZ; Tang, Y, 2021
)
1.34
"Morphine acute treatment induced excessive accumulation of TG and decreased the phosphorylation level of ATGL Ser406 in HL-1 cells. "( Morphine increases myocardial triacylglycerol through regulating adipose triglyceride lipase S406 phosphorylation.
Li, D; Li, L; Wang, J; Zhang, H, 2021
)
3.51
"Morphine treatment partially relieved pain and stress according to the subjective but not according to the objective assessments performed."( Catestatin, vasostatin, cortisol, and pain assessments in dogs suffering from traumatic bone fractures.
Hagman, R; Hanson, J; Höglund, OV; Lagerstedt, AS; Nonthakotr, C; Olsson, U; Pettersson, A; Srithunyarat, T; Stridsberg, M, 2017
)
1.18
"Morphine treatment delayed macrophage infiltration, sonic Hedgehog pathway activation and expression of pdx-1 and ptf-1."( Morphine worsens the severity and prevents pancreatic regeneration in mouse models of acute pancreatitis.
Banerjee, S; Barlass, U; Cheema, H; Dawra, RK; Dixit, A; Dudeja, V; Dutta, R; George, J; Giri, B; Meng, J; Roy, S; Saluja, AK; Sareen, A; Yuan, Z, 2018
)
2.64
"Morphine treatment worsens the severity of acute pancreatitis and delays resolution and regeneration. "( Morphine worsens the severity and prevents pancreatic regeneration in mouse models of acute pancreatitis.
Banerjee, S; Barlass, U; Cheema, H; Dawra, RK; Dixit, A; Dudeja, V; Dutta, R; George, J; Giri, B; Meng, J; Roy, S; Saluja, AK; Sareen, A; Yuan, Z, 2018
)
3.37
"Morphine treatment and morphine withdrawal increased both BDNF and proBDNF levels."( Morphine Withdrawal Increases Brain-Derived Neurotrophic Factor Precursor.
Bachis, A; Campbell, LA; Jenkins, K; Mocchetti, I; Wenzel, E, 2017
)
2.62
"Morphine treatment was associated with less negative impact of pain on ability to walk, work and activity (trend) according to Brief Pain Inventory-Short Form scores and less consumption of rescue morphine."( A comparison of oral controlled-release morphine and oxycodone with transdermal formulations of buprenorphine and fentanyl in the treatment of severe pain in cancer patients.
Leppert, W; Nosek, H; Nosek, K; Onichimowski, D; Wordliczek, J, 2017
)
1.44
"Morphine treatment resulted in a significant upregulation of β-ARs, GRK3, and some AC isoforms (AC-I, -II, and -III)."( Prolonged Morphine Treatment Alters Expression and Plasma Membrane Distribution of β-Adrenergic Receptors and Some Other Components of Their Signaling System in Rat Cerebral Cortex.
Hejnova, L; Novotny, J; Skrabalova, J, 2017
)
1.58
"morphine treatment was used to induce anti-nociceptive tolerance."( Exchange factor directly activated by cAMP-PKCε signalling mediates chronic morphine-induced expression of purine P2X3 receptor in rat dorsal root ganglia.
Dong, J; Huang, M; Jiang, W; Luo, L; Ma, X; Wang, W; Xu, T; Zhang, X, 2018
)
1.43
"Morphine treatment decreased expression of pro-inflammatory factors (CCL5, iNOS) and reduced cognitive performance in LP-BM5-infected mice, correlating to increased hippocampal viral load and a blunted type 1 IFN response."( Morphine-potentiated cognitive deficits correlate to suppressed hippocampal iNOS RNA expression and an absent type 1 interferon response in LP-BM5 murine AIDS.
Cao, L; Kumar, S; Leeming, R; McLane, VD; Rau, S; Willis, CL, 2018
)
2.64
"Morphine 1.5 and 5 mg treatments led to consistently and significantly elevated PPT and PPtol measures in men, but not in women."( Effects of intramuscular morphine in men and women with temporomandibular disorder with myofascial pain.
Auh, QS; Kang, SK; Lee, YH; Park, H; Ro, JY, 2018
)
1.51
"The morphine treatments were administered once per day for 5 days."( Reversal of morphine conditioned behavior by an anti-dopaminergic post-trial drug treatment during re-consolidation.
Carey, RJ; Carrera, MP; de Mello Bastos, JM; Leite Junior, JB; Samuels, RI, 2019
)
1.37
"Morphine-treated patients more frequently received glycoprotein IIb/IIIa inhibitors (p = 0.002), thromboaspiration and stent implantation (both p < 0.001)."( Morphine and Ticagrelor Interaction in Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction: ATLANTIC-Morphine.
Bolognese, L; Cantor, WJ; Cequier, A; Chettibi, M; Collet, JP; Ecollan, P; Goodman, SG; Hamm, CW; Hammett, CJ; Heutz, WMJM; Huber, K; Janzon, M; Lapostolle, F; Lassen, JF; Licour, M; Merkely, B; Montalescot, G; Silvain, J; Stibbe, O; Storey, RF; Ten Berg, J; Tsatsaris, A; Van't Hof, AW; Zeymer, U, 2019
)
2.68
"Morphine-treatment was associated with increased GP IIb/IIIa inhibitor use, less pre-PCI TIMI 3 flow, and more bleeding. "( Morphine and Ticagrelor Interaction in Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction: ATLANTIC-Morphine.
Bolognese, L; Cantor, WJ; Cequier, A; Chettibi, M; Collet, JP; Ecollan, P; Goodman, SG; Hamm, CW; Hammett, CJ; Heutz, WMJM; Huber, K; Janzon, M; Lapostolle, F; Lassen, JF; Licour, M; Merkely, B; Montalescot, G; Silvain, J; Stibbe, O; Storey, RF; Ten Berg, J; Tsatsaris, A; Van't Hof, AW; Zeymer, U, 2019
)
3.4
"Morphine treatment beginning at the time of injury impairs nociceptive recovery and other outcomes. "( Morphine Exacerbates Postfracture Nociceptive Sensitization, Functional Impairment, and Microglial Activation in Mice.
Clark, JD; Guo, TZ; Irvine, KA; Kingery, WS; Li, WW; Sahbaie, P; Shi, XY; Tawfik, VL, 2019
)
3.4
"Morphine-treated rats also displayed increased FHC levels in layer 2/3 neurons of the prefrontal cortex."( Morphine-Induced Modulation of Endolysosomal Iron Mediates Upregulation of Ferritin Heavy Chain in Cortical Neurons.
Datta, G; Festa, L; Geiger, JD; Halcrow, P; Irollo, E; Luchetta, J; Meucci, O; Nash, B; Tarn, K,
)
2.3
"Morphine treatment is not associated with the incidence of osteoporosis, and bisphosphonates accentuated the protective effect of morphine in the development of osteoporosis in female patients with malignancy in Taiwan."( Bisphosphonate treatment may reduce osteoporosis risk in female cancer patients with morphine use: a population-based nested case-control study.
Chang, SN; Chang, YJ; Kao, CH; Lee, CW; Liang, JA; Muo, CH, 2013
)
2.06
"In morphine-treated mice, aberrant activity and hyperexcitability of nociceptors could contribute to increased pain sensitivity."( Systemic morphine treatment induces changes in firing patterns and responses of nociceptive afferent fibers in mouse glabrous skin.
Baker, AL; Carlton, SM; Hogan, D; Morón, JA, 2013
)
1.32
"Morphine treatment activates microglia and astrocytes in the nucleus accumbens (NAcc) to induce the synthesis of cytokines and chemokines, and this has important implications for addictive behavior."( FACS analysis of neuronal-glial interactions in the nucleus accumbens following morphine administration.
Bilbo, SD; Schwarz, JM; Smith, SH, 2013
)
1.34
"Morphine treatment of transgenic mice resulted in phosphorylation of PDGFR-β, MAPK/ERK, and signal transducer and activator of transcription 3 (Stat3) in the kidneys."( Morphine stimulates platelet-derived growth factor receptor-β signalling in mesangial cells in vitro and transgenic sickle mouse kidney in vivo.
Chen, C; Farooqui, M; Gupta, K; Hebbel, RP; Li, Y; Nguyen, J; Poonawala, T; Weber, ML, 2013
)
2.55
"Morphine pretreatment prevented TLR4-dependent ERK and IKK phosphorylation."( Morphine prevents lipopolysaccharide-induced TNF secretion in mast cells blocking IκB kinase activation and SNAP-23 phosphorylation: correlation with the formation of a β-arrestin/TRAF6 complex.
Cruz, SL; Gonzalez-Espinosa, C; Madera-Salcedo, IK, 2013
)
2.55
"In morphine-treated animals, all factors were increased after application of acute and subchronic stress, and conditioning scores also decreased after stress."( Changes in the levels of p-ERK, p-CREB, and c-fos in rat mesocorticolimbic dopaminergic system after morphine-induced conditioned place preference: the role of acute and subchronic stress.
Alamdary, SZ; Fatahi, Z; Haghparast, A; Khodagholi, F; Reisi, Z, 2014
)
1.13
"Morphine-treated animals showed reduction in callus strength at 8 weeks (30% of the contralateral unfractured femur strength compared with 49% seen in the control animals at 8 weeks; p = 0.048); this finding was not fully reversed by testosterone supplementation (33% of the contralateral femur strength; p = 0.171)."( Evaluating the affect and reversibility of opioid-induced androgen deficiency in an orthopaedic animal fracture model.
Chrastil, J; Higgins, TF; Jones, KB; Sampson, C, 2014
)
1.12
"Morphine treatment is associated with a modest increase in risk of ACS in patients with malignancy, but this association displays low significance in specific cancer types."( Modest increase in risk of acute coronary syndrome associated with morphine use in cancer patients: a population-based nested case-control study.
Kao, CH; Lee, CW; Liang, JA; Muo, CH; Sung, FC, 2014
)
2.08
"Morphine treatment significantly increased LP-BM5 viral load in the hippocampus, but not in the frontal lobe."( Morphine increases hippocampal viral load and suppresses frontal lobe CCL5 expression in the LP-BM5 AIDS model.
Cao, L; McLane, VD; Willis, CL, 2014
)
2.57
"Morphine treatment significantly (P≤0.05) lowered 5-HT2A BIs in the right and left frontal cortex, the right and left temporal cortex, the right and left parietal cortex, and the subcortical region."( The effect of prolonged exposure to morphine on canine cerebral 5-HT2A receptors measured with (123)I-R91150 SPECT.
Adriaens, A; Croubels, S; De Spiegeleer, B; Duchateau, L; Eersels, J; Peremans, K; Polis, I; Van Dorpe, S; Vermeire, S; Waelbers, T, 2014
)
1.4
"Morphine treatment resulted in increased tumour angiogenesis, peri-tumoural lymphangiogenesis, mast cell activation, and higher levels of cytokines and SP in tumours."( Morphine stimulates cancer progression and mast cell activation and impairs survival in transgenic mice with breast cancer.
Gupta, K; Gupta, P; Li, Y; Luk, K; Nguyen, J; Robiner, S; Saavedra, R; Soto, W; Vang, D; Vincent, L, 2014
)
2.57
"Morphine treatment also reduced lipid peroxidation and totally prevented increases in nitrite levels in those cells."( Morphine protects against methylmercury intoxication: a role for opioid receptors in oxidative stress?
Almeida, MB; Costa-Malaquias, A; Crespo-Lopez, ME; do Nascimento, JL; Macchi, Bde M; Souza Monteiro, JR, 2014
)
2.57
"Morphine pretreatment prevented the occurrence of withdrawal CPA and withdrawal jumping, while clonidine (an α2 adrenergic receptor agonist) only blocked withdrawal CPA."( Differential effects of endocannabinoid catabolic inhibitors on morphine withdrawal in mice.
Cravatt, BF; Damaj, MI; Gamage, TF; Ignatowska-Jankowska, BM; Lichtman, AH; Muldoon, PP, 2015
)
1.38
"Morphine-treated rats showed a decrease in all markers used to determine neuronal degeneration compared to saline-treated rats."( Pharmacological induction of CCL5 in vivo prevents gp120-mediated neuronal injury.
Avdoshina, V; Campbell, LA; Day, C; Lim, ST; Mocchetti, I, 2015
)
1.14
"Morphine treatment potentiated LPS-induced vesicular translocation of GFP-LC3 with a concurrent increase in LC3-II levels. "( Morphine potentiates LPS-induced autophagy initiation but inhibits autophagosomal maturation through distinct TLR4-dependent and independent pathways.
Anand, V; Ma, J; Ramakrishnan, S; Roy, S; Wan, J, 2015
)
3.3
"Morphine-treated animals underwent 10 days of morphine weaning to reduce the potential for observable physical signs of withdrawal."( Long-term behavioral effects in a rat model of prolonged postnatal morphine exposure.
Bajic, D; Craig, MM, 2015
)
1.37
"The morphine-treated group showed significant decrements in the percentage maximum possible effect (%MPE) on days 5 and 7 compared to the first day, illustrating morphine tolerance. "( Salvia officinalis L. attenuates morphine analgesic tolerance and dependence in rats: possible analgesic and sedative mechanisms.
Emamjomeh, A; Hasanein, P; Teimuri Far, M, 2015
)
1.26
"In morphine-treated rats, ICV oxytocin did not affect the mean firing rate of medial NAcSh neurons."( Oxytocin excites nucleus accumbens shell neurons in vivo.
Brown, CH; Hyland, BI; Moaddab, M, 2015
)
0.93
"Morphine is effective treatment for neuropathic pain but produces tolerance on chronic use."( Anti-hyperalgesic and anti-nociceptive potentials of standardized grape seed proanthocyanidin extract against CCI-induced neuropathic pain in rats.
Bedi, O; Deshmukh, R; Kaur, G; Kumar, P; Sharma, N; Singh, S, 2016
)
1.16
"Morphine treatment significantly elicited ERK phosphorylation and downregulated the expression level of α1 adrenoceptors in the VLO."( The α1 adrenoceptors in ventrolateral orbital cortex contribute to the expression of morphine-induced behavioral sensitization in rats.
Gao, HY; Huo, FQ; Li, T; Liang, F; Wei, L; Yan, CX; Zhang, YX; Zhu, YM, 2016
)
1.38
"Morphine treatment before LPS challenge suppressed lethal endotoxic shock."( Impact of the Timing of Morphine Administration on Lipopolysaccharide-Mediated Lethal Endotoxic Shock in Mice.
Fukada, T; Kato, H; Ozaki, M; Yagi, J, 2016
)
1.46
"morphine treatment. This article reviews the potential mechanism of spinally mediated nociceptive behaviors evoked by i.t."( [Study of Supplementary Analgesics Capable of Reducing the Dosage of Morphine].
Komatsu, T, 2016
)
1.39
"Morphine treatment produced antinociceptive tolerance, which was attenuated by co-administration of Chembridge-5861528 that alone had no effect on hot-plate latencies. "( Potential role of spinal TRPA1 channels in antinociceptive tolerance to spinally administered morphine.
Fan, H; Li, TF; Li, XY; Ma, AN; Pertovaara, A; Wang, YX; Wei, H; Wu, HY, 2016
)
2.1
"In morphine pretreated group, augmentation of bradycardiac response induced by MBT venom was absent."( Morphine blocks the Mesobuthus tamulus venom-induced augmentation of phenyldiguanide reflex and pulmonary edema in anesthetized rats.
Akella, A; Deshpande, SB; Rai, OP; Tiwari, AK,
)
2.09
"Morphine treatment reduced the median H1975 cell number by approximately 23% (P = 0.03)."( Morphine Suppresses Lung Cancer Cell Proliferation Through the Interaction with Opioid Growth Factor Receptor: An In Vitro and Human Lung Tissue Study.
Ahn, HJ; Chae, HB; Kim, J; Kim, JK; Kim, JY; Lee, SH, 2016
)
2.6
"Morphine is often the treatment of choice for severe cancer-related pain. "( Does Opioid Use Cause Angiogenesis and Metastasis?
Abd-Elsayed, A; Grandhi, RK; Lee, S, 2017
)
1.9
"Morphine-treated rats had similar behaviours to NaCl rats, but their RGS scores were significantly different over time and between treatments."( Efficacy of Intrathecal Morphine in a Model of Surgical Pain in Rats.
Flecknell, P; Haylor, K; Leach, M; Malik, A; Miller, A; Roughan, J; Sandersen, C; Thomas, A, 2016
)
1.46
"Morphine treatment was performed according to the standard method, including titration (NCCN Guidelines™, Adult Cancer Pain)."( Expectation of a Decrease in Pain Affects the Prognosis of Pain in Cancer Patients: a Prospective Cohort Study of Response to Morphine.
Fujita, Y; Koyama, A; Makimura, C; Matsuoka, H; Nakagawa, K; Nishio, K; Sakai, K; Sakamoto, R; Tsurutani, J; Yoshiuchi, K, 2017
)
1.38
"Morphine-treated animals exhibited increased anxiety levels, impaired object location memory, and reduced hippocampal BDNF."( Low- and high-intensity treadmill exercise attenuates chronic morphine-induced anxiogenesis and memory impairment but not reductions in hippocampal BDNF in female rats.
Ahmadalipour, A; Alizadeh, M; Ghodrati-Jaldbakhan, S; Miladi-Gorji, H; Rashidy-Pour, A; Vafaei, AA, 2017
)
1.42
"of morphine. Animals pre-treated with morphine and their vehicle controls were administered with 150 microg/kg i.v."( Behavioral sensitization to delta 9-tetrahydrocannabinol and cross-sensitization with morphine: differential changes in accumbal shell and core dopamine transmission.
Cadoni, C; Di Chiara, G; Valentini, V, 2008
)
1.08
"Morphine-treated cats were given morphine sulphate by cervical subcutaneous injection twice daily for 10 days, whereas saline-treated cats received injections of 0.9% saline instead."( Chronic morphine exposure affects visual response latency of the lateral geniculate nucleus in cats.
He, L; Liang, Z; Long, Z; Zhou, Y, 2008
)
1.5
"Morphine treatment decreases Bax and Hsp70 levels in cultured rat primary neurons, suggesting morphine may have a protective role in staurosporine and serum deprivation induced cytotoxicity."( Prolonged morphine application modulates Bax and Hsp70 levels in primary rat neurons.
Chen, Q; Cui, J; Yu, LC; Zhang, Y, 2008
)
1.47
"Morphine treatment (5 mg/kg, i.v.) increased activity in evoked ACC neurons."( Electrically and mechanically evoked nociceptive neuronal responses in the rat anterior cingulate cortex.
Chen, WF; Shih, HC; Shyu, BC, 2008
)
1.07
"Morphine treatment provided lower pain scores compared with placebo and mexiletine (P = 0.0003)."( Morphine versus mexiletine for treatment of postamputation pain: a randomized, placebo-controlled, crossover trial.
Agarwal, S; Clark, MR; Haythornthwaite, JA; Klick, B; Max, MB; Raja, SN; Tella, PK; Wu, CL, 2008
)
2.51
"Morphine treatment increased MDA levels."( Plasma malondialdehyde levels and opiate withdrawal signs observed in rats treated with morphine plus naloxone: effects of alpha-lipoic acid administration.
Cighetti, G; Pinelli, A; Trivulzio, S, 2008
)
1.29
"Morphine treatment 18 hours after reperfusion did not change the amount of injury."( Effects of intravitreal morphine administered at different time points after reperfusion in a rabbit model of ischemic retinopathy.
Asadi-Amoli, F; Dehpour, AR; Kiumehr, S; Riazi-Esfahani, M, 2009
)
1.38
"morphine 7.5 mg; both treatments demonstrated rapid onset of efficacy, generally persistent throughout the 6-h assessment period."( The analgesic efficacy and safety of a novel intranasal morphine formulation (morphine plus chitosan), immediate release oral morphine, intravenous morphine, and placebo in a postsurgical dental pain model.
Babul, N; Carr, DB; Christensen, KS; Cohen, AE; Hamilton, DA; McNicol, E; Mermelstein, FH, 2008
)
1.31
"Morphine treatment induced both motor activity and Fos immunoreactivity in the NAc, ACg and PrL suggesting that behavioral stimulation is produced by neural activation in these regions."( Intra-VTA adenosine A1 receptor activation blocks morphine stimulation of motor behavior and cortical and limbic Fos immunoreactivity.
Fan, W; Kaplan, GB; Klufas, MA; Leite-Morris, KA, 2009
)
1.33
"Yet, morphine-treated mice placed in the safe side never even entered the TMT side; thus, these mice appeared to exhibit a behavioural response that is classically interpreted as increased fear, that is, spending significantly less time in the TMT side versus the controls."( Morphine-induced stereotyped thigmotaxis could appear as enhanced fear and anxiety in some behavioural tests.
Buckman, SG; Eitan, S; Hodgson, SR; Hofford, RS; Wellman, PJ, 2010
)
2.26
"The morphine treatment also significantly increased DOR proteins in CeA preparations of synaptosomes."( Rewarding morphine-induced synaptic function of delta-opioid receptors on central glutamate synapses.
Bie, B; Pan, ZZ; Zhu, W, 2009
)
1.24
"Morphine and capsaicin treatment produced both a significant decrease in the cerebral infarct size and a reversal of I/R-induced impairment of memory and motor-coordination."( Pharmacological preconditioning of the brain: a possible interplay between opioid and calcitonin gene related peptide transduction systems.
Jaggi, AS; Rehni, AK; Singh, N; Singh, TG,
)
0.85
"Morphine pretreatment produced an increase in GABA levels and a decrease in glutamate levels in the first few minutes."( [Effect of a simple morphine system injection in some aminoacids in the anterior cingulate cortex during acute pain].
Hernández, L; Páez, X; Quiñones, B; Silva, E, 2008
)
1.39
"Morphine treatment increased free malondialdehyde and decreased vitamin E levels. "( Morphine or its withdrawal affects plasma malondialdehyde, vitamin E levels and absence or presence of abstinence signs in rats.
Accinni, R; Cighetti, G; Pinelli, A; Trivulzio, S, 2009
)
3.24
"In morphine-treated rats, rPER1 and rPER2 expression in the SCN, basolateral amygdala, and nucleus accumbens shell showed robust circadian rhythms that were essentially identical to those in control rats."( Morphine withdrawal produces circadian rhythm alterations of clock genes in mesolimbic brain areas and peripheral blood mononuclear cells in rats.
Jiang, WG; Li, SX; Liu, LJ; Lu, L, 2009
)
2.31
"In morphine-pretreated rats (10mg/kg during 5 days), a challenge dose of the opiate induced a robust psychomotor sensitization at early withdrawal (3 days, SW 3), but not after a prolonged abstinence period (14 days), which was coincident with an accelerated dopamine turnover in the striatum."( The time course of unconditioned morphine-induced psychomotor sensitization mirrors the phosphorylation of FADD and MEK/ERK in rat striatum: role of PEA-15 as a FADD-ERK binding partner in striatal plasticity.
Esteban, S; García-Sevilla, JA; Ramos-Miguel, A, 2010
)
1.16
"With morphine treatment, the levels of both cytoplasmic and nuclear E2F1 which is the downstream effecter of AKT were elevated and the interaction of E2F1 with YY1, rather than Sp1, was also increased."( Mechanisms involved in phosphatidylinositol 3-kinase pathway mediated up-regulation of the mu opioid receptor in lymphocytes.
Guo, L; Jiang, W; Li, C; Li, G; Li, H; Li, M; Liu, H; Liu, X; McNutt, MA; Wang, S, 2010
)
0.82
"Morphine treatment resulted in a significant delay and reduction in both neutrophil and macrophage recruitment to the wound site."( Chronic morphine administration delays wound healing by inhibiting immune cell recruitment to the wound site.
Barke, RA; Charboneau, R; Koodie, L; Krishnan, AG; Martin, JL; Roy, S, 2010
)
1.52
"Morphine-treated rats (10 mg/kg/12 h) received naloxone (3.2 mg/kg) in a novel environment (conditioned stimuli [CS]). "( Precipitated and conditioned withdrawal in morphine-treated rats.
Becker, GL; France, CP; Gerak, LR; Koek, W; Li, JX, 2010
)
2.07
"Morphine-treated cultures on tissue culture plastic, collagen types I and IV and fibronectin, but not on laminin, covered less substrate than untreated cultures; individual cells were difficult to distinguish and their nuclei piled up in contrast to untreated cultures."( Opioids affect focal contact-mediated cell-substrate adhesion.
Bracke, ME; Debruyne, DJ; Mareel, MM, 2010
)
1.08
"Morphine/naltrexone treatment was generally well tolerated in adult patients with chronic moderate to severe nonmalignant pain in clinical trials of up to 1-year duration."( Morphine/naltrexone.
Duggan, ST; Scott, LJ, 2010
)
2.52
"Morphine treated animals gain significantly less weight than placebo implanted controls."( Changes in metabolic-related variables during chronic morphine treatment.
Ferenczi, S; Földes, A; Kovács, KJ; Márkus, VL; Martín, F; Milanés, MV; Núñez, C; Pintér-Kübler, B, 2010
)
1.33
"Morphine treatment for 5 days protects heart against ischemia-reperfusion (IR) injury. "( Nitric oxide and renal protection in morphine-dependent rats.
Ajami, M; Babakoohi, S; Ebrahimi, SA; Habibey, R; Hesami, A; Pazoki-Toroudi, H, 2010
)
2.08
"Morphine treatment resulted in a significant decrease in the expression and nuclear translocation of HIF-1 alpha with a concurrent suppression in vascular endothelial growth factor (VEGF) synthesis."( Chronic morphine treatment inhibits LPS-induced angiogenesis: implications in wound healing.
Barke, RA; Charboneau, R; Martin, JL; Roy, S, 2010
)
1.52
"Morphine treatment for ∼20 h increased the colocalization of GIRK2 with PSD95, a dendritic spine marker."( Morphine- and CaMKII-dependent enhancement of GIRK channel signaling in hippocampal neurons.
Bahima, L; Lalive, AL; Luján, R; Lüscher, C; Nassirpour, R; Slesinger, PA, 2010
)
2.52
"Morphine and saline treatment lasted for six days, respectively."( Effect of morphine on conditioned place preference in rhesus monkeys.
Carlson, S; Duan, W; Hu, X; Jiang, H; Li, C; Liu, C; Ma, H; Ma, Y; Wang, J; Wei, J; Wu, X; Yu, C, 2012
)
1.5
"In morphine-treated animals, recovery from acute [Met](5)enkephalin-induced desensitization and receptor recycling was diminished."( Recovery from mu-opioid receptor desensitization after chronic treatment with morphine and methadone.
Lau, EK; Quillinan, N; Virk, M; von Zastrow, M; Williams, JT, 2011
)
1.11
"Morphine treatment gradually and significantly decreased the NCAM expression levels."( Involvement of NCAM and FGF receptor signaling in the development of analgesic tolerance to morphine.
Fujita-Hamabe, W; Nakamoto, K; Tokuyama, S, 2011
)
1.31
"In morphine-treated animals, evoked spinal neuronal responses were enhanced to a subset of thermal and mechanical stimuli. "( Pregabalin suppresses spinal neuronal hyperexcitability and visceral hypersensitivity in the absence of peripheral pathophysiology.
Bannister, K; Bauer, CS; Dickenson, AH; Dolphin, AC; Porreca, F; Sikandar, S, 2011
)
0.99
"In morphine-treated animals, however, progesterone concentrations were consistently and significantly increased from days 18-20 of treatment."( Morphine-induced changes in opioid sensitivity in postpartum females: a unique progesterone response.
Anselmo-Franci, JA; Canteras, NS; Cruz, AM; de Oliveira, CA; Felicio, LF; Felippe, EC; Sukikara, MH, 2011
)
2.33
"Morphine treatment also suppressed levels of the neutrophil-inducing molecules, IL-17A and KC/CXCL1."( Morphine, but not trauma, sensitizes to systemic Acinetobacter baumannii infection.
Adler, MW; Breslow, JM; Daly, JM; Eisenstein, TK; Gaughan, J; Meissler, JJ; Monroy, MA, 2011
)
2.53
"Morphine treatment decreased this ratio to 0.48±0.03 indicating a shift of WLS from the intracellular compartment to the plasma membrane."( Opiate agonist-induced re-distribution of Wntless, a mu-opioid receptor interacting protein, in rat striatal neurons.
Berrettini, WH; Ferraro, TN; Levenson, R; Reyes, BA; Vakharia, K; Van Bockstaele, EJ, 2012
)
1.1
"Morphine treatment resulted in a shift of the brain sources in the low-frequency range (2-4 Hz) toward the frontal cortex during the first 300 milliseconds after stimulus, whereas active brain sources after placebo treatment remained stable."( Advanced pharmaco-EEG reveals morphine induced changes in the brain's pain network.
Brock, C; Drewes, AM; Lelic, D; Olesen, AE; Staahl, C, 2012
)
2.11
"Morphine treatment appreciably affected neither the number of myocardial β-adrenoceptors nor the content of selected subunits of trimeric G-proteins (G(s)α, G(i/o)α, G(z)α, G(q/11)α and Gβ) but the amount of the dominant myocardial AC isoform V/VI almost doubled. "( Antiarrhythmic effect of prolonged morphine exposure is accompanied by altered myocardial adenylyl cyclase signaling in rats.
Bartonova, I; Hejnova, L; Kolar, F; Neckar, J; Novotny, J; Skrabalova, J, 2012
)
2.1
"The morphine-treated patients experienced clinically relevant improvements in pain relief, as shown by a 44% reduction in average visual analogue scale pain levels and a 31% improvement in functional ability."( Analgesic tolerance without demonstrable opioid-induced hyperalgesia: a double-blinded, randomized, placebo-controlled trial of sustained-release morphine for treatment of chronic nonradicular low-back pain.
Angst, MS; Brady, C; Chu, LF; Clark, DJ; Clemenson, AM; D'Arcy, N; Kim, JE; Young, CA; Zamora, AK, 2012
)
1.06
"Morphine pretreatment at 100 µg kg(-1) (i.v.) or 10 µg (i.t.) reduced necrosis, apoptosis, and serum transaminase levels, and increased phosphorylated Akt and STAT3 but not JAK2 expression in normal liver. "( Pretreatment with intrathecal or intravenous morphine attenuates hepatic ischaemia-reperfusion injury in normal and cirrhotic rat liver.
Irwin, MG; Man, K; Wang, Y; Wong, GT, 2012
)
2.08
"Morphine-treated human T cells displayed downregulation of VDR and the activation of the RAS."( Vitamin D receptor activation and downregulation of renin-angiotensin system attenuate morphine-induced T cell apoptosis.
Buch, S; Chandel, N; Husain, M; Malhotra, A; Salhan, D; Sharma, B; Singhal, PC, 2012
)
1.32
"Morphine treatment was found, using immunohistochemistry, to increase ASM expression and intracellular ceramide in the periaqueductal gray 30 min after an acute injection (10 mg/kg)."( Contribution of acid sphingomyelinase in the periaqueductal gray region to morphine-induced analgesia in mice.
Dewey, WL; Fang, Y; Li, PL; Ritter, JK; Xia, M, 2012
)
1.33
"Morphine is the basic treatment."( [Sickle-cell anemia and pain].
de la Brière, A,
)
0.85
"Morphine pretreatment enhanced ERK phosphorylation, but inhibited IκBα phosphorylation and IL-2 gene expression in activated T cells. "( Dual modulation of the T-cell receptor-activated signal transduction pathway by morphine in human T lymphocytes.
Fukuda, K; Mizota, T; Shoda, T; Tsujikawa, H, 2013
)
2.06
"Morphine treatment in differentiated SH-SY5Y cells caused significant downregulation of MOR-1 expression compared to the control cells."( Regulation of mammalian MOR-1 gene expression after chronic treatment with morphine.
Badisa, RB; Goodman, CB; Luscar, E; Prenus, RV; Zhu, ZP, 2012
)
1.32
"Morphine treatment (10mg/kg, i.p."( Melanocortin 4 receptor antagonists attenuates morphine antinociceptive tolerance, astroglial activation and cytokines expression in the spinal cord of rat.
Cheng, Y; Chu, H; Feng, W; Ma, J; Niu, Z; Zhao, Y, 2012
)
1.36
"Morphine treatment can eliminate augmented breaths (ABs; 'sighs') during spontaneous breathing. "( Augmented breaths ('sighs') are suppressed by morphine in a dose-dependent fashion via naloxone-sensitive pathways in adult rats.
Bell, HJ; Pankuch, G, 2013
)
2.09
"Morphine treatment administration may either disrupt or facilitate social memory, depending on the dose, extending to memory formation the bimodal effects of morphine previously shown in pain. "( Dual effect of morphine in long-term social memory in rat.
Bianchi, E; Ghelardini, C; Menicacci, C, 2013
)
2.19
"Morphine-treated children showed significantly fewer problems with executive functions in daily life as rated by parents for the subscales inhibition and organization of materials and for planning/organizing as rated by the teachers."( Does neonatal morphine use affect neuropsychological outcomes at 8 to 9 years of age?
Anand, KJS; de Graaf, J; Jebbink, LG; Tibboel, D; Valkenburg, AJ; van Dijk, M; van Lingen, RA; Weisglas-Kuperus, N; Wijnberg-Williams, B, 2013
)
1.47
"Morphine treatment after training also caused a decrease in this latency when tested after 24 h."( Effects of morphine on associative memory and locomotor activity in the honeybee (Apis mellifera).
Chen, Y; Fu, Y; Li, P; Ma, Y; Wang, J; Yao, T, 2013
)
1.5
"morphine treatment for all chronic i.t."( Attenuation of morphine tolerance after antisense oligonucleotide knock-down of spinal mGluR1.
Coderre, TJ; Fundytus, ME; Osborne, M; Sharif, RN, 2002
)
1.39
"Morphine treatment of 5 days and longer induced significant increases in levels of Galpha(o), Galpha(i1), and Galpha(i2) in MI fractions that are part of an adaptation process."( Chronic morphine-induced changes in mu-opioid receptors and G proteins of different subcellular loci in rat brain.
Bozó, B; Coscia, CJ; Fábián, G; Horváth, G; Szikszay, M; Szücs, M, 2002
)
1.47
"Morphine pretreatment, however, significantly reduced NSIA dependence on intra-accumbens opioid receptors but not on dopamine or nicotinic acetylcholine receptors."( Altered nucleus accumbens circuitry mediates pain-induced antinociception in morphine-tolerant rats.
Barletta, J; Gear, RW; Green, P; Levine, JD; Luo, L; Schmidt, BL; Tambeli, CH, 2002
)
1.26
"Morphine treated subjects showed a significant decrease (P<0.05) in striatal dopamine concentration, whilst cocaine and sertraline treatment resulted in a significant increase in striatal dopamine levels."( Morphine, cocaine and antidepressant induced motivational activity and midbrain dopaminergic neurotransmission.
Buckland, P; Deslandes, PN; Pache, DM; Sewell, RD, 2002
)
2.48
"In morphine-treated cells, morphine stimulated [(35)S]-GTP-gamma-S binding by decreasing the high-affinity K(d) without changing the B(max)."( Opioid peptide receptor studies. 16. Chronic morphine alters G-protein function in cells expressing the cloned mu opioid receptor.
Lu, YF; Rothman, RB; Xu, H, 2003
)
1.09
"Morphine treatment produced significant tolerance (ED(50) shift approximately 9-fold), but no mu-opioid receptor downregulation."( Role of G(i)alpha2-protein in opioid tolerance and mu-opioid receptor downregulation in vivo.
Gomes, BA; Patel, C; Patel, M; Rajashekara, V; Yoburn, BC, 2003
)
1.04
"morphine in LPS-treated rats compared to controls."( Enhanced thermal antinociceptive potency and anti-allodynic effects of morphine following spinal administration of endotoxin.
Cahill, CM; Coderre, TJ; Dray, A, 2003
)
1.27
"Morphine pretreatment protects against stress-induced gastric ulceration, however, the exact mechanism is still undefined. "( Morphine as a drug for stress ulcer prevention and healing in the stomach.
Cho, CH; Chu, KM; Liu, ES; Shin, VY; So, WH; Wong, BC; Wong, TM; Wu, KK; Wu, S; Ye, YN, 2003
)
3.2
"Morphine treatment (10 microM) for 24 h decreased MOR mRNA levels in control, as well as RA- and TPA-differentiated cells."( Morphine and endomorphins differentially regulate micro-opioid receptor mRNA in SHSY-5Y human neuroblastoma cells.
Blake, AD; Chang, SL; Li, WX; Mao, X; Yu, X, 2003
)
2.48
"In morphine-treated monkeys, buprenorphine and not nalbuphine substituted for naltrexone."( Relative efficacy of buprenorphine, nalbuphine and morphine in opioid-treated rhesus monkeys discriminating naltrexone.
France, CP; McMahon, LR; Sell, SL, 2003
)
1.08
"Morphine treatment for 7 days resulted in the development of tolerance to morphine's analgesic effect and produced a significant decrease in the steady-state NR1 mRNA levels in the spinal cord dorsal horn (by 16%), and an elevation in nucleus raphe magnus and medial thalamus (by 26 and 38%, respectively)."( Region-specific changes in NMDA receptor mRNA induced by chronic morphine treatment are prevented by the co-administration of the competitive NMDA receptor antagonist LY274614.
Brodsky, M; Gorman, AL; Inturrisi, CE; Zhu, H, 2003
)
1.28
"Morphine treatment over 4 days induced tolerance as reflected on the hot-plate test by a significant reduction of paw-withdrawal latency from 242% to 99% above baseline."( Mu-opioid receptor mRNA regulation during morphine tolerance in the rat peripheral nervous system.
Gabriel, A; Giesecke, T; Grond, S; Hescheler, J; Horsch, M; Meuser, T; Palmer, PP; Sabatowski, R, 2003
)
1.3
"Morphine-treated cats displayed clear behavioral and physical signs of opiate exposure and evidence of withdrawal when the drug was stopped."( Escalating morphine exposures followed by withdrawal in feline immunodeficiency virus-infected cats: a model for HIV infection in chronic opiate abusers.
Barr, MC; Henriksen, SJ; Huitron-Resendiz, S; Phillips, TR; Sanchez-Alavez, M, 2003
)
1.43
"Morphine pretreatment was administered as a constant infusion, which was gradually increased to a dose of 50 mg/kg/day over a 1-week period in Wistar rats."( Long-term opiate effects on amphetamine-induced dopamine release in the nucleus accumbens core and conditioned place preference.
Grasing, K; He, S; Li, N, 2004
)
1.04
"morphine pretreatment also attenuated the TF inhibition produced by opioid muagonist [D-Ala2, N-Me-Phe4,Gly-ol5]-enkephalin, delta-agonist deltorphin II, and kappa-agonist U50,488H."( Nonopioidergic mechanism mediating morphine-induced antianalgesia in the mouse spinal cord.
Fujimoto, JM; Leitermann, RJ; Sun, HS; Thompson, J; Tseng, LF; Wu, HE, 2004
)
1.32
"Morphine treatment resulted in a delay in vaginal opening and a temporary reduction in the rate of weight gain; however, the rate of onset of maternal behavior was unaffected by peripubertal morphine treatment."( Induction of maternal behavior in adult female rats following chronic morphine exposure during puberty.
Bridges, RS; Byrnes, EM; Rigero, BA, 2003
)
1.27
"morphine (1 mg/kg). Pretreatment with a selective MOR antagonist (clocinnamox, 0.1 mg/kg), but not kappa or delta opioid antagonists (nor-binaltorphimine or naltrindole), blocked i.t."( The role of central mu opioid receptors in opioid-induced itch in primates.
Edwards, T; Ko, MC; Lee, H; Naughton, NN; Song, MS, 2004
)
1.04
"Morphine treatment increased the EC50 (6.2-fold) for DAMGO-mediated inhibition of forskolin-stimulated cAMP activity in control cells but not in cells treated with AS-114 to knock-down RGS9."( Opioid peptide receptor studies. 17. Attenuation of chronic morphine effects after antisense oligodeoxynucleotide knock-down of RGS9 protein in cells expressing the cloned Mu opioid receptor.
Rothman, RB; Wang, J; Wang, X; Xu, H, 2004
)
1.29
"Morphine pre-treatment resulted in a moderate but significant increase in sensitivity of NIH-3T3 cells to vinblastine, but not colchicine."( Effect of short-term morphine exposure on P-glycoprotein expression and activity in cancer cell lines.
Bebawy, M; Hoskins, JM; Pajic, M; Rivory, LP; Roufogalis, BD, 2004
)
1.36
"Morphine pretreatment via activation of delta1-opioid receptors induces cardioprotection. "( Morphine preconditions Purkinje cells against cell death under in vitro simulated ischemia-reperfusion conditions.
Lim, YJ; Zheng, S; Zuo, Z, 2004
)
3.21
"The morphine-treated groups did not differ, suggesting that morphine attenuates hypersensitivity to formalin pain in the SHR."( Morphine-induced analgesia, hypotension, and bradycardia are enhanced in hypertensive rats.
Lovell, BM; Mahinda, TB; Taylor, BK, 2004
)
2.25
"In morphine-treated animals, before neutrophil recruitment, a significant decrease in TNF-alpha, IL-1, IL-6, MIP-2, and KC was observed both in bronchoalveolar lavage fluids and in lung tissue."( Morphine impairs host innate immune response and increases susceptibility to Streptococcus pneumoniae lung infection.
Barke, RA; Charboneau, R; Roy, S; Wang, J, 2005
)
2.29
"morphine treatment did not lead to increases in glial activation markers."( Transcriptional and translational regulation of glial activation by morphine in a rodent model of neuropathic pain.
DeLeo, JA; LaCroix-Fralish, ML; Nutile-McMenemy, N; Tawfik, VL, 2005
)
1.29
"The morphine treated mice developed tolerance by day 9 as evident by the hot plate test. "( Expression of opioid receptor-like 1 (ORL1) & mu opioid receptors in the spinal cord of morphine tolerant mice.
Gupta, YK; Ray, SB; Wadhwa, S, 2005
)
1.11
"Morphine treatment recruited RGS4 to the PAG membranes, and 30 min and 3 h after the opioid challenge its association with mu receptors had increased."( Morphine alters the selective association between mu-opioid receptors and specific RGS proteins in mouse periaqueductal gray matter.
Garzón, J; Rodríguez-Muñoz, M; Sánchez-Blázquez, P, 2005
)
2.49
"In morphine-treated animals, concentration-effect curves for ME in the locus coeruleus were shifted by 5-fold to the right as compared to those in sham-treated animals, which confirmed the induction of mu-opioid receptor tolerance."( Inhibition of neuronal nitric oxide synthase attenuates the development of morphine tolerance in rats.
Pineda, J; Santamarta, MT; Ulibarri, I, 2005
)
1.07
"Morphine-withdrawn LPS-treated animals had elevated serum TNF-alpha and nitric oxide levels, and depressed IL-12 levels compared to controls."( Morphine withdrawal sensitizes mice to lipopolysaccharide: elevated TNF-alpha and nitric oxide with decreased IL-12.
Adler, MW; Eisenstein, TK; Feng, P; Meissler, JJ, 2005
)
2.49
"Morphine treatment had no significant effect on PAR-1 thrombin receptor-activated G protein activity, as measured by thrombin-stimulated guanosine 5'-O-(3-[35S]thio)triphosphate binding."( Chronic morphine up-regulates G alpha12 and cytoskeletal proteins in Chinese hamster ovary cells expressing the cloned mu opioid receptor.
Bilsky, EJ; Boja, ES; Rothman, RB; Wang, J; Wang, X; Xu, H; Zimmerman, D, 2005
)
1.48
"Morphine treatment (10mg/kg, i.p."( Inhibition of morphine tolerance by spinal melanocortin receptor blockade.
Obara, I; Przewlocka, B; Przewłocki, R; Starowicz, K, 2005
)
1.41
"Morphine and LPS treatment increased phosphorylation of the inhibitory protein kappaB, leading to an increased activity of NF-kappaB."( Morphine induces late cardioprotection in rat hearts in vivo: the involvement of opioid receptors and nuclear transcription factor kappaB.
Frässdorf, J; Kojda, G; Müllenheim, J; Obal, D; Preckel, B; Schlack, W; Toma, O; Weber, NC, 2005
)
2.49
"The morphine-treated group showed a significant increase in mu receptor binding on P1 and P7."( Effects of prenatal cocaine, morphine, or both on postnatal opioid (mu) receptor development.
Bhat, R; Chari, G; Rao, R, 2006
)
1.11
"Morphine pretreatment induces ischemic tolerance in neurons, but it remains uncertain whether novel protein kinase C epsilon isoform (nPKCepsilon) and N-methyl-D-aspartate (NMDA) receptors are involved in this neuroprotection. "( nPKCepsilon and NMDA receptors participate in neuroprotection induced by morphine pretreatment.
Bingxi, Z; Fang, J; Fanjun, M; Junfa, L, 2006
)
2.01
"Morphine-treated CaMKIV-KO mice showed less G-protein uncoupling from the micro-opioid receptor than did wild-type mice, while uncoupling was similar in control wild-type and KO mice."( Evidence for a role of CaMKIV in the development of opioid analgesic tolerance.
Chatila, T; Jang, DH; Jia, Y; Kaang, BK; Ko, SW; Lee, YS; Toyoda, H; Wu, LJ; Xu, H; Yim, SJ; Zhao, MG; Zhuo, M, 2006
)
1.06
"Morphine pre-treatment significantly reduced mortality upon i.v."( Toxicological analysis in rats subjected to heroin and morphine overdose.
Alkass, K; Druid, H; Gustavsson, A; Kugelberg, FC; Spigset, O; Strandberg, JJ; Zahlsen, K, 2006
)
1.3
"Morphine treatment increased the susceptibility to S."( Enhancement of mice susceptibility to infection with Listeria monocytogenes by the treatment of morphine.
Asakura, H; Igimi, S; Kawamoto, K; Makino, S; Yamamoto, S, 2006
)
1.27
"Morphine treatment was also found to lead to a local increase in two other components of the endocytic machinery, dynamin and AP-2, suggesting a critical involvement of the endocytic machinery in the modulatory effects of morphine."( Morphine administration alters the profile of hippocampal postsynaptic density-associated proteins: a proteomics study focusing on endocytic proteins.
Abul-Husn, NS; Devi, LA; Dolios, G; Morón, JA; Rozenfeld, R; Wang, R, 2007
)
2.5
"morphine. In mice treated with high-dose morphine, 7-NI was very effective in blocking ERK activation, whereas W1400 had no effect."( Extracellular signal-regulated kinase (ERK) and nitric oxide synthase mediate intrathecal morphine-induced nociceptive behavior.
Bagetta, G; Komatsu, T; Sakurada, C; Sakurada, S; Sakurada, T; Sanai, K; Sasaki, M; Tsuzuki, M, 2007
)
1.28
"Morphine is the main treatment but the prescription of controlled-release morphine must be associated with the prescription of immediate-release morphine to treat the PPA or to transmucosal fentanyl which has a faster onset of action than immediate-release morphine."( [Nociceptive cancer pain in adult patients: statement about guidelines related to the use of antinociceptive medicine].
Binhas, M; Krakowski, I; Marty, J, 2007
)
1.06
"Morphine-treated dams decreased maternal behavior while increasing efficiency in hunting insects."( Opiate regulation of behavioral selection during lactation.
Canteras, NS; Felicio, LF; Platero, MD; Sukikara, MH,
)
0.85
"Morphine treatment may result in "add-on" mechanisms of pain beyond those engaged by sarcoma alone."( Morphine treatment accelerates sarcoma-induced bone pain, bone loss, and spontaneous fracture in a murine model of bone cancer.
Cress, AE; King, T; Lai, J; Majuta, L; Melemedjian, O; Nagle, R; Porreca, F; Vanderah, TW; Vardanyan, A, 2007
)
2.5
"Morphine treatment acutely suppressed the mechanical allodynia, but tolerance to this effect rapidly developed."( Sciatic nerve cuffing in mice: a model of sustained neuropathic pain.
Barrot, M; Benbouzid, M; Doridot, S; Freund-Mercier, MJ; Pallage, V; Poisbeau, P; Rajalu, M; Waltisperger, E, 2008
)
1.07
"Morphine treatment reduced MIP-2 release in pneumococci stimulated alveolar macrophages."( Morphine induces defects in early response of alveolar macrophages to Streptococcus pneumoniae by modulating TLR9-NF-kappa B signaling.
Barke, RA; Charboneau, R; Roy, S; Schwendener, R; Wang, J, 2008
)
2.51
"Morphine treatment initiated at the time of incision did not lead to a generalized enhancement of cytokine production or nociceptive sensitization in excess of the levels observed after incision alone."( Chronic morphine administration enhances nociceptive sensitivity and local cytokine production after incision.
Angst, MS; Clark, JD; Liang, D; Qiao, Y; Shi, X; Yeomans, DC, 2008
)
1.5
"Morphine pretreatment provides significant histologic protection against ischemic injury in rabbit retina. "( Morphine pretreatment provides histologic protection against ischemia-reperfusion injury in rabbit retina.
Asadi-Amoli, F; Dehpour, AR; Kiumehr, S; Lashay, AR; Riazi-Esfahani, M, 2008
)
3.23
"Morphine pretreatment attenuated subsequent excitatory responses to hypocretin, suggesting a long-lasting depression caused by opiate exposure."( Mu-opioid receptor-mediated depression of the hypothalamic hypocretin/orexin arousal system.
Li, Y; van den Pol, AN, 2008
)
1.07
"morphine pretreatment. In addition to these immunoblot results, immunohistochemical study also showed that the attenuation of pERK or pCaMK-IIalpha immunoreactivity elicited by i.c.v."( The differential effect of morphine and beta-endorphin administered intracerebroventricularly on pERK and pCaMK-II expression induced by various nociceptive stimuli in mice brains.
Choi, HW; Jang, JE; Jung, JS; Kwon, MS; Lee, JK; Park, SH; Seo, YJ; Suh, HW, 2008
)
1.36
"Morphine treatment can paradoxically increase nociception (i.e. "( Sex differences in hyperalgesia during morphine infusion: effect of gonadectomy and estrogen treatment.
Juni, A; Kest, B; Klein, G; Kowalczyk, B; Ragnauth, A, 2008
)
2.06
"Morphine pretreatment however, failed to antagonize apomorphine-induced cage climbing behaviour thereby ruling out the possibility of its possessing DA receptor blocking activity."( Involvement of histaminergic mechanisms in the cataleptogenic effect of morphine in mice.
Balsara, JJ; Chandorkar, AG; Jadhav, JH; Muley, MP, 1982
)
1.22
"Morphine treatment alone had no effects on the NA levels in any region studied."( Effects of morphine on the 6-hydroxydopamine induced changes of the postnatal development of central noradrenaline neurons.
Hallman, H; Jonsson, G, 1982
)
1.38
"Morphine treatment in normal intact rats caused a dose-dependent increase in hepatic tyrosine aminotransferase (TAT) activity, as demonstrable up to 2 hr of exposure to the opioid alkaloid. "( Morphine inhibition of the insulin-inducible form of hepatic tyrosine aminotransferase.
Chatterjee, TK; Das, S; Ghosh, JJ, 1984
)
3.15
"Morphine pretreatment did not alter TSH stimulation by TRH."( The role of opiates and endogenous opioid peptides in the regulation of rat TSH secretion.
Briggs, J; Carlson, HE; Gordon, J; Hershman, JM; Melmed, S; Morley, JE; Sharp, B, 1981
)
0.98
"Morphine (M) treatment has been shown to suppress LH release in rats. "( Effects of intraventricular administration of catecholamines on luteinizing hormone release in morphine-treated rats.
Gallo, RV; Kalra, SP, 1983
)
1.93
"The morphine-treated mice manifested body weight loss, diarrhea and ptosis from 4 hr after morphine withdrawal and showed maximum body weight loss at 12 hr."( Induction of physical dependence on morphine in mice by the drug-admixed food method.
Suzuki, T; Yanaura, S; Yoshii, T, 1984
)
1.02
"Morphine treatment elevated end-tidal PCO2 at both work levels (P < 0.05)."( Morphine reduces ventilation without changing metabolic rate in exercise.
Martin, BJ; Weil, JV; Zwillich, CW, 1980
)
2.43
"Morphine treatment decreased the frequency of contractions in both areas of the small intestine."( Centrally mediated inhibition of small intestinal transit and motility by morphine in the rat.
Burks, TF; Galligan, JJ, 1983
)
1.22
"Morphine treatment during pregnancy was scheduled with the view to reproduce physical dependence in female rats and to investigate the occurrence of a neonatal withdrawal syndrome (NWS) as well as more prolonged effects of the narcotic in the preweaned pups. "( Morphine treatment during rat pregnancy: neonatal and preweaning consequences.
Lapointe, G; Nosal, G, 1982
)
3.15
"No morphine-treatment was received in group A, treatment form the beginning of pregnancy (day 0) to weaning in group B, from day 0 to day 14 in group C, from day 15 to day 21 in group D, from day 0 to weaning in group E (the same of B), and no treatment in group F."( [Effects of morphine on the successive generation].
Suzuki, T; Yanaura, S; Yoshii, T, 1981
)
1.16
"In morphine-pretreated mice, naloxone caused a marked increase in the amplitude of the evoked e.j.p."( The effect of chronic morphine treatment of excitatory junction potentials in the mouse vas deferens.
North, RA; Vitek, LV, 1980
)
1.09
"1. Morphine pretreatment (8.0 mg/kg s.c.) induced no overt tolerance to its antinociceptive effect in mice 4 h later, but enhanced by the antagonistic potency of naloxone. "( The effect of chlorpromazine pretreatment on the narcotic antagonistic potency of naloxone in mice.
Roberts, MB; Wai, MK; Wong, CL,
)
0.75
"Morphine treatment significantly increased the number of 3H-thymidine labeled subependymal cells and number of grains/nucleus within labeled cells."( Effect of morphine on 3H-thymidine incorporation in the subependyma of the rat: an autoradiographic study.
Deadwyler, SA; Miller, CR; O'Steen, WK, 1982
)
1.39
"Morphine treatment alone significantly disrupted the rate of onset and quality of maternal responsiveness."( Reversal of morphine disruption of maternal behavior by concurrent treatment with the opiate antagonist naloxone.
Bridges, RS; Grimm, CT, 1982
)
1.36
"morphine treatment."( Postoperative analgesia and lung function: a comparison of intramuscular with epidural morphine.
Petersen, TK; Rybro, L; Schurizek, BA; Wernberg, M, 1982
)
1.21
"1. Morphine pretreatment (2.0 mg/kg s.c.) induced no overt tolerance to its antinociceptive effect in mice 3 h later, but enhanced the antagonistic potency of naloxone. "( The effect of chlorpromazine pretreatment on morphine analgesia and naloxone potency in adrenalectomized mice.
Wai, MK; Wong, CL,
)
1.01
"1. Morphine pretreatment (8.0 mg/kg s.c.) induced no overt tolerance to its antinociceptive effect in mice 4 h later, but enhanced the antagonistic potency of naloxone. "( Preliminary studies on increased naloxone potency and its relationship to morphine tolerance and dependence in mice.
Roberts, MB; Wai, MK; Wong, CL,
)
0.98
"Morphine pretreatment enhanced the antidipsogenic effects of naloxone in a dose- and time-dependent manner."( Suppression of drinking by naloxone in rats homo- and heterozygous for diabetes insipidus.
Brown, DR; Holtzman, SG, 1981
)
0.98
"Morphine treatment of rats for 5 days was associated with a reduction in the amount of striatal RNA for the voltage-sensitive K+ channel without significant changes in other ion channels."( Cellular adaptation to opiates alters ion-channel mRNA levels.
Eberwine, JH; Mackler, SA, 1994
)
1.01
"Morphine treatment increased striatal Met-enkephalin."( The effects of morphine treatment and morphine withdrawal on the dynorphin and enkephalin systems in Sprague-Dawley rats.
Nylander, I; Terenius, L; Vlaskovska, M, 1995
)
1.37
"Morphine treatment (2 x 75 mg pellets were implanted SC on Day 1 and 2 more on Day 4) resulted in the development of tolerance to morphine's antinociceptive (analgesic) effect, as assessed by the hot plate procedure on treatment Day 7."( CNS levels of mu opioid receptor (MOR-1) mRNA during chronic treatment with morphine or naltrexone.
Brodsky, M; Elliott, K; Hynansky, A; Inturrisi, CE, 1995
)
1.24
"morphine treatment. A decrease in the number of binding sites (Bmax) with no change in the affinity (Kd) of the ligand for the adenosine A1 receptor was observed."( Chronic intracerebroventricular administration of morphine down-regulates spinal adenosine A1 receptors in rats.
Liu, CF; Tao, PL; Tsai, HC, 1995
)
1.27
"Morphine treatment increased c-fos mRNA levels in striatum (STR) and amygdala (AMY)."( NMDA antagonists and clonidine block c-fos expression during morphine withdrawal.
Brodsky, M; Inturrisi, CE; Rasmussen, K, 1995
)
1.25
"Morphine pretreatment attenuates aversive taste reactions elicited by quinine solution when assessed by the taste reactivity test. "( Morphine-induced modification of quinine palatability: effects of multiple morphine-quinine trials.
Clarke, SN; Parker, LA,
)
3.02
"Morphine-treated infants spent a significantly greater percentage of total ventilated time breathing in synchrony with their ventilators (median [IQ] = 72[58-87] vs 31[17-51]%; P = 0.0008). "( Morphine increases synchronous ventilation in preterm infants.
Dyke, MP; Evans, S; Kohan, R, 1995
)
3.18
"Morphine pretreatment was found to inhibit the release, and such inhibition was not prevented by naloxone."( Morphine modulates contractile responses and neurokinin A-LI release elicited by electrical field stimulation or capsaicin in a guinea pig bronchial-tube preparation.
Andersson, RG; Lindström, EG, 1995
)
2.46
"Morphine treatment had no effect on basal secretion of LHRH, nor on the spontaneous, pulsatile release of LHRH."( Opioid inhibition of adrenergic and dopaminergic but not serotonergic stimulation of luteinizing hormone releasing hormone release from immortalized hypothalamic neurons.
Cameron, DF; Landon, CS; Muffly, KE; Nazian, SJ, 1994
)
1.01
"Morphine treatment did not significantly change the number of cells expressing Fos immunoreactivity, or the percentage of TH-positive cells expressing Fos-like protein."( Presynaptic actions of morphine: blockade of cholecystokinin-induced noradrenaline release in the rat supraoptic nucleus.
Guevara-Guzman, R; Kendrick, K; Leng, G; Luckman, SM; Onaka, T; Ueta, Y, 1995
)
1.32
"In morphine pellet treated mice the DPDPE/clonidine interaction decreased to an antagonistic interaction, the DAMGO/clonidine remained synergistic and the U50-488H/clonidine interaction decreased to additive."( Decreased spinal morphine/clonidine antinociceptive synergism in morphine-tolerant mice.
Roerig, SC, 1995
)
1.14
"Morphine treated animals were similarly tested on the third day following the last morphine injection."( Chronic variable stress or chronic morphine facilitates immobility in a forced swim test: reversal by naloxone.
Heyser, CJ; Molina, VA; Spear, LP, 1994
)
1.29
"Morphine treatment was associated with an increase in serum albumin, SGPT, BUN, and alkaline phosphatase indicative of hepatic damage."( Immunotoxicological profile of morphine sulfate in B6C3F1 female mice.
Brown, RD; Butterworth, LF; Harris, LS; LeVier, DG; McCay, JA; Munson, AE; Musgrove, DL; Page, D; Stern, ML; White, KL, 1994
)
1.3
"Morphine-treated babies showed a significant reduction in adrenaline concentrations during the first 24 h (median change -0.4 [95% CI -1.1 to -0.3] nmol/L p < 0.001), which was not seen in the placebo group (median change 0.2 [-0.6 to 0.6] nmol/L, p = 0.79)."( Randomised double-blind controlled trial of effect of morphine on catecholamine concentrations in ventilated pre-term babies.
Dean, HG; Hartley, R; Levene, MI; Puntis, JW; Quinn, MW; Rushforth, JA; Wild, J, 1993
)
1.26
"Morphine pre-treatment was less effective in preventing development of hyperalgesia; however, whilst the ipsilateral (146 +/- 18 g) paw withdrawal threshold tended to be lower than the contralateral (183 +/- 8 g), this was not significant.(ABSTRACT TRUNCATED AT 250 WORDS)"( Pre-emptive administration of clonidine prevents development of hyperalgesia to mechanical stimuli in a model of mononeuropathy in the rat.
Birch, PJ; Elliott, PJ; Harrison, SM; Smith, GD; Wiseman, J, 1993
)
1.01
"Morphine pretreatment sensitized rats to naltrexone, lowering its ED50 from 20 to 0.03 mg/kg."( Acute sensitization to opioid antagonists.
Holtzman, SG; White-Gbadebo, D, 1994
)
1.01
"Morphine treatment produced a decrease in body weight and spleen cell number."( Spleen and thymus cell subsets modified by long-term morphine administration in protein-undernourished mice--I.
Chen, GJ; Colombo, LL; Darban, HR; Huang, DS; Lopez, MC; Watson, RR; Watzl, B, 1993
)
1.26
"Morphine treatment produced a decrease in body weight and spleen cell number."( Spleen and thymus cell subsets modified by long-term morphine administration and murine AIDS--II.
Chen, GJ; Colombo, LL; Darban, HR; Huang, DS; Lopez, MC; Watson, RR; Watzl, B, 1993
)
1.26
"In morphine-treated neurons, the number of inhibitory G-proteins (G alpha i) appeared to be slightly reduced (by about 16%)."( Adaptive changes in the number of Gs- and Gi-proteins underlie adenylyl cyclase sensitization in morphine-treated rat striatal neurons.
Mulder, AH; Schoffelmeer, AN; Van Rijswijk, AL; Van Vliet, BJ; Wardeh, G, 1993
)
1.02
"Morphine-treated rats, despite showing tolerance to morphine itself, showed no cross-tolerance to the inhibitory actions of U50,488 upon the oxytocin system."( Effects of the selective kappa-opioid agonist U50,488 upon the electrical activity of supraoptic neurones in morphine-tolerant and morphine-naive rats.
Leng, G; Pumford, KM; Russell, JA, 1993
)
1.22
"Morphine treatment caused splenic atrophy and suppressed the primary in vitro antibody response in beige and beige+ mice."( Effects of in vivo morphine treatment on antibody responses in C57BL/6 bgJ/bgJ (beige) mice.
Adler, MW; Bussiere, JL; Eisenstein, TK; Rogers, TJ, 1993
)
1.34
"In morphine-treated mice there was less 14C in liver, brain and blood, and more 3H in kidney and hindleg muscle than in control mice."( Effect of intrathecal morphine on the fate of glucose. Comparison with effects of insulin and xanthan gum in mice.
Brase, DA; Dewey, WL; Dombrowski, DS; Dunlow, LD; Ward, CR; White, CW, 1993
)
1.11
"The morphine treatment also antagonized CCK-induced cessation of bile flow present in female guinea pigs."( Effects of chronic morphine on biliary tract responses to cholecystokinin-octapeptide in female guinea pigs.
Malave, A; Yim, GK, 1993
)
1.1
"Morphine pretreatment (100 mg/kg, s.c., -5 hr) produced antinociceptive tolerance as shown by a 2.7-fold increase in the calculated morphine A50 value."( Effects of naloxone and D-Phe-Cys-Tyr-D-Trp-Arg-Thr-Pen-Thr-NH2 and the protein kinase inhibitors H7 and H8 on acute morphine dependence and antinociceptive tolerance in mice.
Bernstein, RN; Bilsky, EJ; Porreca, F; Sadée, W; Wang, Z, 1996
)
1.22
"Morphine treatment did not alter the response to lipopolysaccharide."( Equianalgesic doses of subcutaneous but not intrathecal morphine alter phenotypic expression of cell surface markers and mitogen-induced proliferation in rat lymphocytes.
Hamra, JG; Yaksh, TL, 1996
)
1.26
"The morphine-pretreated animals showed faster acquisition of seizure activity."( Effects of chronic morphine pretreatment on amygdaloid kindling development, postictal seizure and suppression and benzodiazepine receptor binding in rats.
Ackermann, RF; Engel, J; Rocha, L, 1996
)
1.1
"Morphine-treated pups tested with naltrexone showed significant alterations in behavior that varied at different ages."( Ontogeny of morphine withdrawal in the rat.
Barr, GA; Jones, KL, 1995
)
1.39
"The morphine-treated mice showed tolerance to the drug after daily exposure over 5 days as determined by measuring tail flick latency during thermal application."( Morphine suppresses the alloantigen-driven CTL response in a dose-dependent and naltrexone reversible manner.
Carr, DJ; Scott, M, 1996
)
2.22
"Post-morphine treatments with naloxone (1 mg/kg SC) at 0 (i.e., simultaneously with) to 30 min after each morphine administration almost completely inhibited the induction of morphine sensitization."( Interval-dependent inhibition of morphine sensitization of ambulation in mice by post-morphine treatment with naloxone or restraint.
Kuribara, H, 1996
)
1.03
"Morphine treatment also increased the glutamate/GABA ratio in the striatum."( Effects of morphine treatment and withdrawal on striatal and limbic monoaminergic activity and ascorbic acid oxidation in the rat.
De Natale, G; Desole, MS; Enrico, P; Esposito, G; Fresu, L; Miele, E; Miele, M; Migheli, R; Mura, MA, 1996
)
1.41
"Morphine treatment caused a significant decrease (15.6 +/- 5.8%) in mu-opioid receptor mRNA expression in the BH, while POA and THAL were not different from placebo controls."( Downregulation of mu-opioid receptor mRNA in the mediobasal hypothalamus of the female guinea pig following morphine treatment.
Bosch, MA; Cunningham, MJ; Grandy, DK; Kelly, MJ; Rønnekleiv, OK; Wagner, EJ, 1996
)
1.23
"In morphine-treated rats, a challenge dose of morphine (30 mg/kg i.p.) increased the auricular noradrenaline, adrenaline and DA content and decreased dihydroxy phenyl acetic acid/DA ratio; these changes were accompanied by a decrease in the force of contraction in the isolated left atria."( Effects of chronic morphine treatment on catecholamines content and mechanical response in the rat hearts.
Laorden, ML; Milanés, MV; Rabadán, JV, 1997
)
1.14
"Morphine-pretreated animals showed enhanced motor activity in response to intraaccumbens microinfusion of the psychostimulant drugs."( Sensitization of the locomotor response to psychostimulants after repeated opiate exposure: role of the nucleus accumbens.
Cunningham, ST; Finn, M; Kelley, AE, 1997
)
1.02
"In morphine-pretreated rats, the antinociceptive effect of morphine on the vocalization threshold to paw pressure was greatly reduced, as compared to the saline-pretreated group."( The antinociceptive activity of kappa- but not delta-opioid receptor agonists is maintained in morphine-tolerant neuropathic rats.
Catheline, G; Guilbaud, G; Idänpään-Heikkilä, JJ; Kayser, V, 1996
)
1.03
"Morphine treatment modulates a variety of immunological parameters, including tumor necrosis factor-alpha (TNF-alpha) production by activated macrophages in vitro. "( Effect of morphine on lipopolysaccharide-induced tumor necrosis factor-alpha production in vivo: involvement of the sympathetic nervous system.
Bencsics, A; Elenkov, IJ; Vizi, ES, 1997
)
2.14
"Morphine-treated animals displayed a marked withdrawal behavior together with beta-adrenoceptor upregulation; nevertheless, these effects were not correlated."( Effect of yohimbine on the development of morphine dependence in the rat: lack of involvement of cortical beta-adrenoceptor modifications.
Alguacil, LF; Ambrosio, E; García-Lecumberri, C; Iglesias, V; Orensanz, L, 1997
)
1.28
"The morphine treated animals showed a significant decrease in dynorphin(1-13) levels in the pituitary gland, hypothalamus, hippocampus, striatum, cerebellum, pons, medulla, kidneys, adrenals and spleen, and a significant increase only in the lumbar region of the spinal cord."( Effect of chronic treatment with morphine, midazolam and both together on dynorphin(1-13) levels in the rat.
Rattan, AK; Tejwani, GA, 1997
)
1.06
"Morphine treatment of rats (60-70 mg/kg/day, 7 days) reduced delta opioid receptor-mediated inhibition of adenylyl cyclase activity in caudate putamen without any change in regulation by mu receptors. "( The role of dopaminergic systems in opioid receptor desensitization in nucleus accumbens and caudate putamen of rat after chronic morphine treatment.
Cox, BM; Noble, F, 1997
)
1.94
"morphine pretreatment (3 nmol, 140 min before testing)."( The nitric oxide/cyclic GMP system at the supraspinal site is involved in the development of acute morphine antinociceptive tolerance.
Bidlack, JM; Hill, KP; Xu, JY, 1998
)
1.24
"Morphine-treated females had fewer c-fos cells in mPOA compared to saline-treated females, and the presence of pups accounted for a significant increase in c-fos-expressing neurons, whereas in females not exposed to pups, morphine treatment did not significantly reduce baseline c-fos expression (experiment 1)."( Opiate disruption of maternal behavior: morphine reduces, and naloxone restores, c-fos activity in the medial preoptic area of lactating rats.
Holt, E; Kinsley, CH; Lambert, KG; Polley, D; Stafisso-Sandoz, G, 1998
)
1.29
"Morphine-treated animals showed an increase in avoidance acquisition with respect to control group without differences in performance."( Dose-dependent impairing effects of morphine on avoidance acquisition and performance in male mice.
Aguilar, MA; Miñarro, J; Simón, VM, 1998
)
1.3
"Morphine-treated rats mounted less vigorous inflammatory responses to the infection and cleared the virus more slowly than placebo-treated rats."( Morphine alters the immune response to influenza virus infection in Lewis rats.
Coussons-Read, ME; Daniels, M; Gilmour, MI, 1998
)
2.46
"For morphine treatment, a single injection (100 mg/kg, s.c.) of morphine was followed 4 h later by pellet implantation (75 mg morphine free base)."( Up-regulation of [3H]DTG but not [3H](+)-pentazocine labeled sigma sites in mouse spinal cord by chronic morphine treatment.
Kovács, KJ; Larson, AA, 1998
)
1
"Morphine pretreatment modified neither the CPP induced by high doses of cocaine or GBR12783 nor cocaine- or GBR12783-induced stereotypies."( Sensitization to the rewarding effects of the specific dopamine uptake inhibitor GBR12783.
Costentin, J; Duterte-Boucher, D; Le Pen, G, 1998
)
1.02
"Morphine treatment was effective in 92% of patients M+, and not very effective in 5%; 67% of patients M- thought that M is efficient but 17% did not know; 76% of patients M+ did not worry about M; 13% worried et 11% did not know."( [Morphine therapy: evaluation of patient information].
Delfosse, MH; Latour, JF; Ranchere, JY; Saltel, P, 1998
)
1.93
"Morphine treatment also significantly attenuated surgery-induced increases in plasma corticosterone concentrations assessed at 5 h after surgery."( Pre-operative versus postoperative administration of morphine: impact on the neuroendocrine, behavioural, and metastatic-enhancing effects of surgery.
Ben-Eliyahu, S; McDonald, JS; Page, GG, 1998
)
1.27
"In morphine-pretreated rats (daily administration of subcutaneous morphine: 1, 3, 5, 10, 20 or 40 mg/kg once a day for 4 days), antinociceptive tolerance tested on day 5 by acute morphine (3 mg/kg, i.v.) was manifest in those groups pretreated with the highest doses of morphine (10, 20 or 40 mg/kg)."( Development of tolerance to the antinociceptive effect of systemic morphine at the lumbar spinal cord level: a c-Fos study in the rat.
Besson, JM; Catheline, G; Le Guen, S, 1998
)
1.05
"Morphine treatment also induced malondialdehyde and superoxide anions production in leukocyte cells from sensitive mice."( Differential effects of acute morphine administrations on polymorphonuclear cell metabolism in various mouse strains.
Casalinuovo, IA; Di Francesco, P; Di Pierro, D; Garaci, E; Gaziano, R; Lazzarino, G; Tavazzi, B, 1998
)
1.31
"All morphine treatments blocked the skin twitch response. "( Pharmacokinetics and efficacy of epidurally delivered sustained-release encapsulated morphine in dogs.
Kohn, FR; Provencher, JC; Rathbun, ML; Yaksh, TL, 1999
)
1.09
"Morphine treatment in isolated rats caused an increase in adult social activity and enhanced opioid peptide release in some cortical regions and the ventral tegmental area as compared to saline treated rats."( Morphine treatment during juvenile isolation increases social activity and opioid peptides release in the adult rat.
Gerrits, MA; Kitchen, I; Spruijt, BM; Van den Berg, CL; Van Ree, JM, 1999
)
2.47
"Morphine treatment counteracted this reduction in isolated rats, but decreased social exploration in nonisolated rats."( Effects of juvenile isolation and morphine treatment on social interactions and opioid receptors in adult rats: behavioural and autoradiographic studies.
Kitchen, I; Spruijt, BM; Van den Berg, CL; Van Ree, JM, 1999
)
1.3
"Morphine-treated Jurkat cells also showed a decreased expression of bcl-2 and an enhanced expression of bax."( Morphine promotes apoptosis in Jurkat cells.
Ding, G; Franki, N; Gibbons, N; Kapasi, AA; Reddy, K; Singhal, PC, 1999
)
2.47
"The morphine-treated group did not show cross-sensitization to either d-amphetamine (0.1-3 mg/kg) or cocaine (1.0-30 mg/kg); in fact, it showed less cocaine-induced turning than the saline group."( Sensitization to daily morphine injections in rats with unilateral lesions of the substantia nigra.
Easterling, KW; Holtzman, SG; Kimmel, HL; Volpicelli, LA, 1999
)
1.09
"Morphine pretreatment potentiated the discriminative stimulus effects of AMPH in three monkeys and either attenuated or did not alter these effects in two monkeys."( Modulation of the discriminative stimulus effects of d-amphetamine by mu and kappa opioids in squirrel monkeys.
Holtzman, SG; Powell, KR, 2000
)
1.03
"Morphine treatment during the isolation period enhanced the sucrose intake in non-isolated rats, whereas it decreased sucrose consumption in (partial) isolated rats."( Morphine attenuates the effects of juvenile isolation in rats.
Spruijt, BM; Van den Berg, CL; Van Ree, JM, 2000
)
2.47
"Morphine-tolerant mice treated with vehicle+vehicle remained morphine tolerant, whereas this residual morphine tolerance was inhibited by administration of all three NMDA antagonists (each 10 mg/kg)."( Clinically available NMDA receptor antagonists memantine and dextromethorphan reverse existing tolerance to the antinociceptive effects of morphine in mice.
Danysz, W; Kozela, E; Popik, P, 2000
)
1.23
"Morphine treatment also produced significant tolerance in mice (ED(50) shift = 4.5-fold), but no receptor downregulation."( Role of cAMP-dependent protein kinase (PKA) in opioid agonist-induced mu-opioid receptor downregulation and tolerance in mice.
Benedict Gomes, A; Gallagher, A; Shen, J; Stafford, K; Yoburn, BC, 2000
)
1.03
"Morphine (20 mg/kg) pretreatment significantly potentiated the ability of naloxone (0.01-0.3 mg/kg) to produce place aversion."( Pretreatment with morphine potentiates naloxone-conditioned place aversion in mice: effects of NMDA receptor antagonists.
Bespalov, AY; Blokhina, EA; Sukhotina, IA, 2000
)
1.36
"Morphine treatment was also found to increase the number of calcitonin gene-related peptide-immunoreactive neurons possessing multiple, long branches (i.e."( Morphine treatment induced calcitonin gene-related peptide and substance P increases in cultured dorsal root ganglion neurons.
Kar, S; Ma, W; Quirion, R; Zheng, WH, 2000
)
2.47
"Morphine pretreatment further decreased the vocalization threshold in nerve-injured rats and induced threshold reductions in non- and sham-operated rats."( The development of pain-related behaviour and opioid tolerance after neuropathy-inducing surgery and sham surgery.
Christensen, D; Kayser, V, 2000
)
1.03
"morphine treatment were observed in brain sections."( Chronic intrathecal morphine administration produces homologous mu receptor/G-protein desensitization specifically in spinal cord.
Childers, SR; Eisenach, JC; Maher, CE; Pan, HL; Xiao, R, 2001
)
1.36
"Morphine treatment cessation facilitated an aggressive behaviour of animals during the second day of withdrawal."( Morphine withdrawal-facilitated aggression is attenuated by morphine-conditioned stimuli.
Sukhotina, IA, 2001
)
2.47
"Morphine pretreatment failed to show potentiation of both pentobarbital-induced loss of righting reflex and hypothermia in mu-opioid receptor knockout mice, while it significantly potentiated these responses in the wild-type controls."( Effects of morphine on pentobarbital-induced responses in mu-opioid receptor knockout mice.
Ho, IK; Jang, CG; Ko, KH; Loh, HH; Ma, T; Park, Y; Tanaka, S, 2001
)
1.42
"Morphine-treated mothers were slower than saline-treated mothers in retrieving all pups into the nest."( Repeated morphine administration during pregnancy attenuates maternal behavior.
Slamberová, R; Szilágyi, B; Vathy, I, 2001
)
1.45
"Morphine pretreatment significantly enhanced basal G protein coupling of wild type MOR, which is thought to result from release of CaM."( Single nucleotide polymorphisms in the human mu opioid receptor gene alter basal G protein coupling and calmodulin binding.
Lucas, JL; Quillan, JM; Sadée, W; Wang, D; Winans, K, 2001
)
1.03
"Morphine pretreatment did not significantly enhance acute morphine's effects on DA metabolites in any of the brain areas studied in rats of either line."( Effects of repeated morphine treatment on metabolism of cerebral dopamine and serotonin in alcohol-preferring AA and alcohol-avoiding ANA rats.
Ahtee, L; Honkanen, A; Kiianmaa, K; Mikkola, JA; Piepponen, TP,
)
1.18
"Morphine treatment of PBMCs decreases IL-2 and IFN gamma and increases IL-4 and IL-5 as a function of morphine concentration. "( Morphine directs T cells toward T(H2) differentiation.
Balasubramanian, S; Barke, RA; Beilman, GJ; Charboneau, R; Melnyk, D; Roy, S; Sumandeep, S; Vatassery, R; Wang, J, 2001
)
3.2
"Morphine pretreatment 1 h prior to assessment of the cocaine dose-response function significantly enhanced the discriminative stimulus effects of cocaine. "( Temporal factors affecting cocaine-opioid interactions: a cocaine drug discrimination study in rats.
Green-Jordan, K; Kantak, KM; Warren, L, 2001
)
1.75
"Oral morphine treatment for cancer pain relief is established as central parts of 'WHO Regimen'. "( [Role of continuous intravenous infusion of morphine in the cancer pain relieving therapy].
Kato, A; Kato, Y, 2001
)
1.09
"Morphine treatment is also known to increase circulating levels of glucocorticosteroids, which have been reported to produce genetic damage in vivo and in vitro."( The role of adrenal corticosteroids in induction of micronuclei by morphine.
Couch, DB; Kozlowski, RS; Sawant, SG, 2001
)
1.27
"In morphine-pretreated rats, the psychomotor effects of morphine and amphetamine were sensitized."( A single exposure to morphine induces long-lasting behavioural and neurochemical sensitization in rats.
De Vries, TJ; Hogenboom, FA; Schoffelmeer, AN; Vanderschuren, LJ; Wardeh, G, 2001
)
1.14
"Morphine pre-treatment potentiates the effects of LPS on endothelial cell viability, and on LPS induction of IL-1beta secretion from 1alpha, 25-dihydroxy-vitamin D3-treated HL-60 human leukemia cells."( Actions of endotoxin and morphine.
Chang, SL; Felix, B; Fiala, M; Jiang, Y, 2001
)
1.34
"With Morphine pretreatment, the mean pain scores for the entire 60 min were significantly decreased (P<.05)."( Scorpion BmK venom induces nociceptive response of rats by plantar injection.
Chen, B; Ji, Y; Wang, C,
)
0.59
"morphine. Pretreatment with naloxone, an opioid receptor antagonist (1.0 and 4.0 mg/kg, s.c.), failed to reverse the morphine-evoked behavioral response, suggesting that the morphine effect is not mediated through the opioid receptors in the spinal cord."( Intrathecal high-dose morphine induces spinally-mediated behavioral responses through NMDA receptors.
Moriyama, T; Okuda, K; Sakurada, C; Sakurada, S; Sakurada, T; Sugiyama, A; Tan-No, K; Watanabe, C, 2002
)
1.35
"Oral morphine is the treatment first recommended for nociceptive pain insufficiently relieved by WHO level I and II analgesics. "( [New Level III opioids of the World Health Organization].
Laval, G; Mallaret, M; Sang, B; Villard, ML, 2002
)
0.83
"Morphine-treated birds (with or without elicited peritonitis) were pretreated with naltrexone, an antagonist of opioid receptors."( Effect of morphine on thioglycollate-induced peritonitis in chickens.
Laskowska, H; Majewski, P; Markowska, M; Skwarlo-Sonta, K; Waloch, M, 2002
)
1.44
"Apomorphine pretreatment potentiated the analgesic effect of morphine in a dose-dependent manner both in rats and in mice measured by five different tests (writhing, hot plate, inflamed foot, tail-pinch and tail-flick procedures). "( Effect of apomorphine on the antinociceptive activity of morphine.
Dunai-Kovács, Z; Székely, JI, 1977
)
1.25
"Morphine pretreatment produced some increase in the running response to amphetamine and to cocaine."( Increased running response to morphine in morphine-pretreated mice.
Shuster, L; Webster, GW; Yu, G, 1975
)
1.26
"In morphine-treated rabbits and mice single doses of doxapram affected neither the time course nor the intensity of the respiratory depression."( Interactions between morphine and doxapram in the rabbit and mouse.
Gregoretti, SM; Pleuvry, BJ, 1977
)
1.09
"Morphine pretreatment produced comparable, dose-dependent decreases in response rates in both procedures."( Fixed-ratio escape and avoidance-escape from naloxone in morphine-dependent monkeys: effects of naloxone dose and morphine pretreatment.
Downs, DA; Woods, JH, 1975
)
1.22
"Morphine treated animals showed withdrawal symptoms on administration of naloxone 1 mg/kg i.p."( No psychological dependence after oral administration of morphine to rats.
Baldauf, J; Jurna, I; Zenz, M, 1992
)
1.25
"Morphine treatment has been shown to suppress several immunologic parameters. "( Differential effects of morphine and naltrexone on the antibody response in various mouse strains.
Adler, MW; Bussiere, JL; Eisenstein, TK; Rogers, TJ, 1992
)
2.03
"In morphine-treated pigeons discriminating among naltrexone, saline and morphine, mirfentanil failed to substitute for either training drug; in morphine-abstinent pigeons, mirfentanil reversed responding on the naltrexone key (i.e., reversed withdrawal)."( Mirfentanil: pharmacological profile of a novel fentanyl derivative with opioid and nonopioid effects.
France, CP; Medzihradsky, F; Rice, KC; Seggel, MR; Winger, G; Woods, JH, 1991
)
0.8
"Morphine-treated animals displayed neither behavioral estrus nor elevated NE release from the VMH when tested with stimulus males."( Intracranial dialysis and microinfusion studies suggest that morphine may act in the ventromedial hypothalamus to inhibit female rat sexual behavior.
Etgen, AM; van der Plas, J; Vathy, I; Vincent, PA, 1991
)
1.24
"Morphine treatment (20 mg/kg for 7 consecutive days) did not affect the density of [3H]dihydroalprenolol ([3H]DHA) binding sites in the cortical membranes of the rat, but during naloxone-precipitated abstinence syndrome the density of these sites increased. "( Chronic electroconvulsive treatment counteracts cortical beta-adrenoceptor upregulation induced by morphine abstinence.
Antkiewicz-Michaluk, L; Michaluk, J; Rokosz-Pelc, A; Vetulani, J,
)
1.79
"(-)-Morphine treatment significantly increased antinociception, morphine-induced signs, i-M levels in plasma and CSF, and i-BE, i-ME, and i-LE levels in plasma, but not CSF."( Stereoselective effect of morphine on antinociception and endogenous opioid peptide levels in plasma but not cerebrospinal fluid of dogs.
Adams, ML; Brase, DA; Dewey, WL; Morris, DL, 1991
)
1.06
"morphine in rats pretreated with i.c.v."( Relationship between regulation of morphine-induced EEG effects and changes in naloxone sensitivity.
Paquette, NC; Young, GA, 1991
)
1.28
"In morphine-treated animals the increase induced by clonidine was antagonized by prazosin."( Effect of alpha-adrenoreceptors in the control of spontaneous motility and morphine withdrawal syndrome.
Antonelli, T; Bianchi, C; Magri, A; Morari, M,
)
0.88
"Morphine treatment had no effect on the 21-hydroxylation reactions or the O-dealkylation of ethylmorphine or codeine."( A conspicuous down-regulating effect of morphine on essential steroid hydroxylation reactions and certain drug N-demethylations.
Ask, B; Rane, A, 1992
)
1.27
"In morphine-pretreated rats, dose-effect curves for the opioid antagonists naloxone, naltrexone and diprenorphine shifted to the left of those determined when rats were not morphine-pretreated; whereas those for the mu-opioid agonists morphine and I-methadone and mixed-action opioids nalorphine, nalbuphine, butorphanol, pentazocine and bremazocine were unaltered."( Acute and chronic morphine administration: effects of mixed-action opioids in rats and squirrel monkeys responding under a schedule of food presentation.
Dykstra, LA; Oliveto, AH; Picker, MJ, 1991
)
1.13
"Morphine pretreatment did not induce any apparent tolerance to the effect of clonidine and morphine tested 4 h later."( Interaction between the inhibitory effects of morphine and clonidine on intestinal transit in mice.
Wong, CL, 1991
)
1.26
"Morphine-treated mice showed similar results to those observed in cocaine or saline treated mice."( Splenocyte subsets in normal and protein malnourished mice after long-term exposure to cocaine or morphine.
Chen, GJ; Huang, DS; Lopez, MC; Watson, RR; Watzl, B, 1991
)
1.22
"Morphine and fentanyl treatment, beginning at postnatal day 22, delayed the time of the first ovulation/vaginal opening (VO)."( Occurrence of sexual maturation in chronic opiate-treated female rats.
MacDonald, MC; Wilkinson, M, 1991
)
1
"In morphine-treated rats, ir-BNP was shown to circulate mainly as BNP-45, which is identical to a major storage form found in cardiac atrium."( Concentration and molecular forms of brain natriuretic peptide in rat plasma and spinal cord.
Aburaya, M; Kangawa, K; Matsuo, H; Minamino, N; Suzuki, E; Tanaka, K, 1991
)
0.8
"Morphine treatment was begun in the hospital and in all cases continued at home."( [Morphine in the inferior cerebellar cisterna for oncologic pain in the ORL area].
Barzan, L; De Cicco, M; Fracasso, A; Magri, D; Testa, V, 1990
)
1.91
"Both morphine and aspirin treatments produced analgesia."( Amniotic fluid ingestion enhances opioid-mediated but not nonopioid-mediated analgesia.
Barton, D; Kristal, MB; Tarapacki, JA, 1990
)
0.73
"In morphine-treated (3.2 mg/kg/day) rhesus monkeys discriminating between s.c. "( Apparent affinity of opioid antagonists in morphine-treated rhesus monkeys discriminating between saline and naltrexone.
de Costa, BR; France, CP; Jacobson, AE; Rice, KC; Woods, JH, 1990
)
1.16
"Morphine treatment significantly increased the number and density of immuno-labeled nuclei in the ventromedial nucleus, but not in the arcuate nucleus."( The fos proto-oncogene protein:regulation by morphine in the rat hypothalamus.
Chang, SL; Harlan, RE, 1990
)
1.26
"Morphine treatment was observed to reduce total dendritic length."( Perinatal opiate treatment delays growth of cortical dendrites.
Hammer, RP; Ricalde, AA, 1990
)
1
"Morphine treatment did not alter the temperatures of the contralateral saline-injected paws, indicating that opiate suppression of hyperthermia was not confounded by alterations in systemic body temperature or blood flow."( Opiates suppress carrageenan-induced edema and hyperthermia at doses that inhibit hyperalgesia.
Costello, A; Dubner, R; Hargreaves, KM; Joris, J, 1990
)
1
"morphine treatment in the mouse."( Tolerance develops to spinal morphine analgesia but not morphine-induced convulsions.
Lutfy, K; Sierra, V; Tortella, FC; Yoburn, BC, 1990
)
1.29
"morphine-treated rats was highly significant for groups in withdrawal and for controls (r values, 0.958 and 0.971, respectively)."( Dependence and withdrawal following intracerebroventricular and systemic morphine administration: functional anatomy and behavior.
Adams, RE; Wooten, GF, 1990
)
1.23
"Morphine pretreatment combined with formalin injection further increases SPLI, but not significantly higher than either treatment alone."( Naloxone blocks the formalin-induced increase of substance P in the dorsal horn.
Goldstein, BD; McCarson, KE, 1989
)
1
"Morphine treatment resulted in a decrease in the maximal excitation produced by both mu and delta selective agonists, [N-MePhe3,D-Pro4]-morphiceptin and [D-Pen2,L-Pen5]-enkephalin."( Effects of chronic morphine administration on the mu and delta opioid responses in the CA1 region of the rat hippocampus.
Chavkin, C; Opheim, KE; Wimpey, TL, 1989
)
1.33
"Morphine treatment (25 mg/kg per day) throughout pregnancy resulted in 0% survival of the offspring."( Effects of prenatal morphine treatment of rats on mortality, bodyweight and analgesic response in the offspring.
Eriksson, PS; Rönnbäck, L, 1989
)
1.32
"Morphine ingestion treatment was performed with 6 feeding occasions per 24 hr, all experimental animals receiving similar drug doses."( A method for computer control of morphine ingestion by rats.
Eriksson, PS; Rönnbäck, L, 1989
)
1.28
"morphine treatment completely prevented morphine-induced changes in hepatic GSH concentrations; however, the morphine response was restored in adrenalectomized mice supplemented with hydrocortisone (2.5 mg/kg)."( A centrally-mediated effect of morphine to diminish hepatocellular glutathione.
James, RC; Roberts, SM; Skoulis, NP, 1987
)
1.28
"Morphine pretreatment resulted in the development of acute tolerance to i.c.v."( Evidence for delta receptor mediation of [D-Pen2,D-Pen5]-enkephalin (DPDPE) analgesia in mice.
Heyman, JS; Mosberg, HI; Porreca, F, 1986
)
0.99
"Morphine treatment also increased the percentage of cells with markers for macrophages and activated macrophages in virally infected mice, while suppressing them in uninfected mice."( Changes in lymphocyte and macrophage subsets due to morphine and ethanol treatment during a retrovirus infection causing murine AIDS.
Darban, HR; Prabhala, RH; Smith, TL; Watson, RR; Yahya, MD, 1988
)
1.25
"Morphine treatment increased adrenal tyrosine hydroxylase activity to 160% of control."( Biochemical correlates of morphine withdrawal. 1. Characterization in the adrenal medulla and locus ceruleus.
Brown, OM; DiStefano, PS, 1985
)
1.29
"More morphine-treated than dezocine-treated patients withdrew from each study because of inadequate pain relief."( A double-blind comparison of dezocine and morphine in patients with acute renal and ureteral colic.
Boyce, WH; Evans, JW; Peters, PC; Warren, MM, 1985
)
0.99
"Morphine treatment induced an 8-fold increase in plasma IR-ANF (P less than 0.001) from 68.1 +/- 9.3 (mean +/- S.E.) to 540.5 +/- 139.5 pg/ml and this increase was completely abolished by pretreatment with the opioid antagonist naloxone (P less than 0.001) to 37.9 +/- 2.8 pg/ml."( The morphine effect on plasma ANF.
Cantin, M; Garcia, R; Genest, J; Gutkowska, J; Kuchel, O; Racz, K; Thibault, G, 1986
)
1.55
"In morphine-pretreated arthritic animals, the analgesic effect of low doses of naloxone was significantly attenuated."( Cross-tolerance between analgesic low doses of morphine and naloxone in arthritic rats.
Guilbaud, G; Kayser, V, 1987
)
1.04
"Morphine pretreatment partially inhibited the effect of CMI irrespective of the morphine pretreatment dose, but reduction of morphine activity by CMI was non-significant."( Study of the clomipramine-morphine interaction in the forced swimming test in mice.
Eschalier, A; Fialip, J; Makambila, MC; Varoquaux, O, 1987
)
1.29
"morphine after i.p. pretreatment with saline, glucose (5 g/kg) or fructose (5 g/kg) in the mouse tail-flick test indicated that fructose was more potent than glucose in antagonizing antinociception after either route or morphine administration."( Antagonism of antinociception in mice by glucose and fructose: comparison of subcutaneous and intrathecal morphine.
Brase, DA; Dewey, WL; Lux, F, 1988
)
1.21
"Morphine-tolerant mice treated with met-enkephalin or DADL intracerebroventricularly (ICV) showed marked reduction of the pupillary effect of the endopioids."( Opioid mydriasis: cross-tolerance between morphine and enkephalins.
Ben-Am, M; Korczyn, AD, 1986
)
1.26
"Morphine pretreatment did not significantly affect the apparent pA2 of apomorphinehaloperidol for climbing behavior suggesting that the affinity of the dopamine receptor was not altered."( Further evidence that a single dose of an opiate can increase dopamine receptor sensitivity in mice.
Martin, JR; Takemori, AE, 1987
)
0.99
"Morphine treatment (15 mg X kg-1, i.p.) significantly protects against the development of this pathology."( Endogenous opioids are not involved in the pathology induced by hyperbaric oxygen treatment.
Carmody, J; Jamieson, D, 1987
)
0.99
"Morphine treatment alone did not influence significantly the basal PRL plasma concentration."( The effect of magnesium aspartate, xylazine and morphine on the immobilization-induced increase in the levels of prolactin in turkey plasma.
Ali, BH; el Halawani, ME; Silsby, JL, 1987
)
1.25
"Morphine pretreatment also caused a dose-dependent increase in plasma Adriamycin, as measured by total plasma fluorescence."( A novel acute toxicity resulting from the administration of morphine and adriamycin to mice.
Hurwitz, A; Innis, JD; Meyer, M, 1987
)
1.24
"Morphine-treated rats exhibited decreased gastric acid secretion, increased gastric mucus synthesis and a higher mean ulcer index but only the reduced gastric acid output was significantly prevented by atropine."( Effects of morphine, hypoxaemia and hypercapnia on the rat stomach.
Dai, S; Ho, MM; Ogle, CW, 1986
)
1.38
"Morphine treatment was associated with an immediate (15-30 min) inhibition of gastric and colonic spiking activity and intestinal migrating myoelectric complex lasting 6 to 8 hr, followed by a partial recovery of gastric spiking activity while a permanent disorganized motility pattern persisted on the intestine."( Effects of centrally administered naloxone on gastrointestinal myoelectrical activity in morphine-dependent rats.
Bueno, L; Primi, MP, 1987
)
1.22
"Morphine-treated mice, warmed to reverse hypothermia, still had higher plasma and liver BSP levels."( Opioid effects on hepatic disposition of dyes in mice.
Ben-Zvi, Z; Fischer, HR; Hurwitz, A; Innis, JD; Ronsse, S, 1985
)
0.99
"Morphine-treated rams showed normal LH responses to injections of LH-releasing hormone (LHRH) indicating that the site of opiate inhibition was on hypothalamic LHRH secretion rather than on pituitary LH release."( Endogenous opioids and the control of seasonal LH secretion in Soay rams.
Ebling, FJ; Lincoln, GA, 1985
)
0.99
"Treatment with morphine (2 and 4 mg/kg) or CBD (30 mg/kg) induced a significant antinociceptive effect on evoked pain."( Cannabidiol enhances the antinociceptive effects of morphine and attenuates opioid-induced tolerance in the chronic constriction injury model.
Chichorro, JG; Crippa, JAS; Cunha, JMD; Ferreira, MV; Gasparin, AT; Genaro, K; Jesus, CHA; Rosa, ES, 2022
)
1.31
"A treatment with morphine, counteracting the pain, prevents the development of anxio-depressive disorders and reduces neuroinflammation."( Supraspinal neuroinflammation and anxio-depressive-like behaviors in young- and older- adult mice with osteoarthritis pain: the effect of morphine.
Amodeo, G; Baciarello, M; Bignami, EG; D'Agnelli, S; Franchi, S; Galimberti, G; Sacerdote, P, 2023
)
1.44
"Treatment with morphine did not alter the expressions of cold sensitive TREK-1, TRAAK and TRPM8 in DRGs."( Chronic morphine regulates TRPM8 channels via MOR-PKCβ signaling.
Altier, C; Basso, L; Defaye, M; Flynn, R; Hassan, A; Iftinca, M; Kwok, C; Ramachandran, R; Roland, C; Trang, T, 2020
)
1.33
"Pretreatment with morphine augmented p38 phosphorylation, and the increased phospho-p38/p38 ratio was preserved even in the presence of t-BHP."( Protective Effect of Morphine Against the Oxidant-Induced Injury in H9c2 Cells.
Hejnova, L; Karlovska, I; Novotny, J; Skrabalova, J, 2018
)
1.12
"Pretreatment with morphine did not affect the neurobehavioral response to chronic RS, but reverted the GSH and Hsp70 expression."( Differential modulatory effects of morphine on acute and chronic stress induced neurobehavioral and cellular markers in rats.
Gulati, K; Joshi, JC; Ray, A, 2014
)
1
"Pretreatment with morphine, irrespective of dosage, produced a significant loss in left ventricular-developed pressure and an increase of TnT and H2O2 in effluate before doxorubicin infusion (p < 0.05)."( Morphine enhances doxorubicin-induced cardiotoxicity in the rat.
Fossan, KO; Hole, LD; Larsen, TH; Limé, F; Schjøtt, J, 2014
)
2.17
"Pretreatment with morphine (1 and 5 mg/kg) and L-arginine (500 mg/kg) attenuated the RS effects on EPM activity and brain NOx, whereas, Hsp70 levels were further augmented."( Effects of morphine on stress induced anxiety in rats: role of nitric oxide and Hsp70.
Gulati, K; Joshi, JC; Ray, A, 2015
)
1.13
"Treatment with morphine at 3 or 10 mg/kg significantly improved limb-use and weight-bearing scores and reduced the number of spontaneous flinches in rats. "( Protease-activated receptor 2 antagonist potentiates analgesic effects of systemic morphine in a rat model of bone cancer pain.
Bao, Y; Du, M; Gao, Y; Hou, W; Hua, B; Kong, X; Yang, L; Zheng, H,
)
0.71
"Cats treated with morphine (χ2=12.90, df=6, p=0.045) and tramadol (χ2=20.28, df=6, p=0.002) showed significant increases in latency to respond. "( Assessment of a carbon dioxide laser for the measurement of thermal nociceptive thresholds following intramuscular administration of analgesic drugs in pain-free female cats.
Adams, NJ; Barrett, LA; Beausoleil, NJ; Chambers, JP; Farnworth, MJ; Hekman, M; Stafford, KJ; Thomas, DG; Waran, NK; Weidgraaf, K, 2015
)
0.75
"Treatment with morphine leads to enrichment of a side population fraction in MCF-7 cells and the CD44+/CD24(-/low) population in BT549 cells."( Morphine promotes cancer stem cell properties, contributing to chemoresistance in breast cancer.
Gao, P; Guan, Z; Han, QN; Li, JL; Li, TT; Liu, Q; Niu, DG; Peng, F; Wang, KL; Wen, QP; Xu, F; Zhang, W; Zhang, Y; Zhao, HD; Zheng, FM, 2015
)
2.2
"Treatment with morphine in HT-29 cells did not change AQP3 expression."( Morphine-Induced Constipation Develops With Increased Aquaporin-3 Expression in the Colon via Increased Serotonin Secretion.
Fueki, A; Haga, Y; Hayakawa, A; Ikarashi, N; Kon, R; Kusunoki, Y; Machida, Y; Ochiai, W; Sugiyama, K; Tajima, M, 2015
)
2.2
"Pre-treatment with morphine (2, 6, 12 μg/paw) inhibited jararhagin-induced mechanical hyperagesia."( Jararhagin-induced mechanical hyperalgesia depends on TNF-α, IL-1β and NFκB in mice.
Baldo, C; Calixto-Campos, C; Casagrande, R; Clissa, PB; Ferraz, CR; Manchope, MF; Verri, WA, 2015
)
0.74
"Treatment with morphine aggravated the deleterious effects of cisplatin at clinical, biochemical and histopathological levels; whereas naltrexone diminished the detrimental effects of morphine in animals receiving morphine and cisplatin."( Enhancement of Cisplatin Nephrotoxicity by Morphine and Its Attenuation by the Opioid Antagonist Naltrexone.
Aminian, A; Asadi Amoli, F; Dehpour, AR; Ejtemaei Mehr, S; Javadi, S; Moghaddas, P; Rahimian, R, 2016
)
1.04
"Mice treated with morphine had reduced wound closure and higher wound superoxide ions concentrations than control mice. "( Prolonged use of high-dose morphine impairs angiogenesis and mobilization of endothelial progenitor cells in mice.
Chang, PJ; Huang, CC; Huang, YS; Lam, CF; Lin, MW; Liu, YC; Sung, YH; Tsai, YC, 2008
)
0.98
"Treatment with morphine was associated with a higher rate of side effects."( Morphine versus mexiletine for treatment of postamputation pain: a randomized, placebo-controlled, crossover trial.
Agarwal, S; Clark, MR; Haythornthwaite, JA; Klick, B; Max, MB; Raja, SN; Tella, PK; Wu, CL, 2008
)
2.13
"The treatment with morphine increases PKCgamma and Vps34 levels."( Direct evidence for the up-regulation of Vps34 regulated by PKCgamma during short-term treatment with morphine.
Katsura, M; Kurokawa, K; Ohkuma, S; Shibasaki, M, 2009
)
0.89
"Pretreatment with morphine suppressed the glutamate increase."( [Effect of a simple morphine system injection in some aminoacids in the anterior cingulate cortex during acute pain].
Hernández, L; Páez, X; Quiñones, B; Silva, E, 2008
)
0.99
"The treatment with morphine increased alpha(2)/delta subunit expression in the frontal cortex and the limbic forebrain of mice showing rewarding effect and sensitization to hyperlocomotion by morphine."( Role of alpha2/delta subunit in the development of morphine-induced rewarding effect and behavioral sensitization.
Kurokawa, K; Ohkuma, S; Shibasaki, M, 2009
)
0.92
"Treatment with morphine for a period of six days resulted in a persistent hyperalgesia that resolved many days after termination of drug administration."( Opioid-induced latent sensitization in a model of non-inflammatory viscerosomatic hypersensitivity.
King, T; Lian, B; Ossipov, MH; Porreca, F; Vera-Portocarrero, L, 2010
)
0.7
"Pretreatment with morphine did not induce an elevation of LDH activity or of lipid peroxidation compared to controls."( Detection of doxorubicin hydrochloride accumulation in the rat brain after morphine treatment by mass spectrometry.
Aricò, M; Genitori, L; Giovannini, MG; Guerrini, R; la Marca, G; Malvagia, S; Massimino, M; Sardi, I, 2011
)
0.92
"Rats treated with morphine (twice daily, 6 days, 2.5-10 mg/kg, subcutaneously, s.c.) or saline were group-housed in two different conditions."( Social influences on morphine sensitization in adolescent rats.
Eitan, S; Hofford, RS; Schul, DL; Wellman, PJ, 2012
)
1.02
"Pretreatment with morphine (1 and 5mg/kg), attenuated the restraint stress induced anxiogenic response in a dose related manner."( Pharmacological evidence for the role of nitric oxide in the modulation of stress-induced anxiety by morphine in rats.
Anand, R; Gulati, K; Ray, A, 2012
)
0.92
"Treatment with morphine (1mg/kg, s.c.) at one day after the surgery showed a significant anti-allodynic effect."( Involvement of inflammation in severe post-operative pain demonstrated by pre-surgical and post-surgical treatment with piroxicam and ketorolac.
Fujita, I; Kita, Y; Okumura, T; Sakakibara, A, 2012
)
0.72
"Treatment with morphine reduced locomotion and rearing similarly in both genotypes but reduced total grooming only in MUT mice."( Behavioural and anatomical characterization of mutant mice with targeted deletion of D1 dopamine receptor-expressing cells: response to acute morphine.
Babovic, D; Drago, J; Gantois, I; Goto, S; Jiang, L; Lawrence, AJ; Schütz, G; Waddington, JL, 2013
)
0.93
"treatment with morphine, the intensive PLCgamma1-IR was detected in the cell surface of the positive cells."( Direct evidence for the activation of phospholipase C gamma 1 by in vivo treatment with morphine in the mouse periaqueductal gray matter.
Aoki, T; Funahashi, H; Narita, M; Ohnishi, O; Shioda, S; Suzuki, M; Suzuki, T; Yajima, Y, 2003
)
0.88
"Pre-treatment with morphine inhibited the distension-induced visceromotor response, i.e."( Telemetric animal model to evaluate visceral pain in the freely moving rat.
Coulie, B; Meulemans, AL; Nijsen, MJ; Ongenae, NG, 2003
)
0.64
"Treatment of morphine-dependent rats with Nomega-nitro-l-arginine methyl ester also enhanced oxytocin secretion during naloxone-precipitated withdrawal."( The role of nitric oxide in morphine dependence and withdrawal excitation of rat oxytocin neurons.
Blackburn-Munro, GJ; Brown, CH; Bull, PM; Delgado-Cohen, H; Ludwig, M; Russell, JA, 2003
)
0.97
"Treatment with morphine reduced effects of noxious stimulation and appears to be an effective analgesic."( Novel object test: examining nociception and fear in the rainbow trout.
Braithwaite, VA; Gentle, MJ; Sneddon, LU, 2003
)
0.66
"Pretreatment with morphine (3-12 microg paw(-1)) also dose-dependently inhibited the IL-18-induced hypernociception."( Interleukin-18 induces mechanical hypernociception in rats via endothelin acting on ETB receptors in a morphine-sensitive manner.
Cunha, FQ; Cunha, TM; Ferreira, SH; Liew, FY; Schivo, IR; Verri, WA, 2004
)
0.86
"Pretreatment with morphine or deltorphine (but not with U-50,488H) enhanced leukocyte migration to L15 and S in each species, while it inhibited migration of mouse and fish (but not frog) leukocytes to ZAS, phenomena reversed by specific antagonists of mu and delta opioid receptors (CTOP or naltrindole, respectively)."( Differential migratory properties of mouse, fish, and frog leukocytes treated with agonists of opioid receptors.
Chadzinska, M; Plytycz, B, 2004
)
0.65
": Pretreatment with morphine induces delayed cardioprotection in mice. "( Inducible nitric oxide synthase mediates delayed cardioprotection induced by morphine in vivo: evidence from pharmacologic inhibition and gene-knockout mice.
Jiang, X; Nakajima, Y; Sato, S; Shi, E, 2004
)
0.88
"Pretreatment with morphine blunted changes in the HVA/DA ratio induced by another morphine challenge, but it had no effect on the DOPAC/DA ratio within the caudate putamen."( A single exposure to morphine induces long-lasting hyporeactivity of rat caudate putamen dopaminergic nerve terminals.
Ali, SF; Macedo, TR; Pereira, FC; Ribeiro, CF; Santos, SD, 2004
)
0.97
"Treatment with morphine (1 mg/kg) induced a significant increase in exploratory behavior in an unfamiliar environment in rats."( Alterations in opioid system of the rat brain after cat odor exposure.
Areda, T; Asser, T; Karis, A; Kõks, S; Philips, MA; Vasar, E, 2005
)
0.67
"Pretreatment with morphine 30 min before pulp exposure dose-dependently (2.5, 5, and 10 mg/kg subcutaneously) reduced Fos expression in subnucleus caudalis whereas pretreatment with ibuprofen (10-100 mg/kg subcutaneously) did not significantly affect Fos expression."( Effects of pre-emptive morphine, ibuprofen or local anesthetic on fos expression in the spinal trigeminal nucleus following tooth pulp exposure in the rat.
Erickson, TE; Gebhart, GF; Johnson, WT; Law, AS; Locher-Claus, MT, 2005
)
0.96
"Pre-treatment with morphine did not inhibit unpotentiated capsaicin-induced Ca2+ responses but significantly altered capsaicin responses potentiated by forskolin."( The mu opioid agonist morphine modulates potentiation of capsaicin-evoked TRPV1 responses through a cyclic AMP-dependent protein kinase A pathway.
Cabot, PJ; Monteith, GR; Roberts-Thomson, SJ; Vetter, I; Wyse, BD, 2006
)
0.97
"Treatment with morphine increased the numbers of FRAP-positive terminals, and this was prevented by naloxone."( Morphine acts via mu-opioid receptors to enhance spinal regeneration and synaptic reconstruction of primary afferent fibers injured by sciatic nerve crush.
Chen, SJ; Nie, JH; Wu, W; Zeng, YS; Zhang, W, 2007
)
2.12
"Mice treated with morphine and injected intracerebroventricularly with DNAzyme did not show preference to the morphine-trained side."( The extracellular signal-regulated kinase signaling pathway is involved in the modulation of morphine-induced reward by mPer1.
Jiang, Z; Liu, Y; Wan, C; Wang, Y; Wang, Z; Zhou, W, 2007
)
0.88
"Rats treated with morphine and shock had higher mortality rates, and displayed allodynic responses to innocuous sensory stimuli three weeks later."( The impact of morphine after a spinal cord injury.
Bopp, AC; Ferguson, AR; Grau, JW; Hook, MA; Huie, JR; Liu, GT; Washburn, SN, 2007
)
1.02
"Pretreatment with morphine (5 mg/kg, s.c.) did not influence the effects of VIP on net water flux and on mucosal cyclic AMP content."( Influence of vasoactive intestinal polypeptide on net water flux and cyclic adenosine 3',5'-monophosphate formation in the rat jejunum.
Beubler, E, 1980
)
0.58
"4 Pretreatment with morphine (10 mg/kg, s.c.) reduced the effect of PGE1 on net water flux and completely inhibited its effect on the mucosal cyclic AMP content."( Inhibition by morphine of prostaglandin E1-stimulated secretion and cyclic adenosine 3',5'-monophosphate formation in the rat jejunum in vivo.
Beubler, E; Lembeck, F, 1980
)
0.94
"Treatment with morphine (1 or 5 mg/kg), but not pancuronium (0.3 mg/kg), attenuated the plasma beta-END-LI response to mechanical ventilation, suggesting that a subconscious phenomenon, perhaps related to pain, was partially responsible for the profound release of pituitary beta-END-LI associated with artificial respiration."( Anesthesia and stimulation of pituitary beta-endorphin release in rats.
Maiewski, S; Mueller, GP; Muldoon, S, 1984
)
0.61
"Pretreatment with morphine did not affect the inhibitory effect of nalbuphine, and the antagonistic potency of naloxone against nalbuphine was only marginally enhanced."( The effects of morphine and nalbuphine on intestinal transit in mice.
Wong, CL, 1984
)
0.94
"Pretreatment with morphine 2.0 mg/kg subcutaneously did not alter the antinociceptive effect of either morphine or nalbuphine measured 3 h later."( Increased naloxone potency induced by pretreatment with morphine and nalbuphine in mice.
Wai, MK; Wong, CL,
)
0.7
"Pretreatment with morphine did not reduce the release of TSH induced by exogenous thyrotrophin-releasing hormone (TRH) but enhanced it."( Effect of morphine on the release of thyroid-stimulating hormone stimulated by exposure to cold, thyroidectomy and the administration of thyrotrophin releasing hormone in male rats.
Kato, R; Muraki, T; Nakadate, T; Tokunaga, Y, 1980
)
0.99
"Treatment with morphine or the analog caused significantly reduced alternation, i.e., arms were entered with equal probability."( Y-maze behavior in the mouse after morphine or an enkephalin analog.
Katz, RJ; Schmaltz, K, 1981
)
0.88
"A pretreatment with morphine (100 micrograms/kg, I.C.V.) completely prevents the central hypotensive effect of clonidine, whereas the bradycardia is only weakly influenced."( [Morphine antagonizes the central hypotensive effect of clonidine in the anesthetized cat].
Bloch, R; Bousquet, P; Feldman, J; Schwartz, J, 1982
)
1.49
"Mice treated with morphine (100 mg/kg SC) and 3 hr later with naloxone (30 mg/kg) developed an acute abstinence syndrome characterized by escape attempts (rearing, wall-climbing, jumping) and unconditioned motor (head-shaking, jerking) and visceral signs. "( Cortical spreading depression blocks naloxone-induced escape behaviour in morphine pretreated mice.
Bures, J; Peréz-Saad, H, 1983
)
0.83
"Pretreatment with morphine, pentazocine and scopolamine at motor stimulant doses before each training session did not affect acquisition of brightness discrimination."( Acquisition of brightness discrimination in the rat is impaired by opiates with psychotomimetic properties.
Franklin, SR; Tang, AH, 1983
)
0.59
"Treatment with morphine decreased the dorsal potential and blocked the increase in amplitude induced by noxious by noxious stimuli."( Correlates of nociception and antinociception in dorsal root potentials in the rat.
Wilcox, GL, 1982
)
0.6
"Mice treated with morphine (intracerebroventricularly, retrobulbarly or intraperitoneally) demonstrated dose related bilateral mydriasis. "( Central and peripheral components of morphine mydriasis in mice.
Korczyn, AD; Maor, D, 1982
)
0.87
"Treatment with morphine decreased serum LH and testosterone concentrations and reduced secondary sex organ weights."( Effects of morphine sulphate on pituitary-testicular morphology of rats.
Crook, D; Heywood, R; James, RW, 1980
)
0.99
"The treatment of morphine induced H, A, and M seems to be to discontinue morphine administration and to initiate therapy with other opioids (fentanyl, sufentanyl, methadone or ketobemidone)."( [Morphine-induced hyperalgesia, allodynia and myoclonus--new side-effects of morphine?].
Jacobsen, LS; Jensen, NH; Olsen, AK; Sjøgren, P, 1995
)
1.53
"Rats treated with morphine chronically exhibited not only tolerance to the analgesic effect but also tolerance to the exacerbating action."( kappa-Opioid receptor agonist protects against ischemic reduction of 2-deoxyglucose uptake in morphine-tolerant rats.
Shibata, S; Tominaga, K; Watanabe, S, 1995
)
0.83
"Treatment with morphine decreased capsaicin-induced responses, and naloxone reversed the inhibitory effect."( Morphine modulates contractile responses and neurokinin A-LI release elicited by electrical field stimulation or capsaicin in a guinea pig bronchial-tube preparation.
Andersson, RG; Lindström, EG, 1995
)
2.07
"Pretreatment with morphine (I.V.) blocked the effects of CCK in a naloxone-reversible manner."( Presynaptic actions of morphine: blockade of cholecystokinin-induced noradrenaline release in the rat supraoptic nucleus.
Guevara-Guzman, R; Kendrick, K; Leng, G; Luckman, SM; Onaka, T; Ueta, Y, 1995
)
0.93
"Pretreatment with morphine (3 nmol, -140 min) produced acute antinociceptive tolerance as demonstrated by a 45-fold rightward shift of the morphine dose-response curve."( Preventing morphine antinociceptive tolerance by irreversible mu opioid antagonists before the onset of their antagonism.
Archer, S; Bidlack, JM; Jiang, Q; Sebastian, A; Seyed-Mozaffari, A, 1995
)
1
"Pretreatment with morphine (3.0 mg/kg, SC) resulted in a 70-fold increase in sensitivity to the response rate decreasing effect of naltrexone compared with saline pretreatment."( Naloxone pretreatment blocks acute morphine-induced sensitization to naltrexone.
Holtzman, S; White-Gbadebo, D, 1994
)
0.89
"Treatment with morphine resulted in a decrease in MAP and an increase in heart rate."( Effects of opioid agonists and opioid antagonists in endotoxic shock in rats.
Tseng, CS; Tso, HS, 1993
)
0.63
"Treatment with morphine for 5 days increased calbindin-ir in the striatal matrix, and induced intense calbindin-ir in the patch compartment."( Chronic morphine increases calbindin D28k in rat striatum: possible NMDA receptor involvement.
Garcia, MM; Harlan, RE, 1993
)
1.06
"Upon treatment with morphine, no major effects on the sequential structure of social behavior were observed: pinning and boxing/wrestling appeared more associated with following/chasing, and the negative association between pinning and boxing/wrestling on the one hand and social exploration on the other was enhanced."( Sequential analysis of social play behavior in juvenile rats: effects of morphine.
Hol, T; Niesink, RJ; Spruijt, BM; Van Ree, JM; Vanderschuren, LJ, 1995
)
0.84
"Pretreatment with morphine for 10 days by continuous subcutaneous infusion (15 mg/kg/day) reduced the ED25 value of NTX from 28.2 to 0.002 +/- 1.48 mg/kg."( Intracranial self-stimulation in rats: sensitization to an opioid antagonist following acute or chronic treatment with mu opioid agonists.
Easterling, KW; Holtzman, SG, 1997
)
0.62
"Pretreatment of morphine-dependent rats with an intrathecal injection of 100 nmol of the neurokinin-1 receptor antagonist CP-99994 significantly inhibited the magnitude and shortened the duration of the pressor response to naloxone."( Effect of intrathecal pretreatment with the neurokinin receptor antagonist CP-99994 on the expression of naloxone-precipitated morphine withdrawal symptoms.
Buccafusco, JJ; Shuster, LC, 1997
)
0.84
"Pretreatment with morphine alone (10 mg/kg s.c., two times a day during 4 days) induced a complete tolerance to the antinociceptive effect of acute morphine (0.1-1.0 mg/kg i.v.)."( Prevention of tolerance to the antinociceptive effects of systemic morphine by a selective cholecystokinin-B receptor antagonist in a rat model of peripheral neuropathy.
Guilbaud, G; Idänpään-Heikkilä, JJ; Kayser, V, 1997
)
0.86
"We treated morphine-induced emesis in ferrets with electroacupuncture (EA) for five minutes at the acupuncture point Neiguan (P6) using two different frequencies of stimulation: 1.0 Hz and 5.0 Hz (n = 5 ferrets per group). "( Electroacupuncture reduces morphine-induced emesis in ferrets: a pilot study.
Berman, B; Lao, L; Wong, RH; Wynn, RL, 1995
)
0.98
"Pretreatment with morphine (2.5-30 mg/kg, SC) led to a dose-dependent increase in time spent in the morphine-paired compartment."( Effects of test conditions on the outcome of place conditioning with morphine and naltrexone in mice.
Balster, RL; Beardsley, PM; Bespalov, AY; Bowen, SE; Tokarz, ME, 1999
)
0.86
"Pretreatment with morphine increased NEP activities (9.86 +/- 1.98 vs."( Morphine preconditioning attenuates neutrophil activation in rat models of myocardial infarction.
Chang, H; Hung, CR; Tseng, YZ; Wang, TL, 1998
)
2.07
"Pretreatment with morphine (3 and 10 mg/kg, i.p.) significantly reduced the induction of Fos-IR neurons at the superficial layers of the ipsilateral SpVc in a dose-dependent manner, and its effect was antagonized by the subsequent treatment of naloxone (2 mg/kg, i.p.)."( Effects of morphine on the distribution of Fos protein in the trigeminal subnucleus caudalis neurons during experimental tooth movement of the rat molar.
Aihara, Y; Hanada, K; Maeda, T; Wakisaka, S, 1999
)
1.02
"Treatment with morphine lowered the [32P]-incorporation in HMG I and HMGI-C proteins and the level of the HMG I/Y transcript."( Morphine treatment affects the regulation of high mobility group I-type chromosomal phosphoproteins in C6 glioma cells.
Angelova, A; Chakalova, L; Chakarov, S; Ganev, V; Tencheva, Z, 2000
)
2.09
"In untreated mice, morphine, fentanyl, clonidine, oxymetazoline, desipramine and lidocaine, but not MK801, produced dose-related antinociception when tested using a 55 degrees C water tail-flick test."( Pharmacologic reversal of pertussis toxin-induced thermal allodynia in mice.
Shannon, HE; Womer, DE, 2000
)
0.63
"Pretreatment with morphine significantly suppressed the machine milking-induced increase of cortisol in blood plasma as compared with controls."( Cortisol and ACTH release in dairy cows in response to machine milking after pretreatment with morphine and naloxone.
Kraetzl, WD; Schams, D; Tancin, V, 2000
)
0.85
"Treatment with morphine (10 mg/kg, subcutaneously (s.c.)) inhibited gastrointestinal transit and hyperlocomotion."( Effects of fluvoxamine on morphine-induced inhibition of gastrointestinal transit, antinociception and hyperlocomotion in mice.
Aoki, T; Hirano, M; Ise, Y; Katayama, S; Narita, M; Suzuki, T, 2001
)
0.95
"Pretreatment with morphine (300 microg x kg(-1), i.v.) 10-min before ischemia and reperfusion mimicked the protection produced by PC."( Role of endogenous opioid peptides in protection of ischemic preconditioning in rat small intestine.
Dun, Y; Hao, YB; Wu, YX; Yang, SP; Zhang, Y, 2001
)
0.63
"treatment with morphine or heroin decreased mu opioid receptor activation of G-proteins in specific brain regions."( Chronic intrathecal morphine administration produces homologous mu receptor/G-protein desensitization specifically in spinal cord.
Childers, SR; Eisenach, JC; Maher, CE; Pan, HL; Xiao, R, 2001
)
0.97
"Pretreatment with morphine-like agonists potentiates the behavioral effects of opioid antagonists, possibly reflecting a state of acute physical dependence. "( Acute opioid pretreatment potentiates naltrexone-induced drinking suppression in water-deprived rats.
Holtzman, SG; White, DA, 2001
)
0.64
"Pretreatment with morphine caused a dose-related reduction in emesis induced by a single challenge to a motion stimulus."( Opioid receptor involvement in the adaptation to motion sickness in Suncus murinus.
Javid, FA; Naylor, RJ, 2001
)
0.63
"Treatment with morphine increases [14C]-inulin permeability of an in vitro microvascular endothelial cell barrier, and decreases endothelial cell viability."( Actions of endotoxin and morphine.
Chang, SL; Felix, B; Fiala, M; Jiang, Y, 2001
)
0.95
"Pretreatment with morphine (2 mg/kg) attenuated, in a naloxone-reversible manner, the nociceptive behaviour observed following intradental application of capsaicin."( Nociceptive behaviour induced by dental application of irritants to rat incisors: a new model for tooth inflammatory pain.
Chidiac, JJ; Hawwa, NN; Jabbur, SJ; Jurjus, AR; Massaad, CA; Rifai, K; Saadé, NE, 2002
)
0.64
"Pretreatment with morphine greatly reduces Fos-LI produced in the dorsal paratrigeminal area (dPa5), ventrolateral pole of the subnucleus interpolaris/caudalis (Vi/Vc-vl) transition region, and laminae I-II at the subnucleus caudalis/upper cervical cord junction (Vc/C2) suggesting a role for these areas in processing pain signals from the TMJ region."( Vagotomy prevents morphine-induced reduction in Fos-like immunoreactivity in trigeminal spinal nucleus produced after TMJ injury in a sex-dependent manner.
Bereiter, DA; Bereiter, DF; Ramos, M, 2002
)
0.97
"Posttreatment with morphine also resulted in comparable suppression of the phase 2 response (ED50 = 0.2 micrograms [95% CI = 0.1-0.3])."( Comparison of the antinociceptive effects of pre- and posttreatment with intrathecal morphine and MK801, an NMDA antagonist, on the formalin test in the rat.
Yaksh, TL; Yamamoto, T, 1992
)
0.83
"Pretreatment with morphine or BW443C did not influence the acid responses to i.v."( Modulation by peripheral opioids of basal and distension-stimulated gastric acid secretion in the rat.
Barrachina, MD; Esplugues, J; Esplugues, JV, 1992
)
0.61
"AZT-treatment, morphine-treatment, AZT plus morphine treatment and AZT plus methadone treatment strongly depressed the phagocytic physiological activity of Polymorphonuclear leukocytes (PMNs)."( Immunological consequences of zidovudine treatment in control and morphine or methadone treated mice.
Bacosi, A; Caronna, A; Di Carlo, S; Pacifici, R; Pichini, S; Zuccaro, P, 1992
)
0.86
"Pretreatment with morphine resulted in cocaine-induced seizures of 20%, 80% and 100%, respectively (p less than or equal to 0.05 with cocaine 35 and 50 mg/kg)."( The effect of morphine and naloxone on cocaine toxicity.
Albertson, TE; Derlet, RW; Tharratt, RS; Tseng, CC, 1992
)
0.97
"Pretreatment of morphine-dependent rats with the same dose of daY8Ra also significantly attenuated (p less than 0.001) the abstinence signs subsequently precipitated by 10 micrograms naloxone ICV."( Analog of neuropeptide FF attenuates morphine abstinence syndrome.
Arcangeli, KR; Hammond, MV; Lake, JR; Leyva, JE; Ludgate, K; Malin, DH; Moore, GM; Payza, K; Rogillio, RB,
)
0.74
"Pretreatment with morphine also abolished the morphine-induced increase in Cai of isolated myocytes."( Morphine and (D-Ala2, NMe-Phe4, Gly-ol)-enkephalin increase the intracellular free calcium in isolated rat myocytes--effect of naloxone or pretreatment with morphine.
Huang, XD; Wong, TM, 1991
)
2.05
"Treatment with morphine or beta-endorphin associated with each immobilization session for 3 days produced a response to 5-MeODMT higher than that of animals subjected to immobilization only."( Opioid involvement in the adaptive change of 5-HT1 receptors induced by chronic restraint.
Cancela, L; Molina, VA; Volosin, M, 1990
)
0.62
"Rats treated with morphine showed withdrawal signs such as hyperirritability, salivation, diarrhea, and weight loss."( Physical dependence potential of an enkephalin analog, EK-399, in rats.
Nishida, N, 1990
)
0.6
"Pretreatment with morphine at a dose of 10 mg/kg (i.v.) significantly enhanced the release of 5-HT."( Involvement of descending monoaminergic systems in the transmission of dental pain in the trigeminal nucleus caudalis of the rabbit.
Imai, Y; Inoki, R; Shibutani, T; Yonehara, N, 1990
)
0.6
"Pretreatment with morphine and naloxone prevented the long-term blockade by SP."( Substance P-induced long-term blockade of spinal adrenergic analgesia: reversal by morphine and naloxone.
Nance, PW; Sawynok, J, 1987
)
0.82
"Treatment with morphine inhibited the late response without affecting the initial response."( Two types of gastric excitatory responses to stimulation of the vagal trunk in cats: efferent and afferent responses.
Fujiwara, M; Kurahashi, K; Okamoto, T; Tsubomura, T, 1988
)
0.61
"Pretreatment of morphine for 5 min significantly augmented the subsequent BK responses for 30 min or more."( Facilitatory effects of opioids on the discharges of visceral nociceptors.
Kumazawa, T; Minagawa, M; Mizumura, K; Sato, J, 1989
)
0.61
"Pretreatment with morphine or DADLE did not alter the LH response to GnRH (100 micrograms) stimulation, indicating a hypothalamic site of action for the opioid inhibition of LH release."( Opioid effects on plasma concentrations of luteinizing hormone and prolactin in the adult male rhesus monkey.
Almirez, RG; Gilbeau, PM; Holaday, JW; Smith, CG, 1985
)
0.59
"A pretreatment with morphine inhibited the stress-induced reduction in the hypothalamic NE and DA concentrations, and induced a significant increase in the DA concentration."( Effects of morphine on hypothalamic corticotropin-releasing factor (CRF), norepinephrine and dopamine in non-stressed and stressed rats.
Hashimoto, K; Ota, Z; Suemaru, S, 1985
)
0.97
"Pretreatment with morphine (2.5 mg/kg), a mu agonist, or ethylketocyclazocine (EKC: 2.5 mg/kg), a kappa agonist, potentiated hypothermia induced by high dose of PCP."( Involvement of opioid receptors in hypo- and hyperthermic effects induced by phencyclidine in mice.
Hiramatsu, M; Kameyama, T; Nabeshima, T, 1986
)
0.59
"Rats treated with morphine exhibited body weight loss upon the naloxone injection."( Effect of opioid agonist-antagonist interaction on morphine dependence in rats.
Fukagawa, Y; Suzuki, T; Yanaura, S; Yoshii, T, 1988
)
0.85
"Pretreatment with morphine had little or no effect on MBP or HR responses to AII."( Attenuation by naloxone of the pressor effects of angiotensin II in conscious cynomolgus monkeys.
Kirby, DA; Spealman, RD, 1988
)
0.6
"Pretreatment with morphine (20 mg/kg) reduced by 80% the dose of Adriamycin required to induce a 30% mortality at 30 min post-Adriamycin administration."( A novel acute toxicity resulting from the administration of morphine and adriamycin to mice.
Hurwitz, A; Innis, JD; Meyer, M, 1987
)
0.84
"Treatment with morphine did not cause substantial pain relief in a substantial number of patients."( Pain assessment by patients and nurses in the early phase of acute myocardial infarction.
Bondestam, E; Gaston Johansson, F; Herlitz, J; Holmberg, S; Hovgren, K; Jern, S, 1987
)
0.61
"Pretreatment with morphine (1-10 mg/kg s.c.) 10 min before kainic acid administration significantly increased the number of spikes in the EEG in a dose-dependent manner."( Potentiating effect of morphine on seizures induced by kainic acid in rats. An electroencephalographic study.
Benedek, G; Joó, F; Lelkes, Z; Sztriha, L, 1986
)
0.91
"Treatment with morphine consistently elevated serum prolactin concentrations (greater than 100%) in castrated rats of all ages, regardless of the time elapsed after gonadectomy."( A 'window of time' during which testosterone determines the opiatergic control of LH release in the adult male rat.
Almeida, OF; Herz, A; Nikolarakis, KE; Schulz, R, 1987
)
0.61
"Pretreatment with morphine enhanced licking behaviour and, in addition, produced some gnawing behaviour, a sign which is seen after a larger dose of apomorphine alone as well."( Interactions of morphine with apomorphine: behavioural and biochemical studies.
Kuschinsky, K; Möller, HG, 1986
)
0.94
"Pretreatment with morphine did not change the naloxone effects in intact rats."( Opiate-androgen interactions in drug-induced yawning and penile erections in the rat.
Berendsen, HH; Gower, AJ, 1986
)
0.59

Toxicity

Sufentanil (R 30 730), N-[4-methoxymethyl)-1-[2-(2-thienyl)ethyl]-4-piperidinyl]-N-phenylpropanamide, is a chemically novel, highly potent morphine substitute.

ExcerptReferenceRelevance
"Sufentanil (R 30 730), N-[4-methoxymethyl)-1-[2-(2-thienyl)ethyl]-4-piperidinyl]-N-phenylpropanamide, is a chemically novel, highly potent and extremely safe intravenous morphine-like agent in laboratory animals."( Sufentanil, a very potent and extremely safe intravenous morphine-like compound in mice, rats and dogs.
Janssen, PA; Niemegeers, CJ; Schellekens, KH; Van Bever, WF, 1976
)
0.7
"It has been shown in both mice and rats that the LD50 value for doxapram is reduced in rodents treated with narcotic analgesics."( A study of the enhanced toxicity of doxapram in rodents treated with narcotic analgesics.
Pleuvry, BJ, 1978
)
0.26
" Naltrexone (10 mg/kg, ip) given 5 min before pentobarbital did not alter the LD50 of the latter."( Studies of the possible role of brain endorphins in pentobarbital anesthesia and toxicity in mice.
Bhargava, HN, 1979
)
0.26
"0 mg kg-1), but not higher doses, significantly antagonized the toxic response to a previously determined TD50 of domoic acid."( Morphine differentially affects domoic acid and kainic acid toxicity in vivo.
Strain, SM; Tasker, A, 1992
)
1.73
"The primary purpose of this study was to examine whether alprazolam pretreatment can increase the analgesic potency of morphine without increasing opioid side-effect intensities."( Influence of alprazolam on opioid analgesia and side effects during steady-state morphine infusions.
Coda, BA; Hill, HF; Mackie, A, 1992
)
0.72
" Both drugs produced acceptable analgesia, and there were no clinically significant adverse events."( Efficacy and safety of tramadol versus morphine for moderate and severe postoperative pain with special regard to respiratory depression.
Erdmann, W; Houmes, RJ; Lachmann, B; Verkaaik, A; Voets, MA, 1992
)
0.55
" In chronic or acute renal insufficiency biologically active metabolites of morphine accumulate in the serum and may be responsible for severe toxic side effects."( [Pharmacokinetic effects in morphine toxicity, with case examples].
Morant, R; Senn, HJ, 1991
)
0.8
"Single-dose caudal epidural morphine in children is safe and effective when administered intraoperatively prior to surgery as the only opioid and coupled with appropriate monitoring, nursing education, and follow-up by the anesthesiologist."( Single-dose caudal epidural morphine in children: safe, effective, and easy.
Serlin, S,
)
0.72
"The analgesic and acute central nervous system (CNS) side effect potential of the enkephalinase inhibitor SCH 32615 (N-[L-(1-carboxy-2-phenyl)ethyl]-L-phenyl-alanine-beta-alanine) were evaluated after IV administration to mice, rats and squirrel monkeys."( Analgesic and acute central nervous system side effects of the intravenously administered enkephalinase inhibitor SCH 32615.
Chipkin, RE; Coffin, VL, 1991
)
0.28
" Ketorolac was well tolerated, with rates of adverse events generally lower than those of the opiate comparators."( Analgesic efficacy and safety of single-dose oral and intramuscular ketorolac tromethamine for postoperative pain.
Brown, CR; Bynum, LJ; Clarke, PJ; Dickie, G; Evans, SA; Moodie, JE; Smith, BA; Wild, VM, 1990
)
0.28
" We, therefore, devised a technique for tracheal suctioning using inexpensive, readily available materials that is not only safe and effective in suctioning meconium but is also practical and easy to perform."( A meconium suctioning device that is safe and practical.
Alexander, HG; Coraggio, MJ; Roscelli, JD, 1989
)
0.28
"A double-blind study of patients selected at random compared the analgesic and adverse effects of intrathecal methadone (1 mg) with those of intrathecal morphine (0."( Intrathecal methadone and morphine for postoperative analgesia: a comparison of the efficacy, duration, and side effects.
Brody, MC; Chabal, C; Ireton, RC; Jacobson, L; Ward, RJ, 1989
)
0.78
" These data establish comparable analgesic efficacy and side effect potential of these two dosage strengths and confirm a 12-hour duration of effect for both."( Oral controlled-release morphine sulfate. Analgesic efficacy and side effects of a 100-mg tablet in cancer pain patients.
Fitzmartin, R; Kaiko, RF; Kanner, R; Maldonado, M; Portenoy, RK, 1989
)
0.58
"The ionic composition of the internal environment influences the toxic effect of morphine."( Experimental research of the influence of the body electrolytic composition on the toxic effect of morphine.
Fulga, I; Manu, D; Stroescu, V,
)
0.57
" Pain measurements, supplementary analgesia requirements, and adverse effects were recorded."( A dose-response study of intrathecal morphine: efficacy, duration, optimal dose, and side effects.
Brody, MC; Chabal, C; Jacobson, L, 1988
)
0.55
" A fixed dose of Ch (100 mg/kg) altered neither the expression of toxic cholinergic signs produced by varying doses (from 75."( The effects of choline on soman-induced analgesia and toxicity.
Romano, JA; Shih, TM,
)
0.13
" LD50 of acutely administered iv gentamicin was 51."( Morphine effects on gentamicin disposition and toxicity in mice.
Ben-Zvi, Z; Garty, M; Hurwitz, A, 1988
)
1.72
" Adverse effects were very uncommon."( Use of sodium nitroprusside in neonates: efficacy and safety.
Ariagno, RL; Benitz, WE; Cohen, RS; Malachowski, N; Stevenson, DK; Sunshine, P, 1985
)
0.27
" lidocaine, as shown by marked reduction of LD50 by either opioid."( Opioid effects on lidocaine disposition and toxicity in mice.
Ben-Zvi, Z; Garty, M; Hurwitz, A, 1985
)
0.27
", decreased or less markedly accelerated than might be expected given the reduced blood pressure, suggesting a vagal mechanism for the adverse effects."( Adverse effects due to morphine sulfate. Challenge to previous clinical doctrine.
Jaffe, AS; Semenkovich, CF, 1985
)
0.58
"Approximately equianalgesic oral doses of codeine, an oxycodone compound resembling Percodan, and pentazocine were compared for adverse effects in a double-blind, randomized study of four doses of each drug given over two days to 247 postsurgical patients with pain."( Adverse effects of commonly ordered oral narcotics.
Hopper, M; Kantor, TG; Laska, E, 1981
)
0.26
" Toxic signs of oripavine and phi-dihydrothebaine in both species were clonic-tonic convulsions followed by death."( Analgesic activity and toxicity of oripavine and phi-dihydrothebaine in the mouse and rat.
Yeh, SY, 1981
)
0.26
" Therefore, continuous intravenous morphine is effective and safe therapy."( Safety and efficacy of continuous intravenous morphine for severe cancer pain.
Citron, ML; Cohen, MH; Fossieck, BE; Franklin, R; Johnston-Early, A; Krasnow, SH; Spagnolo, SV, 1984
)
0.8
" Nalorphine (20 mg/kg) did not affect the toxic action of kainic acid."( Effects of morphine, nalorphine and morphine withdrawal on lethal toxicity of intracerebroventricular kainic acid in mice.
Czuczwar, SJ; Kleinrok, Z; Turski, L, 1981
)
0.65
" An effort was made to establish safe limits of variable decelerations."( [Studies on the safe limit of variable decelerations during labor].
Arai, K; Ikegawa, A; Okawa, T; Okinaga, S; Ota, T; Yoshie, K, 1982
)
0.26
" With the exception of one subject, who experienced transient (2 hours) nausea, none of the subjects experienced any adverse side effects after the intravenous morphine."( Nonrespiratory side effects of epidural morphine.
Bromage, PR; Camporesi, EM; Durant, PA; Nielsen, CH, 1982
)
0.73
"This study showed that the LD50 values for morphine sulfate, cobalt chloride, and phenytoin sodium did not vary significantly on Day 9 of gestation in CF-1 mice when compared to values of nongravid animals."( Nonvariance of LD50 values of drugs in gravid and nongravid mice.
Gautieri, RF; Mahalik, MP; McDevitt, JM; Russell, JA, 1980
)
0.52
"The active morphine metabolite, morphine-6-glucuronide (M-6-G), may contribute to both the analgesia and the adverse effects observed during morphine (MOR) therapy."( Morphine-6-glucuronide concentrations and opioid-related side effects: a survey in cancer patients.
Foley, KM; Inturrisi, CE; Lapin, J; Portenoy, RK; Thaler, HT; Tiseo, PJ, 1995
)
2.12
" Our results showed that a large, acute dose of morphine given to drug-naive male rats 24 hr before the initiation of breeding had no effect on fertility rates, but produced several adverse effects on fetal outcome."( Adverse effects of paternal opiate exposure on offspring development and sensitivity to morphine-induced analgesia.
Adams, M; Cicero, TJ; Meyer, ER; Nock, B; O'Connor, L, 1995
)
0.77
" The maximum safe (non-lethal) dose of free morphine was 130 mg/kg."( Prolonged analgesia and decreased toxicity with liposomal morphine in a mouse model.
Grant, GJ; Langerman, L; Stenner, M; Turndorf, H; Vermeulen, K; Zakowski, MI, 1994
)
0.79
"The efficacy of morphine by either lumbar extradural route or caudal extradural route and their adverse effects for postoperative analgesia were studied by comparing with the control group without morphine administration."( Lumbar extradural morphine and caudal extradural morphine for postoperative analgesia and their adverse effects.
Chan, HC; Chen, FS; Chen, KP; Chuah, EC; Tan, PP; Wong, CH, 1993
)
0.97
"The study was designed to compare analgesic efficacy and associated adverse effects between a group of parturients receiving subarachnoid opioids via the combined spinal-epidural (CSE) technique with a group receiving epidural analgesia alone for labor."( Subarachnoid morphine and fentanyl for labor analgesia. Efficacy and adverse effects.
Caldwell, LE; Rosen, MA; Shnider, SM,
)
0.5
" These data suggest that daily maintenance on buprenorphine is not associated with adverse side effects or toxic interactions with a single acute dose of intravenous cocaine or morphine."( Acute interactions of buprenorphine with intravenous cocaine and morphine: an investigational new drug phase I safety evaluation.
Kuehnle, J; Mello, NK; Mendelson, JH; Rhoades, EM; Sintavanarong, P; Teoh, SK, 1993
)
0.72
"The end points analyzed were adverse effects, duration of postoperative ileus, degree of pain control, length of hospitalization, and development of postoperative confusion as measured on serial MMSEs."( Does patient-controlled analgesia achieve better control of pain and fewer adverse effects than intramuscular analgesia? A prospective randomized trial.
Avecilla, CS; Berg, RL; Nitschke, LF; Schlösser, CT; Selthafner, JV; Wengert, TJ, 1996
)
0.29
"Only two patients, both in the PCA group, reported adverse effects; neither required a change in analgesia group."( Does patient-controlled analgesia achieve better control of pain and fewer adverse effects than intramuscular analgesia? A prospective randomized trial.
Avecilla, CS; Berg, RL; Nitschke, LF; Schlösser, CT; Selthafner, JV; Wengert, TJ, 1996
)
0.29
" Most patients should probably be managed with PCA narcotics, but the addition of ketorolac might reduce narcotic dose and resultant adverse effects."( Does patient-controlled analgesia achieve better control of pain and fewer adverse effects than intramuscular analgesia? A prospective randomized trial.
Avecilla, CS; Berg, RL; Nitschke, LF; Schlösser, CT; Selthafner, JV; Wengert, TJ, 1996
)
0.29
" Adverse effects were rated by a structured interview."( Codeine and morphine in extensive and poor metabolizers of sparteine: pharmacokinetics, analgesic effect and side effects.
Arendt-Nielsen, L; Brøsen, K; Elbaek, K; Gram, LF; Poulsen, L; Sindrup, SH, 1996
)
0.67
" In PMs, adverse effects were significantly more pronounced on morphine than on codeine and only showed a slight difference between codeine and placebo."( Codeine and morphine in extensive and poor metabolizers of sparteine: pharmacokinetics, analgesic effect and side effects.
Arendt-Nielsen, L; Brøsen, K; Elbaek, K; Gram, LF; Poulsen, L; Sindrup, SH, 1996
)
0.91
"This study confirms that codeine O-demethylation depends on CYP2D6; it shows that the 6-glucuronidation of morphine is independent of CYP2D6; it supports the theory that the analgesic effect of codeine depends on its O-demethylation; and it indicates that this is probably also the case for the adverse effects."( Codeine and morphine in extensive and poor metabolizers of sparteine: pharmacokinetics, analgesic effect and side effects.
Arendt-Nielsen, L; Brøsen, K; Elbaek, K; Gram, LF; Poulsen, L; Sindrup, SH, 1996
)
0.89
" The effect of methamphetamine on morphine-dependent mice was investigated by calculating the LD50 (i."( Increased toxicity of methamphetamine in morphine-dependent mice.
al-Shabanah, OA; Bakheet, SA; Ginawi, OT, 1997
)
0.84
"Levels of sedation, pain intensity, pain relief, and adverse events were recorded at baseline, at 2, 4, and 6 hours, and at termination."( Evaluation of the safety and efficacy of ketorolac versus morphine by patient-controlled analgesia for postoperative pain.
Bynum, L; Fanciullo, G; Hubbard, L; Maneatis, T; O'Hara, DA; Seuffert, P; Shefrin, A,
)
0.38
"The aim of the present study was to assess the toxic potential of drugs of abuse and other neuropharmacological agents in the pathogenesis of AIDS dementia complex (ADC), the neurological complication of AIDS."( Regulation of glutathione and cell toxicity following exposure to neurotropic substances and human immunodeficiency virus-1 in vitro.
Demuth, M; Götz, ME; Koutsilieri, E; Riederer, P; Sauer, U; Sopper, S; ter Meulen, V, 1997
)
0.3
"We audited and analysed the adverse effects and safety of postoperative pain management on 2509 consecutive patients under care of the Acute Pain Service at a tertiary referral teaching hospital over a 32-month period."( An audit of the safety of an acute pain service.
Chan, WS; Fung, SK; Hui, TW; Irwin, MG; Ng, KF; O'Reagan, AM; Tsui, SL; Wong, CM, 1997
)
0.3
" The incidence of adverse events during the sedation period was also similar."( Propofol versus midazolam: safety and efficacy for sedating the severe trauma patient.
Alted-Lopez, E; Ambros-Checa, A; Caballero-Cubedo, RE; Cantalapiedra-Santiago, JA; Perez-Vela, JL; Sanchez-Izquierdo-Riera, JA, 1998
)
0.3
" There were no significant differences in adverse effects (P=."( Randomized, double-blind, cross-over trial comparing safety and efficacy of oral controlled-release oxycodone with controlled-release morphine in patients with cancer pain.
Babul, N; Belzile, M; Bruera, E; Darke, A; Fainsinger, R; Ford, I; Harsanyi, Z; Pituskin, E, 1998
)
0.5
"Controlled-release oxycodone is as safe and effective as controlled-release morphine in the treatment of cancer pain."( Randomized, double-blind, cross-over trial comparing safety and efficacy of oral controlled-release oxycodone with controlled-release morphine in patients with cancer pain.
Babul, N; Belzile, M; Bruera, E; Darke, A; Fainsinger, R; Ford, I; Harsanyi, Z; Pituskin, E, 1998
)
0.73
"To assess the effect of opioid substitution (substituting one member of the opioid class for another) on the incidence and severity of adverse effects in palliative care patients who experience unacceptable, refractory adverse effects when taking an opioid drug."( Opioid substitution to reduce adverse effects in cancer pain management.
Ashby, MA; Jackson, KA; Martin, P, 1999
)
0.3
" 49 substitutions were for adverse effects."( Opioid substitution to reduce adverse effects in cancer pain management.
Ashby, MA; Jackson, KA; Martin, P, 1999
)
0.3
"We found that the incidence and severity of adverse effects differed between opioids in the same patient."( Opioid substitution to reduce adverse effects in cancer pain management.
Ashby, MA; Jackson, KA; Martin, P, 1999
)
0.3
" The OSR group experienced almost twice as many adverse events as did the two MSC groups and also reported somnolence and dizziness more frequently."( Analgesic efficacy and safety of two oral controlled-release morphine preparations in orthopedic postoperative pain.
Buckley, BJ; Cooper, SA; Fitzmartin, R; Goldenheim, PD; Hersh, EV; Kaiko, R; Mooar, P; Slywka, J; Witte, JF,
)
0.37
"We report the analgesic and adverse effects of intrathecally administered hyperbaric neostigmine, alone or combined with morphine, in two patients suffering from severe lower limb ischaemic pain (group 1), five patients undergoing Caesarean section (group 2) and 19 patients scheduled for orthopaedic surgery (group 3) under spinal anaesthesia."( Analgesic and adverse effects of a low dose of intrathecally administered hyperbaric neostigmine alone or combined with morphine in patients submitted to spinal anaesthesia: pilot studies.
Garcia, LV; Klamt, JG; Prado, WA, 1999
)
0.72
"Nausea and vomiting are frequent adverse effects of patient-controlled analgesia (PCA) with opioids."( Efficacy and adverse effects of prophylactic antiemetics during patient-controlled analgesia therapy: a quantitative systematic review.
Tramèr, MR; Walder, B, 1999
)
0.3
" There is no evidence of dose-responsiveness for efficacy with droperidol, but the risk of adverse effects is dose-dependent."( Efficacy and adverse effects of prophylactic antiemetics during patient-controlled analgesia therapy: a quantitative systematic review.
Tramèr, MR; Walder, B, 1999
)
0.3
" Slow DM metabolizers took significantly lower daily doses of MorphiDex than rapid metabolizers without a significant difference in the incidence of adverse events."( Long-term safety of MorphiDex.
Goldblum, R, 2000
)
0.31
"PCA is safe and effective for morbidly obese patients following RYGBP."( Efficacy and safety of patient-controlled analgesia for morbidly obese patients following gastric bypass surgery.
Brolin, RE; Choi, YK; Chou, S; Etesham, S; Pollak, P; Wagner, BK, 2000
)
0.31
" Constipation scores increased while other side effect scores were unaltered."( Pain intensity and side effects during titration of morphine to cancer patients using a fixed schedule dose escalation.
Borchgrevink, PC; Kaasa, S; Klepstad, P; Skauge, M, 2000
)
0.56
"Because of the well known adverse effects that may be associated with pethidine use, the authors recommend that morphine should be the preferred agent in suspected renal colic, when an opioid analgesic is to be used."( A comparison of the efficacy and safety of morphine and pethidine as analgesia for suspected renal colic in the emergency setting.
Cardwell, H; O'Connor, A; Schug, SA, 2000
)
0.78
"The newly developed controlled-release M suppository is safe and effective and may be a useful alternative for oral morphine administration in patients with cancer pain."( Clinical efficacy, safety and pharmacokinetics of a newly developed controlled release morphine sulphate suppository in patients with cancer pain.
Frijlink, HW; Meijler, WJ; Moolenaar, F; Proost, JH; Visser, J, 2000
)
0.74
"We performed a prospective, randomized, double-blinded, multicenter study to compare the analgesic efficacy and adverse effects of intrathecal nalbuphine, at three different doses, and intrathecal morphine for postoperative pain relief after cesarean deliveries."( Advantages of intrathecal nalbuphine, compared with intrathecal morphine, after cesarean delivery: an evaluation of postoperative analgesia and adverse effects.
Culebras, X; Gaggero, G; Kern, C; Marti, RA; Zatloukal, J, 2000
)
0.73
"Small doses of intrathecal nalbuphine produce fewer adverse effects, such as pruritus and postoperative nausea and vomiting, compared with intrathecal morphine."( Advantages of intrathecal nalbuphine, compared with intrathecal morphine, after cesarean delivery: an evaluation of postoperative analgesia and adverse effects.
Culebras, X; Gaggero, G; Kern, C; Marti, RA; Zatloukal, J, 2000
)
0.74
"To investigate the effect of acute P-glycoprotein inhibition by the multidrug-resistance (MDR) modulator valspodar (SDZ PSC 833; PSC) on the pharmacokinetics, and potentially adverse pharmacodynamic effects of morphine, and its principal pharmacologically active metabolites, morphine-3-glucuronide (M3G) and morphine-6-glucuronide (M6G)."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.71
"In a double-blind, three-way crossover study, the pharmacokinetic and potentially adverse pharmacodynamic effects (reaction time, transcutaneous PCO2, blood pressure) of morphine were compared with and without acute inhibition of P-glycoprotein by PSC."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.72
" PSC did not significantly affect the adverse events of morphine, as assessed by spontaneous reporting."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.77
" No systemic adverse events were noted; two patients reported nasal itching or discomfort on first use that disappeared with repeated use."( An assessment of the safety, efficacy, and acceptability of intranasal fentanyl citrate in the management of cancer-related breakthrough pain: a pilot study.
Zeppetella, G, 2000
)
0.31
" Furthermore, morphine was not toxic when combined with mutant Tat or immunoneutralized Tat."( Synergistic neurotoxicity of opioids and human immunodeficiency virus-1 Tat protein in striatal neurons in vitro.
Chen, Y; Gurwell, JA; Hauser, KF; Martin, KM; Nath, A; Sun, Q; Zhang, J, 2001
)
0.67
"Successful pain management with opioids requires that adequate analgesia be achieved without excessive adverse effects."( Strategies to manage the adverse effects of oral morphine: an evidence-based report.
Cherny, N; Davis, C; Fallon, M; McQuay, H; Mercadante, S; Pasternak, G; Pereira, J; Ripamonti, C; Ventafridda, V, 2001
)
0.57
" Adverse effects were comparable in the three groups, except for significantly more nausea in the control group (39% vs."( Analgesic efficacy and safety of nefopam vs. propacetamol following hepatic resection.
Fletcher, D; Gillon, MC; Incagnoli, P; Josse, C; Kuhlman, L; Mimoz, O; Mirand, A; Soilleux, H, 2001
)
0.31
" In this study, chronic supplementation of intrathecal opioids with bupivacaine was a safe method for providing continued management of chronic pain of cancer or noncancer origin."( Stability, compatibility, and safety of intrathecal bupivacaine administered chronically via an implantable delivery system.
Deer, TR; Elsberry, DD; Hildebrand, KR, 2001
)
0.31
"In this study, we have focused our investigation of the facts whether co-administration of a NMDA antagonist dextromethorphan (DM) with morphine during pregnancy and throughout lactation could prevent the adverse effects associated with chronic morphine administration in rat offspring."( Co-administration of dextromethorphan during pregnancy and throughout lactation significantly decreases the adverse effects associated with chronic morphine administration in rat offspring.
Su, CH; Tao, PL; Wu, YH; Yeh, GC, 2001
)
0.71
"Postoperative epidural infusion of levobupivacaine can provide safe and effective analgesia for patients having hip or knee joint replacement."( The efficacy and safety of three concentrations of levobupivacaine administered as a continuous epidural infusion in patients undergoing orthopedic surgery.
Berman, JS; Dickson, UK; Gad-Elrab, RR; Murdoch, JA; Scott, NB; Wilson, PA, 2002
)
0.31
" The most common adverse events were constipation and nausea."( Efficacy and safety of a once-daily morphine formulation in chronic, moderate-to-severe osteoarthritis pain: results from a randomized, placebo-controlled, double-blind trial and an open-label extension trial.
Babul, N; Caldwell, JR; Davis, JC; Eliot, L; Lynch, PM; Marker, HW; Offenberg, HL; Rapoport, RJ; Roth, SH; Yuan, W, 2002
)
0.59
" Our data show that opioid drugs (heroin and morphine) are more toxic than stimulant drugs (d-amphetamine and cocaine)."( Toxic effects of opioid and stimulant drugs on undifferentiated PC12 cells.
Macedo, TR; Morgadinho, MT; Oliveira, CR; Oliveira, MT; Rego, AC, 2002
)
0.57
"A multi-level ilioinguinal-iliohypogastric nerve block technique can reduce the amount of systemic morphine required to control post-Cesarean delivery pain but this reduction was not associated with a reduction of opioid related adverse effects in our study group."( Iliohypogastric-ilioinguinal peripheral nerve block for post-Cesarean delivery analgesia decreases morphine use but not opioid-related side effects.
Bell, EA; Dexter, F; Greengrass, RA; Jones, BP; Olufolabi, AJ; Penning, DH; Phillips-Bute, B; Reynolds, JD,
)
0.56
"The objectives of this study were: (i) to measure the analgesic efficacy and frequency of adverse events following autonomous nurse-initiated intravenous morphine in patients presenting with acute pain, awaiting medical assessment; and (ii) to determine whether such a process would improve the time to analgesia."( Nurse-initiated intravenous morphine in the emergency department: efficacy, rate of adverse events and impact on time to analgesia.
Fry, M; Holdgate, A, 2002
)
0.81
"0 cm visual analogue scale and predetermined adverse events defined by physiological parameters were measured at regular intervals over the following 60 min."( Nurse-initiated intravenous morphine in the emergency department: efficacy, rate of adverse events and impact on time to analgesia.
Fry, M; Holdgate, A, 2002
)
0.61
" There were 15 predefined adverse events, 10 episodes of hypotension and five episodes of oxygen desaturation."( Nurse-initiated intravenous morphine in the emergency department: efficacy, rate of adverse events and impact on time to analgesia.
Fry, M; Holdgate, A, 2002
)
0.61
" It decreases morphine requirements but its effect on the incidence of morphine-related adverse effects remains unknown."( Adjunctive analgesia with intravenous propacetamol does not reduce morphine-related adverse effects.
Aubrun, F; Bellanger, A; Coriat, P; Kalfon, F; Langeron, O; Mottet, P; Riou, B, 2003
)
0.92
" The primary end-point was the incidence of morphine-related adverse effects."( Adjunctive analgesia with intravenous propacetamol does not reduce morphine-related adverse effects.
Aubrun, F; Bellanger, A; Coriat, P; Kalfon, F; Langeron, O; Mottet, P; Riou, B, 2003
)
0.82
"001) but the incidence of morphine-related adverse effects did not differ between groups (42 vs 46%, not significant)."( Adjunctive analgesia with intravenous propacetamol does not reduce morphine-related adverse effects.
Aubrun, F; Bellanger, A; Coriat, P; Kalfon, F; Langeron, O; Mottet, P; Riou, B, 2003
)
0.86
"Although propacetamol induced a small morphine-sparing effect, it did not change the incidence of morphine-related adverse effects in the postoperative period."( Adjunctive analgesia with intravenous propacetamol does not reduce morphine-related adverse effects.
Aubrun, F; Bellanger, A; Coriat, P; Kalfon, F; Langeron, O; Mottet, P; Riou, B, 2003
)
0.83
" The aim was to investigate efficacy, adverse effects and safety of the treatments in a large patient population."( Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients.
Flisberg, P; Linnér, R; Lundberg, CJ; Rudin, A, 2003
)
0.32
"In a large patient population the use of epidural and intravenous postoperative analgesia was considered safe in surgical wards, and the incidence of adverse effects was low."( Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients.
Flisberg, P; Linnér, R; Lundberg, CJ; Rudin, A, 2003
)
0.32
" Clinical adverse events were assessed by the principal investigator at each site from the time of the first dose through the 30-day postdosing period."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.32
" Although there were no differences between the groups in overall adverse events, serious adverse events occurred twice as frequently in parecoxib/valdecoxib-treated patients (19."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.32
" However, the 14-day treatment regimen also was associated with an increased incidence of serious adverse events overall and sternal wound infections in particular."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.32
" The safety was evaluated by monitoring the patient's clinical conditions and adverse events."( Evaluation of safety and efficacy of transdermal therapeutic system-fentanyl in adult patients with gynecological cancer-related pain.
Cheewakriangkrai, C; Katanyoo, K; Lorvidhaya, V; Srisomboon, J; Suprapaphorn, P, 2004
)
0.32
" The most frequent adverse events were mild nausea or vomiting (46%) and constipation (33%)."( Evaluation of safety and efficacy of transdermal therapeutic system-fentanyl in adult patients with gynecological cancer-related pain.
Cheewakriangkrai, C; Katanyoo, K; Lorvidhaya, V; Srisomboon, J; Suprapaphorn, P, 2004
)
0.32
"The results suggest that TTS-fentanyl is safe and effective in managing chronic gynecological cancer-related pain."( Evaluation of safety and efficacy of transdermal therapeutic system-fentanyl in adult patients with gynecological cancer-related pain.
Cheewakriangkrai, C; Katanyoo, K; Lorvidhaya, V; Srisomboon, J; Suprapaphorn, P, 2004
)
0.32
" The incidence of adverse events was low in both groups."( Intrathecal morphine provides effective and safe analgesia in children after cardiac surgery.
But, WW; Eyres, RL; Frawley, G; McKinley, DF; Ragg, PG; Suominen, PK, 2004
)
0.7
" Four subjects experienced significant but reversible decreases in FEV1 of > or = 20% compared to baseline and across all dose levels including after placebo, but with no associated increase in dyspnea, wheezing or other adverse events."( Safety and pharmacokinetics of inhaled morphine delivered using the AERx system in patients with moderate-to-severe asthma.
Linn, L; Morishige, R; Okikawa, J; Otulana, B; Thipphawong, J, 2004
)
0.59
" The safety analysis evaluated the incidence of adverse events (AEs) reported within the first 28 days of treatment with TDF or SRM."( Efficacy and safety of transdermal fentanyl and sustained-release oral morphine in patients with cancer and chronic non-cancer pain.
Ahmedzai, SH; Allan, LG; Camacho, F; Clark, AJ; Horbay, GL; Richarz, U; Simpson, K, 2004
)
0.56
" Pediatric day stay tonsillectomy is a safe procedure when performed with strict preoperative criteria, trained day stay unit (DSU) staff, and with in-patient facilities on site."( Day stay pediatric tonsillectomy--a safe procedure.
Anderson, BJ; Barber, C; Brown, C; Douglas, G; Mahadevan, M; Mills, N; Salkeld, L; White, J, 2004
)
0.32
" We tested the hypothesis that, in patients having unilateral TKA under intrathecal (IT) anesthesia, the addition of a femoral nerve block would provide superior analgesia when compared with IT morphine and demonstrate fewer adverse side effects."( A single injection ultrasound-assisted femoral nerve block provides side effect-sparing analgesia when compared with intrathecal morphine in patients undergoing total knee arthroplasty.
Beach, M; Gallagher, JD; Jarrett, RA; Lundberg, CJF; Sites, BD; Sparks, MB, 2004
)
0.72
"Inadequate analgesia and/or unmanageable adverse events frequently result in the need to rotate patients with cancer pain to a different opioid."( Effectiveness and safety of oral extended-release oxymorphone for the treatment of cancer pain: a pilot study.
Ahdieh, H; Slatkin, N; Sloan, P, 2005
)
0.33
" Pain was assessed using a visual analog scale, and adverse events were recorded."( Effectiveness and safety of oral extended-release oxymorphone for the treatment of cancer pain: a pilot study.
Ahdieh, H; Slatkin, N; Sloan, P, 2005
)
0.33
" --It is argued, in this paper, that codeine phosphate is an unpredictable pro-drug that does not equate to a safe and effective method of providing analgesia post-craniotomy."( A review of the efficacy and safety of opioid analgesics post-craniotomy.
Roberts, G,
)
0.13
"1 mg has been shown to be optimal for effective and safe pain relief after abdominal surgery."( [Efficacy and safety of 0.1 mg of intrathecal morphine in arthroscopic knee joint surgery].
Decker, T; Eichler, F; Grond, S; Kasper, SM; Müller, E; Rütt, J, 2004
)
0.58
" There was no difference between treatments for evaluations of overall pain intensity, analgesic efficacy, or adverse events."( Efficacy, safety, and steady-state pharmacokinetics of once-a-day controlled-release morphine (MS Contin XL) in cancer pain.
Darke, A; Eisenhoffer, J; Hagen, NA; Harsanyi, Z; Quigley, P; Thirlwell, M, 2005
)
0.55
" However, morphine attenuated cardiovascular reactivity to the ischemic pain task in men but not women, and women reported significantly more drug-related adverse effects than men."( Morphine responses and experimental pain: sex differences in side effects and cardiovascular responses but not analgesia.
Campbell, CM; Fillingim, RB; Glover, TL; Hastie, BA; Ness, TJ; Price, DD; Staud, R, 2005
)
2.17
"The purpose of this retrospective study was to determine whether epidural fentanyl-bupivacaine patient-controlled analgesia (PCA) was more efficacious and had fewer adverse effects than epidural or intravenous morphine PCA."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.51
" Adverse effects including nausea, vomiting, pruritus, urinary retention, sedation, motor block, and respiratory depression (< 8 breaths per minute) were recorded."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.32
" There were no differences in other adverse events such as urinary retention, sedation, and motor block among the three groups."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.32
" It is considered safe to use continuous epidural PCA with fentanyl-bupivacaine in patients receiving major elective surgery."( Efficacy and adverse effects of patient-controlled epidural or intravenous analgesia after major surgery.
Hu, JS; Liew, C; Lui, PW; Teng, YH; Tsai, SK, 2004
)
0.32
" Safety was monitored through adverse event reporting, clinical examination, and laboratory testing."( Efficacy and safety of single and repeated administration of 1 gram intravenous acetaminophen injection (paracetamol) for pain management after major orthopedic surgery.
Groudine, SB; Jahr, JS; Payen-Champenois, C; Reynolds, LW; Sinatra, RS; Viscusi, ER, 2005
)
0.33
" Although opioids are reported to be effective in pain management, their toxic effects should be kept in mind during chronic usage."( Liver and kidney toxicity in chronic use of opioids: an experimental long term treatment model.
Atici, S; Cinel, I; Cinel, L; Doruk, N; Eskandari, G; Oral, U, 2005
)
0.33
" However, most of the studies have not demonstrated a decrease in morphine adverse effects."( Effects of nonsteroidal antiinflammatory drugs on patient-controlled analgesia morphine side effects: meta-analysis of randomized controlled trials.
Bonnet, F; Kurdi, O; Marret, E; Zufferey, P, 2005
)
0.79
" Their use is frequently associated with dose-limiting adverse effects."( Simple pharmacological test battery to assess efficacy and side effect profile of centrally acting muscle relaxant drugs.
Berzsenyi, P; Farkas, S; Kárpáti, E; Kocsis, P; Tarnawa, I,
)
0.13
" For detecting side effect liability (ataxia, sedation, impairment of voluntary motor functions), (1) the rota-rod test, (2) measurement of spontaneous motility, (3) the weight-lifting test and (4) the thiopental sleep test were used."( Simple pharmacological test battery to assess efficacy and side effect profile of centrally acting muscle relaxant drugs.
Berzsenyi, P; Farkas, S; Kárpáti, E; Kocsis, P; Tarnawa, I,
)
0.13
"Therapeutic indices calculated from the results of these in vivo experiments for the clinically used muscle relaxants are in agreement with their adverse effect profiles in humans."( Simple pharmacological test battery to assess efficacy and side effect profile of centrally acting muscle relaxant drugs.
Berzsenyi, P; Farkas, S; Kárpáti, E; Kocsis, P; Tarnawa, I,
)
0.13
" The frequency of predefined adjudicated postrandomization adverse events, including cardiovascular thromboembolism, renal dysfunction, gastroduodenal ulceration, and wound-healing complications, was assessed in each group."( Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery.
Boye, ME; Brown, MT; Joshi, GP; Langford, RM; Nussmeier, NA; Singla, NK; Verburg, KM; Whelton, AA, 2006
)
0.33
"Predefined adjudicated adverse events had similar frequencies among patients who received parecoxib and valdecoxib (2."( Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery.
Boye, ME; Brown, MT; Joshi, GP; Langford, RM; Nussmeier, NA; Singla, NK; Verburg, KM; Whelton, AA, 2006
)
0.33
" No deaths, serious adverse events, or withdrawals due to adverse events occurred."( Safety and efficacy of oral slow release morphine for maintenance treatment in heroin addicts: a 6-month open noncomparative study.
Alexieva, DZ; Pavlova, RZ; Vasilev, GN, 2006
)
0.6
" Our hypothesis is that there is no difference in the number of adverse events in ketamine sedations with and without morphine pretreatment."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.78
" The number and types of adverse events between patients with and without morphine pretreatment were examined."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.8
" Twenty-one adverse events were recorded in the group of patients without morphine pretreatment."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.8
"We found no increase in the number of adverse events with morphine pretreatment in ketamine sedations for children."( Adverse events in pediatric ketamine sedations with or without morphine pretreatment.
Cohen, DM; Leder, MS; Waterman, GD, 2006
)
0.82
" Adverse effects, pain reduction at 5 minutes and 2 hours postbaseline, and additional analgesics and antiemetics were tracked as secondary outcome measures."( Safety and efficacy of hydromorphone as an analgesic alternative to morphine in acute pain: a randomized clinical trial.
Bijur, PE; Chang, AK; Gallagher, EJ; Kenny, MK; Meyer, RH; Solorzano, C, 2006
)
0.57
" Adverse effects were similar in both groups, with the exception of pruritus, which did not occur in patients receiving hydromorphone (0% versus 6% [difference -6%; 95% confidence interval -11% to -1%])."( Safety and efficacy of hydromorphone as an analgesic alternative to morphine in acute pain: a randomized clinical trial.
Bijur, PE; Chang, AK; Gallagher, EJ; Kenny, MK; Meyer, RH; Solorzano, C, 2006
)
0.57
" The intravenous route has been proven to be safe and effective, providing rapid analgesia in patients receiving oral morphine."( Safety and effectiveness of intravenous morphine for episodic breakthrough pain in patients receiving transdermal buprenorphine.
Aielli, F; Casuccio, A; Ferrera, P; Mercadante, S; Porzio, G; Verna, L; Villari, P, 2006
)
0.81
" Abdominal adverse effects of opioid analgesics are constipation and increased pressure in the biliary system."( Prospective sonographic evaluation of fentanyl side effects on the neonatal gallbladder.
Benz-Bohm, G; Roth, B; Schmidt, B; Stützer, H, 2006
)
0.33
" Further investigations are required to assess adverse gastrointestinal effects."( Prospective sonographic evaluation of fentanyl side effects on the neonatal gallbladder.
Benz-Bohm, G; Roth, B; Schmidt, B; Stützer, H, 2006
)
0.33
" Total daily morphine dose had little impact on side-effect patterns."( The adverse effects of morphine: a prospective survey of common symptoms during repeated dosing for chronic cancer pain.
Glare, P; Sheehan, D; Walsh, D,
)
0.81
" During the 4-week study period, the analgesic efficacy and adverse effects related to intrathecal betamethasone were observed."( Intrathecal betamethasone for cancer pain in the lower half of the body: a study of its analgesic efficacy and safety.
Oishi, K; Sakamoto, S; Shingu, K; Taguchi, H, 2007
)
0.34
" Adverse effects related to neurotoxicity of intrathecal betamethasone, such as sensory and motor dysfunctions, were not observed in any patients."( Intrathecal betamethasone for cancer pain in the lower half of the body: a study of its analgesic efficacy and safety.
Oishi, K; Sakamoto, S; Shingu, K; Taguchi, H, 2007
)
0.34
"When conventional cancer pain treatments are not successful, intrathecal betamethasone may be useful, as it probably induces long-lasting analgesia without adverse effects and improves activities of daily living, especially in patients with vertebral bone metastases."( Intrathecal betamethasone for cancer pain in the lower half of the body: a study of its analgesic efficacy and safety.
Oishi, K; Sakamoto, S; Shingu, K; Taguchi, H, 2007
)
0.34
" In this limited sample, extending the infusion period from the presently approved 48 hours to 96 hours seems to be a safe alternative and/or adjunct to standard opiate analgesia after colorectal surgery using a right lateral transverse incision, hence reducing the incidence of opiate adverse effects and enhancing recovery."( Safety of 96-hour incision-site continuous infusion of ropivacaine for postoperative analgesia after bowel cancer resection.
Corso, OH; Hewett, PJ; Karatassas, A; Morris, RG, 2007
)
0.34
" Some patients may benefit from a 20-mg dose, but the incidence of serious adverse respiratory events has been close related in clinical trials."( Extended-release lipid-foam encapsulated epidural morphine: clinical efficacy and safety precautions.
Hutchison, R,
)
0.38
" Safety assessment showed no adverse effects on renal or hepatic function tests, surgical drain output, or continuous oximetry between placebo and ketorolac groups."( Postoperative ketorolac tromethamine use in infants aged 6-18 months: the effect on morphine usage, safety assessment, and stereo-specific pharmacokinetics.
Anderson, GD; Bradford, H; Chen, J; Ellenbogen, RG; Kantor, ED; Lynn, AM; Salinger, DH; Seng, KY; Vicini, P, 2007
)
0.56
" No adverse effects on surgical drain output, oximetry measured saturations, renal or hepatic function tests were seen."( Postoperative ketorolac tromethamine use in infants aged 6-18 months: the effect on morphine usage, safety assessment, and stereo-specific pharmacokinetics.
Anderson, GD; Bradford, H; Chen, J; Ellenbogen, RG; Kantor, ED; Lynn, AM; Salinger, DH; Seng, KY; Vicini, P, 2007
)
0.56
" The adverse effects noticed were thirst feeling, itching, nausea, vomiting and urinary retention."( [Sexual differences in effects and side effects of epidural morphine for VATS (video-associated thoracic surgery)].
Kawagoe, I; Sumida, T, 2007
)
0.58
" Adverse events were recorded and categorized by system effect."( The analgesic efficacy and safety of intra-articular morphine and mepivicaine following temporomandibular joint arthroplasty.
Ibanez, C; Kozacko, M; Zuniga, JR, 2007
)
0.59
" No serious adverse events occurred in this study."( The analgesic efficacy and safety of intra-articular morphine and mepivicaine following temporomandibular joint arthroplasty.
Ibanez, C; Kozacko, M; Zuniga, JR, 2007
)
0.59
" In this situation, newborns might be exposed to toxic levels of morphine when breastfeeding."( Safety of codeine during breastfeeding: fatal morphine poisoning in the breastfed neonate of a mother prescribed codeine.
Aleksa, K; Cairns, J; Chitayat, D; Gaedigk, A; Karaskov, T; Koren, G; Leeder, JS; Madadi, P; Teitelbaum, R, 2007
)
0.84
" Primary resection and anastomosis is a safe option in the treatment of complicated meconium ileus."( Primary resection and anastomosis for complicated meconium ileus: a safe procedure?
Bianchi, A; Bowen, J; Bruce, J; Jawaheer, J; Khalil, B; Morabito, A; Morecroft, J; Plummer, T; Rakoczy, G, 2007
)
0.34
" Pain intensity, relative dosing ratios, discontinuation rates, and adverse events were assessed."( The safety and efficacy of fentanyl iontophoretic transdermal system compared with morphine intravenous patient-controlled analgesia for postoperative pain management: an analysis of pooled data from three randomized, active-controlled clinical studies.
Damaraju, CV; Hewitt, DJ; Kershaw, P; Siccardi, M; Viscusi, ER, 2007
)
0.56
" Discontinuation rates and the incidence of adverse events were similar between groups."( The safety and efficacy of fentanyl iontophoretic transdermal system compared with morphine intravenous patient-controlled analgesia for postoperative pain management: an analysis of pooled data from three randomized, active-controlled clinical studies.
Damaraju, CV; Hewitt, DJ; Kershaw, P; Siccardi, M; Viscusi, ER, 2007
)
0.56
" Application of morphine before each dose of DOX either significantly reduced or completely prevented its toxic effects."( Morphine is protective against doxorubicin-induced cardiotoxicity in rat.
Dehpour, AR; Ejtemaeemehr, S; Kelishomi, RB; Mobarakeh, JI; Rahimian, R; Tavangar, SM, 2008
)
2.13
" Commonly occurring adverse events were similar between groups."( Efficacy and safety of the fentanyl iontophoretic transdermal system (ITS) and intravenous patient-controlled analgesia (IV PCA) with morphine for pain management following abdominal or pelvic surgery.
Damaraju, CV; Gargiulo, K; Hewitt, DJ; Minkowitz, HS; Rathmell, JP; Vallow, S,
)
0.33
" Hemodynamic data, sedation scores, and renal and hepatic function were assessed for control of adverse events."( Clinical analgesic efficacy and side effects of dexmedetomidine in the early postoperative period after arthroscopic knee surgery.
Gómez-Vázquez, ME; Hernández-Jiménez, A; Hernández-Salazar, E; Pérez-Sánchez, A; Salazar-Páramo, M; Zepeda-López, VA, 2007
)
0.34
" The most frequent adverse events with dexmedetomidine were bradycardia and hypertension."( Clinical analgesic efficacy and side effects of dexmedetomidine in the early postoperative period after arthroscopic knee surgery.
Gómez-Vázquez, ME; Hernández-Jiménez, A; Hernández-Salazar, E; Pérez-Sánchez, A; Salazar-Páramo, M; Zepeda-López, VA, 2007
)
0.34
"Using lower bolus doses, pain relief in the immediate postoperative period with morphine was as efficacious and safe in elderly patients as in younger patients."( Age-adapted morphine titration produces equivalent analgesia and adverse effects in younger and older patients.
Desmonts, JM; Keïta, H; Maalouli, J; Mantz, J; Tubach, F, 2008
)
0.95
" Safety assessments included adverse events and nasal examination."( Analgesic efficacy and safety of morphine-chitosan nasal solution in patients with moderate to severe pain following orthopedic surgery.
Carr, DB; Ernst, C; Gawarecki, D; Hamilton, D; McNicol, E; Mermelstein, F; Reber, KR; Stoker, DG; Waltzman, LS; Wright, C,
)
0.41
" Local adverse events associated with IN morphine were transient and mostly mild (bad taste, nasal congestion, throat irritation, and sneezing)."( Analgesic efficacy and safety of morphine-chitosan nasal solution in patients with moderate to severe pain following orthopedic surgery.
Carr, DB; Ernst, C; Gawarecki, D; Hamilton, D; McNicol, E; Mermelstein, F; Reber, KR; Stoker, DG; Waltzman, LS; Wright, C,
)
0.68
"By multiple measures of pain intensity and pain relief, IN morphine provides sustained analgesia in postsurgical patients and thus may offer a safe and less invasive alternative to IV morphine."( Analgesic efficacy and safety of morphine-chitosan nasal solution in patients with moderate to severe pain following orthopedic surgery.
Carr, DB; Ernst, C; Gawarecki, D; Hamilton, D; McNicol, E; Mermelstein, F; Reber, KR; Stoker, DG; Waltzman, LS; Wright, C,
)
0.66
" Clinical data, including pain and side-effect scores, were correlated with genotype data."( Genetic variation and response to morphine in cancer patients: catechol-O-methyltransferase and multidrug resistance-1 gene polymorphisms are associated with central side effects.
du Bois, RM; Gretton, S; Riley, J; Ross, JR; Sato, H; Taegetmeyer, AB; Welsh, KI, 2008
)
0.63
" Change in self-reported pain intensity from baseline to 30 minutes postbaseline on a validated and reproducible 11-point numerical rating scale and count of adverse events were the primary outcomes."( Response to morphine in male and female patients: analgesia and adverse events.
Bijur, PE; Birnbaum, A; Chang, AK; Esses, D; Gallagher, EJ; Schechter, C,
)
0.51
" In women without nausea before administration of morphine, the incidence of adverse events was 18."( Response to morphine in male and female patients: analgesia and adverse events.
Bijur, PE; Birnbaum, A; Chang, AK; Esses, D; Gallagher, EJ; Schechter, C,
)
0.76
" Women without baseline nausea had more adverse events than men."( Response to morphine in male and female patients: analgesia and adverse events.
Bijur, PE; Birnbaum, A; Chang, AK; Esses, D; Gallagher, EJ; Schechter, C,
)
0.51
"To assess the adverse effects of transdermal opiates treating moderate-severe cancer pain in comparison with slow release oral morphine."( Adverse effects of transdermal opiates treating moderate-severe cancer pain in comparison to long-acting morphine: a meta-analysis and systematic review of the literature.
Maltoni, M; Raffaeli, W; Sartori, S; Scarpi, E; Tamburini, E; Tassinari, D; Tombesi, P, 2008
)
0.77
" The primary end point was the overall adverse effects odds ratio (OR); secondary end points were the overall gastrointestinal adverse effects, constipation, nausea, somnolence, patients' preference, and trial withdrawal."( Adverse effects of transdermal opiates treating moderate-severe cancer pain in comparison to long-acting morphine: a meta-analysis and systematic review of the literature.
Maltoni, M; Raffaeli, W; Sartori, S; Scarpi, E; Tamburini, E; Tassinari, D; Tombesi, P, 2008
)
0.56
" No significant differences were observed for overall adverse effects, overall gastrointestinal adverse effects, overall neurologic adverse effects, nausea, somnolence, hypoventilation, trial withdrawal, and changes in opiate treatments."( Adverse effects of transdermal opiates treating moderate-severe cancer pain in comparison to long-acting morphine: a meta-analysis and systematic review of the literature.
Maltoni, M; Raffaeli, W; Sartori, S; Scarpi, E; Tamburini, E; Tassinari, D; Tombesi, P, 2008
)
0.56
"Although no difference in the overall adverse effect profile exists between transdermal opiates and slow release oral morphine, the difference in some adverse effects (mainly constipation) seems to favor transdermal opiates in the preference of patients with moderate-severe cancer pain."( Adverse effects of transdermal opiates treating moderate-severe cancer pain in comparison to long-acting morphine: a meta-analysis and systematic review of the literature.
Maltoni, M; Raffaeli, W; Sartori, S; Scarpi, E; Tamburini, E; Tassinari, D; Tombesi, P, 2008
)
0.77
" The occurrence of adverse events and changes in laboratory tests were evaluated as safety variables."( Efficacy, safety and pharmacokinetic study of a novel fentanyl-containing matrix transdermal patch system in Japanese patients with cancer pain.
Hanaoka, K; Hosokawa, T; Ishida, T; Kitajima, T; Mashimo, S; Miyazaki, T; Namiki, A; Nogami, S; Ogawa, S, 2008
)
0.35
" A total of 316 adverse events occurred in 78 (90."( Efficacy, safety and pharmacokinetic study of a novel fentanyl-containing matrix transdermal patch system in Japanese patients with cancer pain.
Hanaoka, K; Hosokawa, T; Ishida, T; Kitajima, T; Mashimo, S; Miyazaki, T; Namiki, A; Nogami, S; Ogawa, S, 2008
)
0.35
" The patch tested was well tolerated and its use did not result in any increased incidence of adverse drug reactions over those commonly found with opioid analgesics."( Efficacy, safety and pharmacokinetic study of a novel fentanyl-containing matrix transdermal patch system in Japanese patients with cancer pain.
Hanaoka, K; Hosokawa, T; Ishida, T; Kitajima, T; Mashimo, S; Miyazaki, T; Namiki, A; Nogami, S; Ogawa, S, 2008
)
0.35
" The search for opioid analgesics with a better side-effect profile than morphine has led to a morphine metabolites, morphine-6-glucuronide (M6G)."( Morphine-6-glucuronide: potency and safety compared with morphine.
Dahan, A; Morariu, A; van Dorp, EL, 2008
)
2.02
"The objectives of the current paper are to give an overview of the analgesic properties of M6G, assess the dose range at which it produces equianalgesia to morphine and explore its side-effect profile."( Morphine-6-glucuronide: potency and safety compared with morphine.
Dahan, A; Morariu, A; van Dorp, EL, 2008
)
1.99
" However, when morphine and nalbuphine are mixed together, the clinical interactions in different combining ratios on analgesic effect and adverse events are unknown."( Combination of opioid agonist and agonist-antagonist: patient-controlled analgesia requirement and adverse events among different-ratio morphine and nalbuphine admixtures for postoperative pain.
Lin, CJ; Lin, FS; Lin, TF; Sun, WZ; Wang, YP; Yeh, YC, 2008
)
0.9
" Patient-controlled analgesia (PCA) requirement, postoperative pain, and adverse events were evaluated throughout the postoperative 24 h period."( Combination of opioid agonist and agonist-antagonist: patient-controlled analgesia requirement and adverse events among different-ratio morphine and nalbuphine admixtures for postoperative pain.
Lin, CJ; Lin, FS; Lin, TF; Sun, WZ; Wang, YP; Yeh, YC, 2008
)
0.55
" In contrast, mu-opioids are highly active as analgesics against a range of nociceptive stimuli, but also concomitantly elicit strongly adverse effects."( Antinociceptive and adverse effects of mu- and kappa-opioid receptor agonists: a comparison of morphine and U50488-H.
Gallantine, EL; Meert, TF, 2008
)
0.56
"Despite "clinical lore" among health care providers that treatment with hydromorphone results in improved pain control and fewer adverse side effects, morphine continues to be the first-line medication for postoperative patient-controlled analgesia (PCA)."( The side effects of morphine and hydromorphone patient-controlled analgesia.
Diaz, G; Flood, P; Hong, D, 2008
)
0.87
"The side effect profile was not different between drugs."( The side effects of morphine and hydromorphone patient-controlled analgesia.
Diaz, G; Flood, P; Hong, D, 2008
)
0.67
" Patients were assessed for pain control and adverse events."( Morphine infusions after pediatric cranial surgery: a retrospective analysis of safety and efficacy.
Bowen-Roberts, T; Hammond, AM; Kent, SK; Ou, CH; Steinbok, P; Warren, DT, 2008
)
1.79
"These findings suggest that CMI is as safe a treatment option as acetaminophen and codeine."( Morphine infusions after pediatric cranial surgery: a retrospective analysis of safety and efficacy.
Bowen-Roberts, T; Hammond, AM; Kent, SK; Ou, CH; Steinbok, P; Warren, DT, 2008
)
1.79
"Dopamine receptor antagonists are commonly used to counter the adverse effects of opioids such as hallucinations, delusions and emesis."( Suppression of dopamine-related side effects of morphine by aripiprazole, a dopamine system stabilizer.
Amano, T; Asato, M; Hashimoto, K; Ikegami, D; Kuzumaki, N; Matsushima, Y; Nakamura, A; Narita, M; Niikura, K; Shiokawa, M; Suzuki, T; Takagi, S; Takei, D; Tsurukawa, Y, 2008
)
0.6
" A meta-analysis approach was used to assess the adverse effects of EREM (n = 801) in comparison with intravenous opioids and standard epidural morphine."( Extended-release epidural morphine (DepoDur): review and safety analysis.
Hartrick, CT; Hartrick, KA, 2008
)
0.85
" Safety assessments included adverse event recording and nasal examinations."( The analgesic efficacy and safety of a novel intranasal morphine formulation (morphine plus chitosan), immediate release oral morphine, intravenous morphine, and placebo in a postsurgical dental pain model.
Babul, N; Carr, DB; Christensen, KS; Cohen, AE; Hamilton, DA; McNicol, E; Mermelstein, FH, 2008
)
0.59
" Study medications were generally well tolerated, with no withdrawals due to adverse events or other safety concerns, and no serious adverse events reported."( The analgesic efficacy and safety of a novel intranasal morphine formulation (morphine plus chitosan), immediate release oral morphine, intravenous morphine, and placebo in a postsurgical dental pain model.
Babul, N; Carr, DB; Christensen, KS; Cohen, AE; Hamilton, DA; McNicol, E; Mermelstein, FH, 2008
)
0.59
" This procedure is safe and effective and we recommend this as the first treatment for MO in ELBW infants."( Iopamidol enema treatment for meconium obstruction of prematurity in extremely low-birth weight infants: a safe and effective method.
Funato, M; Nakaoka, T; Nishihara, M; Shiokawa, C; Tamai, H; Uemura, S, 2009
)
0.35
"This procedure is safe and effective."( Iopamidol enema treatment for meconium obstruction of prematurity in extremely low-birth weight infants: a safe and effective method.
Funato, M; Nakaoka, T; Nishihara, M; Shiokawa, C; Tamai, H; Uemura, S, 2009
)
0.35
"" Adverse effects, pain reduction at 10 minutes and 2 hours postbaseline, patient evaluations of satisfaction and pain relief at 30 minutes postbaseline, and use of additional analgesics and antiemetics were tracked as secondary outcomes."( Efficacy and safety profile of a single dose of hydromorphone compared with morphine in older adults with acute, severe pain: a prospective, randomized, double-blind clinical trial.
Baccelieri, A; Bijur, PE; Chang, AK; Gallagher, EJ, 2009
)
0.58
" The incidence of adverse effects from baseline to 30 minutes was not statistically different in the 2 groups."( Efficacy and safety profile of a single dose of hydromorphone compared with morphine in older adults with acute, severe pain: a prospective, randomized, double-blind clinical trial.
Baccelieri, A; Bijur, PE; Chang, AK; Gallagher, EJ, 2009
)
0.58
" The incidence of adverse effects was not statistically different."( Efficacy and safety profile of a single dose of hydromorphone compared with morphine in older adults with acute, severe pain: a prospective, randomized, double-blind clinical trial.
Baccelieri, A; Bijur, PE; Chang, AK; Gallagher, EJ, 2009
)
0.58
" Study variables included pain intensity on a visual analog scale every 4 hours, need for rescue analgesia (morphine), complications and adverse events within 5 postoperative days."( [Epidural analgesia versus femoral or femoral-sciatic nerve block after total knee replacement: comparison of efficacy and safety].
Bartrons Vilarnau, R; Bisbe Vives, E; Castillo Monsegur, J; Escolano Villén, F; Ginés Cespedosa, A; Montes Pérez, A; Santiveri Papiol, X, 2009
)
0.57
" Peripheral nerve block techniques have fewer adverse side effects than epidural analgesia."( [Epidural analgesia versus femoral or femoral-sciatic nerve block after total knee replacement: comparison of efficacy and safety].
Bartrons Vilarnau, R; Bisbe Vives, E; Castillo Monsegur, J; Escolano Villén, F; Ginés Cespedosa, A; Montes Pérez, A; Santiveri Papiol, X, 2009
)
0.35
" The results of our study suggest that preoperative ITM combined with IV-PCA may be considered as an effective and safe pain management regimen in living liver donors who have characteristics of low tolerance to pain and postoperative coagulation derangement."( Intrathecal morphine combined with intravenous patient-controlled analgesia is an effective and safe method for immediate postoperative pain control in live liver donors.
Ahn, HJ; Cho, HS; Choi, SJ; Gwak, MS; Hahm, TS; Joh, JW; Kim, GS; Kim, JA; Kim, KM; Ko, JS, 2009
)
0.73
" CONCLUSION / CLINICAL RELEVANCE: Dexmedetomidine CRI was equally effective as MOR CRI at providing postoperative analgesia and no clinically significant adverse reactions were noted."( Clinical evaluation of the efficacy and safety of a constant rate infusion of dexmedetomidine for postoperative pain management in dogs.
Aspegrén, J; Hellebrekers, LJ; McKusick, BC; Murrell, JC; Robben, JH; Uilenreef, J; Valtolina, C, 2009
)
0.35
" However, one-quarter to one-half of patients still do not achieve adequate pain relief, and adverse effects are relatively frequent; (2) Ziconotide is not an opiate and is not related to the usual classes of drugs that interfere with nervous transmission in the posterior horn of the spinal cord."( Ziconotide: new drug. Limited analgesic efficacy, too many adverse effects.
, 2008
)
0.35
" Numerical rating score, PCA requirement, nausea, vomiting, use of antiemetics, pruritus, use of antipruritics, and opioid-related adverse events were investigated at 1, 2, 4, and 24 hours postoperatively."( Combination of low-dose nalbuphine and morphine in patient-controlled analgesia decreases incidence of opioid-related side effects.
Chan, WS; Chang, HC; Lin, CJ; Lin, TF; Sun, WZ; Wang, YP; Yeh, YC, 2009
)
0.62
"This study was conducted to identify patient-related, surgical, and anesthetic factors that would help predict adverse events and allow for better planning of perioperative care in children with myotonic dystrophy."( Risk factors for perioperative adverse events in children with myotonic dystrophy.
Reed, PW; Sinclair, JL, 2009
)
0.35
" Perioperative adverse events were recorded."( Risk factors for perioperative adverse events in children with myotonic dystrophy.
Reed, PW; Sinclair, JL, 2009
)
0.35
" This study examined the structure and predictive validity of somatic and cognitive/affective side-effect profiles of morphine and pentazocine using the Somatic Side Effects Questionnaire and the Cognitive and Affective Side Effects Questionnaire."( Cognitive-affective and somatic side effects of morphine and pentazocine: side-effect profiles in healthy adults.
Campbell, CM; Fillingim, RB; Glover, TL; Hastie, BA; Riley, JL; Staud, R, 2010
)
0.83
" These drug-related side-effect profiles were linked with analgesic responses."( Cognitive-affective and somatic side effects of morphine and pentazocine: side-effect profiles in healthy adults.
Campbell, CM; Fillingim, RB; Glover, TL; Hastie, BA; Riley, JL; Staud, R, 2010
)
0.62
" All children were assessed for pain, sedation, time until first oral intake, and adverse effects for 48 h postoperatively."( Incisional continuous fascia iliaca block provides more effective pain relief and fewer side effects than opioids after pelvic osteotomy in children.
Gardeniers, J; Lako, SJ; Staals, LM; Steegers, MA; van Egmond, J; van Geffen, GJ, 2009
)
0.35
"31), WOMAC change-from-baseline (mean pain, physical function, composite scores), and adverse event frequency were similar."( ALO-01 (morphine sulfate and naltrexone hydrochloride) extended-release capsules in the treatment of chronic pain of osteoarthritis of the hip or knee: pharmacokinetics, efficacy, and safety.
Johnson, F; Katz, N; Stauffer, J; Sun, S, 2010
)
0.79
" Discontinuation rates and the incidence of adverse events were also evaluated."( Efficacy and safety of fentanyl HCl iontophoretic transdermal system compared with morphine intravenous patient-controlled analgesia for postoperative pain management for patient subgroups.
Anker-Møller, E; Coluzzi, F; Mattia, C; Sonnino, D, 2010
)
0.59
" Rates of patient withdrawals and the incidence of adverse events were generally similar between treatment groups in the patient subgroups."( Efficacy and safety of fentanyl HCl iontophoretic transdermal system compared with morphine intravenous patient-controlled analgesia for postoperative pain management for patient subgroups.
Anker-Møller, E; Coluzzi, F; Mattia, C; Sonnino, D, 2010
)
0.59
" A priori-defined adverse events included out-of-hospital events: respiratory rate <12 breaths/min, pulse oximetry <92%, systolic blood pressure <90 mmHg, any fall in Glasgow Coma Scale score, nausea or vomiting, intubation, and use of antiemetic agents or naloxone."( Effectiveness and safety of fentanyl compared with morphine for out-of-hospital analgesia.
Daya, M; Fleischman, RJ; Frazer, DG; Jui, J; Newgard, CD,
)
0.38
" Both medications had low rates of adverse events, which were easily controlled."( Effectiveness and safety of fentanyl compared with morphine for out-of-hospital analgesia.
Daya, M; Fleischman, RJ; Frazer, DG; Jui, J; Newgard, CD,
)
0.38
" Outcome measures included pain control and adverse events."( Safety and efficacy of continuous morphine infusions following pediatric cranial surgery in a surgical ward setting.
Bowen-Roberts, T; Ou, C; Purdy, R; Steinbok, P; Warren, DT, 2010
)
0.64
" There were no other significant adverse events."( Safety and efficacy of continuous morphine infusions following pediatric cranial surgery in a surgical ward setting.
Bowen-Roberts, T; Ou, C; Purdy, R; Steinbok, P; Warren, DT, 2010
)
0.64
" We recommend the use of CMIs as an alternative when pain is poorly controlled in post-operative pediatric neurosurgical patients to prevent the potential adverse consequences of inadequate analgesia."( Safety and efficacy of continuous morphine infusions following pediatric cranial surgery in a surgical ward setting.
Bowen-Roberts, T; Ou, C; Purdy, R; Steinbok, P; Warren, DT, 2010
)
0.64
"To determine which class of non-opioid analgesics - paracetamol (acetaminophen), NSAIDs or COX-2 inhibitors - is the most effective at reducing morphine consumption and associated adverse effects when used as part of multimodal analgesia following major surgery."( Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs (NSAIDs) for the reduction of morphine-related side effects after major surgery: a systematic review.
Jenkins, B; Maund, E; McDaid, C; Rice, S; Woolacott, N; Wright, K, 2010
)
0.77
" Other outcomes of interest were morphine-related adverse effects and adverse effects related to the non-opioids."( Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs (NSAIDs) for the reduction of morphine-related side effects after major surgery: a systematic review.
Jenkins, B; Maund, E; McDaid, C; Rice, S; Woolacott, N; Wright, K, 2010
)
0.85
"We performed a systematic review to assess the analgesic efficacy and the incidence of adverse effects of epidural morphine after caesarean section compared to systemic analgesia with opioids."( Analgesic efficacy and adverse effects of epidural morphine compared to parenteral opioids after elective caesarean section: a systematic review.
Bonnet, MP; Marret, E; Mazoit, JX; Mignon, A; Ozier, Y, 2010
)
0.82
" Prospective randomized studies comparing analgesic efficacy and/or adverse effects of a single epidural morphine administration versus systemic opioids after elective caesarean section were included."( Analgesic efficacy and adverse effects of epidural morphine compared to parenteral opioids after elective caesarean section: a systematic review.
Bonnet, MP; Marret, E; Mazoit, JX; Mignon, A; Ozier, Y, 2010
)
0.83
" Safety was evaluated according to the number of adverse events and their severity."( Long-term continuous subcutaneous infusion of ketoprofen combined with morphine: a safe and effective approach to cancer pain.
Cruto, M; Debernardi, F; Massucco, P; Moselli, NM; Savojardo, M, 2010
)
0.59
"1% of patients after 3 months of treatment and the combination of NSAIDs and corticosteroids seems not to influence the risk of gastrointestinal adverse effects."( Long-term continuous subcutaneous infusion of ketoprofen combined with morphine: a safe and effective approach to cancer pain.
Cruto, M; Debernardi, F; Massucco, P; Moselli, NM; Savojardo, M, 2010
)
0.59
" The adverse events were as expected in an opioid-treated cancer population and showed no differences between ADPREM and CRM."( Clinical efficacy and safety of once-daily dosing of a novel, prolonged-release oral morphine tablet compared with twice-daily dosing of a standard controlled-release morphine tablet in patients with cancer pain: a randomized, double-blind, exploratory cr
Andersen, C; Burneckis, A; Jespersen, L; Ridgway, D; Sopata, M, 2010
)
0.58
" Per-operative preparations and management were all standardised, with other drugs being only administered to manage anxiety, pain, nausea/vomiting, hypotension, and any adverse event."( Spinal anaesthesia for laparoscopic cholecystectomy: a feasibility and safety study.
Gautam, B,
)
0.13
"Spinal anaesthesia with Morphine-mixed hyperbaric Bupivacaine is adequate and safe for elective LC in otherwise healthy patients and minimises postoperative pain and opioid use."( Spinal anaesthesia for laparoscopic cholecystectomy: a feasibility and safety study.
Gautam, B,
)
0.44
"Previous meta-analysis suggested that transdermal fentanyl was not inferior to sustained-release oral morphine in treating moderate-severe cancer pain with less adverse effects."( Efficacy and adverse effects of transdermal fentanyl and sustained-release oral morphine in treating moderate-severe cancer pain in Chinese population: a systematic review and meta-analysis.
Bi, ZF; Chen, DL; Jiang, ZM; Ma, W; Xie, DR; Yang, Q; Zhang, YD, 2010
)
0.8
" Primary end points assessed by meta-analysis were remission rate of pain and incidence of adverse effects."( Efficacy and adverse effects of transdermal fentanyl and sustained-release oral morphine in treating moderate-severe cancer pain in Chinese population: a systematic review and meta-analysis.
Bi, ZF; Chen, DL; Jiang, ZM; Ma, W; Xie, DR; Yang, Q; Zhang, YD, 2010
)
0.59
"Our study showed again that both transdermal fentanyl and oral morphine had the same efficacy in the treatment of moderate-severe cancer pain in Chinese population, but the former might have less adverse effects and better quality of life."( Efficacy and adverse effects of transdermal fentanyl and sustained-release oral morphine in treating moderate-severe cancer pain in Chinese population: a systematic review and meta-analysis.
Bi, ZF; Chen, DL; Jiang, ZM; Ma, W; Xie, DR; Yang, Q; Zhang, YD, 2010
)
0.83
"The analgesic and side effect potential of morphine was compared between wild-type and tac1 null mutant mice."( Increased morphine analgesia and reduced side effects in mice lacking the tac1 gene.
Berner, J; Bilkei-Gorzo, A; Racz, I; Wickström, R; Zimmer, A; Zimmermann, J, 2010
)
1.03
" Interestingly, the most serious side effect of acute morphine, that is respiratory depression, was reduced in tac1(-/-) animals."( Increased morphine analgesia and reduced side effects in mice lacking the tac1 gene.
Berner, J; Bilkei-Gorzo, A; Racz, I; Wickström, R; Zimmer, A; Zimmermann, J, 2010
)
1.01
" We aimed to determine the adverse events during neonatal intubation using the most commonly used premedication regimen in the UK."( Endotracheal intubation in a neonatal population remains associated with a high risk of adverse events.
Anandaraj, J; Arasu, A; Chaudhary, R; Clarke, P; Curley, A; Malviya, M; Ponnusamy, V; Venkatesh, V, 2011
)
0.37
"Safety assessments included determining adverse events (AEs), laboratory assessments, and the Clinical Opiate Withdrawal Scale (COWS)."( Long-term safety and efficacy of morphine sulfate and naltrexone hydrochloride extended release capsules, a novel formulation containing morphine and sequestered naltrexone, in patients with chronic, moderate to severe pain.
Brewer, R; Johnson, FK; Morris, D; Sekora, D; Stauffer, J; Wang, C; Webster, LR, 2010
)
0.64
" By comparing the growth and evolution amongst each egg in the group under experiment, after injection, the eggs did not show any adverse reaction after inoculation with therapeutic human morphine vaccine."( Safety of human therapeutic morphine vaccine employing Lohmann specific pathogen free eggs.
Akbarzadeh, A; Bashar, R; Chiani, M; Farhangi, A; Ghassemi, S; Kheiri, M; Mehrabi, MR; Saffari, Z, 2010
)
0.85
" Knowing that morphine provides comparable to even prolonged pain reduction after ACL reconstruction, the presented in vitro study suggests morphine as a potentially less toxic analgetic drug for intraarticular application in clinical practice."( Bupivacaine, ropivacaine, and morphine: comparison of toxicity on human hamstring-derived stem/progenitor cells.
Docheva, D; Grote, S; Haasters, F; Kohler, J; Mutschler, W; Polzer, H; Prall, WC; Saller, MM; Schieker, M, 2011
)
1.02
" There was no significant difference in the incidence of adverse effects between the two drugs."( The effectiveness and adverse events of morphine versus fentanyl on a physician-staffed helicopter.
Cudnik, M; Emerman, CL; Pakiela, J; Smith, DA; Smith, MD; Wang, Y, 2012
)
0.65
" There was a 50-75 percent reduction in moderate to severe adverse events (AEs) commonly associated with opioids (ie, nausea, vomiting, and dizziness) in the MoxDuo 6 mg/4 mg group when compared with its morphine-equivalent dose groups."( Analgesic and adverse effects of a fixed-ratio morphine-oxycodone combination (MoxDuo) in the treatment of postoperative pain.
Kelen, R; Richards, P; Riff, D; Stern, W,
)
0.58
" No serious adverse effects associated with bowel stimulation were reported."( Safety and efficacy of immediate postoperative feeding and bowel stimulation to prevent ileus after major gynecologic surgical procedures.
Fanning, J; Hojat, R, 2011
)
0.37
"Immediate postoperative feeding and bowel stimulation is a safe and effective approach to preventing ileus in patients who undergo major gynecologic surgical procedures."( Safety and efficacy of immediate postoperative feeding and bowel stimulation to prevent ileus after major gynecologic surgical procedures.
Fanning, J; Hojat, R, 2011
)
0.37
" Early detection of respiratory depression is essential for safe use of morphine, following both initial and repeated doses."( Improved practices for safe administration of intravenous bolus morphine in a pediatric setting.
Ellis, J; Gaboury, I; Lamontagne, C; Martelli, B; Pascuet, E; Taillefer, L; Vaillancourt, R, 2011
)
0.84
" Safety and tolerability were evaluated by adverse events (AEs) and nasal assessments."( Efficacy and safety of fentanyl pectin nasal spray compared with immediate-release morphine sulfate tablets in the treatment of breakthrough cancer pain: a multicenter, randomized, controlled, double-blind, double-dummy multiple-crossover study.
Davies, A; Fallon, M; Galvez, R; Kumar, K; Lux, AE; Reale, C; Stachowiak, A,
)
0.36
" We conclude that adding low-dose ketamine to morphine PCA is safe and post-thoracotomy may provide better pain control than PCA with morphine alone (PCA-MO), with reduced morphine consumption and possible improvement in respiratory function."( Does adding ketamine to morphine patient-controlled analgesia safely improve post-thoracotomy pain?
Churchhouse, AM; Dunning, J; Housden, T; Mathews, TJ, 2012
)
0.94
" However, during cesarean section with neuraxial block, S-Ketamine might have adverse effects on the interaction between mothers and infants, including breastfeeding."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.38
" All side effects were rated as light and there were no serious adverse events."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.38
"Preventive administration of S-Ketamine via 12-hour infusion was safe and may have anti-hyperalgesic action after cesarean section."( A study of low-dose S-ketamine infusion as "preventive" pain treatment for cesarean section with spinal anesthesia: benefits and side effects.
Catarci, S; Draisci, G; Suppa, E; Valente, A; Zanfini, BA, 2012
)
0.38
"Although opioids are widely accepted as standard therapy for treating acute postoperative pain, the frequent occurrence of adverse events (AEs) and the substantial burden on the patient and the costs of care are a barrier to optimal dosing and adherence to prescribed treatment."( Efficacy and safety of dual-opioid therapy in acute pain.
Webster, L, 2012
)
0.38
"The findings indicate comparability of transdermal buprenorphine and transdermal fentanyl for pain measures with significantly fewer adverse events (nausea and treatment discontinuation due to adverse events) caused by transdermal buprenorphine."( Systematic review of efficacy and safety of buprenorphine versus fentanyl or morphine in patients with chronic moderate to severe pain.
Aune, D; Hernandez, AV; Kleijnen, J; Misso, K; Riemsma, R; Truyers, C; Wolff, RF, 2012
)
0.61
" Statistically significant differences in the occurrence of side effects were documented: While 58% of L children experienced at least one side effect only 20% of NL did (P = 0."( Is ethnicity associated with morphine's side effects in children? Morphine pharmacokinetics, analgesic response, and side effects in children having tonsillectomy.
Anderson, GD; Farin, FM; Jimenez, N; Lynn, AM; Nielsen, SS; Seidel, K; Shen, DD, 2012
)
0.67
"It has been confirmed by several clinical trials that the fentanyl patch causes less adverse events than sustained-release oral morphine, and after rotation."( [A pilot study of the reduced effects of adverse events caused by oral morphine and oxycodone after rotating to fentanyl patch in patients with metastatic breast cancer].
Fujii, S; Ikeda, M; Koike, Y; Kubo, S; Kurebayashi, J; Mizutou, A; Nakashima, K; Nomura, T; Oota, Y; Saitou, W; Seki, M; Shiiki, S; Shimo, T; Sonoo, H; Tanaka, K; Yamamoto, Y; Yamashita, T, 2012
)
0.82
"We prospectively investigated the reduced effects of adverse events caused by sustained-release oral morphine and controlled-release oxycodone after rotating to the fentanyl patch in patients with metastatic breast cancer."( [A pilot study of the reduced effects of adverse events caused by oral morphine and oxycodone after rotating to fentanyl patch in patients with metastatic breast cancer].
Fujii, S; Ikeda, M; Koike, Y; Kubo, S; Kurebayashi, J; Mizutou, A; Nakashima, K; Nomura, T; Oota, Y; Saitou, W; Seki, M; Shiiki, S; Shimo, T; Sonoo, H; Tanaka, K; Yamamoto, Y; Yamashita, T, 2012
)
0.83
" Those experiencing adverse events from oral morphine or oral oxycodone were administered a fentanyl patch."( [A pilot study of the reduced effects of adverse events caused by oral morphine and oxycodone after rotating to fentanyl patch in patients with metastatic breast cancer].
Fujii, S; Ikeda, M; Koike, Y; Kubo, S; Kurebayashi, J; Mizutou, A; Nakashima, K; Nomura, T; Oota, Y; Saitou, W; Seki, M; Shiiki, S; Shimo, T; Sonoo, H; Tanaka, K; Yamamoto, Y; Yamashita, T, 2012
)
0.87
"This study suggested that the fentanyl patch can reduce adverse events caused by sustained-release oral morphine as well as controlled-release oral oxycodone."( [A pilot study of the reduced effects of adverse events caused by oral morphine and oxycodone after rotating to fentanyl patch in patients with metastatic breast cancer].
Fujii, S; Ikeda, M; Koike, Y; Kubo, S; Kurebayashi, J; Mizutou, A; Nakashima, K; Nomura, T; Oota, Y; Saitou, W; Seki, M; Shiiki, S; Shimo, T; Sonoo, H; Tanaka, K; Yamamoto, Y; Yamashita, T, 2012
)
0.83
"Prospective observational study evaluating effect of race on analgesia and opioid related adverse effects after tonsillectomy in African American and Caucasian children."( Race and unequal burden of perioperative pain and opioid related adverse effects in children.
Chidambaran, V; Esslinger, HR; Martin, LJ; McAuliffe, J; Ngamprasertwong, P; Prows, C; Sadhasivam, S; Zhang, X, 2012
)
0.38
" Although Caucasian children received relatively less opioids perioperatively, they had significantly higher opioid related adverse effects (P = ."( Race and unequal burden of perioperative pain and opioid related adverse effects in children.
Chidambaran, V; Esslinger, HR; Martin, LJ; McAuliffe, J; Ngamprasertwong, P; Prows, C; Sadhasivam, S; Zhang, X, 2012
)
0.38
"After similar uses of intraoperative morphine for tonsillectomy, there was an unequal burden of increased pain in African American children and increased opioid adverse effects in Caucasian children in the recovery room."( Race and unequal burden of perioperative pain and opioid related adverse effects in children.
Chidambaran, V; Esslinger, HR; Martin, LJ; McAuliffe, J; Ngamprasertwong, P; Prows, C; Sadhasivam, S; Zhang, X, 2012
)
0.65
"To review postmarketing adverse event (AE) reports received during first year following approval."( Safety of EMBEda (morphine sulfate and naltrexone hydrochloride) extended-release capsules: review of postmarketing adverse events during the first year.
Badalamenti, VC; Buckley, JW; Smith, ET,
)
0.47
"Prolonged dexmedetomidine administration in children with heart disease appears to be safe and is associated with decreased opioid and benzodiazepine requirement and decreased inotropic support."( Safety and efficacy of prolonged dexmedetomidine use in critically ill children with heart disease*.
Gossett, JM; Gupta, P; Roth, SJ; Sabati, A; Tesoro, TM; Tobias, JD; Whiteside, W, 2012
)
0.38
" In this patient, this rare side effect decisively impaired life quality, subjectively outweighing the considerable pain relief which could be achieved after formerly inefficacious treatment."( Erectile dysfunction as rare side effect in the simultaneous intrathecal application of morphine and clonidine.
Alfieri, A; Koman, G; Rachingter, J; Scheller, C; Strauss, C,
)
0.35
" Moderate to severe gastrointestinal adverse events occurred in 50% of patients in the oxycodone/acetaminophen group compared with 15% of the equianalgesic morphine/oxycodone group."( Comparison of the efficacy and safety of dual-opioid treatment with morphine plus oxycodone versus oxycodone/acetaminophen for moderate to severe acute pain after total knee arthroplasty.
Gimbel, JS; Kelen, R; Minkowitz, HS; Richards, P; Stern, W, 2013
)
0.82
"While opioids are potent analgesics widely used in the management of pain, a number of well-known adverse effects limit their use."( Sigma-1 receptor antagonism as opioid adjuvant strategy: enhancement of opioid antinociception without increasing adverse effects.
Baeyens, JM; Bura, SA; Buschmann, H; Codony, X; de la Puente, B; Fernández-Pastor, B; Maldonado, R; Merlos, M; Rocasalbas, M; Romero, L; Touriño, C; Vela, JM; Vidal-Torres, A; Zamanillo, D, 2013
)
0.39
"Pruritus is a frequent adverse event after administration of morphine."( Butorphanol prevents morphine-induced pruritus without increasing pain and other side effects: a systematic review of randomized controlled trials.
Du, BX; Shi, XY; Song, ZM; Wang, K; Xu, FY; Zhang, H; Zou, Z, 2013
)
0.95
" The frequency of analgesic use and the occurrence of adverse side effects during the first 48 hours after surgery were compared between the two groups."( [Safety and beneficial effects of spinal morphine on the postoperative course of elderly patients undergoing surgical fixation of the femoral neck fracture].
Baba, H; Fujiwara, T; Mochida, T; Watanabe, I; Watanabe, T, 2013
)
0.66
"1 mg morphine had beneficial effects and was safe in the postoperative period of elderly patients with femoral neck fracture provided that sufficient observation was given."( [Safety and beneficial effects of spinal morphine on the postoperative course of elderly patients undergoing surgical fixation of the femoral neck fracture].
Baba, H; Fujiwara, T; Mochida, T; Watanabe, I; Watanabe, T, 2013
)
1.17
"Low-dosage misoprostol required more time than dinoprostone to induce labour, but the two drugs were equally safe in terms of the risk of caesarean section and foetal outcomes."( Safe induction of labour with low-dose misoprostol, but less effective than the conventional dinoprostone regimen.
Bergholt, T; Løkkegaard, EC; Petersen, JF, 2013
)
0.39
"IV-PCA provided timely, safe and useful analgesia for patients with severe breakthrough pain and may be useful to help titration of opioids, weaning to oral analgesia and to decide for interventional procedures."( Safety profile of intravenous patient-controlled analgesia for breakthrough pain in cancer patients: a case series study.
Ashmawi, HA; Cascudo, GM; de Santana Neto, J; Guimaraes, GM; Neto, JO; Sousa, AM, 2014
)
0.4
"Morphine is the gold-standard pain reliever for severe acute or chronic pain but it also produces adverse side effects that can alter the quality of life of patients and, in some rare cases, jeopardize the vital prognosis."( Activation of TREK-1 by morphine results in analgesia without adverse side effects.
Alloui, A; Busserolles, J; Christin, M; Delmas, P; Deval, E; Devilliers, M; Eschalier, A; Lazdunski, M; Lolignier, S; Mazet, B; Noel, J; Pereira, V, 2013
)
2.14
"Opioids are standard therapy for the treatment of pain; however, adverse effects limit their use."( Action of Phα1β, a peptide from the venom of the spider Phoneutria nigriventer, on the analgesic and adverse effects caused by morphine in mice.
Ferreira, J; Gewehr, C; Gomez, MV; Pereira, EM; Rigo, F; Tonello, R; Trevisan, G, 2014
)
0.61
" Phα1β, a peptide calcium channel blocker, could be used not only to potentiate morphine analgesia but also to reduce the adverse effects caused by repeated administration of morphine."( Action of Phα1β, a peptide from the venom of the spider Phoneutria nigriventer, on the analgesic and adverse effects caused by morphine in mice.
Ferreira, J; Gewehr, C; Gomez, MV; Pereira, EM; Rigo, F; Tonello, R; Trevisan, G, 2014
)
0.84
" This secondary analysis evaluated whether endogenous opioid activity is associated with degree of opioid analgesic adverse effects, and whether chronic pain status and sex affect these adverse effects."( Relationship between endogenous opioid function and opioid analgesic adverse effects.
Bruehl, S; Burns, JW; Buvanendran, A; Chont, M; France, CR; Gupta, RK; Schuster, E,
)
0.13
" These measures were examined for associations with morphine-related adverse effects."( Relationship between endogenous opioid function and opioid analgesic adverse effects.
Bruehl, S; Burns, JW; Buvanendran, A; Chont, M; France, CR; Gupta, RK; Schuster, E,
)
0.38
" Across groups, only 6 of 112 possible associations between adverse effects and blockade effects were significant."( Relationship between endogenous opioid function and opioid analgesic adverse effects.
Bruehl, S; Burns, JW; Buvanendran, A; Chont, M; France, CR; Gupta, RK; Schuster, E,
)
0.13
"No consistent relationships were observed between endogenous opioid function and morphine-related adverse effects."( Relationship between endogenous opioid function and opioid analgesic adverse effects.
Bruehl, S; Burns, JW; Buvanendran, A; Chont, M; France, CR; Gupta, RK; Schuster, E,
)
0.36
"With the exception of one severe adverse event (AE), all others were mild or moderate in intensity."( Evaluation of the safety, pharmacodynamic, and pharmacokinetic effects following oral coadministration of immediate-release morphine with ethanol in healthy male participants.
Johnson, F; Oldenhof, J; Romach, M; Setnik, B; Sokolowska, M, 2014
)
0.61
"Opioids provide powerful analgesia but also efficacy-limiting adverse effects, including severe nausea, vomiting, and respiratory depression, by activating μ-opioid receptors."( Biased agonism of the μ-opioid receptor by TRV130 increases analgesia and reduces on-target adverse effects versus morphine: A randomized, double-blind, placebo-controlled, crossover study in healthy volunteers.
Burnham, N; James, IE; Lark, MW; Sadler, BM; Skobieranda, F; Soergel, DG; Subach, RA; Violin, JD; Webster, LR, 2014
)
0.61
"It is now generally recognized that upon activation by an agonist, β-arrestin associates with G protein-coupled receptors and acts as a scaffold in creating a diverse signaling network that could lead to adverse effects."( Putative kappa opioid heteromers as targets for developing analgesics free of adverse effects.
Benneyworth, MA; Kalyuzhny, AE; Le Naour, M; Lunzer, MM; Portoghese, PS; Powers, MD; Thomas, MJ, 2014
)
0.4
"Opioid substitution treatment (OST) for opioid dependence may be limited by adverse events (AEs)."( Safety and tolerability of slow-release oral morphine versus methadone in the treatment of opioid dependence.
Babic-Hohnjec, L; Berthel, T; Bonorden-Kleij, K; Gholami, N; Haasen, C; Hämmig, R; Höpner, D; Köhler, W; Lebentrau, K; Reimer, J; Ruckes, C; Verthein, U; Vollmert, C; Weber, B, 2014
)
0.66
"Opioid-induced constipation (OIC) is a common adverse effect of opioid therapy."( Randomised clinical trial: the long-term safety and tolerability of naloxegol in patients with pain and opioid-induced constipation.
Chey, WD; Diva, U; Lappalainen, J; Sostek, M; Tack, J; Webster, L, 2014
)
0.4
" Frequency of adverse events (AEs) was 81."( Randomised clinical trial: the long-term safety and tolerability of naloxegol in patients with pain and opioid-induced constipation.
Chey, WD; Diva, U; Lappalainen, J; Sostek, M; Tack, J; Webster, L, 2014
)
0.4
"In patients with noncancer pain and opioid-induced constipation, naloxegol 25 mg/day up to 52 weeks was generally safe and well tolerated."( Randomised clinical trial: the long-term safety and tolerability of naloxegol in patients with pain and opioid-induced constipation.
Chey, WD; Diva, U; Lappalainen, J; Sostek, M; Tack, J; Webster, L, 2014
)
0.4
" Adverse reactions were observed in 17."( Efficacy and safety of sublingual fentanyl orally disintegrating tablet at doses determined from oral morphine rescue doses in the treatment of breakthrough cancer pain.
Gomyo, I; Higuchi, H; Kojima, K; Ohta, E; Shimoyama, M; Shimoyama, N; Teramoto, O; Yukitoshi, N, 2015
)
0.63
"Unpredictable interindividual variability in response to opioids results in inadequate analgesia and opioid-related adverse effects."( Opioid-related adverse effects in children undergoing surgery: unequal burden on younger girls with higher doses of opioids.
Chidambaran, V; Clay, S; Costandi, A; Martin, LJ; Olbrecht, VA; Prows, CA; Sadhasivam, S; Zhang, X, 2015
)
0.42
" Opioid-related analgesia and safety outcomes included incidences of respiratory depression (RD), postoperative nausea and vomiting (PONV) and incidence of prolonged stay in the, post-anesthesia recovery unit (PACU) due to opioid related adverse effects."( Opioid-related adverse effects in children undergoing surgery: unequal burden on younger girls with higher doses of opioids.
Chidambaran, V; Clay, S; Costandi, A; Martin, LJ; Olbrecht, VA; Prows, CA; Sadhasivam, S; Zhang, X, 2015
)
0.42
"This study demonstrates that child's sex influences morphine's dose response and adverse effects."( Opioid-related adverse effects in children undergoing surgery: unequal burden on younger girls with higher doses of opioids.
Chidambaran, V; Clay, S; Costandi, A; Martin, LJ; Olbrecht, VA; Prows, CA; Sadhasivam, S; Zhang, X, 2015
)
0.67
" The primary outcome measure was the decrements in morphine dose; secondary outcomes included quantitative assessments of sleep (rated according to the Medical Outcomes Study Sleep Scale), the Constipation Assessment Scale and adverse effects."( Efficacy and safety of pregabalin in patients with neuropathic cancer pain undergoing morphine therapy.
Dou, Z; Jiang, Z; Zhong, J, 2017
)
0.93
"PGB enhances the efficacy of oral morphine and reduces dose-related adverse reactions."( Efficacy and safety of pregabalin in patients with neuropathic cancer pain undergoing morphine therapy.
Dou, Z; Jiang, Z; Zhong, J, 2017
)
0.96
" Taking into account the high consumption of codeine, only few fatal adverse events have been published."( Codeine Ultra-rapid Metabolizers: Age Appears to be a Key Factor in Adverse Effects of Codeine.
Fuchs, W; Heintze, K, 2015
)
0.42
"Potentially severe and clinically relevant adverse events (AEs) associated with IT morphine include respiratory depression, tolerance, and granuloma formulation, whereas IT ziconotide is associated with neuropsychiatric AEs, such as cognitive impairment, hallucinations, and changes in mood or consciousness, particularly with high doses and rapid titration."( The Relationship Between the Mechanisms of Action and Safety Profiles of Intrathecal Morphine and Ziconotide: A Review of the Literature.
Webster, LR, 2015
)
0.87
" The primary outcome was the percentage of patients without adverse event-related study discontinuations who presented with a combination of a ≥50% improvement of pain intensity, disability and quality-of-life and a ≤50% worsening of bowel function at study end."( Safety and efficacy of oxycodone/naloxone vs. oxycodone vs. morphine for the treatment of chronic low back pain: results of a 12 week prospective, randomized, open-label blinded endpoint streamlined study with prolonged-release preparations.
Mueller-Schwefe, GH; Ueberall, MA, 2015
)
0.66
" Oxycodone and fentanyl, in relation to the symptoms studied, seem to be safe as used and titrated in routine cancer pain care."( Renal function and symptoms/adverse effects in opioid-treated patients with cancer.
Christrup, L; Dale, O; Davies, A; Ekholm, O; Kaasa, S; Klepstad, P; Kurita, GP; Lundström, S; Sjøgren, P, 2015
)
0.42
"Although morphine is the standard opioid analgesic for pain control and has been widely used, certain drug-induced adverse effects have been reported as intolerable and need to be addressed."( A comparision of nalbuphine with morphine for analgesic effects and safety : meta-analysis of randomized controlled trials.
Chen, Y; Guo, T; Lu, J; Shu, C; Wu, QP; Yao, SL; Yin, P; Zeng, Z, 2015
)
1.12
"Use of intrathecal admixtures is widespread, but compounding these is sometimes challenging and may result in errors and complications causing super-potency or sub potency adverse events in patients or malfunctions in the pump itself."( Rationale for Prospective Assays of Intrathecal Mixtures Including Morphine, Ropivacaine and Ziconotide: Prevention of Adverse Events and Feasibility in Clinical Practice.
Bazin, C; Boré, F; Devys, C; Dubois, PY; Dupoiron, D; Folliard, C; Kieffer, H; Lebrec, N,
)
0.37
"This study is monocentric and limitations include also its non-randomized nature with no clinical comparison of the rate of adverse events with a refill process without control of each component concentrations."( Rationale for Prospective Assays of Intrathecal Mixtures Including Morphine, Ropivacaine and Ziconotide: Prevention of Adverse Events and Feasibility in Clinical Practice.
Bazin, C; Boré, F; Devys, C; Dubois, PY; Dupoiron, D; Folliard, C; Kieffer, H; Lebrec, N,
)
0.37
"This analysis compared opioid-related adverse events (ORADEs) observed with fentanyl iontophoretic transdermal system (ITS) versus morphine intravenous (iv."( A comparison of opioid-related adverse events with fentanyl iontophoretic transdermal system versus morphine intravenous patient-controlled analgesia in acute postoperative pain.
Danesi, H; Ding, L; Grond, S; Jones, JB; Sinatra, RS; Viscusi, ER, 2016
)
0.85
" Treatment-emergent adverse events were collected via spontaneous report."( A comparison of opioid-related adverse events with fentanyl iontophoretic transdermal system versus morphine intravenous patient-controlled analgesia in acute postoperative pain.
Danesi, H; Ding, L; Grond, S; Jones, JB; Sinatra, RS; Viscusi, ER, 2016
)
0.65
"The study investigated patient discharge parameters and postdischarge adverse events after discharge among children who received oral conscious sedation for dental treatment."( Oral Sedation Postdischarge Adverse Events in Pediatric Dental Patients.
Huang, A; Tanbonliong, T, 2015
)
0.42
"Although intrathecal drug infusion has been commonly adopted for terminal cancer pain relief, its adverse effects have made many clinicians reluctant to employ it for intractable cancer pain."( Efficacy and Safety of Ropivacaine Addition to Intrathecal Morphine for Pain Management in Intractable Cancer.
Huang, Y; Li, X; Lin, J; Tao, G; Zhu, T, 2015
)
0.66
" Adverse effects and complications on postoperative days 1, 3, 7, and 15 were also analyzed."( Efficacy and Safety of Ropivacaine Addition to Intrathecal Morphine for Pain Management in Intractable Cancer.
Huang, Y; Li, X; Lin, J; Tao, G; Zhu, T, 2015
)
0.66
"Morphine and ropivacaine administration through intrathecal access ports is efficacious and safe and significantly improves quality of life."( Efficacy and Safety of Ropivacaine Addition to Intrathecal Morphine for Pain Management in Intractable Cancer.
Huang, Y; Li, X; Lin, J; Tao, G; Zhu, T, 2015
)
2.1
" We observed a significant reduction in morphine adverse effects (31% versus 69% for groups R and P, respectively; P<0."( Impact of preoperative continuous femoral blockades on morphine consumption and morphine side effects in hip-fracture patients: A randomized, placebo-controlled study.
Bouhours, G; Chaudet, A; Hamel, JF; Lasocki, S; Leblanc, D; Rineau, E; Steiger, V, 2016
)
0.95
"Subgroup analysis of patients aged ≥65 years and <65 years was performed on pooled data for adverse events (AEs), potentially clinically significant laboratory values (hematology/chemistry), and signs/symptoms of opioid withdrawal using the Clinical Opiate Withdrawal Scale (COWS) (phase 3 trials only) for patients who received at least one dose (short-term studies, maximum dose was 160 mg/d or 320 mg/d depending on study; long-term study, no maximum dose) of study medication during titration and maintenance phases."( Safety profile of extended-release morphine sulfate with sequestered naltrexone hydrochloride in older patients: pooled analysis of three clinical trials.
Pixton, GC; Setnik, B; Webster, LR, 2016
)
0.71
" The most frequent treatment-emergent non-OWS adverse events were headache, nausea, constipation, and neck pain."( Switching Opioid-Dependent Patients From Methadone to Morphine: Safety, Tolerability, and Methadone Pharmacokinetics.
Cape, G; Devane, J; Friedhoff, L; Glue, P; Gray, A; Harland, S; Howes, J; Hung, CT; Hung, N; Lam, F; Lockhart, M; Tunnicliff, D; Weis, H, 2016
)
0.68
"Compare with intravenous analgesia, incidence of the adverse reactions of cryoanalgesia is lower, and there is no increasing in the stress response."( [Analgesic effect and safety of intercostal nerve cryoanalgesia after the video-assisted thoracoscopic surgery].
He, Y; Li, F; Li, W; Li, Y; Lin, H; Wang, J; Xu, M; Ye, S, 2015
)
0.42
" Morphine has proven to be an effective treatment for dyspnea and is recommended in clinical practice guidelines, but questions concerning benefits and respiratory adverse effects remain."( A randomized controlled trial on the benefits and respiratory adverse effects of morphine for refractory dyspnea in patients with COPD: Protocol of the MORDYC study.
Dirksen, CD; Franssen, FM; Janssen, DJ; Schols, JM; van den Beuken-van Everdingen, MH; Verberkt, CA; Wouters, EF, 2016
)
1.57
" Additionally, those patients administered epidural oxycodone had lower pain scores, needed less rescue analgesics and had fewer adverse effects compared with intravenous administration."( Cytotoxicity of Oxycodone and Morphine in Human Neuroblastoma and Mouse Motoneuronal Cells: A Comparative Approach.
Kokki, H; Kokki, M; Litmala, O; Pasanen, M; Pesonen, M; Vehviläinen, P, 2016
)
0.72
" At each visit, pain intensity, modifications of therapy and adverse drug reactions (ADRs) were recorded."( Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.
Apolone, G; Azzarello, G; Bandieri, E; Caraceni, A; Cavanna, L; Corli, O; Crispino, C; Di Gregorio, R; Dragani, TA; Floriani, I; Galli, F; Gamucci, T; Greco, MT; Iorno, V; Kaasa, S; Lipari, G; Luzzani, M; Montanari, M; Pacchioni, M; Pavesi, L; Reale, C; Roberto, A; Valenti, D, 2016
)
0.43
"The main findings were the similarity in pain control, response rates and main adverse reactions among opioids."( Are strong opioids equally effective and safe in the treatment of chronic cancer pain? A multicenter randomized phase IV 'real life' trial on the variability of response to opioids.
Apolone, G; Azzarello, G; Bandieri, E; Caraceni, A; Cavanna, L; Corli, O; Crispino, C; Di Gregorio, R; Dragani, TA; Floriani, I; Galli, F; Gamucci, T; Greco, MT; Iorno, V; Kaasa, S; Lipari, G; Luzzani, M; Montanari, M; Pacchioni, M; Pavesi, L; Reale, C; Roberto, A; Valenti, D, 2016
)
0.43
" Acute adverse events in the morphine group occurred in 19 (3%) participants."( Delivering safe and effective analgesia for management of renal colic in the emergency department: a double-blind, multigroup, randomised controlled trial.
Afzal, MS; Al Hilli, SA; Al Rumaihi, K; Anjum, S; Cameron, PA; Mitra, B; Morley, K; Pathan, SA; Shukla, D; Straney, LD; Thomas, SH, 2016
)
0.73
" The most common adverse events were somnolence, dizziness, headache, and nausea."( Safety, tolerability, pharmacokinetics, and pharmacodynamic effects of naloxegol at peripheral and central nervous system receptors in healthy male subjects: A single ascending-dose study.
Bui, K; Butler, K; Eldon, MA; Kugler, AR; Medve, RA; Sostek, M, 2015
)
0.42
"Introduction of standard infusions is safe and effective."( Safe implementation of standard concentration infusions in paediatric intensive care.
Aguado-Lorenzo, V; Arenas-López, S; Calleja-Hernández, MA; Durward, A; Perkins, J; Philip, J; Stanley, IM; Tibby, SM; Tunstell, P, 2017
)
0.46
"Nephrotoxicity is a major side effect of cisplatin, a widely used chemotherapy agent."( Enhancement of Cisplatin Nephrotoxicity by Morphine and Its Attenuation by the Opioid Antagonist Naltrexone.
Aminian, A; Asadi Amoli, F; Dehpour, AR; Ejtemaei Mehr, S; Javadi, S; Moghaddas, P; Rahimian, R, 2016
)
0.7
" Unfortunately, we have shown that morphine administered in the acute phase of SCI results in significant, adverse secondary consequences including compromised locomotor and sensory recovery."( Nor-Binaltorphimine Blocks the Adverse Effects of Morphine after Spinal Cord Injury.
Aceves, AR; Aceves, M; Bancroft, EA; Hook, MA, 2017
)
0.99
" The aims of the present study were to examine the acute toxic effects of methadone, an opioid receptor agonist and NMDA receptor antagonist, as well as to evaluate the protective properties of recombinant human GH (rhGH) on methadone-induced toxicity."( Growth hormone is protective against acute methadone-induced toxicity by modulating the NMDA receptor complex.
Diwakarla, S; Grönbladh, A; Hallberg, M; Nyberg, F; Nylander, E; Zelleroth, S, 2016
)
0.43
" The objective of this study was to elucidate the efficacy and adverse effects of a sub-dissociative dose of IN Ketamine compared to IV and IM morphine."( Intranasal ketamine for acute traumatic pain in the Emergency Department: a prospective, randomized clinical trial of efficacy and safety.
Gigi, R; Halpern, P; Nadav, D; Rozenek, M; Sarig-Meth, T; Shapira, A; Shimonovich, S; West, D, 2016
)
0.64
" Pain relief and adverse effects were recorded for 1 h post-administration."( Intranasal ketamine for acute traumatic pain in the Emergency Department: a prospective, randomized clinical trial of efficacy and safety.
Gigi, R; Halpern, P; Nadav, D; Rozenek, M; Sarig-Meth, T; Shapira, A; Shimonovich, S; West, D, 2016
)
0.43
" Therefore, TAP block is a safe and effective procedure compared to standard care, placebo and other analgesic techniques."( Clinical safety and effectiveness of transversus abdominis plane (TAP) block in post-operative analgesia: a systematic review and meta-analysis.
Cameron, AL; Duncan, JK; Ma, N; Scarfe, AJ; Schuhmann, S, 2017
)
0.46
" In addition, fewer adverse side effect was identified in FIB groups (RD = -0."( The efficiency and safety of fascia iliaca block for pain control after total joint arthroplasty: A meta-analysis.
Li, J; Song, Y; Wang, X; Zhang, P, 2017
)
0.46
" In addition, there were fewer adverse effects in FIB groups."( The efficiency and safety of fascia iliaca block for pain control after total joint arthroplasty: A meta-analysis.
Li, J; Song, Y; Wang, X; Zhang, P, 2017
)
0.46
" There were no serious or life-threatening adverse effects in either group."( Is Subdissociative Ketamine As Safe and Effective As Morphine for Pain Management in the Emergency Department?
Gisness, CM; Howard, PK,
)
0.38
"Large interindividual variability in morphine pharmacokinetics (PK) could contribute to variability in morphine analgesia and adverse events."( OCT1 genetic variants are associated with postoperative morphine-related adverse effects in children.
Balyan, R; Chidambaran, V; Fukuda, T; Martin, LJ; Mizuno, T; Sadhasivam, S; Vinks, AA; Zhang, X, 2017
)
0.97
" Pain scores, adverse events, and length of stay were recorded."( Intrathecal Morphine and Oral Analgesics Provide Safe and Effective Pain Control After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Abbott, MD; Burke, MC; Caird, MS; Farley, FA; Gibbons, KM; Holman, AE; Hong, RA; Li, Y; Robbins, CB, 2018
)
0.86
" Adverse events occurred at similar rates in both groups."( Intrathecal Morphine and Oral Analgesics Provide Safe and Effective Pain Control After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Abbott, MD; Burke, MC; Caird, MS; Farley, FA; Gibbons, KM; Holman, AE; Hong, RA; Li, Y; Robbins, CB, 2018
)
0.86
"ITM and oral analgesics provide safe and effective pain control after PSF for AIS."( Intrathecal Morphine and Oral Analgesics Provide Safe and Effective Pain Control After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
Abbott, MD; Burke, MC; Caird, MS; Farley, FA; Gibbons, KM; Holman, AE; Hong, RA; Li, Y; Robbins, CB, 2018
)
0.86
" The activation of opioid receptors in peripheral inflamed tissue can reduce pain without central adverse effects such as sedation, apnoea, or addiction."( Polyglycerol-opioid conjugate produces analgesia devoid of side effects.
González-Rodríguez, S; Gupta, S; Haag, R; Joseph, J; Labuz, D; Machelska, H; Parr, MK; Quadir, MA; Rodriguez-Gaztelumendi, A; Schmelz, M; Spahn, V; Stein, C; Walker, KA; Zhang, X, 2017
)
0.46
"Mothers with a CYP2D6 ultrarapid metabolizer phenotype may expose their infants to risk of adverse events when taking codeine while breastfeeding, by producing more of the active metabolite, morphine."( A cost-effectiveness analysis of maternal CYP2D6 genetic testing to guide treatment for postpartum pain and avert infant adverse events.
Berger, H; Ito, S; Koren, G; Lato, DF; Moretti, ME; Ungar, WJ, 2018
)
0.67
" No severe adverse effects associated with continuous wound infiltration were observed during the study period."( Efficacy and Safety of a Continuous Wound Catheter in Open Abdominal Partial Hepatectomy.
Che, L; Lu, X; Pei, LJ, 2017
)
0.46
" However, physicians remain reluctant to prescribe opioids for these patients, commonly due to fear of respiratory adverse effects."( Respiratory adverse effects of opioids for breathlessness: a systematic review and meta-analysis.
Datla, S; Dirksen, CD; Janssen, DJA; Johnson, MJ; Schols, JMGA; van den Beuken-van Everdingen, MHJ; van Kuijk, SMJ; Verberkt, CA; Wouters, EFM, 2017
)
0.46
" Horses were monitored for adverse ocular and systemic effects throughout the study period."( Pharmacokinetic evaluation and safety of topical 1% morphine sulfate application on the healthy equine eye.
Cebra, CK; Gordon, E; Heidel, J; Poulsen, KP; Schlipf, JW; Stang, BV, 2018
)
0.73
"0% morphine sulfate did not appear to cause any significant ocular or systemic adverse effects."( Pharmacokinetic evaluation and safety of topical 1% morphine sulfate application on the healthy equine eye.
Cebra, CK; Gordon, E; Heidel, J; Poulsen, KP; Schlipf, JW; Stang, BV, 2018
)
1.35
" The primary outcomes were associations between the use of different premedication regimens with number of TI attempts, TI adverse events (TIAEs), and changes in heart rate."( Premedication with paralysis improves intubation success and decreases adverse events in very low birth weight infants: a prospective cohort study.
Gray, M; Krick, J; Lee, G; Sawyer, T; Umoren, R, 2018
)
0.48
" Specific patient populations which significantly struggle with adverse outcomes related to opioid abuse are seen in palliative care, chronic pain, and acute pain treatment settings."( Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention.
Grant, MC; Kaye, AD; Stone, AB; Urman, RD, 2018
)
0.9
" Therefore circumventing the side effects, such as euphoria, addiction, respiratory depression and gastrointestinal adverse reactions, is of extensive importance."( Novel Opioid Receptor Agonists with Reduced Morphine-like Side Effects.
Cui, Z; Xu, Y; Zha, X; Zhu, L; Zhu, Q, 2018
)
0.74
" Massive tumour cell lysis during the course of chemotherapy may precipitate tumour lysis syndrome and may lead to renal dysfunction which makes the patient susceptible to morphine-related adverse effects."( Opioid toxicity with underlying tumour lysis syndrome in a patient with CMML: a diagnostic and therapeutic challenge.
Bhan, S; Mishra, S; Rustagi, K; Vig, S, 2018
)
0.67
" Our results in nonhuman primates suggest that bifunctional NOP/MOP agonists with the appropriate balance of NOP and MOP agonist activity may provide a dual therapeutic action for safe and effective pain relief and treating prescription opioid abuse."( A bifunctional nociceptin and mu opioid receptor agonist is analgesic without opioid side effects in nonhuman primates.
Czoty, PW; Daga, PR; Ding, H; Kiguchi, N; Kishioka, S; Ko, MC; Lu, JJ; Polgar, WE; Yasuda, D; Zaveri, NT, 2018
)
0.48
" We aimed to establish whether oral morphine could provide effective and safe analgesia in non-ventilated premature infants for acute procedural pain."( Analgesic efficacy and safety of morphine in the Procedural Pain in Premature Infants (Poppi) study: randomised placebo-controlled trial.
Adams, E; Bell, JL; Buckle, M; Goksan, S; Green, G; Gursul, D; Hartley, C; Hoskin, A; Juszczak, E; King, AR; Monk, V; Moultrie, F; Norman, JE; Patel, C; Rogers, R; Slater, R; van der Vaart, M, 2018
)
1.04
" The predefined stopping boundary was crossed, and trial recruitment stopped because of profound respiratory adverse effects of morphine without suggestion of analgesic efficacy."( Analgesic efficacy and safety of morphine in the Procedural Pain in Premature Infants (Poppi) study: randomised placebo-controlled trial.
Adams, E; Bell, JL; Buckle, M; Goksan, S; Green, G; Gursul, D; Hartley, C; Hoskin, A; Juszczak, E; King, AR; Monk, V; Moultrie, F; Norman, JE; Patel, C; Rogers, R; Slater, R; van der Vaart, M, 2018
)
0.97
" Surprisingly, respiratory depression, constipation, and opioid withdrawal signs are unchanged or exacerbated, indicating that β-arrestin recruitment does not contribute to the severity of opioid side effects and, hence, predicting that G-protein-biased µ-agonists are still likely to elicit severe adverse effects."( Phosphorylation-deficient G-protein-biased μ-opioid receptors improve analgesia and diminish tolerance but worsen opioid side effects.
Bailey, A; Bateman, JT; Christie, MJ; Kliewer, A; Levitt, ES; Schmiedel, F; Schulz, S; Sianati, S; Williams, JT, 2019
)
0.51
" Here, we thus hypothesized that the combined use of opioid and NT agonists would require lower doses to produce significant analgesic effects, hence decreasing opioid-induced adverse effects."( The combination of opioid and neurotensin receptor agonists improves their analgesic/adverse effect ratio.
Blais, V; Côté, J; Eiselt, E; Gendron, L; Longpré, JM; Sarret, P, 2019
)
0.51
" However, although opioids have been appropriately used in Japan, they rarely induce serious adverse events, such as respiratory depression."( Current Status of Adverse Events Related with Opioid Analgesics in Japan: Assessment Based on Japanese Adverse Drug Event Report Database.
Futamura, A; Nakagawa, T; Suga, Y; Sugawara, H; Suzuki, S; Takase, H; Torigoe, K; Uchida, M; Uesawa, Y, 2019
)
0.51
" With regards to adverse effects, it did not increase the risk of postoperative infection, postoperative nausea and vomiting (PONV), or other complications."( The efficiency and safety of steroid addition to multimodal cocktail periarticular injection in knee joint arthroplasty: a meta-analysis of randomized controlled trials.
Deng, Z; Gao, S; Kotian, RN; Lei, G; Li, Y; Lu, W; Storm, GR; Sun, X, 2019
)
0.51
" Generally, meloxicam IV was well tolerated, evidenced by the incidence of adverse events compared to placebo and lack of deaths and treatment-related serious adverse events."( Analgesic Efficacy and Safety of Intravenous Meloxicam in Subjects With Moderate-to-Severe Pain After Open Abdominal Hysterectomy: A Phase 2 Randomized Clinical Trial.
Du, W; Freyer, A; Mack, RJ; McCallum, SW; Rechberger, T, 2019
)
0.51
" The mild or moderate adverse effects were similar in 2 groups, while severe adverse effects were only identified in morphine group (P = ."( Efficacy and safety of sustained-release oxycodone compared with immediate-release morphine for pain titration in cancer patients: A multicenter, open-label, randomized controlled trial (SOCIAL).
Guo, Q; Han, F; Lu, L; Pan, H; Pan, J; Qian, S; Shen, P; Shu, Q; Wang, K; Xu, Q; Yang, Z; Zhang, P; Zhou, Y, 2019
)
0.95
" Although traditional opioids are the most effective painkillers, they are accompanied by severe adverse responses, such as respiratory depression, constipation symptoms, tolerance, withdrawal, and addiction."( BPR1M97, a dual mu opioid receptor/nociceptin-orphanin FQ peptide receptor agonist, produces potent antinociceptive effects with safer properties than morphine.
Chang, HF; Chang, WT; Chao, PK; Chuang, JY; Loh, HH; Ou, LC; Shih, C; Tao, PL; Tsu-An Hsu, J; Ueng, SH; Yeh, SH; Yeh, TK, 2020
)
0.76
"Data (ie, pain intensity, morphine consumption, gastrointestinal and psychotic adverse effects) were extracted by two reviewers independently."( Analgesic efficacy and safety of ketamine after total knee or hip arthroplasty: a meta-analysis of randomised placebo-controlled studies.
Ding, X; He, H; Lei, G; Li, J; Wang, Y; Wei, J; Wu, Z; Xie, D; Xu, B; Zeng, C, 2019
)
0.81
"001; four studies, 252 participants) postoperative periods, without increasing risks of gastrointestinal or psychotic adverse effects."( Analgesic efficacy and safety of ketamine after total knee or hip arthroplasty: a meta-analysis of randomised placebo-controlled studies.
Ding, X; He, H; Lei, G; Li, J; Wang, Y; Wei, J; Wu, Z; Xie, D; Xu, B; Zeng, C, 2019
)
0.51
"Intravenous administration of ketamine is effective and safe for postoperative pain relief in patients undergoing total knee or hip arthroplasty."( Analgesic efficacy and safety of ketamine after total knee or hip arthroplasty: a meta-analysis of randomised placebo-controlled studies.
Ding, X; He, H; Lei, G; Li, J; Wang, Y; Wei, J; Wu, Z; Xie, D; Xu, B; Zeng, C, 2019
)
0.51
"Opioid-induced respiratory depression (OIRD) and postoperative nausea and vomiting (PONV) are challenging, resource-intensive, and costly opioid-related adverse events (ORAEs)."( Opioid-related respiratory and gastrointestinal adverse events in patients with acute postoperative pain: prevalence, predictors, and burden.
Habib, AS; Iqbal, SU; Kugel, M; Liu, S; Morland, K; Oderda, GM; Senagore, AJ,
)
0.13
" Adverse events (all non-serious) were reported by 17% of methoxyflurane-treated patients and 3% of SAT-treated patients."( Analgesic Efficacy, Practicality and Safety of Inhaled Methoxyflurane Versus Standard Analgesic Treatment for Acute Trauma Pain in the Emergency Setting: A Randomised, Open-Label, Active-Controlled, Multicentre Trial in Italy (MEDITA).
Bonafede, E; Carpinteri, G; Fabbri, A; Farina, A; Gangitano, G; Intelligente, F; Mercadante, S; Ruggiano, G; Sblendido, A; Serra, S; Soldi, A; Voza, A, 2019
)
0.51
" Regression models estimated daily milligrams morphine equivalent (MME), daily prescription acetaminophen dose, potentially toxic acetaminophen doses, nonopioid prescription analgesics receipt, emergency room visits, and diagnosed falls, motor vehicle accidents, and hip fractures."( Response to Propoxyphene Market Withdrawal: Analgesic Substitutes, Doses, and Adverse Events.
Hooten, WM; Jeffery, MM; Larochelle, M; Meara, E; Morden, NE; Shah, ND, 2020
)
0.82
" Adverse events were rare and not significantly different in exposed versus unexposed groups."( Response to Propoxyphene Market Withdrawal: Analgesic Substitutes, Doses, and Adverse Events.
Hooten, WM; Jeffery, MM; Larochelle, M; Meara, E; Morden, NE; Shah, ND, 2020
)
0.56
" Several studies have suggested opioid antagonist and antioxidant therapy for reducing adverse effects of morphine."( Behavioral, histopathological, and biochemical evaluations on the effects of cinnamaldehyde, naloxone, and their combination in morphine-induced cerebellar toxicity.
Farshid, AA; Imani, M; Mahmoudi, S; Noroozinia, F; Tamaddonfard, E, 2022
)
1.14
" There was no clinically relevant harm with regards to the drop out rate due to adverse and serious adverse events by opioids compared to placebo."( Opioids for chronic non-cancer neuropathic pain. An updated systematic review and meta-analysis of efficacy, tolerability and safety in randomized placebo-controlled studies of at least 4 weeks duration.
Häuser, W; Klose, P; Petzke, F; Sommer, C; Welsch, P, 2020
)
0.56
"Prolonged use of opioids causes analgesic tolerance and adverse effects including constipation and dependence."( Improved efficacy, tolerance, safety, and abuse liability profile of the combination of CR4056 and morphine over morphine alone in rodent models.
Bonazzi, A; Borsi Franchini, M; Caselli, G; Comi, E; Ferrari, F; Lanza, M; Milia, C; Rovati, LC; Sabatini, C; Sala, E, 2020
)
0.77
" Opioid-induced adverse effects were assessed in rodent models of morphine-induced constipation, sedation (open field, sedation rating scale, and rotarod), physical dependence (naloxone-induced withdrawal), and abuse (conditioned place preference-associated reward)."( Improved efficacy, tolerance, safety, and abuse liability profile of the combination of CR4056 and morphine over morphine alone in rodent models.
Bonazzi, A; Borsi Franchini, M; Caselli, G; Comi, E; Ferrari, F; Lanza, M; Milia, C; Rovati, LC; Sabatini, C; Sala, E, 2020
)
1.01
"Randomized controlled trials that compared the analgesic efficacy and side effect profile of meperidine versus another analgesic drug in adult patients were evaluated."( Analgesic Efficacy and Adverse Effects of Meperidine in Managing Postoperative or Labor Pain: A Narrative Review of Randomized Controlled Trials.
Cheung, CW; Ching Wong, SS, 2020
)
0.56
"Acute postoperative pain, adverse effects, labor analgesia, meperidine, pethidine."( Analgesic Efficacy and Adverse Effects of Meperidine in Managing Postoperative or Labor Pain: A Narrative Review of Randomized Controlled Trials.
Cheung, CW; Ching Wong, SS, 2020
)
0.56
" Adverse side effects of lidocaine and morphine sulfate and changes in vital signs were also recorded and compared."( The efficacy of intravenous lidocaine and its side effects in comparison with intravenous morphine sulfate in patients admitted to the ED with right upper abdominal pain suspected of biliary colic.
Akhgar, A; Hossein-Nejad, H; Nejati, A; Pouryousefi, T; Rafiemanesh, H, 2021
)
1.11
" Only 9 patients had adverse effects in either group."( The efficacy of intravenous lidocaine and its side effects in comparison with intravenous morphine sulfate in patients admitted to the ED with right upper abdominal pain suspected of biliary colic.
Akhgar, A; Hossein-Nejad, H; Nejati, A; Pouryousefi, T; Rafiemanesh, H, 2021
)
0.84
" Evidence for safety is insufficient as comprehensive adverse events were not adequately reported in studies."( Efficacy and Safety of Opioids in Treating Cancer-Related Dyspnea: A Systematic Review and Meta-Analysis Based on Randomized Controlled Trials.
Cen, H; Chen, C; Chen, M; Feng, S; Huang, Z; Li, X; Liang, M; Lin, Y; Liu, S; Luo, N; Singh, S; Tan, S, 2021
)
0.62
" The purpose of this trial was to compare opioid-related adverse events (ORAES) of intravenous oxycodone and morphine after total hip arthroplasty."( Post-operative opioid-related adverse events with intravenous oxycodone compared to morphine: A randomized controlled trial.
Alonso, S; Boisson, C; Cuvillon, P; Kouyoumdjian, P; L'Hermite, J; Langeron, O; Luc Faillie, J; Raux, M; Reubrecht, V; Vialles, N; Zoric, L, 2021
)
1.06
" Secondary outcomes included morphine consumption at 24, 48, and 72 hours after surgery, length of hospital stay, range of motion, daily ambulation distance, and adverse events occurrence."( Effect and safety of intravenous versus oral acetaminophen after unicompartmental knee replacement: A protocol of randomized controlled study.
Guo, D; Li, X; Wang, H; Zhou, T, 2020
)
0.85
" However, their risk-benefit ratio is dampened by numerous adverse effects and opioid misuse has led to a public health crisis."( TREK1 channel activation as a new analgesic strategy devoid of opioid adverse effects.
Ben Soussia, I; Busserolles, J; Chapuy, E; Clémenceau, L; Devilliers, M; Ducki, S; Eschalier, A; Judon, C; Lesage, F; Lolignier, S; Marie, N; Meleine, M; Noble, F; Pouchol, L; Poupon, L; Richard, S; Schopp, J, 2020
)
0.56
"The TREK1 potassium channel is activated downstream of μ receptor and involved in the antinociceptive activity of morphine but not in its adverse effects."( TREK1 channel activation as a new analgesic strategy devoid of opioid adverse effects.
Ben Soussia, I; Busserolles, J; Chapuy, E; Clémenceau, L; Devilliers, M; Ducki, S; Eschalier, A; Judon, C; Lesage, F; Lolignier, S; Marie, N; Meleine, M; Noble, F; Pouchol, L; Poupon, L; Richard, S; Schopp, J, 2020
)
0.77
"This proof-of-concept study shows that TREK1 activators could constitute a novel class of painkillers, inspired by the mechanism of action of opioids but devoid of their adverse effects."( TREK1 channel activation as a new analgesic strategy devoid of opioid adverse effects.
Ben Soussia, I; Busserolles, J; Chapuy, E; Clémenceau, L; Devilliers, M; Ducki, S; Eschalier, A; Judon, C; Lesage, F; Lolignier, S; Marie, N; Meleine, M; Noble, F; Pouchol, L; Poupon, L; Richard, S; Schopp, J, 2020
)
0.56
" Postoperative nausea and vomiting, length of hospital stay, patient satisfaction, and other adverse events were also evaluated."( The efficacy and safety of the infiltration of the interspace between the popliteal artery and the capsule of the knee block in total knee arthroplasty: A prospective randomized trial protocol.
Cong, Z; Ma, F; Zhang, L, 2020
)
0.56
" Therefore, seeking a safe and effective postoperative analgesia is necessary for promoting the application of arthroscopic surgery."( Comparative efficacy and safety of intra-articular analgesics after knee arthroscopy: a Bayesian network meta-analysis protocol.
He, H; He, Y; Li, X; Wang, Y; Xie, DX, 2020
)
0.56
" Moreover, patients will be actively monitored with regard to the occurrence of side effects of evaluated therapies, as well as adverse events that may be related to insufficient platelet inhibition (no-reflow phenomenon assessed immediately after PCI, administration of GPIIb/IIIa inhibitors during PCI, acute stent thrombosis)."( ANalgesic Efficacy and safety of MOrphiNe versus methoxyflurane in patients with acute myocardial infarction: the rationale and design of the ANEMON-SIRIO 3 study: a multicentre, open-label, phase II, randomised clinical trial.
Adamski, P; Buszko, K; Gasior, M; Gorący, J; Kleinrok, A; Kosobucka, A; Kubica, A; Kubica, J; Lesiak, M; Nadolny, K; Navarese, E; Niezgoda, P; Wojakowski, W, 2021
)
0.9
"Pre-incision IM is a safe adjunct for pain management in select children in all diagnostic groups undergoing spinal deformity surgery."( The safety and efficacy of intrathecal morphine in pediatric spinal deformity surgery: a 25-year single-center experience.
Hardesty, CK; Ina, JG; Poe-Kochert, C; Rubin, K; Son-Hing, JP; Thompson, GH; Tripi, PA, 2021
)
0.89
" The risk of pruritis is significantly increased with the use of IT morphine but not for other opioid-related adverse events."( Efficacy and safety of intrathecal morphine for pain control after spinal surgery: a systematic review and meta-analysis.
Sun, H; Sun, HP; Sun, J; Sun, WT; Tian, T; Wang, J, 2021
)
1.13
" Thus, opioids can be locally activated with high spatiotemporal resolution, potentially minimizing systemic-mediated adverse effects."( Remote local photoactivation of morphine produces analgesia without opioid-related adverse effects.
Aso, E; Cabré, G; Ciruela, F; De Koninck, Y; Fernández-Dueñas, V; Font, J; Giraldo, J; Hernando, J; Llebaria, A; López-Cano, M; Sahlholm, K, 2023
)
1.19
" Administration of acetaminophen plus morphine versus morphine alone did not increase adverse events and a morphine sparing effect of acetaminophen was demonstrated in two studies."( The efficacy and safety of acetaminophen use following liver resection: a systematic review.
Koea, J; Murphy, V; Srinivasa, S, 2022
)
0.99
"Use of acetaminophen for adult patients undergoing liver resection surgery as post-operative analgesia at a standard dosage is safe for baseline analgesia."( The efficacy and safety of acetaminophen use following liver resection: a systematic review.
Koea, J; Murphy, V; Srinivasa, S, 2022
)
0.72
" The only feared side effect is pruritus."( Efficacy and safety of intrathecal morphine in total knee arthroplasty: A systematic review and meta-analysis.
Abdelghany, EA; AbdelQadir, YH; Elmegeed, AA; Mohamed, AG; Nabhan, AE; Nourelden, AZ; Ragab, KM; Tokhey, ASE,
)
0.41
"This study compared the effects of adductor canal blocks with those of a low concentration of popliteal-sciatic nerve block (SNB) and dexamethasone as an adjunctive technique for total knee arthroplasties (TKA) in patients susceptible to the adverse effects of NSAIDs."( Adding a low-concentration sciatic nerve block to total knee arthroplasty in patients susceptible to the adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial.
Halilamien, P; Kerdchan, T; Poolsuppasit, S; Sirivanasandha, B; Sutthivaiyakit, K; Tangwiwat, S, 2021
)
0.62
"A prospective, double-blinded, randomized controlled trial was performed in 50 patients susceptible to the adverse effects of NSAIDs undergoing unilateral TKAs."( Adding a low-concentration sciatic nerve block to total knee arthroplasty in patients susceptible to the adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial.
Halilamien, P; Kerdchan, T; Poolsuppasit, S; Sirivanasandha, B; Sutthivaiyakit, K; Tangwiwat, S, 2021
)
0.62
"For patients susceptible to the adverse effects of NSAIDs, a low concentration of SNB and dexamethasone is an effective adjunctive technique for early postoperative pain control (especially on movement) following TKAs, without an increase in motor weakness."( Adding a low-concentration sciatic nerve block to total knee arthroplasty in patients susceptible to the adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial.
Halilamien, P; Kerdchan, T; Poolsuppasit, S; Sirivanasandha, B; Sutthivaiyakit, K; Tangwiwat, S, 2021
)
0.62
" In silico findings indicate the high toxic potential of etazene which may lead to drug-drug interactions and accumulation of substances."( Etazene induces developmental toxicity in vivo Danio rerio and in silico studies of new synthetic opioid derivative.
Boguszewska-Czubara, A; Budzyńska, B; Chłopaś-Konowałek, A; Kurach, Ł; Szpot, P; Zawadzki, M, 2021
)
0.62
"A multimodal, opioid-free perioperative pain management pathway is safe and effective in patients undergoing total shoulder arthroplasty and offers superior pain relief to that of a traditional opioid-containing pain management pathway at 12 hours, 24 hours, and 2 weeks postoperatively."( Opioid-free shoulder arthroplasty is safe, effective, and predictable compared with a traditional perioperative opiate regimen: a randomized controlled trial of a new clinical care pathway.
Hamid, N; Jolissaint, JE; Leas, D; Odum, SM; Scarola, GT, 2022
)
0.72
" The incidence of adverse effects was monitored."( Analgesic Efficacy and Safety of Spinal Oxycodone in Total Hip Arthroplasty: A Preliminary Study.
Adamski, M; Bienert, A; Kowalski, G; Leppert, W; Olczak, B; Szkutnik-Fiedler, D; Teżyk, A; Wieczorowska-Tobis, K, 2022
)
0.72
" Regarding adverse effects, one patient had hypotension, one had bradycardia, and one had pruritus."( Analgesic Efficacy and Safety of Spinal Oxycodone in Total Hip Arthroplasty: A Preliminary Study.
Adamski, M; Bienert, A; Kowalski, G; Leppert, W; Olczak, B; Szkutnik-Fiedler, D; Teżyk, A; Wieczorowska-Tobis, K, 2022
)
0.72
"Oxycodone in spinal block prolongs analgesia period, does not cause serious adverse effects and seems to be safe and effective opioid for patients undergoing THA."( Analgesic Efficacy and Safety of Spinal Oxycodone in Total Hip Arthroplasty: A Preliminary Study.
Adamski, M; Bienert, A; Kowalski, G; Leppert, W; Olczak, B; Szkutnik-Fiedler, D; Teżyk, A; Wieczorowska-Tobis, K, 2022
)
0.72
" Adverse events were present in three RCTs (n=157), absent in 10 RCTs (n=957), and not reported in 25 RCTs (n=1570)."( Efficacy and safety of perioperative vitamin C in patients undergoing noncardiac surgery: a systematic review and meta-analysis of randomised trials.
Belletti, A; Bollen Pinto, B; Putzu, A; Suter, M, 2022
)
0.72
" Adverse events were rare but not systematically assessed."( Efficacy and safety of perioperative vitamin C in patients undergoing noncardiac surgery: a systematic review and meta-analysis of randomised trials.
Belletti, A; Bollen Pinto, B; Putzu, A; Suter, M, 2022
)
0.72
"Oliceridine, a new class of μ-opioid receptor agonist, may be associated with fewer opioid-related adverse events (ORAEs) due to its unique mechanism of action."( Budget impact and pharmacy costs with targeted use of oliceridine for postsurgical pain in patients at high risk of opioid-related adverse events.
Demitrack, MA; Fossler, MJ; Simpson, KN; Wandstrat, TL; Wase, L, 2022
)
0.72
" The patients' charts were reviewed for the occurrence, timing, duration and management of adverse events, the vital signs at the night after surgery, and length of hospital stay."( Serious Adverse Events after a Single Shot of Intrathecal Morphine: A Case Series and Systematic Review.
de Graaff, JC; Houweling, BM; Koning, MV; Reussien, E; Vermeulen, BAN; Westerman, EM; Zonneveld, S, 2022
)
0.97
"This study reveals that respiratory depression and somnolence are the predominant serious adverse events after intrathecal morphine in a perioperative setting and demonstrated a large variation in the presentation of symptoms."( Serious Adverse Events after a Single Shot of Intrathecal Morphine: A Case Series and Systematic Review.
de Graaff, JC; Houweling, BM; Koning, MV; Reussien, E; Vermeulen, BAN; Westerman, EM; Zonneveld, S, 2022
)
1.17
"6 mg/kg has been shown to generate morphine and M6G concentrations comparable to that observed following administration of clinically effective doses of morphine, without the concomitant adverse effects observed with morphine administration."( Pharmacokinetics, adverse effects and effects on thermal nociception following administration of three doses of codeine to horses.
Gretler, SR; Kass, PH; Knych, HK; McKemie, DS; Stucker, K, 2022
)
1
"The current study describes the metabolic profile and pharmacokinetics of codeine in horses and provides information that can be utilized in the design of future studies to understand the anti-nociceptive and analgesic effects of opioids in this species with the goal of promoting judicious and safe use of this important class of drugs."( Pharmacokinetics, adverse effects and effects on thermal nociception following administration of three doses of codeine to horses.
Gretler, SR; Kass, PH; Knych, HK; McKemie, DS; Stucker, K, 2022
)
0.72
" We also found that norBNI treatment blocked the adverse effects of morphine on lesion size."( Adverse Effects of Repeated, Intravenous Morphine on Recovery after Spinal Cord Injury in Young, Male Rats Are Blocked by a Kappa Opioid Receptor Antagonist.
Araguz, K; Cunningham, R; Hemphill, A; Hook, MA; Rau, J; Stefanov, A; Weise, L, 2022
)
1.22
" Adverse events were not observed in patients treated with ketamine."( Efficacy and safety in ketamine-guided prehospital analgesia for abdominal pain.
Dorau, W; Eppler, F; Häske, D; Heinemann, N; Schempf, B; Schopp, T, 2022
)
0.72
" The primary endpoints are the effective rate of analgesia and the incidence of adverse reactions (nausea and vomiting, dizziness, itching, constipation, hypoxemia, and urinary retention); the secondary endpoints are pain intensity, satisfaction with analgesia, duration of surgery, postoperative hospital stay, average daily dose, uninterrupted completion rate of surgery without complaints of pain, quality of life assessment, and vital signs."( Analgesic efficacy and safety of nalbuphine versus morphine for perioperative tumor ablation: a randomized, controlled, multicenter trial.
Cheng, B; Huang, Z; Sun, J; Tang, Y; Wang, X; Xue, Y; Zhu, H, 2022
)
0.97
" Supporting this hypothesis, our previous studies found that intrathecal and intravenous morphine increase the number of activated microglia and macrophages present at the spinal lesion site, and that the adverse effects of intrathecal morphine can be blocked with intrathecal minocycline."( Intrathecal minocycline does not block the adverse effects of repeated, intravenous morphine administration on recovery of function after SCI.
Brakel, K; Bryan, J; Cunningham, R; Hook, MA; Moore, R; Rau, J; Stefanov, A; Terminel, M; Weise, L, 2023
)
1.36
"A survey questionnaire about the clinical experience with topical benzydamine and morphine to manage oral mucositis and their related adverse effects (AEs) was electronically distributed to the members of the Mucositis Study Group of MASCC/ISOO."( Clinicians' experience with topical benzydamine and morphine for the management of oral mucositis: adverse effects and barriers.
Blanchard, A; Bossi, P; Cheng, KKF; Elad, S; Levi, L; Yarom, N; Zadik, Y, 2022
)
1.2
" By exploring the dose-response relationship between postoperative opioid consumption and opioid-related adverse effects, we aim to approximate the minimal important difference in opioid consumption anchored to opioid-related adverse effects."( Minimal important difference in opioid consumption based on adverse event reduction-A study protocol.
Gasbjerg, KS; Geisler, A; Hägi-Pedersen, D; Jakobsen, JC; Karlsen, APH; Laigaard, J; Lunn, TH; Mathiesen, O; Pedersen, C; Thybo, KH, 2023
)
0.91
" The primary outcome is the Hodges-Lehmann median difference in opioid consumption between patients with no opioid-related adverse effects and patients experiencing the mildest degree of one or more opioid-related adverse effects (i."( Minimal important difference in opioid consumption based on adverse event reduction-A study protocol.
Gasbjerg, KS; Geisler, A; Hägi-Pedersen, D; Jakobsen, JC; Karlsen, APH; Laigaard, J; Lunn, TH; Mathiesen, O; Pedersen, C; Thybo, KH, 2023
)
0.91
" Secondary outcomes were intraoperative VAS scores assessed at multiple timepoints; intraoperative rescue analgesic requirement; postoperative VAS scores; disability scale; patients' satisfaction with anesthesia; adverse events; and radiographic outcomes."( Effectiveness and safety of intrathecal morphine for percutaneous endoscopic lumbar discectomy under low-dose ropivacaine: a prospective, randomized, double-blind clinical trial.
Lin, Z; Mu, G; Shang, M; Sun, H; Yue, L; Zhang, F, 2023
)
1.18
" For adverse events, 8/43 of ITM and 1/44 of control participants experienced pruritus (p=."( Effectiveness and safety of intrathecal morphine for percutaneous endoscopic lumbar discectomy under low-dose ropivacaine: a prospective, randomized, double-blind clinical trial.
Lin, Z; Mu, G; Shang, M; Sun, H; Yue, L; Zhang, F, 2023
)
1.18
" Patients requiring additional rescue analgesics or with adverse effects were documented."( Efficacy and Safety of Low-Dose versus High-Dose Postoperative Intrathecal Morphine in 62 Women Undergoing Elective Cesarean Section Delivery at Full Term.
Chen, Z; Fei, L; Jie, Y; Shuai, H; Zhefeng, Q, 2023
)
1.14
" Our endpoints were the proportion of treatment responders to the oliceridine regimen and the incidence of adverse effects such as nausea and vomiting."( Efficacy and safety of oliceridine treatment in patients with postoperative pain: a systematic review and meta-analysis of randomized controlled trials.
Hu, W; Lu, Y; Niu, J; Tang, H,
)
0.13
" Oliceridine was significantly associated with more adverse events such as nausea and vomiting compared to placebo."( Efficacy and safety of oliceridine treatment in patients with postoperative pain: a systematic review and meta-analysis of randomized controlled trials.
Hu, W; Lu, Y; Niu, J; Tang, H,
)
0.13
"Our systematic review and meta-analysis showed that oliceridine is an effective and safe intravenous analgesic in patients with postoperative pain, producing rapid postoperative analgesic and usually well tolerated, and reducing incidence of adverse events compared to morphine."( Efficacy and safety of oliceridine treatment in patients with postoperative pain: a systematic review and meta-analysis of randomized controlled trials.
Hu, W; Lu, Y; Niu, J; Tang, H,
)
0.31
" We conducted a systematic review and network meta-analysis of randomised controlled trials to synthesise the evidence with respect to pain, opioid consumption, and adverse events."( Comparative efficacy and safety of non-neuraxial analgesic techniques for midline laparotomy: a systematic review and frequentist network meta-analysis of randomised controlled trials.
Bailey, JG; Barry, G; Retter, S; Sehmbi, H; Tablante, R; Uppal, V, 2023
)
0.91

Pharmacokinetics

The increased analgesic effect of morphine during hemorrhagic shock can most likely be explained by pharmacokinetic changes resulting in higher morphine concentrations.Acute inhibition of P-glycoprotein by PSC in this setting does not affect the pharmacokinetics or safety-related pharmacodynamic profile of m.

ExcerptReferenceRelevance
" Further, this analysis yielded 20 minutes as the half-life of naloxone."( The relationship between pharmacokinetics and pharmacodynamic action as applied to in vivo pA2: application to the analgesic effect of morphine.
Adler, MW; Geller, EB; Harakal, C; Maslow, J; Tallarida, RJ, 1978
)
0.46
"The indications, contraindications and usefulness of pharmacodynamic tests in current radiological diagnosis of diseases of the digestive tract are reviewed and iscussed."( [The employment of pharmacodynamic tests in the radiological examination of the digestive tract (author's transl)].
Basilico, L; Bonomo, L; Lupini, A; Renda, F, 1978
)
0.26
" administration of morphine (1 or 5 mg/kg) the disappearance curves obtained with RIA-B were multiphasic and contained a prolonged terminal phase with an estimated half-life of 24 hours."( Pharmacokinetics of morphine by radioimmunoassay: the influence of immunochemical factors.
Catlin, DH, 1977
)
0.91
"The use of pharmacological responses such as pupil diameter for dosage individualization, bioavailability, and pharmacokinetic analyses is becoming more widespread."( Use of pharmacological data for bioavailability and pharmacokinetic analyses.
Kramer, PA, 1977
)
0.26
" Pharmacodynamic activity of salicylamide, morphine and hexobarbital were investigated."( Influence of disorders of adrenal function of activity and pharmacokinetics of some neurotropic drugs. I. Influence of adrenalectomy on potency and pharmacokinetics of drugs.
Cenajek, D, 1975
)
0.52
" The assessment of the degree of tolerance to morphine and pharmacokinetic parameters were done 72 hr after pellet removal."( Studies on the possible role of pharmacokinetics in the development of tolerance to morphine in the rat.
Bhargava, HN; Larsen, AK; Rahmani, NH; Villar, VM, 1992
)
0.77
" Individual patient pharmacokinetic information, derived from a pretreatment bolus morphine dose, was used in a new bolus-elimination transfer algorithm to produce rapid adjustments of steady plasma morphine concentrations when the patient requested more or less drug."( Evaluation of the accuracy of a pharmacokinetically-based patient-controlled analgesia system.
Benedetti, C; Coda, B; Hill, H; Jacobson, R; Mackie, A; Schaffer, R, 1992
)
0.51
" In order to determine if the differences in responses to morphine in SHR and WKY were related to its kinetics, the pharmacokinetic parameters of morphine in serum were determined."( Pharmacodynamics and pharmacokinetics of intravenously administered morphine in spontaneously hypertensive and normotensive Wistar-Kyoto rats.
Bhargava, HN; Villar, VM, 1992
)
0.76
" Half-life and volume of distribution were calculated using the postinfusion data."( The maturation of morphine clearance and metabolism.
Lynn, AM; McRorie, TI; Nespeca, MK; Opheim, KE; Slattery, JT, 1992
)
0.62
" Blood and CSF samples were assayed for morphine and hydromorphone concentration to determine blood and CSF pharmacokinetic profiles."( CSF and blood pharmacokinetics of hydromorphone and morphine following lumbar epidural administration.
Brodsky, JB; Brose, WG; Cousins, MJ; Mark, JBD; Tanelian, DL, 1991
)
0.8
" Such pharmacokinetic behavior appeared to be related to the contractive effect of morphine on the bile duct, and naloxone facilitated the excretion of morphine via this route."( Naloxone affects both pharmacokinetics and pharmacodynamics of morphine. Application of direct correlation analysis.
Ishikawa, K; Kogure, M; Kubo, T; Shibanoki, S, 1991
)
0.75
" Canaliculi ligature modifies the morphine pharmacokinetic profile without significant modification of drug bioavailability."( Systemic morphine pharmacokinetics after ocular administration.
Bardin, C; Callaert, S; Chast, F; Chaumeil, JC; Sauvageon-Martre, H, 1991
)
0.98
" The rate of absorption differs between patients and governs the overall pharmacokinetic profile of the compound."( Pharmacokinetics of intramuscular nicomorphine and its metabolites in man.
Booij, LH; Dirksen, R; Koopman-Kimenai, PM; Nijhuis, GM; Vree, TB, 1991
)
0.55
"Three case presentations illustrate clinically relevant pharmacokinetic properties of morphine."( [Pharmacokinetic effects in morphine toxicity, with case examples].
Morant, R; Senn, HJ, 1991
)
0.8
"Plasma hyoscine and morphine levels and various pharmacodynamic responses have been examined in seven patients scheduled for a coronary-artery bypass graft."( Pharmacokinetics and clinical response of hyoscine plus morphine premedication in connection with cardiopulmonary bypass surgery.
Arola, M; Kaila, T; Kanto, J; Kentala, E; Mattila, M, 1991
)
0.85
"The pharmacokinetic profiles of two oral controlled-release morphine formulations, MS Contin tablets and Roxanol SR tablets, were compared to evaluate their bioequivalence."( Comparison of the pharmacokinetic profiles of two oral controlled-release morphine formulations in healthy young adults.
Hunt, TL; Kaiko, RF,
)
0.6
"A single dose of activated charcoal (10 g) significantly reduced the half-life of elimination (1."( Enhancement of morphine clearance following intravenous administration by oral activated charcoal in rabbits.
el-Sayed, YM; Hasan, MM, 1990
)
0.63
" Codeine exhibits characteristics consistent with a two-compartment pharmacokinetic model."( A dose-ranging study of the pharmacokinetics of codeine phosphate following intravenous administration to rats.
Mason, WD; Shah, J, 1991
)
0.28
" Although morphine coadministration did not significantly affect the terminal half-life of naltrexone, its clearances or apparent volumes of distribution by t-test of the differences between averages (with each dog equally weighted), drug coadministration did significantly (by t-test) affect the fraction of naltrexone dose secreted into bile as conjugate (fB), the fraction of the dose excreted as conjugate in urine, and the fraction excreted elsewhere (f'B)."( Pharmacokinetics of morphine and its surrogates. XI: Effect of simultaneously administered naltrexone and morphine on the pharmacokinetics and pharmacodynamics of each in the dog.
Garrett, ER; Khan, PJ; Langguth, P, 1990
)
1.01
" The method employs a computer-controlled infusion pump and an algorithm that utilizes individual subject pharmacokinetic parameters predetermined with tailoring bolus opioid doses."( Steady-state infusions of opioids in human volunteers. I. Pharmacokinetic tailoring.
Bjurstrom, R; Chapman, CR; Donaldson, G; Hill, HF; Jacobson, R; Saeger, L, 1990
)
0.28
" This terminal rate constant was in contrast to the less than 100 min half-life of the second exponential fitting of the less lipophilic morphine, naloxone, and naltrexone."( Pharmacokinetics of morphine and its surrogates. X: Analyses and pharmacokinetics of buprenorphine in dogs.
Chandran, VR; Garrett, ER,
)
0.66
" Values of elimination half-life ranged from 13."( Pharmacokinetics of propofol when given by intravenous infusion.
Campbell, GA; Crankshaw, DP; Morgan, DJ, 1990
)
0.28
" Pharmacokinetic profiles of morphine base were measured over a 24-h period using 13 sampling times."( Age and the pharmacokinetics of morphine.
Baillie, SP; Bateman, DN; Coates, PE; Woodhouse, KW, 1989
)
0.85
"The clinical pharmacology and pharmacodynamic data from several clinical trials are summarized."( Clinical pharmacology, pharmacodynamics and interactions with esmolol.
Bies, CM; Lowenthal, DT; Porter, RS; Saris, SD; Slegowski, MB; Staudacher, A, 1985
)
0.27
" The terminal plasma half-life averaged 91 +/- 34 min and 87 +/- 27 min, respectively (mean +/- SEM)."( Pharmacokinetics of epidural morphine and meperidine in humans.
Hartvig, P; Persson, MP; Sjöström, S; Tamsen, A, 1987
)
0.56
" After a rapid initial decline for about 15 min after injection, the CSF concentrations decreased with a half-life of 89."( Pharmacokinetics of intrathecal morphine and meperidine in humans.
Hartvig, P; Persson, MP; Sjöström, S; Tamsen, A, 1987
)
0.56
" The administration procedure was based on the pharmacokinetic parameters of CMI determined in the strain used."( Pharmacokinetic patterns of repeated administration of antidepressants in animals. II. Their relevance in a study of the influence of clomipramine on morphine analgesia in mice.
Civiale, MA; Eschalier, A; Fialip, J; Makambila, MC; Marty, H, 1989
)
0.48
" Pharmacokinetic parameters were similar to those observed after epidural injection of morphine in adults, except for a shorter terminal half-life (73."( Epidural morphine in children: pharmacokinetics and CO2 sensitivity.
Attia, J; Ecoffey, C; Gross, JB; Samii, K; Sandouk, P, 1986
)
0.91
" Codeine elimination half-life and mean residence time were increased significantly in the hemodialysis group (18."( Pharmacokinetics and pharmacodynamics of codeine in end-stage renal disease.
Abraham, PA; Awni, WM; Findlay, JW; Guay, DR; Halstenson, CE; Jones, EC; Matzke, GR; Opsahl, JA, 1988
)
0.27
" The moments of the morphine concentration-time curves and the pharmacokinetic parameters varied between the patients."( The pharmacokinetics of intradural morphine in major abdominal surgery.
Drost, RH; Ionescu, TI; Roelofs, JM; Taverne, RH; van Maris, AA; van Rossum, JM; Winckers, EK, 1988
)
0.88
" After the intravenous administration of 10 mg/kg morphine, the plasma half-life of morphine was significantly prolonged by adrenalectomy without any effect on the volume of morphine distribution."( Effects of adrenalectomy on pharmacokinetics and antinociceptive activity of morphine in rats.
Miyamoto, Y; Ozaki, M; Yamamoto, H, 1988
)
0.76
" The CSF morphine concentration, measured as the area under the CSF concentration curve (AUC), the maximal CSF concentration (Cmax) and the time to reach maximal CSF concentration (tmax), varied between the four groups."( Pharmacokinetics of different epidural sites of morphine administration.
Hansdottir, V; Hedner, T; Kvist, L; Mellstrand, T; Nordberg, G, 1987
)
0.95
" Peak concentration and AUC24 data for morphine glucuronide indicated that significant accumulation of this compound occurs upon multiple-dose administration."( Pharmacokinetics of codeine after single- and multiple-oral-dose administration to normal volunteers.
Abraham, PA; Awni, WM; Findlay, JW; Guay, DR; Halstenson, CE; Jones, EC; Matzke, GR; Opsahl, JA, 1987
)
0.54
" Recent pharmacokinetic studies have confirmed the rationale for regular administration of oral morphine and methadone but have revealed marked interindividual differences in the kinetics and metabolism which must be considered when titrating the oral dose according to the individual patient's need."( High-dose morphine and methadone in cancer patients. Clinical pharmacokinetic considerations of oral treatment.
Säwe, J,
)
0.75
" The long half-life of methadone was associated with prolonged pain relief."( A comparative study of the efficacy and pharmacokinetics of oral methadone and morphine in the treatment of severe pain in patients with cancer.
Cherry, DA; Cousins, MJ; Gourlay, GK, 1986
)
0.5
" The simultaneous administration of naloxone does not reverse the dose-dependent pharmacokinetic perturbations of morphine."( Pharmacokinetics of morphine and its surrogates. VIII: Naloxone and naloxone conjugate pharmacokinetics in dogs as a function of dose and as affected by simultaneously administered morphine.
Garrett, ER; Shyu, WC; Ulubelen, A, 1986
)
0.8
" In the present study, the pharmacokinetic characteristics of morphine were studied in five subjects receiving a constant rate intravenous infusion with the attainment of a steady state."( [Prolonged intravenous infusion of morphine. Pharmacokinetic study].
Gibassier, D; Le Verge, R; Malledant, Y; Saint-Marc, C; Tanguy, M, 1987
)
0.79
" The inherent slow-release character of MSC was confirmed by 2 1/2 X T1/2 absorption rate, one-half Cmax, and twice Tmax relative to IRMS."( Controlled-release oral morphine sulfate in the treatment of cancer pain with pharmacokinetic correlation.
Evans, W; Khojasteh, A; Reynolds, RD; Savarese, JJ; Thomas, G, 1987
)
0.58
" A physiologically based pharmacokinetic model was used to describe the disposition of morphine in post-operative patients."( Potential pulmonary uptake and clearance of morphine in postoperative patients.
Hartvig, P; Paalzow, L; Persson, MP; Wiklund, L, 1986
)
0.76
"1 mg/kg was described by a bi- or triexponential decay equation with a mean terminal half-life (t1/2) of 134."( Pharmacokinetics of morphine after epidural administration in man.
Drost, RH; Ionescu, TI; Maes, RA; van Rossum, JM, 1986
)
0.59
" In the shocked patients the elimination half-life of morphine was significantly prolonged (13."( Profound reduction in morphine clearance and liver blood flow in shock.
Feely, J; Grant, IS; Guy, E; Macnab, MS; Macrae, DJ, 1986
)
0.83
" Time to maximum concentration was 3 times longer for controlled release tablets with an absorption half-life twice that of the solution."( Steady-state pharmacokinetics of controlled release oral morphine sulphate in healthy subjects.
Goldenheim, PD; Kaiko, RF; Savarese, JJ; Thomas, GB,
)
0.38
" The combination of lower clearance and longer elimination half-life in newborns (0-7 days) may well explain a prolonged duration of action for morphine in very young infants, but other etiologies are needed to explain the respiratory sensitivity believed to persist in older infants."( Morphine pharmacokinetics in early infancy.
Lynn, AM; Slattery, JT, 1987
)
1.92
" The pharmacodynamic consequences of these dosage characteristics are the rapid development of tolerance and maintenance of physical dependence during the period of the implant."( Pharmacokinetics and pharmacodynamics of subcutaneous morphine pellets in the rat.
Chen, J; Huang, T; Inturrisi, CE; Yoburn, BC, 1985
)
0.52
" The intravenous administration of 2 resulted in two sequential half-lives of 3 and 270 min and no apparent pharmacokinetic dose dependency."( Pharmacokinetics of morphine and its surrogates. VII: High-performance liquid chromatographic analyses and pharmacokinetics of methadone and its derived metabolites in dogs.
Derendorf, H; Garrett, ER; Mattha, AG, 1985
)
0.59
"We have studied the distribution of antidepressant agents, morphine and apomorphine, in rat blood and tissues and correlated the pharmacokinetic data with pharmacological responses induced by these drugs."( Pharmacokinetic aspects of some behavioral effects of psychotropic drugs.
Melzacka, M,
)
0.37
"This paper has attempted to review some of the possibilities we have today to describe the relationships between the kinetics of a drug and the pharmacodynamic responses."( Integrated pharmacokinetic-dynamic modeling of drugs acting on the CNS.
Paalzow, LK, 1984
)
0.27
" The results indicate that the analgesic effect of morphine in the tail-flick test is correlated better with the spinal than cerebral morphine levels and that potentiation of morphine analgesia by haloperidol is due, at least in part, to pharmacokinetic interaction."( Behavioral and pharmacokinetic interaction between morphine and haloperidol in the rat.
Adamus, A; Melzacka, M; Vetulani, J,
)
0.64
" Results obtained for pharmacokinetic parameters after intravenous administration in man are in agreement with published data using GLC or HPLC."( Sensitive and specific morphine radioimmunoassay with iodine label: pharmacokinetics of morphine in man after intravenous administration.
Allen, MC; Baldwin, D; Bullingham, RE; McQuay, HJ; Moore, RA; Watson, PJ, 1984
)
0.58
"50 mg morphine intrathecally (L2-L3 or L3-L4) for an analgetic and pharmacokinetic study."( Pharmacokinetic aspects of intrathecal morphine analgesia.
Dahlström, B; Hedner, T; Mellstrand, T; Nordberg, G, 1984
)
1.02
" The comparison of serum morphine levels in patients who reported a very short lasting and very long lasting analgesia gave us no pharmacokinetic explanation for this difference."( [Peridural morphine analgesia: effects and pharmacokinetics. A double-blind study in vaginal hysterectomy patients].
Dick, W; Harzenetter, J; Kossmann, B; Möller, MR; Traub, E; Wollinsky, KH, 1983
)
0.96
" There were no significant differences in the biological half-life (T1/2), the apparent volume of distribution (Vd), and the clearance (C) of antipyrine and paracetamol."( Pharmacokinetics of antipyrine, paracetamol, and morphine in rat at 71 ATA.
Aanderud, L; Bakke, OM, 1983
)
0.52
" Individual morphine concentration-time curves were plotted for plasma and CSF and various pharmacokinetic variables were calculated."( Pharmacokinetics of epidural morphine in man.
Borg, L; Hedner, T; Mellstrand, T; Nordberg, G, 1984
)
0.94
" The decay of plasma concentration fitted a three-compartment mamillary pharmacokinetic model in all subjects."( Pharmacokinetics of single-dose i.v. morphine in normal volunteers and patients with end-stage renal failure.
Achola, K; Aitkenhead, AR; Cooper, CM; Smith, G; Vater, M, 1984
)
0.54
" The plasma curves had a similar appearance as after an intramuscular injection and pharmacokinetic calculations showed an elimination half-life (mean +/- SEM) of 173 +/- 24 min, 200 +/- 60 min, and 213 +/- 57 min for the groups, respectively."( Pharmacokinetic aspects of epidural morphine analgesia.
Dahlström, B; Hedner, T; Mellstrand, T; Nordberg, G, 1983
)
0.54
" An increase in the partition of morphine into the maternal muscle produced an increase in the terminal half-life in all tissues including the foetus."( A physiological pharmacokinetic model for morphine disposition in the pregnant rat.
Gabrielsson, JL; Paalzow, LK, 1983
)
0.81
" groups showed the same pharmacokinetic patterns although extradural analgesia is much more prolonged."( Plasma pharmacokinetics of morphine after i.m., extradural and intrathecal administration.
Bourdon, R; Chauvin, M; Samii, K; Sandouk, P; Schermann, JM; Viars, P, 1982
)
0.56
"The number of scientific papers dealing with pharmacokinetic investigations has grown almost exponentially during recent years."( Pharmacokinetic aspects of optimal pain treatment.
Paalzow, LK, 1982
)
0.26
" This overestimation did not significantly affect the values for terminal elimination half-life, volume of distribution at steady state, or total body clearance that were derived using results from each assay and model-independent pharmacokinetic techniques."( Morphine pharmacokinetics: GLC assay versus radioimmunoassay.
Edlund, PO; Paalzow, L; Stanski, DR, 1982
)
1.71
" These pharmacodynamic studies, along with prior dispositional studies, suggest that the ability of DAM and AM to rapidly cross the blood-brain barrier determines their potency and time-action differences from M in centrally mediated bioassays."( Pharmacodynamics of subcutaneously administered diacetylmorphine, 6-acetylmorphine and morphine in mice.
Inturrisi, CE; Umans, JG, 1981
)
0.51
" Nevertheless, the terminal half-life of 60-90 min resembles that of morphine and is maintained by the rate-determining return of distributed heroin from esterase-free tissues."( Pharmacokinetics of morphine and its surrogates IV: Pharmacokinetics of heroin and its derived metabolites in dogs.
Garrett, ER; Gürkan, T, 1980
)
0.82
" Morphine 5 mg was given intravenously and serial blood and urine samples were drawn to derive pharmacokinetic parameters."( Acute trauma alters morphine clearance.
Christie, J; Markowsky, SJ; Valdes, C, 1995
)
1.52
" In BECF, the Tmax value for M6G was lower than for morphine, but the t1/2 beta values did not differ."( Analgesic response and plasma and brain extracellular fluid pharmacokinetics of morphine and morphine-6-beta-D-glucuronide in the rat.
Barjavel, MJ; Bhargava, HN; Plotkine, M; Sandouk, P; Scherrmann, JM; Stain, F, 1995
)
0.77
"A pharmacodynamic interactional study with omeprazole was undertaken in rats."( Pharmacodynamic interactions of omeprazole with CNS active drugs in rats.
Chakrabarti, A; Chandrashekhar, SM; Garg, SK, 1995
)
0.29
" Pharmacokinetic analysis of the results revealed that MS was eliminated by a first-order process best described by a two-compartment model."( Pharmacokinetics of parenteral and oral sustained-release morphine sulphate in dogs.
Dohoo, S; Donald, A; Tasker, RA, 1994
)
0.53
" In four patients, full 12-hr plasma morphine concentration profiles at steady state were obtained and showed no significant differences between the same dose provided as 100-mg and 200-mg tablets in Cmax, tmax, or other pharmacokinetic indices."( Efficacy and pharmacokinetics of a new controlled-release morphine sulfate 200-mg tablet.
Finlay, I; Hanks, GW; Hanna, M; Keeble, T; Radstone, DJ, 1995
)
0.81
"61) ml/kg/min and terminal half-life (T1/2) was 224 (107-394) min."( Morphine pharmacokinetics in premature and mature newborn infants.
Christensen, CB; Feilberg, VL; Lundstrøm, KE; Mikkelsen, S, 1994
)
1.73
" The apparent terminal half-life for MS-OS was 3 hours, which is similar to that of patients without burns, but the apparent terminal half-life for the MS-CR in patients with burns was substantially longer at 14."( Pharmacokinetics of morphine sulfate in patients with burns.
Herman, RA; Kealey, GP; Komorowski, J; Miotto, J; Veng-Pedersen, P,
)
0.45
" Pharmacokinetic values were calculated using noncompartmental analysis."( A two-dose epidural morphine regimen in cesarean section patients: pharmacokinetic profile.
Ramanathan, S; Turndorf, H; Zakowski, MI, 1993
)
0.61
" Pharmacokinetic analyses failed to suggest an advantage of sublingual administration when compared with oral dosing."( Comparative morphine pharmacokinetics following sublingual, intramuscular, and oral administration in patients with cancer.
Ames, MM; Burnham, NL; Davis, T; Dose, AM; Kaur, JS; Loprinzi, CL; Miser, AW, 1993
)
0.66
"89 l kg-1, the half-life of the first phase 13."( Pharmacokinetics and pharmacodynamics of morphine-3-glucuronide in rats and its influence on the antinociceptive effect of morphine.
Ekblom, M; Gårdmark, M; Hammarlund-Udenaes, M, 1993
)
0.55
"5 mg/kg) on the pharmacokinetic parameters area under the serum morphine concentration time curve (AUC0-->infinity), serum levels of morphine extrapolated to zero time (Cmax), half-life (t1/2), mean residence time (MRT), total body clearance (Clt), and volume of distribution at steady state (Vss) of morphine in serum was determined."( Effects of naltrexone on pharmacodynamics and pharmacokinetics of intravenously administered morphine in the rat.
Bhargava, HN; Larsen, AK; Rahmani, NH; Villar, VM, 1993
)
0.74
" The terminal half-life of normorphine was 23."( Morphine pharmacokinetics and metabolism in humans. Enterohepatic cycling and relative contribution of metabolites to active opioid concentrations.
Hasselström, J; Säwe, J, 1993
)
2.02
" For each drug, an effect compartment pharmacodynamic model was fit to the values for minute ventilation to determine the steady-state opioid plasma concentration depressing ventilation by 50% (C50) and the rate constant for equilibration between plasma concentration and effect (keo)."( Opioid pharmacodynamics in neonatal dogs: differences between morphine and fentanyl.
Bragg, P; Fisher, DM; Lau, M; Zwass, MS, 1995
)
0.53
"The relative bioavailability and pharmacokinetic profiles of Oramorph SR (OSR) and MST Continus (MST), were evaluated by a randomized, four-way cross-over study in 24 healthy, male volunteers given single oral (30 mg) doses whilst fasting or after a high-fat breakfast."( Effect of food on the comparative pharmacokinetics of modified-release morphine tablet formulations: Oramorph SR and MST Continus.
Aliyar, CA; Crawford, FE; Drake, J; Gibson, P; Horth, CE; Kirkpatrick, CT, 1996
)
0.53
" Mean values of Cmax were 76 nmol/l (25-129) and 56 nmol/1 (15-140), respectively."( Rectal administration of morphine in children. Pharmacokinetic evaluation after a single-dose.
Beck, O; Boreus, LO; Lundeberg, S; Olsson, GL, 1996
)
0.6
"The rectal morphine hydrogel has pharmacokinetic properties which makes it a useful formulation for premedication and pain alleviation in paediatric patients."( Rectal administration of morphine in children. Pharmacokinetic evaluation after a single-dose.
Beck, O; Boreus, LO; Lundeberg, S; Olsson, GL, 1996
)
0.99
"60 ml min-1 kg-1, the elimination half-life was 11."( Morphine, morphine-6-glucuronide and morphine-3-glucuronide pharmacokinetics in newborn infants receiving diamorphine infusions.
Barker, DP; Barrett, DA; Pawula, M; Rutter, N; Shaw, PN, 1996
)
1.74
" This dosing regimen may be used in further pharmacodynamic studies to compare the analgesic effects of morphine and M-6-G."( Pharmacokinetics of morphine and its glucuronides after intravenous infusion of morphine and morphine-6-glucuronide in healthy volunteers.
Brune, K; Geisslinger, G; Kobal, G; Lötsch, J; Schmidt, N; Stockmann, A; Waibel, R, 1996
)
0.83
"A pharmacokinetic study was undertaken to compare the pharmacokinetics of morphine after an intravenous dose with the pharmacokinetics after a sublingual dose administered from an aerosol."( A pharmacokinetic study of sublingual aerosolized morphine in healthy volunteers.
Eden, OB; Joel, SP; Slevin, ML; Taylor, KM; Watson, NW, 1996
)
0.78
"kg-1, seems to be regardless of age, while half-life and clearance were found to be related to age."( Recommended use of morphine in neonates, infants and children based on a literature review: Part 1--Pharmacokinetics.
Christrup, LL; Kart, T; Rasmussen, M, 1997
)
0.63
" Patients were admitted to the Pain Management Unit on the morning of day 7 (+/- 1 day) and frequent blood samples were collected for 24 h following the 10:00 h dose to fully characterise the pharmacokinetic profile for morphine and its metabolites at steady state."( Pharmacokinetics and pharmacodynamics of twenty-four-hourly Kapanol compared to twelve-hourly MS Contin in the treatment of severe cancer pain.
Cherry, DA; Conn, DA; Gourlay, GK; Hood, GM; Onley, MM; Plummer, JL; Tordoff, SG, 1997
)
0.48
" Pharmacokinetic analysis revealed that there were no significant differences between trough serum concentrations for the concentration-time curves within either treatment group, indicating that steady-state pharmacokinetics had been achieved."( Steady-state pharmacokinetics of oral sustained-release morphine sulphate in dogs.
Dohoo, S, 1997
)
0.54
" Plasma samples were masked for pharmacokinetic analysis."( The effect of food intake on the pharmacokinetics of sustained-release morphine sulfate capsules.
Kaiko, RF,
)
0.36
" The method is suitable for pharmacokinetic studies after subclinical doses of morphine where it has been used to study morphine plasma concentrations for 6 h after a dose of only 2 mg."( Highly sensitive gas chromatographic-mass spectrometric method for morphine determination in plasma that is suitable for pharmacokinetic studies.
Dawson, M; Fryirs, B; Mather, LE, 1997
)
0.76
" Pharmacokinetic parameters for both oral formulations exhibited large variability in the rate of absorption of MS from the gastrointestinal tract."( Pharmacokinetics of oral morphine sulfate in dogs: a comparison of sustained release and conventional formulations.
Dohoo, SE; Tasker, RA, 1997
)
0.6
" Pharmacokinetic analysis revealed that morphine release from the gel matrix was significantly prolonged but fully bioavailable."( Pharmacokinetics of an injectable sustained-release formulation of morphine for use in dogs.
Dohoo, SE; Elson, CM; Ross, SJ; Tasker, RA, 1997
)
0.8
" There was no correlation between the time to peak analgesia and time to peak concentration for morphine or M-6-G."( A pharmacodynamic study of morphine and its glucuronide metabolites after single morphine dosing in cancer patients with pain.
Citron, M; Degaetano, C; Fanelli, C; Hoffman, M; Lehrer, M; Lesser, M; Meenan, G; Pascal, V; Smith, C; Xu, JC, 1997
)
0.81
"8 minutes after the aerosol dose, with mean values for Cmax of 109 +/- 85, 165 +/- 22, and 273 +/- 114 ng/ml for the aerosol and 2 and 4 mg intravenous doses, respectively."( Morphine pharmacokinetics after pulmonary administration from a novel aerosol delivery system.
Farr, SJ; Lloyd, P; Mather, LE; Okikawa, JK; Rubsamen, RM; Schuster, JA; Ward, ME; Woodhouse, A, 1997
)
1.74
" An effect compartment pharmacodynamic model was fit to the values for time to response to determine the rate constant for equilibration (Keo) between plasma and effect-site (Ce) concentrations and analgesic effect (increase in time to response to a noxious stimulus) above baseline per microgram/ml of Ce (delta)."( Opioid-induced analgesia in neonatal dogs: pharmacodynamic differences between morphine and fentanyl.
Brown, RC; Chari, G; Fisher, DM; Lau, M; Luks, AM; Zwass, MS, 1998
)
0.53
" The pharmacokinetic parameters half-life, terminal elimination rate constant and the mean residence time were determined in both cerebrospinal fluid and plasma by non-compartmental analysis."( Analgesic and thermic effects, and cerebrospinal fluid and plasma pharmacokinetics, of intracerebroventricularly administered morphine in normal and sensitized rats.
Bhargava, HN; Cortijo, J; Morcillo, EJ; Villar, VM, 1998
)
0.51
" The present assay was applied to a pharmacokinetic study in rats after intraperitoneal administration of morphine."( High-performance liquid chromatography-mass spectrometry-mass spectrometry analysis of morphine and morphine metabolites and its application to a pharmacokinetic study in male Sprague-Dawley rats.
McErlane, KM; Ong, MC; Zheng, M, 1998
)
0.74
" A loading dose based on the Vd at the tmax will accurately achieve the concentration at the tmax without unexpected adverse effects."( Determination of the distribution volume that can be used to calculate the intravenous loading dose.
Drover, DR; Lemmens, HJ; Wada, DR, 1998
)
0.3
" Following single doses, the plasma morphine concentrations showed pronounced differences in the 0- to 12-hour period with a 4- to 5-fold difference in the mean peak concentration (Cmax) for morphine and the time to Cmax (tmax) The area under the concentration-time curve (AUC) from 0 to 24 hours for the 4 formulations show greater similarity."( Sustained relief of chronic pain. Pharmacokinetics of sustained release morphine.
Gourlay, GK, 1998
)
0.81
" Our data suggest that the increased analgesic effect of morphine during hemorrhagic shock can most likely be explained by pharmacokinetic changes resulting in higher morphine concentrations."( The influence of hemorrhagic shock on the pharmacokinetics and the analgesic effect of morphine in the rat.
Belpaire, FM; Buylaert, WA; De Paepe, P; Rosseel, MT, 1998
)
0.77
" The estimates of pharmacokinetic parameters based on unbound plasma concentrations did not differ between groups, with the sole exception of the unbound apparent volume of distribution."( Altered plasma and brain disposition and pharmacodynamics of methadone in abstinent rats.
Calvo, R; Garrido, MJ; Trocóniz, IF; Valle, M, 1999
)
0.3
" For immediate-release morphine there was no difference in either dose-corrected Cmax or Tmax between solution and tablets, or between different salts."( Peak plasma concentrations after oral morphine: a systematic review.
Collins, SL; Faura, CC; McQuay, HJ; Moore, RA, 1998
)
0.88
"When trovafloxacin was coadministered with morphine, the half-life of trovafloxacin was unchanged; however, the ratio of the area under the serum concentration versus time curve (AUC(0-infinity)) estimates for trovafloxacin/morphine versus trovafloxacin/placebo was 63."( The pharmacokinetic effects of coadministration of morphine and trovafloxacin in healthy subjects.
Friedman, HL; Hunt, T; Robarge, L; Teng, R; Vincent, J; Willavize, SA, 1998
)
0.81
"To evaluate the pharmacokinetic parameters of morphine and lidocaine after a single intravenous dose in critically ill patients."( The pharmacokinetics of morphine and lidocaine in critically ill patients.
Almog, S; Berkenstadt, H; Ezra, D; Mayan, H; Perel, A; Rotenberg, M; Segal, E, 1999
)
0.87
" No correlation was found between clinical variables and pharmacokinetic parameters of both drugs (ANOVA)."( The pharmacokinetics of morphine and lidocaine in critically ill patients.
Almog, S; Berkenstadt, H; Ezra, D; Mayan, H; Perel, A; Rotenberg, M; Segal, E, 1999
)
0.61
" The peak concentration (Cmax, %ID/g) and time corresponding to the peak (tmax, h) were obtained."( Fetal distress does not affect in utero defecation but does impair the clearance of amniotic fluid.
Bingöl-Koloğlu, M; Büyükpamukçu, N; Ciftci, AO; Sahin, S; Tanyel, FC, 1999
)
0.3
" (3) In liver and bowel, shape of the profile was bimodal because of fetal swallowing and similar in both groups, tmax was the same in both groups, Cmax was lower in group B than in group A, the total uptake was smaller in group B than in group A, and intestinal transport time was similar (44."( Fetal distress does not affect in utero defecation but does impair the clearance of amniotic fluid.
Bingöl-Koloğlu, M; Büyükpamukçu, N; Ciftci, AO; Sahin, S; Tanyel, FC, 1999
)
0.3
" The current model of morphine and M6G pharmacokinetics after oral administration of morphine may serve as a pharmacokinetic basis for experiments evaluating the analgesic contribution of M6G with long-term oral dosing of morphine."( Pharmacokinetic modeling of M6G formation after oral administration of morphine in healthy volunteers.
Ahne, G; Geisslinger, G; Kobal, G; Lötsch, J; Weiss, M, 1999
)
0.85
" Plasma pharmacokinetic parameters for racemic drug and both enantiomers were determined for each patient."( Enantiomer-selective pharmacokinetics and metabolism of ketorolac in children.
Aravind, MK; Kauffman, RE; Lieh-Lai, MW; Uy, HG, 1999
)
0.3
" Terminal half-life of S(-)-ketorolac was 40% that of the R(+) enantiomer, and the apparent volume of distribution of the S(-) enantiomer was greater than that of the R(+) form."( Enantiomer-selective pharmacokinetics and metabolism of ketorolac in children.
Aravind, MK; Kauffman, RE; Lieh-Lai, MW; Uy, HG, 1999
)
0.3
" Because of the greater clearance and shorter half-life of S(-)-ketorolac, pharmacokinetic predictions based on racemic assays may overestimate the duration of pharmacologic effect."( Enantiomer-selective pharmacokinetics and metabolism of ketorolac in children.
Aravind, MK; Kauffman, RE; Lieh-Lai, MW; Uy, HG, 1999
)
0.3
"This was a single intravenous dose pharmacokinetic study in 10 CAPD patients (1 female, 9 male, age 31-69 years)."( Pharmacokinetics of morphine and its glucuronides following intravenous administration of morphine in patients undergoing continuous ambulatory peritoneal dialysis.
Hofmann, U; Kuhlmann, U; Mettang, T; Mikus, G; Pauli-Magnus, C, 1999
)
0.63
" Population pharmacokinetic parameters were derived with the program P-PHARM."( Population pharmacokinetics of oral morphine and its glucuronides in children receiving morphine as immediate-release liquid or sustained-release tablets for cancer pain.
Dick, G; Goldman, A; Hunt, A; Joel, S, 1999
)
0.58
"In order to evaluate pharmacokinetic interactions between heroin and alcohol and their role in the etiology of heroin-related deaths (HRD), the alcohol concentration in blood (BAC), the free (FM) and total morphine (TM) concentrations in blood (determined by DPC Coat-A-Count radioimmunoassay before and after enzymatic hydrolysis), and the TM concentration in urine and bile (DPC Coat-A-Count after enzymatic hydrolysis) in a population of 39 lethal cases included in the records of the Department of Legal Medicine and Public Health at the University of Pavia from the period January 1997-April 1998 were examined."( The role of alcohol abuse in the etiology of heroin-related deaths. Evidence for pharmacokinetic interactions between heroin and alcohol.
Groppi, A; Montagna, M; Polettini, A,
)
0.32
"To study the pharmacokinetic parameters of morphine and lidocaine after a single intravenous (i."( The pharmacokinetics of morphine and lidocaine in nine severe trauma patients.
Almog, S; Berkenstadt, H; Ezra, D; Mayan, H; Perel, A; Rotenberg, M; Segal, E, 1999
)
0.87
" The enhancement of MS analgesia by DM is due to a pharmacodynamic interaction, not an effect on MS blood levels or a pharmacokinetic interaction between MS and DM, or their metabolites."( MorphiDex pharmacokinetic studies and single-dose analgesic efficacy studies in patients with postoperative pain.
Caruso, FS, 2000
)
0.31
" morphine, the concentrations of morphine, M6G and M3G and their pharmacokinetic parameters were similar to those we have observed previously, in other healthy volunteers (when standardized to nmol l- 1, for a 10 mg dose to a 70 kg subject)."( The pharmacokinetics of morphine and morphine glucuronide metabolites after subcutaneous bolus injection and subcutaneous infusion of morphine.
Currow, D; Joel, SP; McDonald, P; Slevin, ML; Stuart-Harris, R, 2000
)
1.52
" Using SAAM II pharmacokinetic modeling software (SAAM Institute, University of Washington, Seattle, WA), the data were fit to a 16-compartment model that was divided into four spinal levels, each of which consisted of a caternary arrangement of four compartments representing the spinal cord, cerebrospinal fluid, epidural space, and epidural fat."( Comparative spinal distribution and clearance kinetics of intrathecally administered morphine, fentanyl, alfentanil, and sufentanil.
Arends, RH; Bernards, CM; Shen, DD; Ummenhofer, WC, 2000
)
0.53
"The four opioids studied demonstrate markedly different pharmacokinetic behavior, which correlates well with their pharmacodynamic behavior."( Comparative spinal distribution and clearance kinetics of intrathecally administered morphine, fentanyl, alfentanil, and sufentanil.
Arends, RH; Bernards, CM; Shen, DD; Ummenhofer, WC, 2000
)
0.53
"The pharmacokinetic profiles, safety, and tolerability of continuous subcutaneous infusion with a novel drug deliver system (the MEDIPAD system) was compared to a standard infusion pump (the CADD-Micro) and to controlled-release tablets (MS Contin) for the administration of morphine sulfate."( A pharmacokinetic and tolerability evaluation of two continuous subcutaneous infusion systems compared to an oral controlled-release morphine.
Butler, J; Davidson, D; Hamm, S; Huerta, D; Mikkelsen Lynch, P; Tsals, I, 2000
)
0.69
" Blood for determination of plasma concentration of morphine (M) and its 3- and 6-glucuronides (M3G, M6G) was collected, and area under the plasma concentration-time curve (AUC)0-12 h, peak plasma concentration (Cmax), time to reach Cmax (tmax), and CO and C12 of M, M6G and M3G were determined on day 5 and day 10."( Clinical efficacy, safety and pharmacokinetics of a newly developed controlled release morphine sulphate suppository in patients with cancer pain.
Frijlink, HW; Meijler, WJ; Moolenaar, F; Proost, JH; Visser, J, 2000
)
0.78
" Apart from the C0 and C12, no significant differences in AUC0-12 h, tmax and Cmax of morphine between the rectal and oral route of administration were found."( Clinical efficacy, safety and pharmacokinetics of a newly developed controlled release morphine sulphate suppository in patients with cancer pain.
Frijlink, HW; Meijler, WJ; Moolenaar, F; Proost, JH; Visser, J, 2000
)
0.75
" Pharmacokinetic and pharmacodynamic analyses were performed simultaneously using mixed-effect models."( Pharmacokinetics and pharmacodynamics of inhaled versus intravenous morphine in healthy volunteers.
Connors, PM; Dershwitz, M; Morishige, RJ; Rosow, CE; Rubsamen, RM; Shafer, SL; Walsh, JL, 2000
)
0.54
"The pharmacokinetic data after intravenous administration were described by a three-exponent decay model preceded by a lag time."( Pharmacokinetics and pharmacodynamics of inhaled versus intravenous morphine in healthy volunteers.
Connors, PM; Dershwitz, M; Morishige, RJ; Rosow, CE; Rubsamen, RM; Shafer, SL; Walsh, JL, 2000
)
0.54
"To investigate the effect of acute P-glycoprotein inhibition by the multidrug-resistance (MDR) modulator valspodar (SDZ PSC 833; PSC) on the pharmacokinetics, and potentially adverse pharmacodynamic effects of morphine, and its principal pharmacologically active metabolites, morphine-3-glucuronide (M3G) and morphine-6-glucuronide (M6G)."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.71
"In a double-blind, three-way crossover study, the pharmacokinetic and potentially adverse pharmacodynamic effects (reaction time, transcutaneous PCO2, blood pressure) of morphine were compared with and without acute inhibition of P-glycoprotein by PSC."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.72
" were unaffected there was a small but statistically significant increase in the AUC and Cmax of M3G (11."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.53
"Acute inhibition of P-glycoprotein by PSC in this setting does not affect the pharmacokinetic or safety-related pharmacodynamic profile of morphine in a clinically significant manner."( Effect of P-glycoprotein modulation on the clinical pharmacokinetics and adverse effects of morphine.
Ball, HA; Beglinger, C; Drewe, J; Haefeli, WE; Kemmler, A; Peng, B; Schächinger, H, 2000
)
0.73
" The pharmacokinetic profiles of M and inactive morphine-3-glucuronide (M3G) in morphine-treated mice nearly overlapped those in heroin-treated mice, with the only difference being the presence of 6-monoacetylmorphine (AM) in profiles of the latter group."( Pharmacokinetics and cytokine production in heroin and morphine-treated mice.
Bacosi, A; di Carlo, S; Pacifici, R; Pichini, S; Zuccaro, P, 2000
)
0.81
"This article outlines the main pharmacokinetic and toxicokinetic parameters of selected addicting compounds often being abused."( [Pharmacokinetic and toxicokinetic parameters of some drugs of abuse].
Panas, M, 2001
)
0.31
" Pharmacokinetic (PK) parameters were calculated and bioequivalence assessed."( Pharmacokinetic evaluation of a sprinkle-dose regimen of a once-daily, extended-release morphine formulation.
Butler, J; Devane, J; Eliot, L; Loewen, G, 2002
)
0.54
" Cmax and total systemic exposure-based on AUC from time 0 to the last quantifiable concentration (AUC(last)) and AUC from time 0 to infinity (AUC(infinity))-were comparable between treatments."( Pharmacokinetic evaluation of a sprinkle-dose regimen of a once-daily, extended-release morphine formulation.
Butler, J; Devane, J; Eliot, L; Loewen, G, 2002
)
0.54
" The primary objective of this study was to compare the 24-hour steady-state pharmacokinetic (PK) profiles of morphine and its metabolites (morphine-6-glucuronide [M6G] and morphine-3-glucuronide [M3G]) following ingestion of MSER once-a-day and MS Contin (controlled-release morphine sulfate [CRM]) twice-a-day in patients with chronic moderate-to-severe pain."( Steady-state pharmacokinetic comparison of a new, extended-release, once-daily morphine formulation, Avinza, and a twice-daily controlled-release morphine formulation in patients with chronic moderate-to-severe pain.
Butler, J; Devane, J; Eliot, L; Loewen, G; Portenoy, RK; Sciberras, A, 2002
)
0.75
" The present study aimed to explore pharmacokinetic differences between morphine and morphine-glucuronides in mice after different routes of administration, and to investigate how possible differences were reflected in locomotor activity, a measure of psychostimulant properties."( Pharmacokinetic differences of morphine and morphine-glucuronides are reflected in locomotor activity.
Grung, M; Handal, M; Mørland, J; Ripel, A; Skurtveit, S, 2002
)
0.83
" Concentration time-course and interindividual variability of morphine (M), morphine-3-glucuronide (M3G) and morphine-6 glucuronide (M6G) were analysed using population pharmacokinetic modelling."( Pharmacokinetic modelling of morphine, morphine-3-glucuronide and morphine-6-glucuronide in plasma and cerebrospinal fluid of neurosurgical patients after short-term infusion of morphine.
Brockmöller, J; Freudenthaler, S; Gleiter, CH; Hofmann, U; Meineke, I; Mikus, G; Prange, HW; Schaeffeler, E; Schwab, M, 2002
)
0.85
"From the population pharmacokinetic model presented, CSF concentration profiles can be derived for M, M3G and M6G on the basis of dosing information and creatinine clearance without collecting CSF samples."( Pharmacokinetic modelling of morphine, morphine-3-glucuronide and morphine-6-glucuronide in plasma and cerebrospinal fluid of neurosurgical patients after short-term infusion of morphine.
Brockmöller, J; Freudenthaler, S; Gleiter, CH; Hofmann, U; Meineke, I; Mikus, G; Prange, HW; Schaeffeler, E; Schwab, M, 2002
)
0.61
" The pharmacokinetic profile of intranasal diamorphine in adults has been systematically studied."( Intranasal diamorphine as an alternative to intramuscular morphine: pharmacokinetic and pharmacodynamic aspects.
Kendall, JM; Latter, VS, 2003
)
0.94
" The data were analyzed using a population dose-driven approach, which uses a dose rate in function of time as input function driving the pharmacodynamics, and a population pharmacokinetic-pharmacodynamic (PK/PD) approach in which fixed pharmacokinetic parameter values from the literature were used as input function to the respiratory model."( Pharmacodynamic effect of morphine-6-glucuronide versus morphine on hypoxic and hypercapnic breathing in healthy volunteers.
Dahan, A; Olofsen, E; Romberg, R; Sarton, E; Teppema, L, 2003
)
0.62
" Special populations, including infants, elderly, and those with renal/liver failure, have a unique morphine pharmacokinetic profile that must be taken into account in order to maximize analgesic efficacy and reduce the risk of adverse events."( Clinical pharmacokinetics of morphine.
Kern, SE; Lugo, RA, 2002
)
0.82
" A population pharmacokinetic (inhibitory sigmoid Emax)-pharmacodynamic analysis was used to analyze M6G-induced changes in tolerated stimulus intensity."( Pharmacokinetic-pharmacodynamic modeling of morphine-6-glucuronide-induced analgesia in healthy volunteers: absence of sex differences.
Dahan, A; den Hartigh, J; Olofsen, E; Romberg, R; Sarton, E; Taschner, PE, 2004
)
0.58
" The volume of distribution increased exponentially with a maturation half-life of 26 days from 83 litres per 70 kg at birth; formation clearance to M3G and M6G increased with a maturation half-life of 88."( Developmental pharmacokinetics of morphine and its metabolites in neonates, infants and young children.
Anderson, BJ; Bouwmeester, NJ; Holford, NH; Tibboel, D, 2004
)
0.6
" A comparison is also presented between several methods based on animal pharmacokinetic data, using the same set of proprietary compounds, and it lends further support for the use of this method, as opposed to methods that require the gathering of pharmacokinetic data in laboratory animals."( Prediction of human volume of distribution values for neutral and basic drugs. 2. Extended data set and leave-class-out statistics.
Gao, F; Lombardo, F; Obach, RS; Shalaeva, MY, 2004
)
0.32
"The present study was designed to investigate the pharmacokinetic interaction of morphine with three classes of L-type calcium channel blockers (CCB) and its relationship to morphine-induced mechanical antinociception in mice."( Role of pharmacokinetic effects in the potentiation of morphine analgesia by L-type calcium channel blockers in mice.
Fukazawa, Y; Kishioka, S; Maeda, T; Ozaki, M; Shimizu, N; Yamamoto, C; Yamamoto, H, 2004
)
0.8
"Mean tmax values were similar following all dose groups at approximately 1-2 minutes."( Safety and pharmacokinetics of inhaled morphine delivered using the AERx system in patients with moderate-to-severe asthma.
Linn, L; Morishige, R; Okikawa, J; Otulana, B; Thipphawong, J, 2004
)
0.59
" Pharmacodynamic modeling suggested that this latter effect was consistent with a hyperalgesic response."( Pharmacodynamics of morphine-induced neuronal nitric oxide production and antinociceptive tolerance development.
Heinzen, EL; Pollack, GM, 2004
)
0.65
"We have studied the pharmacokinetic profile of MST (30 mg) in 15 patients with liver carcinoma (eight with primary carcinoma on top of chronic hepatitis C, and seven with secondary metastatic liver malignancy as a result of other primary) compared with our previously published data for 10 healthy controls."( Pharmacokinetics of controlled release morphine (MST) in patients with liver carcinoma.
El-Kabsh, MY; El-Kady, SA; Emara, SE; Fouad, EA; Kotb, HI, 2005
)
0.6
"5 l per hour per 70 kg) but increased rapidly (maturation half-life 30 and 70 days, respectively) and equaled that of the postoperative group after 14 days."( Morphine pharmacokinetics during venoarterial extracorporeal membrane oxygenation in neonates.
Anderson, BJ; Peters, JW; Simons, SH; Tibboel, D; Uges, DR, 2005
)
1.77
"Human pharmacokinetic parameters are often predicted prior to clinical study from in vivo preclinical pharmacokinetic data."( Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
Jolivette, LJ; Ward, KW, 2005
)
0.33
" Large patient-to-patient variations in pharmacokinetic parameters occurred, although intraindividual variability was limited."( Inter- and intraindividual variabilities in pharmacokinetics of fentanyl after repeated 72-hour transdermal applications in cancer pain patients.
Bressolle, F; Caumette, L; Culine, S; Garcia, F; Pinguet, F; Poujol, S; Solassol, I, 2005
)
0.33
"In order to perform a reliable pharmacokinetic study of morphine during subchronic treatment in rats, an easy, rapid, sensitive and selective analytical method was proposed and validated."( High-performance liquid chromatographic assay for morphine in small plasma samples: application to pharmacokinetic studies in rats.
Aoki-Maki, K; Cortés-Arroyo, AR; Domínguez-Ramírez, AM; López, JR; López-Muñoz, FJ; Peña, MH; Ríos-Castañeda, C, 2006
)
0.83
"To assess the use of a von Frey device as a mechanical nociceptive stimulus for evaluation of the antinociceptive effects of morphine in dogs and its potential application in the pharmacodynamic modeling of morphine in that species."( Assessment of a von Frey device for evaluation of the antinociceptive effects of morphine and its application in pharmacodynamic modeling of morphine in dogs.
KuKanich, B; Lascelles, BD; Papich, MG, 2005
)
0.76
" Finally, we tested several pharmacokinetic models, assuming first-order or capacity-limited processes at each brain interface, to describe experimental morphine and M6G concentrations previously obtained in rat plasma and brain fluids."( Carrier-mediated processes at several rat brain interfaces determine the neuropharmacokinetics of morphine and morphine-6-beta-D-glucuronide.
Bourasset, F; Scherrmann, JM, 2006
)
0.75
"To develop an integrated population pharmacokinetic model for heroin (diamorphine) and its pharmacodynamically active metabolites 6-acetylmorphine, morphine, morphine-3-glucuronide and morphine-6-glucuronide."( Population pharmacokinetics of heroin and its major metabolites.
Beijnen, JH; Huitema, AD; Rook, EJ; van den Brink, W; van Ree, JM, 2006
)
0.57
" The present study is the first comprehensive pharmacokinetic analysis for any analgesic in an ectotherm, and our results show that: 1) significant intra-specific variation exists between fishes: and 2) the disposition of morphine in fish is approximately one order of magnitude slower than it is in mammals."( Pharmacokinetics of morphine in fish: winter flounder (Pseudopleuronectes americanus) and seawater-acclimated rainbow trout (Oncorhynchus mykiss).
Gamperl, K; Mendonça, PC; Newby, NC; Stevens, ED, 2006
)
0.84
"We evaluated clinical efficacy and the pharmacokinetic parameters of oral morphine after total hip arthroplasty."( Evaluation of the pharmacokinetic profile and analgesic efficacy of oral morphine after total hip arthroplasty.
Bourget, P; Chauvin, M; Fischler, M; Fletcher, D; Langlois, M; Manoir, BD; Paci, A; Szekely, B, 2006
)
0.8
" The pharmacokinetic study revealed a limited and slow absorption of morphine."( Evaluation of the pharmacokinetic profile and analgesic efficacy of oral morphine after total hip arthroplasty.
Bourget, P; Chauvin, M; Fischler, M; Fletcher, D; Langlois, M; Manoir, BD; Paci, A; Szekely, B, 2006
)
0.8
" Pharmacokinetic findings were compared with those from a previous study in infants after noncardiac major surgery."( Morphine metabolite pharmacokinetics during venoarterial extra corporeal membrane oxygenation in neonates.
Anderson, BJ; Peters, JW; Simons, SH; Tibboel, D; Uges, DR, 2006
)
1.78
" Pharmacodynamic modeling revealed a sigmoidal relationship between plasma concentration and sedation score."( Pharmacokinetics and pharmacodynamics of morphine in llamas.
Chapman, PL; Hellyer, PW; KuKanich, B; Mama, KR; Papich, MG; Uhrig, SR; Wagner, AE, 2007
)
0.61
" A prolonged half-life was observed with IM injection."( Pharmacokinetics and pharmacodynamics of morphine in llamas.
Chapman, PL; Hellyer, PW; KuKanich, B; Mama, KR; Papich, MG; Uhrig, SR; Wagner, AE, 2007
)
0.61
" Inclusion of covariates did not significantly decrease the nonlinear mixed-effects model objective function values and between-subject variability in the pharmacokinetic parameters of nested models."( Postoperative ketorolac tromethamine use in infants aged 6-18 months: the effect on morphine usage, safety assessment, and stereo-specific pharmacokinetics.
Anderson, GD; Bradford, H; Chen, J; Ellenbogen, RG; Kantor, ED; Lynn, AM; Salinger, DH; Seng, KY; Vicini, P, 2007
)
0.56
" The values of the pharmacodynamic parameters E(0), E(max), EC(50) and Hill factor were 45."( Influence of biophase distribution and P-glycoprotein interaction on pharmacokinetic-pharmacodynamic modelling of the effects of morphine on the EEG.
Bouw, MR; Danhof, M; de Lange, EC; de Mik, D; Freijer, J; Groenendaal, D, 2007
)
0.54
" Morphine was assayed by high pressure liquid chromatography (HPLC) with electrochemical coulometric detection and pharmacokinetic parameters were calculated."( Pharmacokinetics and physiological effects of two intravenous infusion rates of morphine in conscious dogs.
Guedes, AG; Papich, MG; Rider, MA; Rude, EP, 2007
)
1.48
"The pharmacokinetic profile of M6G after oral administration was confirmed and with the presence of M3G and morphine in plasma after oral administration of M6G, proof seems to be found of the constant and prolonged absorption of M6G."( Pharmacokinetics of morphine-6-glucuronide following oral administration in healthy volunteers.
Christrup, LL; Hansen, SH; Jensen, NH; Kristensen, K; Skram, U; Villesen, HH, 2007
)
0.88
" Pharmacokinetic analysis showed no differences between male and female mice either for MOR or for NAL."( Pharmacokinetic aspects of naloxone-precipitated morphine withdrawal in male and female prepubertal mice.
Balerio, GN; Diaz, SL; Hermida, MP; Joannas, LD; Olivera, M; Ridolfi, A; Villaamil, EC, 2007
)
0.59
" Pharmacokinetic and pharmacodynamic fitting was performed with the software NONMEM."( Morphine in postoperative patients: pharmacokinetics and pharmacodynamics of metabolites.
Butscher, K; Mazoit, JX; Samii, K, 2007
)
1.78
" The pharmacokinetic findings are compatible with a more rapid and extensive initial effect of IV morphine compared with IM."( Serum and cerebrospinal fluid morphine pharmacokinetics after single doses of intravenous and intramuscular morphine after hip replacement surgery.
Borchgrevink, PC; Dale, O; Klepstad, P; Nilsen, T; Thoner, J; Tveita, T, 2007
)
0.85
" Pharmacokinetic parameters were calculated from the data, including maximum plasma concentration (Cmax), time to maximum concentration (Tmax), and area under plasma concentration-time curve (AUC), among others."( Does intraosseous equal intravenous? A pharmacokinetic study.
Burris, HA; Kuhn, JG; Miller, LJ; Von Hoff, DD, 2008
)
0.35
", Stamford, CT) from the market after pharmacokinetic data revealed a risk of alcohol-induced dose-dumping prompted a re-examination of the risk-benefit profiles of extended-release drugs."( Effect of concomitant ingestion of alcohol on the in vivo pharmacokinetics of KADIAN (morphine sulfate extended-release) capsules.
Johnson, F; Stauffer, J; Sun, S; Wagner, G, 2008
)
0.57
" This study was carried out to assess the efficacy, safety and pharmacokinetic profiles of a 12."( Efficacy, safety and pharmacokinetic study of a novel fentanyl-containing matrix transdermal patch system in Japanese patients with cancer pain.
Hanaoka, K; Hosokawa, T; Ishida, T; Kitajima, T; Mashimo, S; Miyazaki, T; Namiki, A; Nogami, S; Ogawa, S, 2008
)
0.35
" The proposed method was successfully applied to the preliminarily study of potential pharmacokinetic interaction between Mor and diclofenac."( Sensitive HPLC-fluorescence detection of morphine labeled with DIB-Cl in rat brain and blood microdialysates and its application to the preliminarily study of the pharmacokinetic interaction between morphine and diclofenac.
Kuroda, N; Nakashima, K; Ogata, Y; Wada, M; Yamada, H; Yokota, C, 2008
)
0.61
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35
" Plasma hydromorphone only was measured by high pressure liquid chromatography (HPLC) with electrochemical detection and pharmacokinetic parameters calculated."( Pharmacokinetics and physiological effects of intravenous hydromorphone in conscious dogs.
Guedes, AG; Papich, MG; Rider, MA; Rude, EP, 2008
)
0.35
" This pharmacodynamic phenomenon is referred to in the present work as "teleantagonism"."( Teleantagonism: A pharmacodynamic property of the primary nociceptive neuron.
Cunha, FQ; Duarte, DB; Ferrari, LF; Ferreira, SH; Funez, MI; Lorenzetti, BB; Parada, CA; Sachs, D, 2008
)
0.35
" This review highlights potential pharmacokinetic (changes in metabolite production, metabolizing enzyme expression, and transporter function) and pharmacodynamic (receptor type, location and functionality; alterations in signaling pathways and cross-tolerance) aspects of opioid tolerance development, and presents several pharmacodynamic modeling strategies that have been used to characterize time-dependent attenuation of opioid analgesia."( Opioid tolerance development: a pharmacokinetic/pharmacodynamic perspective.
Dumas, EO; Pollack, GM, 2008
)
0.35
" The validated LC-MS/MS method was applied to a pharmacokinetic study in which healthy Chinese volunteers each received a single oral dose of 30 mg codeine phosphate."( Rapid simultaneous determination of codeine and morphine in plasma using LC-ESI-MS/MS: application to a clinical pharmacokinetic study.
Deng, Y; Liao, Q; Pan, B; Xie, Z; Zhang, L, 2009
)
0.61
" Size is the primary covariate and although lean body weight is argued as a better measure than total body weight, the use of different fractions of fat mass to explain how pharmacokinetic parameters vary with body composition has been proposed."( Mechanistic basis of using body size and maturation to predict clearance in humans.
Anderson, BJ; Holford, NH, 2009
)
0.35
" The elimination half-life was 140."( Pharmacokinetic and pharmacodynamic study of morphine and morphine 6-glucuronide after oral and intravenous administration of morphine in children with cancer.
Ghandforoush-Sattari, M; Hain, RD; Mashayekhi, SO; Routledge, PA, 2009
)
0.61
" The higher dose group produced a greater exposure (higher area-under-the-curve), higher peak concentration, longer half-life and a shorter time to peak concentration (t(max))."( Pharmacokinetics of an immediate and extended release oral morphine formulation utilizing the spheroidal oral drug absorption system in dogs.
Aragon, CL; Barnhart, MD; Gaynor, JS; Papich, MG; Read, MR; Wilson, D, 2009
)
0.6
" Morphine pharmacodynamic was best described by an indirect response model with an inhibitory function affecting pain onset, and it showed that decreasing delay between extubation and titration, decreasing initial VAS and intra-operative non-steroidal anti-inflammatory drug resulted in increased morphine potency."( Intravenous morphine titration in immediate postoperative pain management: population kinetic-pharmacodynamic and logistic regression analysis.
Abou Hammoud, H; Aubrun, F; Lechat, P; Riou, B; Simon, N; Urien, S, 2009
)
1.64
" Using labeled doses of extended-release epidural morphine sulfate (10-20 mg), the C(max) was comparable to that for 5-mg standard epidural morphine sulfate, whereas the apparent terminal elimination half-life and area under the serum concentration-time curve were twofold to fourfold greater and consistent with dose-proportional exposure."( Pharmacokinetics of extended-release epidural morphine sulfate: pooled analysis of six clinical studies.
Gambling, DR; Hughes, TL; Manvelian, GZ; Viscusi, ER, 2009
)
0.86
" Extended-release epidural morphine sulfate displayed a consistent pharmacokinetic profile among adults, with only slight variability between men and women in C(max), which appeared to be mainly caused by differences in body weight."( Pharmacokinetics of extended-release epidural morphine sulfate: pooled analysis of six clinical studies.
Gambling, DR; Hughes, TL; Manvelian, GZ; Viscusi, ER, 2009
)
0.91
"During orthopaedic surgery of the limb, we performed a prospective, double blind controlled study on three parallel groups in 30 patients to evaluate the pharmacokinetic and pharmacodynamic effect of infiltration of the iliac crest bone graft harvest site with 20 ml of bupivacaine (100 mg), ropivacaine (150 mg) or saline as control group (n = 10 in each group)."( Local anaesthetic use for the iliac crest-donor site: pharmacokinetic and pharmacodynamic evaluations.
Chevanne, F; Ecoffey, C; Eliat, C; Estebe, JP; Husson, JL; Le Corre, P; Le Naoures, A, 2009
)
0.35
"The primary objective was to compare the serum pharmacokinetic profile of a single dose of extended-release epidural morphine (EREM) administered alone versus 15 to 60 mins after an analgesic epidural dose of bupivacaine."( Extended-release epidural morphine (DepoDur) following epidural bupivacaine in patients undergoing lower abdominal surgery: a randomized controlled pharmacokinetic study.
Gambling, DR; Hughes, TL; Manvelian, GZ,
)
0.64
" Median time to maximum serum concentration and median apparent terminal elimination half-life were also comparable."( Extended-release epidural morphine (DepoDur) following epidural bupivacaine in patients undergoing lower abdominal surgery: a randomized controlled pharmacokinetic study.
Gambling, DR; Hughes, TL; Manvelian, GZ,
)
0.43
"The pharmacokinetic and efficacy profiles of a single 15-mg dose of EREM were not significantly altered when administered 15, 30, or 60 mins after an analgesic epidural dose of bupivacaine."( Extended-release epidural morphine (DepoDur) following epidural bupivacaine in patients undergoing lower abdominal surgery: a randomized controlled pharmacokinetic study.
Gambling, DR; Hughes, TL; Manvelian, GZ,
)
0.43
" For the pharmacodynamic study, baseline levels for hyperalgesia and allodynia were taken for 5 days prior to surgery."( Pharmacokinetics of vanillin and its effects on mechanical hypersensitivity in a rat model of neuropathic pain.
Beaudry, F; Lema, PP; Ross, A; Vachon, P, 2010
)
0.36
"The primary objective was to evaluate the serum pharmacokinetic profile of a single 15-mg dose of extended-release epidural morphine (EREM) administered at the lower thoracic epidural space alone or following a lidocaine-epinephrine test dose in patients undergoing major upper abdominal surgery."( A randomized study of the serum pharmacokinetics of lower thoracic extended-release epidural morphine (DepoDur) after lidocaine-epinephrine test dose administration in patients undergoing upper abdominal surgery.
Manvelian, GZ; Viscusi, ER, 2009
)
0.78
" Noncompartmental pharmacokinetic parameters were determined based on the serum concentration-time profiles of morphine and morphine metabolites."( A randomized study of the serum pharmacokinetics of lower thoracic extended-release epidural morphine (DepoDur) after lidocaine-epinephrine test dose administration in patients undergoing upper abdominal surgery.
Manvelian, GZ; Viscusi, ER, 2009
)
0.78
"The intent-to-treat and safety populations included 39 patients; the pharmacokinetic population included 37 patients."( A randomized study of the serum pharmacokinetics of lower thoracic extended-release epidural morphine (DepoDur) after lidocaine-epinephrine test dose administration in patients undergoing upper abdominal surgery.
Manvelian, GZ; Viscusi, ER, 2009
)
0.57
"Plasma morphine concentrations were lower in the STZ-diabetic rats than controls although the elimination half-life of morphine was similar in the two groups (47."( The pharmacokinetics of morphine and its glucuronide conjugate in a rat model of streptozotocin-induced diabetes and the expression of MRP2, MRP3 and UGT2B1 in the liver.
Fukushima, S; Hasegawa, Y; Inotsume, N; Ishii, Y; Kishimoto, S; Nomura, H; Onishi, M; Shibatani, N; Takeuchi, Y, 2010
)
1.12
" In addition, after the simultaneous administration of the drugs in a single dose, a pharmacokinetic interaction was found, which significantly (P<0."( Effect of metamizol on morphine pharmacokinetics and pharmacodynamics after acute and subchronic administration in arthritic rats.
Cortés-Arroyo, AR; Domínguez-Ramírez, AM; López, JR; López-Muñoz, FJ; Y de la Peña, MH, 2010
)
0.67
" Oral administration of 13 1-aryl-3-(1-acylpiperidin-4-yl)urea inhibitors in mice revealed substantial improvements in pharmacokinetic parameters over previously reported 1-adamantylurea based inhibitors."( 1-Aryl-3-(1-acylpiperidin-4-yl)urea inhibitors of human and murine soluble epoxide hydrolase: structure-activity relationships, pharmacokinetics, and reduction of inflammatory pain.
Hammock, BD; Inceoglu, B; Jones, PD; Liu, JY; Morisseau, C; Rose, TE; Sanborn, JR, 2010
)
0.36
" Plasma samples were collected just before dosing through 72 hours postdose for pharmacokinetic analyses of morphine, and through 168 hours postdose for naltrexone and its major metabolite 6-β-naltrexol."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.84
" In this study, the predictive performance of a previously published paediatric population pharmacokinetic model for morphine and its metabolites in children younger than 3 years (original model) is studied in new datasets that were not used to develop the original model."( Predictive performance of a recently developed population pharmacokinetic model for morphine and its metabolites in new datasets of (preterm) neonates, infants and children.
Choonara, I; Danhof, M; DeJongh, J; Knibbe, CA; Krekels, EH; Lynn, AM; Tibboel, D; van der Marel, CD; van Lingen, RA, 2011
)
0.8
" Basic observed versus predicted plots, normalized prediction distribution error analysis, model refitting, bootstrap analysis, subpopulation analysis and a literature comparison of clearance predictions were performed with the new datasets to evaluate the predictive performance of the original morphine pharmacokinetic model."( Predictive performance of a recently developed population pharmacokinetic model for morphine and its metabolites in new datasets of (preterm) neonates, infants and children.
Choonara, I; Danhof, M; DeJongh, J; Knibbe, CA; Krekels, EH; Lynn, AM; Tibboel, D; van der Marel, CD; van Lingen, RA, 2011
)
0.77
"The predictive value of the original morphine pharmacokinetic model is demonstrated in new datasets by the use of six different validation and evaluation tools."( Predictive performance of a recently developed population pharmacokinetic model for morphine and its metabolites in new datasets of (preterm) neonates, infants and children.
Choonara, I; Danhof, M; DeJongh, J; Knibbe, CA; Krekels, EH; Lynn, AM; Tibboel, D; van der Marel, CD; van Lingen, RA, 2011
)
0.87
" There are circumstances when a pharmacokinetic study may not be possible in children (especially neonates and infants), and as a result one would like to predict drug clearance in children."( Evaluation of a morphine maturation model for the prediction of morphine clearance in children: how accurate is the predictive performance of the model?
Mahmood, I, 2011
)
0.72
" There were no significant differences between group CON and the other pretreatment groups in pharmacokinetic parameters taking both sexes into account."( The influence of modulation of P-glycoprotein and /or cytochrome P450 3A on the pharmacokinetics and pharmacodynamics of orally administered morphine in dogs.
Croubels, S; Gadeyne, C; Gasthuys, F; Polis, I; Schauvliege, S; Van der Heyden, S, 2011
)
0.57
" USCPACK software was used to fit candidate pharmacokinetic models."( Increased clearance of morphine in sickle cell disease: implications for pain management.
Darbari, DS; Neely, M; Rana, S; van den Anker, J, 2011
)
0.68
" Here, we use pharmacokinetic modeling on data from the aforementioned study to calculate parameters of the distribution of heroin, 6-MAM and morphine in blood and brain tissue after subcutaneous heroin administration in mice."( Pharmacokinetic modeling of subcutaneous heroin and its metabolites in blood and brain of mice.
Andersen, JM; Boix, F; Mørland, J, 2013
)
0.59
"As a consequence of a continuous demand for increased throughput of pharmacokinetic (PK) studies, industries have introduced strategies to reduce the number of samples such as cassette analysis (pooling of samples after the in-life phase)."( High-throughput analysis of standardized pharmacokinetic studies in the rat using sample pooling and UPLC-MS/MS.
Betnér, I; Briem, S; Bueters, T; Dahlström, J; Kvalvågnaes, K, 2011
)
0.37
" This open-label, single-dose, 4-way crossover, pharmacokinetic drug interaction study compared the relative bioavailability of morphine and naltrexone when MS-sNT is administered (under fasting conditions) with increasing doses of alcohol."( Effects of alcohol on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, FK; Kisicki, J; Stauffer, J, 2012
)
0.84
" In this study, we sought to determine the pharmacokinetic and drug effects of prior epidural lidocaine administration on EREM."( Prior epidural lidocaine alters the pharmacokinetics and drug effects of extended-release epidural morphine (DepoDur®) after cesarean delivery.
Atkinson Ralls, L; Carvalho, B; Clavijo, CF; Drover, DR, 2011
)
0.59
" Maximal concentration (Cmax), time to Cmax (Tmax), and AUC(0-last) (area under the concentration-time curve until the last plasma concentration that was below the limit of quantitation) for morphine levels were determined from a plasma sample at 0, 5, 10, 15, and 30 minutes, and 1, 4, 8, 12, 24, 36, 48, and 72 hours."( Prior epidural lidocaine alters the pharmacokinetics and drug effects of extended-release epidural morphine (DepoDur®) after cesarean delivery.
Atkinson Ralls, L; Carvalho, B; Clavijo, CF; Drover, DR, 2011
)
0.78
"Epidural lidocaine administration (20-35 mL) 1 hour before epidural EREM administration increased the Cmax in group E (11."( Prior epidural lidocaine alters the pharmacokinetics and drug effects of extended-release epidural morphine (DepoDur®) after cesarean delivery.
Atkinson Ralls, L; Carvalho, B; Clavijo, CF; Drover, DR, 2011
)
0.59
" The oral pharmacodynamic study assessed drug liking and euphoria and pharmacokinetic properties of MS-sNTC and MS-sNTW compared with morphine sulfate solution (MSS) and placebo."( Morphine sulfate and naltrexone hydrochloride extended-release capsules: naltrexone release, pharmacodynamics, and tolerability.
Johnson, F; Setnik, B,
)
1.78
"The main pharmacokinetic parameters of morphine by inhaled and intravenous administration were: MRT 59±14 min versus 19±4 min, T(1/2) 21."( The pharmacokinetics of inhaled morphine delivered by an ultrasonic nebulizer in ventilated dogs.
Ge, W; Pan, L; Wang, X; Xu, X; Zheng, M, 2012
)
0.93
" Herein, we examined the analgesic effects of orally administered morphine and its pharmacokinetic properties under diabetic conditions, specifically focusing on the involvement of intestinal P-gp in a type 1 diabetic mouse model."( [Altered intestinal P-glycoprotein expression levels affect pharmacodynamics under diabetic condition].
Fujita-Hamabe, W; Kisioka, S; Nawa, A; Tokuyama, S, 2012
)
0.62
" Commonly used approaches are physiologically-based pharmacokinetic modeling (PBPK) and allometric scaling (AS) in combination with maturation of clearance for early life."( First dose in children: physiological insights into pharmacokinetic scaling approaches and their implications in paediatric drug development.
Danhof, M; Eissing, T; Freijer, J; Strougo, A; Willmann, S; Yassen, A, 2012
)
0.38
"Intensive sampling of patients for drugs with complex pharmacokinetic profiles is difficult to perform in the clinic or hospitalized patient setting."( The influence of sparse data sampling on population pharmacokinetics: a post hoc analysis of a pharmacokinetic study of morphine in healthy volunteers.
Ariano, RE; Duke, PC; Sitar, DS, 2012
)
0.59
"This study investigated whether population-guided, sparse-sampling pharmacokinetic analysis of morphine in 14 healthy volunteers allowed for optimal characterization of concentration-time profiles for a validation population of 5 young male patients receiving morphine."( The influence of sparse data sampling on population pharmacokinetics: a post hoc analysis of a pharmacokinetic study of morphine in healthy volunteers.
Ariano, RE; Duke, PC; Sitar, DS, 2012
)
0.81
" These results were compared with traditional standard 2-stage (STS) pharmacokinetic modeling."( The influence of sparse data sampling on population pharmacokinetics: a post hoc analysis of a pharmacokinetic study of morphine in healthy volunteers.
Ariano, RE; Duke, PC; Sitar, DS, 2012
)
0.59
" NPAG modeling identified that intravenous morphine was best represented by a 3-compartment pharmacokinetic profile and that sparse sampling with a least 3 blood samples per subject resulted in virtually identical measures of central tendency as the more intensively sampled dataset."( The influence of sparse data sampling on population pharmacokinetics: a post hoc analysis of a pharmacokinetic study of morphine in healthy volunteers.
Ariano, RE; Duke, PC; Sitar, DS, 2012
)
0.85
"This post hoc analysis suggests that intensive sampling for discerning complex, 3-compartment pharmacokinetic models, such as morphine, may not be necessary."( The influence of sparse data sampling on population pharmacokinetics: a post hoc analysis of a pharmacokinetic study of morphine in healthy volunteers.
Ariano, RE; Duke, PC; Sitar, DS, 2012
)
0.79
" Noncompartmental pharmacokinetic analysis and genotyping for 28 polymorphisms in eight genes (UGT1A8, UGT2B7, ABCB1, COMT, STAT6, MC1R, OPRM1, and ARRB2) were performed."( Is ethnicity associated with morphine's side effects in children? Morphine pharmacokinetics, analgesic response, and side effects in children having tonsillectomy.
Anderson, GD; Farin, FM; Jimenez, N; Lynn, AM; Nielsen, SS; Seidel, K; Shen, DD, 2012
)
0.67
"A whole-body physiologically based pharmacokinetic (PBPK) model was developed for the prediction of unbound drug concentration-time profiles in the rat brain, in which drug transfer across the blood-brain barrier (BBB) was treated mechanistically by separating the parameters governing the rate (permeability) of BBB transfer from brain binding."( Development of a physiologically based pharmacokinetic model for the rat central nervous system and determination of an in vitro-in vivo scaling methodology for the blood-brain barrier permeability of two transporter substrates, morphine and oxycodone.
Ball, K; Bouzom, F; Declèves, X; Scherrmann, JM; Walther, B, 2012
)
0.56
" Al-though size and age often are considered primary covariates for morphine pharmacokinetic models, the impact of other factors important in personalizing care such as race and genetic variations on morphine disposition is not well documented."( Morphine clearance in children: does race or genetics matter?
Chidambaran, V; Esslinger, HR; Fukuda, T; Krekels, EH; Ngamprasertwong, P; Sadhasivam, S; Vinks, AA; Zhang, K,
)
1.81
"Genotype blinded clinical observational pharmacokinetic study."( Morphine clearance in children: does race or genetics matter?
Chidambaran, V; Esslinger, HR; Fukuda, T; Krekels, EH; Ngamprasertwong, P; Sadhasivam, S; Vinks, AA; Zhang, K,
)
1.57
"Morphine bolus for intraoperative analgesia in children and pharmacokinetic analyses in different races."( Morphine clearance in children: does race or genetics matter?
Chidambaran, V; Esslinger, HR; Fukuda, T; Krekels, EH; Ngamprasertwong, P; Sadhasivam, S; Vinks, AA; Zhang, K,
)
3.02
" In this review, we explore advantages and disadvantages of the different data analysis techniques that have been applied, with specific focus on the accuracy of morphine clearance predictions by reported paediatric pharmacokinetic models."( Prediction of morphine clearance in the paediatric population : how accurate are the available pharmacokinetic models?
Danhof, M; Knibbe, CA; Krekels, EH; Tibboel, D, 2012
)
0.94
" In order to optimize conditions for measuring heroin and its metabolites in samples collected for pharmacokinetic studies in rats, we investigated the time course of degradation of heroin, 6-MAM, and morphine in four biological matrices: rat blood, rat brain homogenate, bovine serum, and human plasma under various conditions."( Stability of heroin, 6-monoacetylmorphine, and morphine in biological samples and validation of an LC-MS assay for delayed analyses of pharmacokinetic samples in rats.
Birnbaum, AK; Harmon, TM; Jones, JM; Keyler, DE; Pentel, PR; Raleigh, MD; Remmel, RP, 2013
)
0.86
"The in vivo preclinical pharmacodynamic profile of TD-1211, a selective opioid receptor antagonist currently under development for the treatment of opioid-induced constipation, was compared to that of the clinically studied opioid antagonists, naltrexone, alvimopan, and ADL 08-0011 (the primary active metabolite of alvimopan)."( The in vivo pharmacodynamics of the novel opioid receptor antagonist, TD-1211, in models of opioid-induced gastrointestinal and CNS activity.
Armstrong, SR; Beattie, DT; Campbell, CB; Hegde, SS; Long, DD; Richardson, CL; Tsuruda, PR; Vickery, RG, 2013
)
0.39
"To compare the pharmacodynamic effects, including self-reports of "drug liking" and "high," of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules (MSN), crushed morphine sulfate controlled-release (CR) tablets, and placebo in an abuse potential study."( Assessment of pharmacodynamic effects following oral administration of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules compared with crushed morphine sulfate controlled-release tablets and placebo in nondependent recreation
Goli, V; Han, L; Setnik, B; Sommerville, K; Webster, L, 2013
)
0.83
"Subjective ratings (100-point visual analog scales) of positive drug effects (drug liking, high, good effects, take drug again, and overall drug liking), any effects, and negative effects (bad effects, feel sick, nausea, sleepy, and dizzy), along with pupillometry, pharmacokinetic (PK), and safety assessments."( Assessment of pharmacodynamic effects following oral administration of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules compared with crushed morphine sulfate controlled-release tablets and placebo in nondependent recreation
Goli, V; Han, L; Setnik, B; Sommerville, K; Webster, L, 2013
)
0.62
" PK analysis of morphine plasma concentrations indicated that Cmax was significantly lower and tmax significantly longer for crushed MSN compared with crushed morphine sulfate CR."( Assessment of pharmacodynamic effects following oral administration of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules compared with crushed morphine sulfate controlled-release tablets and placebo in nondependent recreation
Goli, V; Han, L; Setnik, B; Sommerville, K; Webster, L, 2013
)
0.96
" In preliminary investigations, samples were obtained from 2 healthy horses at 12 time points (up to 12 hours after drug administration) and analyzed via 2-stage pharmacokinetic analysis."( Pharmacokinetics of intramuscularly administered morphine in horses.
Beard, WL; Devine, EP; KuKanich, B, 2013
)
0.64
" Population pharmacokinetic analysis characterized the profiles in NONMEM(®) and tested OCT1 variants as covariates."( OCT1 genetic variants influence the pharmacokinetics of morphine in children.
Chidambaran, V; Esslinger, HR; Fukuda, T; Mizuno, T; Ngamprasertwong, P; Olbrecht, V; Sadhasivam, S; Venkatasubramanian, R; Vinks, AA, 2013
)
0.64
" We outline the various pharmacokinetic mechanisms involved when combining TVR with methadone or morphine and recommend that current data are not sufficiently robust to minimize the potentially significant interaction with opioids, especially methadone."( Potential P-glycoprotein pharmacokinetic interaction of telaprevir with morphine or methadone.
Ashley, CC; Carlyn, C; Fontenelle, DV; Fudin, HR; Fudin, J; Hinden, DA, 2013
)
0.84
" A pharmacokinetic study was then carried out in three groups with CYP2D6*1/*1 (n=10), CYP2D6*1/*10 (n=10) and CYP2D6*10/*10 (n=9) genotypes by collecting serial blood samples for determination of plasma levels of codeine and its metabolites, morphine, morphine 3-glucuronide (M3G) and morphine 6-glucuronide (M6G) before and after a single 30-mg oral dose of codeine phosphate."( The impact of CYP2D6 polymorphisms on the pharmacokinetics of codeine and its metabolites in Mongolian Chinese subjects.
Guo, T; Lv, J; Wu, X; Yuan, L; Zuo, J, 2014
)
0.58
"No significant differences were observed in the pharmacokinetic parameters of codeine in the three genotype groups."( The impact of CYP2D6 polymorphisms on the pharmacokinetics of codeine and its metabolites in Mongolian Chinese subjects.
Guo, T; Lv, J; Wu, X; Yuan, L; Zuo, J, 2014
)
0.4
" The association between pharmacokinetic parameters and treatment response was assessed using logistic regression."( Population pharmacokinetics of nefopam in elderly, with or without renal impairment, and its link to treatment response.
Djerada, Z; Fournet-Fayard, A; Gozalo, C; Lamiable, D; Lelarge, C; Malinovsky, JM; Millart, H, 2014
)
0.4
"We identified the nefopam pharmacokinetic predictors for morphine requirement and side-effects, such as tachycardia and postoperative nausea and vomiting."( Population pharmacokinetics of nefopam in elderly, with or without renal impairment, and its link to treatment response.
Djerada, Z; Fournet-Fayard, A; Gozalo, C; Lamiable, D; Lelarge, C; Malinovsky, JM; Millart, H, 2014
)
0.65
" The pharmacokinetic effect of morphine on plasma etoposide concentration after the oral concomitant use of etoposide and morphine in rats was assessed using a population analysis approach."( Pharmacokinetic assessment of absorptive interaction of oral etoposide and morphine in rats.
Iwanaga, K; Kakemi, M; Minamida, M; Miyazaki, M; Nishimura, C, 2014
)
0.92
"When growing up, the pharmacokinetic (PK) and pharmacodynamic (PD) profiles of drugs change, which may alter the effect of drugs."( Towards evidence-based dosing regimens in children on the basis of population pharmacokinetic pharmacodynamic modelling.
Admiraal, R; Boelens, JJ; Bredius, RG; Knibbe, CA; Tibboel, D; van Kesteren, C, 2014
)
0.4
" Blood samples were collected up to 72 h postdrug administration, analyzed using LC-MS/MS and pharmacokinetic parameters determined."( Preliminary pharmacokinetics of morphine and its major metabolites following intravenous administration of four doses to horses.
Knych, HK; McKemie, DS; Steffey, EP, 2014
)
0.69
"The aim of this study was to evaluate the clinical pharmacokinetics of morphine (M) and their correlation with pharmacodynamic results (effective daily dose of M and side effects) during the M titration phase, in the management of chronic cancer pain."( Clinical pharmacokinetics of morphine and its metabolites during morphine dose titration for chronic cancer pain.
Allegri, M; De Gregori, M; De Gregori, S; Govoni, S; Minella, CE; Ranzani, GN; Regazzi, M; Tinelli, C, 2014
)
0.93
"This article presents the pharmacokinetic profiles of M and its metabolites: their concentration ratio could help clinicians to optimize individual therapies and tailor the dose to individual needs."( Clinical pharmacokinetics of morphine and its metabolites during morphine dose titration for chronic cancer pain.
Allegri, M; De Gregori, M; De Gregori, S; Govoni, S; Minella, CE; Ranzani, GN; Regazzi, M; Tinelli, C, 2014
)
0.69
"This paper aimed to evaluate the effects of coadministered immediate-release morphine and ethanol on safety, pharmacokinetic, and pharmacodynamic measures."( Evaluation of the safety, pharmacodynamic, and pharmacokinetic effects following oral coadministration of immediate-release morphine with ethanol in healthy male participants.
Johnson, F; Oldenhof, J; Romach, M; Setnik, B; Sokolowska, M, 2014
)
0.84
" Safety, pharmacodynamic (including visual analog scales, pupillometry, capnography, and psychomotor and cognitive measures), and pharmacokinetic assessments were conducted."( Evaluation of the safety, pharmacodynamic, and pharmacokinetic effects following oral coadministration of immediate-release morphine with ethanol in healthy male participants.
Johnson, F; Oldenhof, J; Romach, M; Setnik, B; Sokolowska, M, 2014
)
0.61
" No consistent additive or interaction effects were observed on pharmacodynamic measures."( Evaluation of the safety, pharmacodynamic, and pharmacokinetic effects following oral coadministration of immediate-release morphine with ethanol in healthy male participants.
Johnson, F; Oldenhof, J; Romach, M; Setnik, B; Sokolowska, M, 2014
)
0.61
" These doses were used to estimate the individual pharmacokinetic parameters by the Bayesian method using a linear 2-compartment model with a first-order kinetic absorption and the population parameters reported in our previous study."( Pharmacokinetics and toxicity of repeated oral etoposide is altered by morphine coadministration in rats.
Iwanaga, K; Kakemi, M; Kawase, T; Kitamura, T; Miyazaki, M; Nishimura, C, 2015
)
0.65
" Therefore, we aimed to study the pharmacokinetics of oral morphine in morbidly obese patients before and after RYGB surgery, to identify the effects of RYGB and the subsequent reversal of morbid obesity on the pharmacokinetic parameters of morphine."( Effect of a Roux-en-Y gastric bypass on the pharmacokinetics of oral morphine using a population approach.
Bardin, C; Bergmann, JF; Bouillot, JL; Chast, F; Declèves, X; Hirt, D; Lloret-Linares, C; Mouly, S; Oppert, JM; Poitou, C; Scherrmann, JM, 2014
)
0.88
" A population pharmacokinetic model was used to describe the time course of the plasma morphine concentration, to study the effect of RYGB on morphine pharmacokinetics and to estimate inter-patient variability."( Effect of a Roux-en-Y gastric bypass on the pharmacokinetics of oral morphine using a population approach.
Bardin, C; Bergmann, JF; Bouillot, JL; Chast, F; Declèves, X; Hirt, D; Lloret-Linares, C; Mouly, S; Oppert, JM; Poitou, C; Scherrmann, JM, 2014
)
0.86
" Pharmacodynamic measures were limited to subject assessment of somnolence, dizziness, and nausea conducted by using a visual analog scale (VAS)."( Gabapentin enacarbil and morphine administered in combination versus alone: a double-blind, randomized, pharmacokinetic, and tolerability comparison.
Arumugham, T; Chen, C; Davy, M; Stier, B; Upward, J, 2015
)
0.72
"No significant pharmacokinetic interaction between the 2 drugs was seen in this study."( Gabapentin enacarbil and morphine administered in combination versus alone: a double-blind, randomized, pharmacokinetic, and tolerability comparison.
Arumugham, T; Chen, C; Davy, M; Stier, B; Upward, J, 2015
)
0.72
" The aims were: (1) to develop a population pharmacokinetic model of liquid rectal morphine and morphine-6-glucoronide (M6G), (2) to simulate clinically relevant rectal doses of morphine and (3) to assess the tolerability and safety."( Population pharmacokinetics of morphine and morphine-6-glucuronide following rectal administration--a dose escalation study.
Brokjær, A; Christrup, LL; Dahan, A; Drewes, AM; Kreilgaard, M; Olesen, AE; Simonsson, US, 2015
)
0.93
"A population pharmacokinetic model of liquid rectal morphine and M6G was developed."( Population pharmacokinetics of morphine and morphine-6-glucuronide following rectal administration--a dose escalation study.
Brokjær, A; Christrup, LL; Dahan, A; Drewes, AM; Kreilgaard, M; Olesen, AE; Simonsson, US, 2015
)
0.95
" We aimed to develop a codeine pharmacokinetic pathway model for codeine and its metabolites that incorporates the effects of genetic polymorphisms."( CYP2D6 phenotype-specific codeine population pharmacokinetics.
Boston, RC; Daly Linares, AL; Fudin, J; Linares, OA; Schiesser, WE, 2015
)
0.42
" Simulations were also used to examine the impact of effect-site equilibration half-life on time course of response."( A review of morphine and morphine-6-glucuronide's pharmacokinetic-pharmacodynamic relationships in experimental and clinical pain.
Christrup, LL; Drewes, AM; Kreilgaard, M; Lund, TM; Olesen, AE; Sverrisdóttir, E, 2015
)
0.8
" Published pharmacokinetic data of acetaminophen in subjects with normal gastric emptying vs."( Acetaminophen absorption kinetics in altered gastric emptying: establishing a relevant pharmacokinetic surrogate using published data.
Srinivas, NR, 2015
)
0.42
" A population pharmacokinetic model was developed with the non-linear mixed effects software NONMEM."( Pharmacokinetics of Morphine and Its Metabolites in Infants and Young Children After Congenital Heart Surgery.
Drover, DR; Elkomy, MH; Frymoyer, A; Galinkin, JL; Glotzbach, KL; Hammer, GB; Su, F, 2016
)
0.76
" The population pharmacokinetic model we derived for morphine after oral administration of DTO is reasonable and acceptable; therefore, it can be used to describe the PK and guide future studies."( Mechanistic Population Pharmacokinetics of Morphine in Neonates With Abstinence Syndrome After Oral Administration of Diluted Tincture of Opium.
Gauda, E; Gobburu, J; Ivaturi, V; Lewis, T; Liu, T, 2016
)
0.95
" To determine the pharmacokinetics of morphine, morphine-3-glucuronide (M3G) and morphine-6-glucuronide (M6G) in this population, and to find clinically relevant parameters for dose individualisation, we performed a population pharmacokinetic analysis."( Pharmacokinetics of Morphine, Morphine-3-Glucuronide and Morphine-6-Glucuronide in Terminally Ill Adult Patients.
Baar, FP; de Winter, BC; Franken, LG; Koch, BC; Masman, AD; Mathot, RA; Tibboel, D; van Gelder, T, 2016
)
1.03
" Nonlinear mixed-effects modelling (NONMEM) was used to develop a population pharmacokinetic model and perform covariate analysis."( Pharmacokinetics of Morphine, Morphine-3-Glucuronide and Morphine-6-Glucuronide in Terminally Ill Adult Patients.
Baar, FP; de Winter, BC; Franken, LG; Koch, BC; Masman, AD; Mathot, RA; Tibboel, D; van Gelder, T, 2016
)
0.76
" In this review, comparative evidence on pharmacokinetic differences between abuse-deterrent and classical formulations of the same opioids is summarized; furthermore, pharmacodynamic differences, with a focus on analgesia and abuse-related symptoms, are addressed."( Abuse-Deterrent Opioid Formulations: Pharmacokinetic and Pharmacodynamic Considerations.
Knothe, C; Lötsch, J; Walter, C, 2016
)
0.43
" The pharmacokinetic parameters of morphine and its glucuronides were not associated with the jejunal contents of P-gp, CYP3A4, MRP2, and MRP3."( Oral Morphine Pharmacokinetic in Obesity: The Role of P-Glycoprotein, MRP2, MRP3, UGT2B7, and CYP3A4 Jejunal Contents and Obesity-Associated Biomarkers.
Bergmann, JF; Bouillot, JL; Declèves, X; Labat, L; Laplanche, JL; Lloret-Linares, C; Luo, H; Miyauchi, E; Mouly, S; Oppert, JM; Poitou, C; Scherrmann, JM; Tachikawa, M; Terasaki, T; Uchida, Y, 2016
)
1.23
" Pharmacokinetic evaluation showed that 91% of methadone was cleared during this time, with a mean elimination half-life of 59 hours."( Switching Opioid-Dependent Patients From Methadone to Morphine: Safety, Tolerability, and Methadone Pharmacokinetics.
Cape, G; Devane, J; Friedhoff, L; Glue, P; Gray, A; Harland, S; Howes, J; Hung, CT; Hung, N; Lam, F; Lockhart, M; Tunnicliff, D; Weis, H, 2016
)
0.68
"In endotoxemia, decreased elimination half-life (P = 0."( Effects of Low-Dose Escherichia coli Lipopolysaccharide-Induced Endotoxemia on Morphine Pharmacokinetics in an Animal Model.
Billert, H; Grabowski, T; Grześkowiak, E; Lisiecka, J; Michalak, M; Szkutnik-Fiedler, D; Urjasz, H, 2016
)
0.66
"This review gives an overview of how the pharmacokinetics in terminally ill patients may differ from the average population and discusses the effect of terminal illness on each of the four pharmacokinetic processes absorption, distribution, metabolism, and elimination."( Pharmacokinetic considerations and recommendations in palliative care, with focus on morphine, midazolam and haloperidol.
Baar, FP; de Winter, BC; Franken, LG; Koch, BC; Mathôt, RA; Tibboel, D; van Esch, HJ; van Gelder, T; van Zuylen, L, 2016
)
0.66
"Data from our previously published study of morphine pharmacokinetics were utilized in this pharmacodynamic study."( Pharmacodynamic Analysis of Morphine Time-to-Remedication Events in Infants and Young Children After Congenital Heart Surgery.
Drover, DR; Elkomy, MH; Galinkin, JL; Glotzbach, KL; Hammer, GB, 2016
)
0.99
"We used the intestinal segregated flow model (SFM) versus the traditional model (TM), nested within physiologically based pharmacokinetic (PBPK) models, to describe the biliary and urinary excretion of morphine 3β-glucuronide (MG) after intravenous and intraduodenal dosing of morphine in rats in vivo."( Metabolite Kinetics: The Segregated Flow Model for Intestinal and Whole Body Physiologically Based Pharmacokinetic Modeling to Describe Intestinal and Hepatic Glucuronidation of Morphine in Rats In Vivo.
Chen, S; Fan, J; Liu, L; Pang, KS; Sun, H; Yang, QJ, 2016
)
0.81
" Rapid absorption, linear pharmacokinetics up to 1000 mg, and low to moderate between-subject pharmacokinetic variability was observed."( Safety, tolerability, pharmacokinetics, and pharmacodynamic effects of naloxegol at peripheral and central nervous system receptors in healthy male subjects: A single ascending-dose study.
Bui, K; Butler, K; Eldon, MA; Kugler, AR; Medve, RA; Sostek, M, 2015
)
0.42
" However, pharmacokinetic data to support morphine dosing in this vulnerable population are lacking."( Decreased Morphine Clearance in Neonates With Hypoxic Ischemic Encephalopathy Receiving Hypothermia.
Bonifacio, SL; Drover, DR; Frymoyer, A; Su, F; Van Meurs, KP; Wustoff, CJ, 2017
)
1.12
" Consequently, a knowledge gap exists with regard to pharmacokinetic (PK) and pharmacodynamic (PD) responses in elderly subjects, leaving the safety and efficacy of medicines for this population unclear."( Development of a Whole-Body Physiologically Based Pharmacokinetic Approach to Assess the Pharmacokinetics of Drugs in Elderly Individuals.
Eissing, T; Jaehde, U; Krauss, M; Meyer, M; Schlender, JF; Thelen, K; Willmann, S, 2016
)
0.43
"The goal of this study was to extend a physiologically based pharmacokinetic (PBPK) model for adults to encompass the full course of healthy aging through to the age of 100 years, to support dose selection and improve pharmacotherapy for the elderly age group."( Development of a Whole-Body Physiologically Based Pharmacokinetic Approach to Assess the Pharmacokinetics of Drugs in Elderly Individuals.
Eissing, T; Jaehde, U; Krauss, M; Meyer, M; Schlender, JF; Thelen, K; Willmann, S, 2016
)
0.43
" Previously published population pharmacokinetic models of morphine, morphine-3-glucuronide, and morphine-6-glucuronide were combined into a meta-model."( Pharmacokinetic models of morphine and its metabolites in neonates:: Systematic comparisons of models from the literature, and development of a new meta-model.
Foster, DJ; Knøsgaard, KR; Kreilgaard, M; Sverrisdóttir, E; Upton, RN; van den Anker, JN, 2016
)
0.98
" Despite the well characterised pharmacodynamic interaction, little is known about possible pharmacokinetic interactions."( Population Pharmacokinetic Modelling of Morphine, Gabapentin and their Combination in the Rat.
Gabel-Jensen, C; Juul, RV; Kreilgaard, M; Lund, TM; Papathanasiou, T, 2016
)
0.7
" The combination did not lead to pharmacokinetic interactions for morphine or gabapentin but resulted in an estimated ~33% diminished morphine-3-glucuronide formation."( Population Pharmacokinetic Modelling of Morphine, Gabapentin and their Combination in the Rat.
Gabel-Jensen, C; Juul, RV; Kreilgaard, M; Lund, TM; Papathanasiou, T, 2016
)
0.94
"The finding of a lack of pharmacokinetic interaction strengthens the notion that the combination of the two drugs leads to better efficacy in pain treatment due to interaction at the pharmacodynamic level."( Population Pharmacokinetic Modelling of Morphine, Gabapentin and their Combination in the Rat.
Gabel-Jensen, C; Juul, RV; Kreilgaard, M; Lund, TM; Papathanasiou, T, 2016
)
0.7
" Plasma samples were obtained for pharmacokinetic analysis."( Pharmacodynamics and Pharmacokinetics of Morphine After Cardiac Surgery in Children With and Without Down Syndrome.
Breatnach, CV; Calvier, EA; Casey, WF; Knibbe, CA; Krekels, EH; Mathôt, RA; O'Hare, BP; Tibboel, D; Valkenburg, AJ; van Dijk, M, 2016
)
0.7
" Population pharmacokinetic analysis revealed no statistically significant differences in any of the pharmacokinetic variables of morphine between the children with and without Down syndrome."( Pharmacodynamics and Pharmacokinetics of Morphine After Cardiac Surgery in Children With and Without Down Syndrome.
Breatnach, CV; Calvier, EA; Casey, WF; Knibbe, CA; Krekels, EH; Mathôt, RA; O'Hare, BP; Tibboel, D; Valkenburg, AJ; van Dijk, M, 2016
)
0.9
" The morphine-3-glucuronide metabolite has lower clearance, a shorter half-life and a smaller distribution volume compared with the morphine-6 metabolite, which is the most active morphine-like agonist."( Metabolism and pharmacokinetics of morphine in neonates: A review.
Pacifici, GM, 2016
)
1.23
" PK parameters used to evaluate morphine metabolism included area-under the curve (AUC150), maximal morphine concentration (CMAX), and M3G-to-morphine ratio, and drug elimination was determined by clearance (Cl/F), volume of distribution, and half-life (T1/2)."( Effects of Obesity and Leptin Deficiency on Morphine Pharmacokinetics in a Mouse Model.
Arias, RS; Brown, RH; Dalesio, NM; Galinkin, J; Hendrix, CW; Lee, CK; Lynn, RR; McMichael, DH; Pho, H; Schwartz, AR; Thompson, CB; Yaster, M, 2016
)
0.98
"To elucidate the pharmacokinetic component to the tolerance, we administered midazolam (2 mg/kg) and morphine (10 mg/kg) alone or their combination daily to rats for 12 days followed by a pharmacokinetic study on day 13."( Pharmacokinetics cannot explain the increased effective dose requirement for morphine and midazolam in rats during their extended administration alone or in combination.
Alam, SM; Blobner, M; Greenblatt, DJ; Mao, J; Martyn, JA; Schaller, SJ; Zhao, Y, 2017
)
0.9
" To further explore the underlying mechanisms for variability arising from relevant determinants, including OCT1, a physiologically based pharmacokinetic (PBPK) model of morphine was developed."( Characterization of Contributing Factors to Variability in Morphine Clearance Through PBPK Modeling Implemented With OCT1 Transporter.
Emoto, C; Fukuda, T; Johnson, TN; Neuhoff, S; Sadhasivam, S; Vinks, AA, 2017
)
0.89
"Pharmacokinetic and pharmacodynamic data were collected from a double-blinded, randomized, crossover trial in 37 healthy subjects."( Lack of genetic association between OCT1, ABCB1, and UGT2B7 variants and morphine pharmacokinetics.
Brøsen, K; Christrup, LL; Drewes, AM; Feddersen, S; Nielsen, LM; Olesen, AE; Stage, TB; Sverrisdóttir, E, 2017
)
0.69
" Other pharmacokinetic interactions along with known pharmacodynamic interactions in which metamizol active metabolites contribute, should be considered."( Pharmacokinetics and pharmacodynamics of metamizol in co-administration with morphine under acute and chronic treatments in arthritic rats.
Carrillo-Calzadilla, PE; Cortés-Arroyo, AR; Domínguez-Ramírez, AM; López-Muñoz, FJ; Medina-López, JR; Moreno-Rocha, LA, 2017
)
0.68
" A population pharmacokinetic (PopPK) analysis was performed to assess differences in morphine and morphine-3-glucuronide (M3G) disposition in NASH and healthy subjects."( Population Pharmacokinetics of Morphine in Patients With Nonalcoholic Steatohepatitis (NASH) and Healthy Adults.
Brouwer, K; Ferslew, BC; Gonzalez, D; Johnston, CK; Pierre, V, 2017
)
0.96
" The purpose of this study was to quantitatively characterize the pharmacodynamic interaction between the two drugs and to identify the optimal concentration-effect relationship of the combination."( Quantification of the Pharmacodynamic Interaction of Morphine and Gabapentin Using a Response Surface Approach.
Gabel-Jensen, C; Heegaard, AM; Juul, RV; Kreilgaard, M; Lund, TM; Papathanasiou, T, 2017
)
0.7
" Our aim was to translate a recently published comprehensive CNS physiologically-based pharmacokinetic (PBPK) model from rat to human, and to predict drug concentration-time profiles in multiple CNS compartments on available human data of four drugs (acetaminophen, oxycodone, morphine and phenytoin)."( Prediction of human CNS pharmacokinetics using a physiologically-based pharmacokinetic modeling approach.
Beukers, MW; Danhof, M; de Lange, ECM; Huntjens, DR; Kokki, H; Kokki, M; Krauwinkel, W; Proost, JH; Välitalo, PA; van Hasselt, JGC; Vermeulen, A; Wong, YC; Yamamoto, Y, 2018
)
0.66
" A physiologically based pharmacokinetic (PBPK) model was developed and applied to examine whether the morphine concentrations were (i) in agreement with the morphine doses documented in the clinical records or (ii) due to an excessive morphine administration."( The feasibility of physiologically based pharmacokinetic modeling in forensic medicine illustrated by the example of morphine.
Lehr, T; Moj, D; Ramsthaler, F; Schaefer, N; Schmidt, PH, 2018
)
0.91
"Morphine has large pharmacokinetic variability, which is further complicated by developmental changes in neonates and small infants."( PBPK Model of Morphine Incorporating Developmental Changes in Hepatic OCT1 and UGT2B7 Proteins to Explain the Variability in Clearances in Neonates and Small Infants.
Emoto, C; Fukuda, T; Hahn, D; Johnson, TN; Neuhoff, S; Vinks, AA, 2018
)
2.28
"The pharmacokinetic (PK) parameters of many drugs are altered as a consequence of the pathophysiological changes associated with critical illness."( Altered Pharmacokinetics in Prolonged Infusions of Sedatives and Analgesics Among Adult Critically Ill Patients: A Systematic Review.
Joynt, GM; Lee, A; Ling, L; Tse, AHW, 2018
)
0.48
"The objective of the current study was to describe and characterize the pharmacokinetics and selected pharmacodynamic effects of morphine and its two major metabolites in horses following several doses of morphine."( Pharmacokinetics and selected pharmacodynamics of morphine and its active metabolites in horses after intravenous administration of four doses.
Hamamoto-Hardman, BD; Kass, P; Knych, HK; McKemie, DS; Steffey, EP; Weiner, D, 2019
)
0.97
" Our analysis demonstrates that body weight and postmenstrual age are relevant predictors of pharmacokinetic parameters of morphine and its metabolites."( Morphine Dose Optimization in Critically Ill Pediatric Patients With Acute Respiratory Failure: A Population Pharmacokinetic-Pharmacogenomic Study.
Benitez, GR; Bradfield, J; Curley, MAQ; Gastonguay, MR; Gastonguay, MS; Hakonarson, H; Moorthy, G; Prodell, J; Zane, NR; Zuppa, AF, 2019
)
2.16
" Bupivacaine administration by micropump nebulization resulted in a significantly lower Highest Plasma Drug Concentration (Cmax) and shorter time to reach Cmax (Tmax) (P < ."( Population Pharmacokinetics of Intraperitoneal Bupivacaine Using Manual Bolus Atomization Versus Micropump Nebulization and Morphine Requirements in Young Children.
Houck, CS; Meier, PM; Munoz-San Julian, C; Nguyen, HT; Pereira, LM; Zurakowski, D, 2019
)
0.72
" The elimination half-life slowly improved over the following cycles suggesting a reversible cause responsible for reduced MTX clearance and toxicity during the first cycle."( Reversible Impaired Methotrexate Clearance After Platinum-Based Chemotherapy for Osteosarcoma.
de Haan, J; Oude Munnink, T; Touw, D; van der Meer, A; van Kruchten, M, 2019
)
0.51
" Blood was collected at baseline and at subsequent preset times for pharmacokinetic analysis of morphine and its metabolites."( Effects of Obstructive Sleep Apnea and Obesity on Morphine Pharmacokinetics in Children.
Brown, RH; Clarke, W; Collaco, JM; Dalesio, NM; Hendrix, CW; Hsu, A; Kerns, N; Lee, CKK; McGrath-Morrow, S; Schwartz, AR; Yaster, M, 2020
)
1.03
" Noncompartmental analysis was used to estimate pharmacokinetic parameters for the MLK group."( Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
0.8
"During the CRI of the MLK solution, steady-state serum concentrations were achieved for lidocaine and ketamine, but not morphine, likely owing to the fairly long half-life of morphine."( Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
1.01
" The simultaneous quantification of morphine, fentanyl and its metabolites via this simple and time- and cost-efficient method could be successfully applied to samples taken for pharmacokinetic evaluation (antemortem and postmortem) after a single dose of morphine or co-administration of morphine with other drugs (e."( Determination of Morphine, Fentanyl and Their Metabolites in Small Sample Volumes Using Liquid Chromatography Tandem Mass Spectrometry.
Gleba, J; Kim, J, 2020
)
1.17
" Passive BBB permeability of morphine and its active metabolite morphine-6-glucuronide (M6G) and their pharmacodynamic parameters were derived from experiments reported in literature."( Physiologically based pharmacokinetic/pharmacodynamic model for the prediction of morphine brain disposition and analgesia in adults and children.
de Wildt, SN; Koenderink, JB; Litjens, CHC; Mathijssen, RHJ; Russel, FGM; Verbeek, MM; Verscheijden, LFM, 2021
)
1.14
" Here, we describe the synthesis and pharmacodynamic and pharmacokinetic properties of the first constrained NTS2 macrocyclic NT(8-13) analog."( Pharmacodynamic and pharmacokinetic profiles of a neurotensin receptor type 2 (NTS2) analgesic macrocyclic analog.
Boudreault, PL; Chartier, M; Chevillard, L; Côté, J; Desgagné, M; Haroune, L; Longpré, JM; Marsault, É; Rumsby, C; Sarret, P; Sousbie, M; Théroux, L, 2021
)
0.62
" Our modeling approach provides a promising platform for pharmacodynamic research of analgesics and sedatives in children."( Quantifying the Pharmacodynamics of Morphine in the Treatment of Postoperative Pain in Preverbal Children.
Ceelie, I; de Kluis, T; de Wildt, SN; Goulooze, SC; Knibbe, CAJ; Krekels, EHJ; Tibboel, D; van Dijk, M, 2022
)
1
" Nebulized (NEB) morphine may represent an alternative for titration but pharmacokinetic (PK) properties of short nebulization using routine devices need evaluation."( Pharmacokinetic modeling of morphine and its glucuronides: Comparison of nebulization versus intravenous route in healthy volunteers.
Aubrun, F; Duflot, T; Joannidès, R; Lamoureux, F; Lvovschi, VE; Pereira, T; Tavolacci, MP, 2022
)
1.35
" Blood samples were collected up to 72 hours post administration, codeine, codeine 6-glucuronide, norcodeine morphine, morphine 3-glucuronide and M6G concentrations determined by liquid chromatography- mass spectrometry and pharmacokinetic analysis performed."( Pharmacokinetics, adverse effects and effects on thermal nociception following administration of three doses of codeine to horses.
Gretler, SR; Kass, PH; Knych, HK; McKemie, DS; Stucker, K, 2022
)
0.93
" The authors hypothesized that these opioids differ in their pharmacodynamic behavior, measured as effect on ventilation at an extrapolated end-tidal Pco2 at 55 mmHg, V̇E55."( Respiratory Effects of Biased Ligand Oliceridine in Older Volunteers: A Pharmacokinetic-Pharmacodynamic Comparison with Morphine.
Dahan, A; Demitrack, MA; Fossler, M; Jansen, S; Kuijpers, KWK; Michalsky, C; Nicklas, T; Niesters, M; Olofsen, E; Sarton, E; Simons, P; van der Schrier, R; van Lemmen, M; van Velzen, M, 2023
)
1.12

Compound-Compound Interactions

Intrathecal dexmedetomidine has the least immunosuppressive effect than morphine. Tramadol (100 mg) given 30 min before abdominal hysterectomy resulted in improved analgesic efficacy.

ExcerptReferenceRelevance
"Antitumor activity and lethality of cyclophosphamide alone and in combination with several drugs were investigated in male ddY mice."( [Drug interaction on antitumor drugs I. Antitumor activity of cyclophosphamide in mice consecutively administered aminopyrine, chlorpromazine, or morphine (author's transl)].
Saitoh, M; Sasaki, K; Takayanagi, G, 1979
)
0.46
"The antinociceptive effects of various cannabinoids, alone and in combination with opiates, were evaluated in antinociceptive tests in mice."( Antinociceptive activity of intrathecally administered cannabinoids alone, and in combination with morphine, in mice.
Stevens, DL; Welch, SP, 1992
)
0.5
"Continuous Reaction Time (CRT) was measured in cancer patients receiving peripherally acting analgesics either alone (n = 16) or in combination with opioids (n = 16)."( Reaction time in cancer patients receiving peripherally acting analgesics alone or in combination with opioids.
Banning, A; Kaiser, F; Sjøgren, P, 1992
)
0.28
"To examine the efficacy of intramuscular (IM) ketorolac used in combination with intravenous (IV) patient-controlled analgesia (PCA) morphine for postoperative pain relief following intra-abdominal gynecologic surgery."( The efficacy of intramuscular ketorolac in combination with intravenous PCA morphine for postoperative pain relief.
Brull, SJ; Ning, T; Paige, D; Sevarino, FB; Silverman, DG; Sinatra, RS,
)
0.56
"The analgesic effect of subarachnoid administration of tetracaine combined with low dose morphine or nalbuphine for spinal anesthesia was evaluated in 60 ASA physical status class I or II patients."( [The analgesic effect of subarachnoid administration of tetracaine combined with low dose morphine or nalbuphine for spinal anesthesia].
Lin, ML, 1992
)
0.73
"This study investigated antinociceptive effects of intrathecal morphine combined with intrathecal clonidine, noradrenaline, carbachol or midazolam in rats."( Antinociceptive and motor effects of intrathecal morphine combined with intrathecal clonidine, noradrenaline, carbachol or midazolam in rats.
Cmielewski, PL; Cousins, MJ; Gourlay, GK; Owen, H; Plummer, JL, 1992
)
0.78
"Lignocaine was tested either alone or in combination with a low dose of morphine by intrathecal administration on the C- and A-beta evoked responses of nociceptive neurones in the dorsal horn of the halothane-anaesthetized rat."( Spinal local anaesthetic actions on afferent evoked responses and wind-up of nociceptive neurones in the rat spinal cord: combination with morphine produces marked potentiation of antinociception.
Chapman, V; Dickenson, AH; Fraser, HM, 1992
)
0.72
"Spinal anesthesia with 2% solution of lidocaine++ in combination with 1-1."( [Evaluation of the effectiveness of spinal anesthesia using lidocaine combined with morphine].
Gel'tser, BI; Mazaev, VP; Semenikhin, AA; Shumatov, VB, 1990
)
0.5
" In combination with D-Phe, a dose of morphine less by half compared to its unique use does not reduce analgesic activity in rats, but after six weeks of treatment some undesirable side effects like dependence, behavioural disorders and growth retardation are markedly lowered."( [The analgesic action of d-phenylalanine in combination with morphine or methadone].
Dove, B; Göres, E; Morgenstern, E, 1991
)
0.79
"Because only limited and controversial data exist concerning the respiratory effects of clonidine in humans, the authors evaluated the respiratory effects of clonidine alone and in combination with morphine, in 12 healthy adult males."( Respiratory effects of clonidine alone and combined with morphine, in humans.
Bailey, PL; East, KA; East, TD; Eldredge, SJ; Johnson, GK; Pace, NL; Sperry, RJ; Stanley, TH, 1991
)
0.72
" The effects of cocaine alone and in combination with d-amphetamine, caffeine, morphine or delta-9-tetrahydrocannabinol were determined in five male white Carneaux pigeons responding under a multiple fixed-ratio 30, fixed-interval 600 schedule (mult FR FI)."( The effects of cocaine in combination with other drugs of abuse on schedule-controlled behavior in the pigeon.
Evans, EB; Wenger, GR, 1990
)
0.51
"1% end-tidal concentration) combined with epidurally administered morphine were compared during controlled ventilation in 10 dogs used on 2 occasions and randomly allocated to 2 groups."( Comparison of the hemodynamic effects of halothane alone and halothane combined with epidurally administered morphine for anesthesia in ventilated dogs.
Cockshutt, JR; Dyson, DH; McDonell, WN; Valliant, AE; Valverde, A, 1991
)
0.73
" The potentiation of dihydrocodeine-conditioned place preference was observed by combination with chlorpheniramine (0."( Drug interactions in the reinforcing effects of over-the-counter cough syrups.
Masukawa, Y; Misawa, M; Suzuki, T, 1990
)
0.28
" It is concluded that intrathecal morphine sulphate combined with elective forceps delivery provides a satisfactory alternative to epidural anaesthesia in those patients whose cardiovascular status demands preservation of a normal or elevated systemic vascular resistance."( Low-dose intrathecal morphine sulphate as sole analgesic for pain of labour in combination with elective forceps delivery. A report of 10 cases.
Boezaart, AP; Kadieva, VS, 1990
)
0.88
" PTH 64-84 was inactive in all tests, alone or in combination with sCT or morphine."( The activity of several peptide fragments of parathyroid hormone, alone and in combination with salmon calcitonin and morphine, in antinociceptive tests in the mouse.
Dewey, WL; Welch, SP, 1990
)
0.72
" Clonidine, given alone, had no effect; however, when administered with morphine it blocked the analgesic effect of morphine."( Effects of clonidine and yohimbine, alone and in combination with morphine, on supraspinal analgesia.
Izenwasser, S; Kornetsky, C, 1990
)
0.75
"The efficacy of subarachnoidal anesthesia with lidocaine (trimecaine) in combination with small morphine doses was compared to anesthesia with lidocaine (trimecaine) alone."( [Evaluation of subarachnoid anesthesia using local anesthetics in combination with morphine].
Mazaev, VP; Semenikhin, AA; Shumatov, VB,
)
0.57
" Further investigations, using purified glycoproteins and structurally defined oligosaccharides, established that the optimal antigenic structure for both antibodies involves the Type 1 based blood group antigen, Lea, in combination with the Type 2 based onco-developmental antigen, SSEA-1, (Formula: see text) as in lacto-N-difucohexaose II."( Novel antigenic specificity involving the blood group antigen, Lea, in combination with onco-developmental antigen, SSEA-1, recognized by two monoclonal antibodies to human milk-fat globule membranes.
Feizi, T; Gooi, HC; Hilgers, J; Hilkens, J; Hounsell, EF; Jones, NJ; Scudder, P, 1985
)
0.27
" The use of morphine alone or combined with slow release triamcinolone does not appear to be appropriate for the treatment of the post-laminectomy pain syndrome."( Epidural steroids, epidural morphine and epidural steroids combined with morphine in the treatment of post-laminectomy syndrome.
Frank, E; Gallo, JP; Kaul, AF; Lipson, SJ; Rocco, AG, 1989
)
0.95
" The present study was conducted to investigate the effects of amfonelic acid, an indirect dopamine agonist, and nisoxetine, a highly selective norepinephrine uptake blocker, alone and in combination with morphine, on the reward threshold for rewarding electrical intracranial stimulation."( The effect of amfonelic acid or nisoxetine in combination with morphine on brain-stimulation reward.
Izenwasser, S; Kornetsky, C, 1989
)
0.7
" The application of long-lasting local anaesthetics like bupivacaine in combination with morphine provides good conditions for postoperative pain relief following proctological operations."( [Experiences with sacral anesthesia in combination with morphine analgesia].
Klug, W; Knoch, HG, 1989
)
0.74
" The H1 blockers, including an ethylenediamine (pyrilamine), an ethanolamine (diphenhydramine), a phenothiazine (methdilazine), a piperazine (cyclizine) and an alkylamine (chlorpheniramine), all produced antinociception when given alone to mice and also caused potentiation when combined with morphine."( Effect of H1 blockers alone and in combination with morphine to produce antinociception in mice.
Hanig, JP; Hui, FW; Sun, CL, 1985
)
0.7
"A series of agents were tested for their ability to interact with the analgetic actions of either d-amphetamine (d-AMP) or l-amphetamine (l-AMP), or morphine in rats using the hot plate procedure."( Differential analgetic actions of amphetamine enantiomers in the mouse: a drug-drug interaction study.
Maickel, RP; Spratto, GR; Tocco, DR, 1985
)
0.47
" However, PCP in combination with morphine produced an increase in met-enkephalin levels and a decrease in HVA levels."( Effects of phencyclidine in combination with morphine on the levels of met-enkephalin, dopamine, DOPAC and HVA in discrete brain areas of mice.
Furukawa, H; Hiramatsu, M; Kameyama, T; Nabeshima, T, 1985
)
0.81
" Studies revealed that tripelennamine (Tp) alone produced antinociception (ANTI) in mice and also caused potentiation when combined with morphine (M) or nalbuphene (NB)."( The effect of tripelennamine alone and in combination with opiates to produce antinociception in mice.
Hanig, JP; Hui, FW; Sun, CJ; Tocus, EC, 1983
)
0.47
"The efficacy of spinal anesthesia with lidocaine (1 mg/kg) combined with moradol (0."( [Spinal anesthesia with lidocaine combined with moradol].
Kheĭfets, VKh; Maksimov, AV,
)
0.13
" Intrathecal carbachol is synergistic when combined with intrathecal morphine or clonidine."( Characteristics of the analgesic effects and drug interactions of intrathecal carbachol in rats.
Abram, SE; O'Connor, TC, 1995
)
0.53
"The purpose of the study was to compare the duration of analgesia and the amount of supplemental postoperative analgesics required when morphine combined with bupivacaine was injected into the knee joint at the end of knee arthroscopy surgery."( Effects of tourniquet time in knee arthroscopy patients receiving intraarticular morphine combined with bupivacaine.
Klinken, C, 1995
)
0.72
" The use of TTS fentanyl in combination with initial dose titration using PCA resulted in rapid and statistically significant pain relief in both studies."( Transdermal fentanyl in combination with initial intravenous dose titration by patient-controlled analgesia.
Lehmann, KA; Zech, DF, 1995
)
0.29
" The ability of intrathecally administered clonidine alone or in combination with morphine, DPDPE, or U50,488H to alter thresholds for the production of the visceromotor response was examined."( Visceral antinociceptive effects of spinal clonidine combined with morphine, [D-Pen2, D-Pen5] enkephalin, or U50,488H.
Collins, JG; Harada, Y; Kishikawa, K; Kitahata, LM; Nishioka, K, 1995
)
0.75
"The authors compare the efficacies of trimecaine (8 mg/kg), lidocaine (8 mg/kg), azacaine (2 and 3 mg/kg) alone and in combination with morphine (1."( [A comparative evaluation of the effects of local anesthetics combined with morphine and administered epidurally].
Cherniakova, IV; Kiselevich, VE; Korinenko, AN; Osipov, SA,
)
0.56
"Effects of the kappa opioid agonists, spiradoline (U62,066), enadoline (CI-977) and U69,593, were examined alone and in combination with the opioid antagonists quadazocine and beta-funaltrexamine in squirrel monkeys that responded under a schedule of shock titration."( Antinociceptive and response rate-altering effects of kappa opioid agonists, spiradoline, enadoline and U69,593, alone and in combination with opioid antagonists in squirrel monkeys.
Dykstra, LA; Pitts, RC, 1994
)
0.29
" In a prospective study 54 patients undergoing a radical gynaecological operation were allocated to either neuroleptanaesthesia type II or epidural morphine analgesia combined with slight neuroleptanaesthesia."( [A profound stress reaction during epidural opiate analgesia in combination with weak neuroleptanalgesia in comparison with neuroleptanesthesia Type II alone].
Krug, G, 1993
)
0.49
"In a randomized double-blind study, the use of continuous epidural lidocaine during surgery combined with preoperative epidural morphine was compared with that of preoperative epidural morphine alone for postoperative analgesia in 20 patients undergoing hepatectomy."( [Intraoperative continuous epidural lidocaine combined with preoperative administration of epidural morphine for post-hepatectomy pain relief].
Asada, A; Fujii, T; Terai, T; Yabe, M; Yukioka, H, 1997
)
0.72
" The purpose of this study was to determine the effect of epidural bupivacaine combined with morphine on extubation time, postoperative analgesia, respiration, and hemodynamics in patients undergoing esophagectomy."( Administration of epidural bupivacaine combined with epidural morphine after esophageal surgery.
Fujimori, M; Terai, T; Yukioka, H, 1997
)
0.76
"Continuous administration of epidural bupivacaine combined with morphine resulted in good analgesia without any respiratory or hemodynamic depression in patients who had undergone esophagectomy, and early extubation is related to the efficacy of continuous epidural administration of bupivacaine."( Administration of epidural bupivacaine combined with epidural morphine after esophageal surgery.
Fujimori, M; Terai, T; Yukioka, H, 1997
)
0.78
" We evaluated the quality of analgesia and the incidence of side effects with smaller doses of intrathecal morphine combined with intramuscular (i."( Small doses of intrathecal morphine combined with systemic diclofenac for postoperative pain control after cesarean delivery.
Amaro, AR; Cappelli, EL; Cardoso, MM; Carvalho, JC; Prado, AA, 1998
)
0.81
" The purpose of this study was to define HP 228's effects, alone and in combination with morphine, on resting ventilation and the ventilatory response to hypoxia and hypercarbia."( The respiratory effects of the cytokine regulating agent HP 228 alone and in combination with morphine in human volunteers.
Chaplan, SR; Girten, BE; Powell, FL; Weinger, MB, 1998
)
0.74
"Propacetamol and ketorolac, combined with patient-controlled analgesia morphine, show similar analgesic efficacy after gynecologic surgery."( A double-blinded evaluation of propacetamol versus ketorolac in combination with patient-controlled analgesia morphine: analgesic efficacy and tolerability after gynecologic surgery.
Agrò, F; Aloe, L; Ballabio, M; De Cillis, P; De Nicola, A; Giunta, F; Ischia, S; Marinangeli, F; Stefanini, S; Varrassi, G, 1999
)
0.75
" combined with epidural bupivacaine at 0-24 h, or epidural morphine at 24-48 h after renal surgery."( Effect of i.v. ketamine in combination with epidural bupivacaine or epidural morphine on postoperative pain and wound tenderness after renal surgery.
Brennum, J; Dahl, JB; Hansen, TM; Ilkjaer, S; Nikolajsen, L; Wernberg, M, 1998
)
0.77
"We report the analgesic and adverse effects of intrathecally administered hyperbaric neostigmine, alone or combined with morphine, in two patients suffering from severe lower limb ischaemic pain (group 1), five patients undergoing Caesarean section (group 2) and 19 patients scheduled for orthopaedic surgery (group 3) under spinal anaesthesia."( Analgesic and adverse effects of a low dose of intrathecally administered hyperbaric neostigmine alone or combined with morphine in patients submitted to spinal anaesthesia: pilot studies.
Garcia, LV; Klamt, JG; Prado, WA, 1999
)
0.72
"The efficacy and safety of postoperative analgesia with continuous epidural infusion of either morphine or fentanyl in combination with a low dose of bupivacaine were evaluated in 205 patients after upper abdominal surgery."( [Postoperative epidural analgesia after upper abdominal surgery: the effects of low concentrations of bupivacaine combined with a low dose of opioid].
Kohno, K; Kosaka, Y; Shiihara, K, 1999
)
0.52
"Epidural analgesia with lidocaine (trimecaine) in combination with the minimum morphine doses is an effective method for regional pain relief in children."( [Postoperative epidural analgesia using local anesthetics in combination with morphine in children].
Agzamkhodzhiaev, TS; Satvaldieva, IA,
)
0.59
"75% in combination with general inhaled anesthesia without opioids."( A comparison of the analgesic efficacy of 0.25% levobupivacaine combined with 0.005% morphine, 0.25% levobupivacaine alone, or 0.005% morphine alone for the management of postoperative pain in patients undergoing major abdominal surgery.
Crews, JC; Denson, DD; Hord, AH; Schatzman, C, 1999
)
0.53
"Pre-incisional epidural K+M+B treatment combined with continuous epidural anaesthesia and general anaesthesia provides an ideal pre-emptive analgesic therapy, exhibiting better postoperative pain relief than general anaesthesia and post-incisional K+M+B treatment."( Pre-incisional epidural ketamine, morphine and bupivacaine combined with epidural and general anaesthesia provides pre-emptive analgesia for upper abdominal surgery.
Ho, ST; Lee, MM; Tao, PL; Wong, CS; Wu, CT; Yeh, CC; Yu, JC, 2000
)
0.59
"The purpose of this cardiac fast-track study was to evaluate the use of remifentanil (R) combined with intrathecal (IT) morphine as an alternative to sufentanil (S) during desflurane anesthesia with respect to postoperative pain control."( Fast-track cardiac anesthesia: use of remifentanil combined with intrathecal morphine as an alternative to sufentanil during desflurane anesthesia.
Bossard, R; Chi, L; Douning, LK; Latham, P; Morse, L; Shi, C; White, PF; Zarate, E, 2000
)
0.74
"As part of a cardiac fast-tracking program involving desflurane anesthesia, the use of intrathecal morphine in combination with a remifentanil infusion provided improved postoperative pain control, compared with IV sufentanil alone."( Fast-track cardiac anesthesia: use of remifentanil combined with intrathecal morphine as an alternative to sufentanil during desflurane anesthesia.
Bossard, R; Chi, L; Douning, LK; Latham, P; Morse, L; Shi, C; White, PF; Zarate, E, 2000
)
0.75
"Patients were randomly allocated to one of the two treatment groups: patients in Group 1 received epidural morphine 50 microg/kg whereas patients in Group 2 received epidural ketamine 1 mg/kg combined with 50 microg/kg of morphine postoperatively."( Evaluation of the safety and efficacy of epidural ketamine combined with morphine for postoperative analgesia after major upper abdominal surgery.
Kumar, L; Pawar, DK; Subramaniam, B; Subramaniam, K, 2001
)
0.76
" These patients were randomly allocated to one of the two treatment groups: patients in Group 1 received epidural morphine 50 microg/kg, whereas those in Group 2 received epidural ketamine 1 mg/kg combined with 50 microg/kg of morphine 30 min before incision."( Preoperative epidural ketamine in combination with morphine does not have a clinically relevant intra- and postoperative opioid-sparing effect.
Pawar, DK; Sennaraj, B; Subramaniam, B; Subramaniam, K, 2001
)
0.77
"This study evaluates the efficacy and side effects of a low dose of epidural morphine combined with clonidine for postoperative pain relief after lumbar disc surgery."( Epidural administration of low-dose morphine combined with clonidine for postoperative analgesia after lumbar disc surgery.
Bonhomme, V; Brichant, JF; Dewandre, PY; Doll, A; Ghassempour, K; Hans, P, 2002
)
0.82
" Epidural catheters were inserted at T8-T9 (upper abdominal surgery) or T9-T11 (lower abdominal surgery) and ropivacaine 0,5% 7-9 ml (upper abdominal surgery) or 10-12 ml (lower abdominal surgery) combined with sufentanil 30 mcg (group S, n=30) or with morphine 2 mg (group M, n=30) was injected."( [Sufentanil vs morphine combined with ropivacaine for thoracic epidural analgesia in major abdominal surgery].
Borghi, B; Clara, ME; De Paolis, P; Gianferrari, P; Marzullo, A; Montone, N; Voltolina, M, 2001
)
0.84
"Continuous administration of epidural ropivacaine combined with sufentanil or with morphine resulted in good analgesia."( [Sufentanil vs morphine combined with ropivacaine for thoracic epidural analgesia in major abdominal surgery].
Borghi, B; Clara, ME; De Paolis, P; Gianferrari, P; Marzullo, A; Montone, N; Voltolina, M, 2001
)
0.89
" Few data are available concerning dose requirements of epidural ROPI when combined with morphine."( A comparison of 0.1% and 0.2% ropivacaine and bupivacaine combined with morphine for postoperative patient-controlled epidural analgesia after major abdominal surgery.
Joris, JL; Lahaye-Goffart, B; Lamy, ML; Ledoux, D; Senard, M; Toussaint, PJ, 2002
)
0.77
"The present study examined the effects of SNC80 alone and in combination with the mu opioid agonists, morphine, butorphanol, and buprenorphine to determine whether SNC80 would enhance their antinociceptive effects."( Antinociceptive effects of the selective delta opioid agonist SNC80 alone and in combination with mu opioids in the squirrel monkey titration procedure.
Allen, RM; Dykstra, LA; Granger, AL; Rice, KC; Zhang, X, 2002
)
0.53
"Pharmacokinetic drug-drug interactions with morphine, hydromorphone, and oxymorphone are reviewed in this column."( Pharmacokinetic drug interactions of morphine, codeine, and their derivatives: theory and clinical reality, part I.
Armstrong, SC; Cozza, KL,
)
0.67
"We investigated the duration of labor analgesia produced by a small dose of spinal bupivacaine/fentanyl alone or in combination with a small dose of morphine."( Small dose bupivacaine-fentanyl spinal analgesia combined with morphine for labor.
Hess, PE; Pratt, SD; Snowman, C; Vasudevan, A, 2003
)
0.76
"We designed this double-blinded, randomized, controlled study to evaluate the effect of small-dose ketamine IV in combination with epidural morphine and bupivacaine on postoperative pain after renal surgery."( Intraoperative intravenous ketamine in combination with epidural analgesia: postoperative analgesia after renal surgery.
Karaman, H; Kararmaz, A; Kaya, S; Ozyilmaz, MA; Turhanoglu, S, 2003
)
0.52
" We demonstrated that IV ketamine had an improved analgesic or opioid-sparing effect when it was combined with epidural bupivacaine and morphine after renal surgery."( Intraoperative intravenous ketamine in combination with epidural analgesia: postoperative analgesia after renal surgery.
Karaman, H; Kararmaz, A; Kaya, S; Ozyilmaz, MA; Turhanoglu, S, 2003
)
0.52
"Pharmacokinetic drug-drug interactions with codeine, dihydrocodeine, hydrocodone, oxycodone, and buprenorphine are reviewed in this column."( Pharmacokinetic drug interactions of morphine, codeine, and their derivatives: theory and clinical reality, Part II.
Armstrong, SC; Cozza, KL,
)
0.4
" In this study, we compared the efficacy, dose requirements, side effects, and motor block observed with epidural levobupivacaine and ropivacaine when given in combination with small-dose morphine for 60 h after major abdominal surgery."( Epidural levobupivacaine 0.1% or ropivacaine 0.1% combined with morphine provides comparable analgesia after abdominal surgery.
Geortay, MN; Honoré, PD; Jacquemin, MJ; Joris, JL; Kaba, A; Lamy, ML; Maquoi, LM; Senard, M, 2004
)
0.75
"1%) of epidural levobupivacaine and ropivacaine combined with morphine (0."( Epidural levobupivacaine 0.1% or ropivacaine 0.1% combined with morphine provides comparable analgesia after abdominal surgery.
Geortay, MN; Honoré, PD; Jacquemin, MJ; Joris, JL; Kaba, A; Lamy, ML; Maquoi, LM; Senard, M, 2004
)
0.8
"A competitive immunoassay for detecting morphine in bio-samples was established by capillary zone electrophoresis combined with laser-induced fluorescence detection (CZE-LIF)."( Determination of morphine by capillary zone electrophoresis immunoassay combined with laser-induced fluorescence detection.
Chang, WB; Mi, JQ; Zhang, XX, 2004
)
0.93
"Dexmedetomidine in combination with morphine PCA provided better analgesia for ESWL and was associated with higher patients' and urologist's satisfaction when compared with a tramadol/midazolam PCA combination."( Dexmedetomidine in combination with morphine PCA provides superior analgesia for shockwave lithotripsy.
Alhashemi, JA; Kaki, AM, 2004
)
0.87
"To study the intrinsic parameters of P-glycoprotein (P-gp) transport and drug-drug interactions at the blood-brain barrier (BBB), as few quantitative in vivo data are available."( In situ transport of vinblastine and selected P-glycoprotein substrates: implications for drug-drug interactions at the mouse blood-brain barrier.
Cisternino, S; Debray, M; Rousselle, C; Scherrmann, JM, 2004
)
0.32
" Drug-drug interactions were examined using vinblastine and compounds that bind to P-gp sites (verapamil, progesterone, PSC833) other than the vinblastine site to take into account the multispecific drug P-gp recognition."( In situ transport of vinblastine and selected P-glycoprotein substrates: implications for drug-drug interactions at the mouse blood-brain barrier.
Cisternino, S; Debray, M; Rousselle, C; Scherrmann, JM, 2004
)
0.32
" In situ perfusion of mdr1a(-/-) and wild-type mouse brains could be used to predict drug-drug interactions for P-gp at the mouse BBB."( In situ transport of vinblastine and selected P-glycoprotein substrates: implications for drug-drug interactions at the mouse blood-brain barrier.
Cisternino, S; Debray, M; Rousselle, C; Scherrmann, JM, 2004
)
0.32
"This study was performed to evaluate the effects of cryoanalgesia combined with thoracic epidural analgesia on pain and respiratory complications in patients undergoing thoracotomy."( The effects of cryoanalgesia combined with thoracic epidural analgesia in patients undergoing thoracotomy.
Cho, CH; Kim, YC; Yang, MK, 2004
)
0.32
" Use of morphine and butorphanol in combination with alpha2 agonists should be further investigated to assess their analgesic effects."( Comparison of morphine and butorphanol as pre-anaesthetic agents in combination with romifidine for field castration in ponies.
Brearley, JC; Corletto, F; Raisis, AA, 2005
)
1.12
"We compared pain intensity and morphine consumption in two postoperative treatment groups: One group received continuous physostigmine infusion combined with morphine-based patient-controlled analgesia (PCA), and the other received PCA alone."( Continuous physostigmine combined with morphine-based patient-controlled analgesia in the postoperative period.
Beilin, B; Bessler, H; Papismedov, L; Shavit, Y; Weinstock, M, 2005
)
0.88
"Continuous infusion of physostigmine combined with morphine-based PCA in the postoperative period significantly reduced opiate consumption, and enhanced the analgesic response."( Continuous physostigmine combined with morphine-based patient-controlled analgesia in the postoperative period.
Beilin, B; Bessler, H; Papismedov, L; Shavit, Y; Weinstock, M, 2005
)
0.85
"Physostigmine combined with morphine in the postoperative period reduced morphine consumption, enhanced analgesia, and attenuated production of the proinflammatory cytokine, IL-1beta."( Continuous physostigmine combined with morphine-based patient-controlled analgesia in the postoperative period.
Beilin, B; Bessler, H; Papismedov, L; Shavit, Y; Weinstock, M, 2005
)
0.89
"To evaluate the analgesic and adverse effects of epidurally administered levogyral (S[+]) ketamine alone or in combination with morphine on intraoperative and postoperative pain in dogs undergoing ovariohysterectomy."( Analgesic effects of epidurally administered levogyral ketamine alone or in combination with morphine on intraoperative and postoperative pain in dogs undergoing ovariohysterectomy.
Acosta, AD; Bopp, S; Correa-Natalini, C; Gomar, C; Polydoro, A; Sala-Blanch, X, 2005
)
0.75
" In the current paper, this new extraction technique was combined with liquid chromatography-mass spectrometry (LC-MS) for the first time."( Liquid-phase microextraction based on carrier mediated transport combined with liquid chromatography-mass spectrometry. New concept for the determination of polar drugs in a single drop of human plasma.
Anthonsen, HS; Ho, TS; Pedersen-Bjergaard, S; Rasmussen, KE; Reubsaet, JL, 2005
)
0.33
" The present prospective, placebo-controlled and double-blind study aimed to evaluate the analgesic efficacy of diclofenac, a non-steroid anti-inflammatory drug (NSAID), in combination with paracetamol and opioids."( Analgesic efficacy of diclofenac in combination with morphine and paracetamol after mastectomy and immediate breast reconstruction.
Legeby, M; Olofsson, C; Sandelin, K; Wickman, M, 2005
)
0.58
" The latter finding demonstrates that administration-time-dependent differences in drug-drug interactions need to be considered in both experimental designs and clinical settings."( Temporal variation in drug interaction between lithium and morphine-induced analgesia.
Bora, N; Demirel, O; Karakucuk, EH; Yamanoglu, T; Zengil, H, 2006
)
0.58
"To investigate the analgesic effects of Nourishing yin and Unblocking meridians Receipe (NUR) combined with opioid analgesics in managing cancer pain."( Clinical research on nourishing yin and unblocking meridians recipe combined with opioid analgesics in cancer pain management.
Deng, QH; Ma, SL; Pan, XC; Tang, ZZ; Xie, GR; Xu, S; Zhang, M; Zhang, T, 2006
)
0.33
" Forty-one of them in the treated group were treated with NUR combined with opioid analgesics, while 43 of them in the control group were given opioid analgesics alone with successive 14 days as one treatment course for both groups."( Clinical research on nourishing yin and unblocking meridians recipe combined with opioid analgesics in cancer pain management.
Deng, QH; Ma, SL; Pan, XC; Tang, ZZ; Xie, GR; Xu, S; Zhang, M; Zhang, T, 2006
)
0.33
"NUR combined with opioid analgesics in cancer pain management was more effective than opioid analgesics alone."( Clinical research on nourishing yin and unblocking meridians recipe combined with opioid analgesics in cancer pain management.
Deng, QH; Ma, SL; Pan, XC; Tang, ZZ; Xie, GR; Xu, S; Zhang, M; Zhang, T, 2006
)
0.33
") administration of D-serine, a selective agonist for the glycine site of the NMDA receptors, alone or in combination with morphine using the tail-flick test."( Activation of supraspinal NMDA receptors by both D-serine alone or in combination with morphine leads to the potentiation of antinociception in tail-flick test of rats.
Akahori, K; Hashimoto, A; Ito, K; Jin, XL; Kobayashi, H; Maeda, M; Matsuda, M; Oka, T; Suzuki, T; Takahashi, S; Yoshikawa, M, 2007
)
0.77
" If patients receive morphine and these drugs simultaneously, the drug-drug interaction may change the levels of morphine and these glucuronides, resulting in altered analgesic efficacy and the risk of side effects."( Morphine glucuronosyltransferase activity in human liver microsomes is inhibited by a variety of drugs that are co-administered with morphine.
Hara, Y; Miyamoto, K; Nakajima, M; Yokoi, T, 2007
)
2.1
"Although caudal morphine may result in more sustained initial analgesia, caudal clonidine combined with nurse-controlled analgesia appears to provide comparable analgesia with fewer side effects."( A comparison of single-dose caudal clonidine, morphine, or hydromorphone combined with ropivacaine in pediatric patients undergoing ureteral reimplantation.
Carvallo, D; Johnson, JL; Mazurek, MS; Presson, RG; Vetter, TR, 2007
)
0.94
"The present study examined the interactive effects of morphine in combination with metabotropic glutamate (mGlu) receptor antagonists on schedule-controlled responding and thermal nociception."( Morphine in combination with metabotropic glutamate receptor antagonists on schedule-controlled responding and thermal nociception.
Dykstra, LA; Fischer, BD; Picker, MJ; Zimmerman, EI, 2008
)
2.04
"To evaluate analgesic effects of epidurally administered neostigmine alone or in combination with morphine in dogs after ovariohysterectomy."( Postoperative analgesic effects of epidural administration of neostigmine alone or in combination with morphine in ovariohysterectomized dogs.
Hatschbach, E; Luna, SP; Marucio, RL; Minto, BW; Neto, FJ, 2008
)
0.78
" We investigated the analgesic effect of pregabalin and dexamethasone in combination with paracetamol after abdominal hysterectomy."( Pregabalin and dexamethasone in combination with paracetamol for postoperative pain control after abdominal hysterectomy. A randomized clinical trial.
Dahl, JB; Dierking, G; Fomsgaard, JS; Hilsted, KL; Lech, K; Lose, G; Mathiesen, O; Rasmussen, ML, 2009
)
0.35
"To compare the effects of morphine (MOR), methadone (MET), butorphanol (BUT) and tramadol (TRA), in combination with acepromazine, on sedation, cardiorespiratory variables, body temperature and incidence of emesis in dogs."( Comparative study on the sedative effects of morphine, methadone, butorphanol or tramadol, in combination with acepromazine, in dogs.
Assis, HM; Campagnol, D; Junior, AR; Monteiro, ER; Quitzan, JG, 2009
)
0.91
" Continuous basal infusion of drugs combined with standard patient-controlled analgesia (PCA) is considered to be an effective means of postoperative acute pain management."( Continuous infusion of butorphanol combined with intravenous morphine patient-controlled analgesia after total abdominal hysterectomy: a randomized, double-blind controlled trial.
Guo, X; Liu, Y; Shen, X; Wang, F; Xu, S, 2009
)
0.59
"Basal infusion of butorphanol combined with intravenous morphine PCA in patients undergoing abdominal hysterectomy shows effective analgesia with sedation and fewer side effects."( Continuous infusion of butorphanol combined with intravenous morphine patient-controlled analgesia after total abdominal hysterectomy: a randomized, double-blind controlled trial.
Guo, X; Liu, Y; Shen, X; Wang, F; Xu, S, 2009
)
0.84
" This study compared, in donor right hepatectomy, the efficacy and safety of preoperative intrathecal morphine (ITM) combined with intravenous patient-controlled analgesia (IV-PCA) with IV-PCA alone."( Intrathecal morphine combined with intravenous patient-controlled analgesia is an effective and safe method for immediate postoperative pain control in live liver donors.
Ahn, HJ; Cho, HS; Choi, SJ; Gwak, MS; Hahm, TS; Joh, JW; Kim, GS; Kim, JA; Kim, KM; Ko, JS, 2009
)
0.95
" We performed a meta-analysis to obtain more detailed information on the frequency of side-effects in patients receiving intrathecal morphine in combination with spinal anaesthesia compared with placebo treated patients."( Risks and side-effects of intrathecal morphine combined with spinal anaesthesia: a meta-analysis.
Gehling, M; Tryba, M, 2009
)
0.83
"To evaluate the effects of patient-controlled analgesia (PCA) with small dose ketamine combined with morphine on analgesia and influence thereof on the plasma beta-endorphin (EP) level in the patients after radical operation for esophageal carcinoma."( [Effects of patient-controlled analgesia with small dose ketamine combined with morphine and the influence thereof on plasma beta-endorphin level in patients after radical operation for esophageal carcinoma].
Feng, J; Huang, XM; Li, H; Ma, LY; Wu, YQ; Xiong, JC; Xu, ZM; Zhang, DT, 2009
)
0.8
"The aim of this work was to investigate the effect on antioxidant potential of some commonly used drugs (morphine, tramadol, bromocriptine, haloperidol and azithromycin) on immobilization stress (IS) combined with cold restraint stress (CRS) in the rat."( Antioxidant effects of some drugs on immobilization stress combined with cold restraint stress.
Janicijevic-Hudomal, S; Kaurinovic, B; Popovic, M; Rasic, J; Trivic, S; Vojnović, M, 2009
)
0.57
"This double blind, randomized, controlled trial investigated whether a single preoperative intravenous (iv) dose of tramadol (100 mg) given 30 min before abdominal hysterectomy resulted in improved analgesic efficacy, reduced postoperative morphine patient-controlled analgesia (PCA) use and reduced side effects when combined with a postoperative small-dose tramadol infusion."( Preoperative tramadol combined with postoperative small-dose tramadol infusion after total abdominal hysterectomy: a double-blind, randomized, controlled trial.
Liu, Y; Shen, X; Wang, F; Xu, S,
)
0.31
"To compare the efficacy of 2 preemptive analgesics: continuous subcutaneous morphine alone (SC) and continuous subcutaneous morphine combined with single intrathecal injection of morphine (SI)."( A case-control study of preemptive analgesia for postoperative pain in patients undergoing posterior lumbar interbody fusion: continuous subcutaneous morphine alone and combined with intrathecal injection.
Hirano, K; Ito, K; Kato, F; Machino, M; Nakashima, H; Tauchi, R; Yukawa, Y, 2010
)
0.79
" Our aim was to evaluate feasibility, safety, and efficacy of ketoprofen combined with opioids in long-term continuous subcutaneous infusion (CSI) for cancer pain in a prospective observational open-label pilot study."( Long-term continuous subcutaneous infusion of ketoprofen combined with morphine: a safe and effective approach to cancer pain.
Cruto, M; Debernardi, F; Massucco, P; Moselli, NM; Savojardo, M, 2010
)
0.59
"Ketoprofen CSI in combination with opioids is a feasible, safe, and effective approach to cancer pain."( Long-term continuous subcutaneous infusion of ketoprofen combined with morphine: a safe and effective approach to cancer pain.
Cruto, M; Debernardi, F; Massucco, P; Moselli, NM; Savojardo, M, 2010
)
0.59
"The objective of this study was to determine the effects of a constant rate of infusion of lidocaine and ketamine in combination with either morphine or fentanyl on the minimum alveolar concentration of isoflurane (MAC(ISO)) during ovariohysterectomy in dogs."( Reduction of the minimum alveolar concentration of isoflurane in dogs using a constant rate of infusion of lidocaine-ketamine in combination with either morphine or fentanyl.
Aguado, D; Benito, J; Gómez de Segura, IA, 2011
)
0.77
"to examine effectiveness and overall opiate consumption between high-sensory transcutaneous electrical nerve stimulation (Hi-TENS) combined with patient-controlled analgesia with morphine and patient-controlled analgesia with morphine alone following elective (e."( Hi-TENS combined with PCA-morphine as post caesarean pain relief.
Binder, P; Gustafsson, A; Nissen, E; Uvnäs-Moberg, K, 2011
)
0.86
"participants were randomly assigned and connected to patient-controlled analgesia with morphine alone or in combination with Hi-TENS apparatus."( Hi-TENS combined with PCA-morphine as post caesarean pain relief.
Binder, P; Gustafsson, A; Nissen, E; Uvnäs-Moberg, K, 2011
)
0.89
" A presumed benefit of this treatment combination is that the mother is more alert and better able to interact with her newborn during the first hours after birth without drowsiness due to large doses of opiates."( Hi-TENS combined with PCA-morphine as post caesarean pain relief.
Binder, P; Gustafsson, A; Nissen, E; Uvnäs-Moberg, K, 2011
)
0.67
"Our prospective, randomized, double-blind study aimed to detect the effect of intrathecal levobupivacaine combined with fentanyl or morphine on the postoperative analgesia in patients undergoing cesarean section."( [Assessment of the effect of intrathecal levobupivacaine combined with fentanyl or morphine on postoperative analgesia in patients undergoing cesarean section].
Acar, P; Akyol, O; Ozyuvacı, E; Toprak, N; Vatansever, S, 2010
)
0.79
"we compared the clinical efficacy and safety between a new injectable cyclooxygenase-2 selective inhibitor, parecoxib, and an old nonselective, ketorolac combined with morphine in patient-controlled analgesia (PCA) for management of post-cesarean delivery pain."( Comparison of the efficacy of parecoxib versus ketorolac combined with morphine on patient-controlled analgesia for post-cesarean delivery pain management.
Cheu, NW; Chuang, FH; Liao, CH; Tan, TD; Wang, YR; Watts, MP; Wong, JO, 2010
)
0.79
" Morphine was basically used in PCA manner during the 3-day study course; and in Group K patients received an intravenous loading bolus of 30mg ketorolac post-operatively and then 90mg ketorolac combined with morphine in PCA fashion throughout the study course."( Comparison of the efficacy of parecoxib versus ketorolac combined with morphine on patient-controlled analgesia for post-cesarean delivery pain management.
Cheu, NW; Chuang, FH; Liao, CH; Tan, TD; Wang, YR; Watts, MP; Wong, JO, 2010
)
1.5
" The nanoparticle-assisted MALDI-TOF MS combined with seed-layer surface preparation provides a rapid, efficient and accurate platform for the quantification of small molecules in urine samples."( Nanoparticle-assisted MALDI-TOF MS combined with seed-layer surface preparation for quantification of small molecules.
Chen, YJ; Fuh, MR; Ho, YC; Lin, CC; Lu, YW; Tseng, MC, 2011
)
0.37
"The present study examined the effects of the mGluR1 antagonist JNJ16259685 (JNJ) and the mGluR5 antagonist 2-methyl-6-phenylethynylpyridine (MPEP) alone and in combination with morphine in two acute pain models (hotplate, warm water tail-withdrawal), and a persistent, inflammatory pain model (capsaicin)."( Metabotropic glutamate antagonists alone and in combination with morphine: comparison across two models of acute pain and a model of persistent, inflammatory pain.
Daugherty, D; Dykstra, LA; Henry, FE; Miller, LL; Picker, MJ, 2011
)
0.8
" Additional experiments examined these compounds in combination with morphine."( Effects of alterations in cannabinoid signaling, alone and in combination with morphine, on pain-elicited and pain-suppressed behavior in mice.
Dykstra, LA; Miller, LL; Picker, MJ; Schmidt, KT; Umberger, MD, 2012
)
0.84
" The STR was mimicked in mice treated with BD 1047 (a putative σ(1) receptor antagonist), but not SM-21, a putative σ(2) receptor antagonist, in combination with METH."( Straub tail reaction in mice treated with σ(1) receptor antagonist in combination with methamphetamine.
Hall, FS; Kitanaka, J; Kitanaka, N; Nishiyama, N; Takemura, M; Tanaka, K; Uhl, GR, 2012
)
0.38
"This study investigated whether ethanol combined with low doses of morphine produces rewarding effects in rats."( Rewarding effects of ethanol combined with low doses of morphine through dopamine D1 receptors.
Ise, Y; Katayama, S; Mori, T; Nagase, H; Suzuki, T, 2013
)
0.87
" This study was designed to compare the efficacy of intrathecal (IT) morphine alone, or in combination with bupivacaine and fentanyl, as part of a combined spinal-epidural (CSE) analgesia, in patients undergoing elective total gastrectomy."( Comparison of analgesic effect of intrathecal morphine alone or in combination with bupivacaine and fentanyl in patients undergoing total gastrectomy: a prospective randomized, double blind clinical trial.
Gerić, V; Ivanoviić, N; Karanikolas, M; Randjelović, T; Rasković, J; Slavković, Z; Stamenković, DM; Tomić, A; Veljović, M, 2013
)
0.88
"25), although this enhancement was not observed when morphine was combined with 17 mg/kg pregabalin."( Assessment of the antinociceptive effects of pregabalin alone or in combination with morphine during acetic acid-induced writhing in mice.
Keyhanfar, F; Shamsi Meymandi, M, 2013
)
0.86
"In this study, the MCF-7 breast cancer cells were used to determine the antitumor effects of the 5-FU in combination with morphine."( Morphine improved the antitumor effects on MCF-7 cells in combination with 5-Fluorouracil.
Ge, ZH; Hao, CL; Sun, LX; Sun, Y; Wang, ZX; Yang, N; Yu, TL, 2014
)
2.05
"It was shown that in MCF-7 cells, the proliferation was inhibited, the apoptosis was promoted, the Bcl-2 expression was suppressed and the Bax expression was promoted by both 5-FU alone and morphine alone, while the superior effects were achieved in combination with the two drugs."( Morphine improved the antitumor effects on MCF-7 cells in combination with 5-Fluorouracil.
Ge, ZH; Hao, CL; Sun, LX; Sun, Y; Wang, ZX; Yang, N; Yu, TL, 2014
)
2.04
" Morphine at 1 or 2 mg/kg combined with medetomidine and alfaxalone in rabbits produced a suitable level of anaesthesia, although profound cardiorespiratory depression was found."( Cardiorespiratory, anaesthetic and recovery effects of morphine combined with medetomidine and alfaxalone in rabbits.
Del Mar Granados, M; Fernández-Sarmiento, A; Gómez-Villamandos, RJ; López Villalba, I; Manuel Domínguez, J; Morgaz, J; Muñoz-Rascón, P; Navarrete-Calvo, R, 2014
)
1.56
"The present study concluded that, low-dose ITM combination with SSFNB provided good pain relief with low side effects and reduced morphine consumption during the first 24 hours post TKA."( Effects of single shot femoral nerve block combined with intrathecal morphine for postoperative analgesia: a randomized, controlled, dose-ranging study after total knee arthroplasty.
Chanthong, P; Intiyanaravut, T; Kunopart, M; Pethuahong, C; Thongpolswat, N, 2014
)
0.84
"To evaluate the analgesic effect of pregabalin combined with intrathecal sufentanil infusion for the treatment of breakthrough pain in patients with bone metastases."( [Pregabalin combined with intrathecal sufentanil infusion for breakthrough pain in patients with bone metastases].
Cao, Q; Gu, S; Huang, D; Wu, L; Xu, H, 2014
)
0.4
"A total of 60 breakthrough pain patients with bone metastases were randomly divided to 3 groups: group A (pregabalin combined with intrathecal sufentanil infusion group, n=20), group B (placebo combined with intrathecal sufentanil infusion group, n=20) and group C (oral morphine sulfate controlled-release tablet group, n=20)."( [Pregabalin combined with intrathecal sufentanil infusion for breakthrough pain in patients with bone metastases].
Cao, Q; Gu, S; Huang, D; Wu, L; Xu, H, 2014
)
0.58
"Pregabalin combined with intrathecal sufentanil infusion can effectively relieve breakthrough pain in patients with bone metastases."( [Pregabalin combined with intrathecal sufentanil infusion for breakthrough pain in patients with bone metastases].
Cao, Q; Gu, S; Huang, D; Wu, L; Xu, H, 2014
)
0.4
" We hypothesized that ITM combined with IVPCA is as effective as patient controlled thoracic epidural analgesia (PCTEA) with respect to postoperative pain control after conventional open gastrectomy."( Efficacy of intrathecal morphine combined with intravenous analgesia versus thoracic epidural analgesia after gastrectomy.
Choi, SH; Kil, HK; Koo, BN; Lee, JH; Noh, SH; Park, JH, 2014
)
0.71
"Sixty-four patients undergoing conventional open gastrectomy due to gastric cancer were randomly allocated into the intrathecal morphine combined with intravenous patient-controlled analgesia (IT) group or patient-controlled thoracic epidural analgesia (EP) group."( Efficacy of intrathecal morphine combined with intravenous analgesia versus thoracic epidural analgesia after gastrectomy.
Choi, SH; Kil, HK; Koo, BN; Lee, JH; Noh, SH; Park, JH, 2014
)
0.91
"To evaluate the cardiorespiratory, sedative and antinociceptive effects of dexmedetomidine alone or in combination with methadone, morphine or tramadol in dogs."( Cardiorespiratory, sedative and antinociceptive effects of dexmedetomidine alone or in combination with methadone, morphine or tramadol in dogs.
Cardoso, CG; da Silva, TH; de Mattos-Junior, E; Marques, DR, 2014
)
0.82
"To compare the antinociceptive effects of magnesium sulphate (MgSO(4)) when administered epidurally alone and in combination with morphine."( Antinociceptive effects of epidural magnesium sulphate alone and in combination with morphine in dogs.
Bahrenberg, A; Dzikiti, BT; Fosgate, GT; Rioja, E; Stegmann, FG; Tacke, SP, 2015
)
0.85
"1 mg kg(-1)) alone (Mo), MgSO(4) in combination with morphine (Mm), and sterile water (0."( Antinociceptive effects of epidural magnesium sulphate alone and in combination with morphine in dogs.
Bahrenberg, A; Dzikiti, BT; Fosgate, GT; Rioja, E; Stegmann, FG; Tacke, SP, 2015
)
0.89
"When administered epidurally, morphine alone or in combination with neostigmine provided effective postoperative analgesia in most dogs after orthopedic surgery, whereas neostigmine alone did not."( Postoperative analgesic effects of epidural administration of neostigmine alone or in combination with morphine in dogs undergoing orthopedic surgery of the pelvic limbs.
Fantoni, DT; Marucio, RL; Monteiro, ER; Moroz, LR, 2014
)
0.91
" The authors aimed to investigate the efficacy of low concentrations of dezocine in combination with morphine for postoperative pain."( Low Concentration of Dezocine in Combination With Morphine Enhance the Postoperative Analgesia for Thoracotomy.
Dong, YP; Sun, L; Wu, L, 2015
)
0.89
"The morphine group (Group M) received morphine (1 mg/mL) alone for patient-controlled analgesia (PCA); the morphine+dezocine 1 group (Group MD1) received morphine (1 mg/mL) combined with dezocine (0."( Low Concentration of Dezocine in Combination With Morphine Enhance the Postoperative Analgesia for Thoracotomy.
Dong, YP; Sun, L; Wu, L, 2015
)
1.23
"A total of 53 patients with American Society of Anesthesiologists (ASA) I-II status randomly received general anesthesia (G group, n = 27) or general anesthesia combined with epidural anesthesia (E group, n = 26) for surgical tumor resection."( General anesthesia combined with epidural anesthesia ameliorates the effect of fast-track surgery by mitigating immunosuppression and facilitating intestinal functional recovery in colon cancer patients.
Chen, WK; Miao, CH; Ren, L; Wei, Y; Xu, JM; Zhu, DX, 2015
)
0.42
"General anesthesia combined with epidural anesthesia plays an important role in fast-track surgery, mitigating the surgical stress-related impairment of anti-tumor immune responses and hastening the recovery of intestinal function."( General anesthesia combined with epidural anesthesia ameliorates the effect of fast-track surgery by mitigating immunosuppression and facilitating intestinal functional recovery in colon cancer patients.
Chen, WK; Miao, CH; Ren, L; Wei, Y; Xu, JM; Zhu, DX, 2015
)
0.42
"This study evaluated the use of the injectable anesthetic, alphaxalone, as a single agent and in combination with ketamine, xylazine, and morphine in the Chilean rose tarantula, Grammostola rosea."( The use of injectable alphaxalone as a single agent and in combination with ketamine, xylazine, and morphine in the Chilean rose tarantula, Grammostola rosea.
Gjeltema, J; Posner, LP; Stoskopf, M, 2014
)
0.82
"To investigate cardiorespiratory effects and serum concentration of ropivacaine combined with morphine at different doses."( Effects of ropivacaine combined with morphine at 0.15 and 0.2 mg kg(-1) in bitches undergoing epidural anesthesia.
Albuquerque, VB; Araújo, MA; Arruda, AM; Ferreira, GT; Fonseca, MW; Oliva, VN; ShiChen, L, 2015
)
0.91
"To evaluate the cardiopulmonary and sedative effects of xylazine alone or in combination with methadone, morphine or tramadol in sheep."( Sedative and cardiopulmonary effects of xylazine alone or in combination with methadone, morphine or tramadol in sheep.
Auckburally, A; Borges, LP; Cerejo, SA; de Carvalho, LL; de Mattos-Junior, E; Nishimura, LT; Villela, IO, 2016
)
0.87
" Each drug combination was mixed in the syringe and injected intravenously."( Sedative and cardiopulmonary effects of xylazine alone or in combination with methadone, morphine or tramadol in sheep.
Auckburally, A; Borges, LP; Cerejo, SA; de Carvalho, LL; de Mattos-Junior, E; Nishimura, LT; Villela, IO, 2016
)
0.66
"Objectives The aim of the study was to evaluate the effectiveness of epidural lidocaine in combination with either methadone or morphine for postoperative analgesia in cats undergoing ovariohysterectomy."( Postoperative pain control in cats: clinical trials with pre-emptive lidocaine epidural co-administered with morphine or methadone.
de Andrade Bicudo, N; de Assis, KT; DeRossi, R; Hermeto, LC; Jardim, PHA, 2016
)
0.85
"To compare sedative and analgesic properties of buprenorphine or morphine for standing procedures combined with a detomidine continuous rate infusion (CRI)."( Preliminary investigation comparing a detomidine continuous rate infusion combined with either morphine or buprenorphine for standing sedation in horses.
Love, EJ; MacFarlane, PD; Murrell, JC; Potter, JJ; Taylor, PM; Tremaine, H, 2016
)
0.89
" The aim of the study was to determine the effects of constant-rate infusion of lidocaine and ketamine combined with either morphine or fentanyl on the MAC of sevoflurane in pigs."( Effect of Lidocaine-Ketamine Infusions Combined with Morphine or Fentanyl in Sevoflurane-Anesthetized Pigs.
Canfrán, S; Gómez de Segura, IA; Largo, C; Re, M, 2016
)
0.89
"To observe analgesic and sedative effect of acupuncture combined with medicine (ACM) on patients undergiong cardiac surgery."( [Analgesic and Sedative Effect of Acupuncture Combined with Medicine on Patients Undergiong Cardiac Surgery].
Cao, WZ; Xu, SA; Xu, XQ; Yu, HJ, 2016
)
0.43
" Patients in group A were subjected to analgesia and sedation by injecting dexmedetomidine, while patients in group B were subjected to analgesia and sedation by electro-acupuncture [EA, Shenting (GV24); Yintang (EX-HN3)] combined with injection of dexmedetomidine."( [Analgesic and Sedative Effect of Acupuncture Combined with Medicine on Patients Undergiong Cardiac Surgery].
Cao, WZ; Xu, SA; Xu, XQ; Yu, HJ, 2016
)
0.43
" We performed a two-center, prospective, randomized, blinded trial comparing three doses of intrathecal morphine, combined with routine intravenous ketorolac, in 144 healthy women undergoing elective cesarean delivery."( Dose-response of intrathecal morphine when administered with intravenous ketorolac for post-cesarean analgesia: a two-center, prospective, randomized, blinded trial.
Alshaeri, T; Amdur, RL; Berger, JS; Gonzalez, A; Hopkins, A; Jeon, D; Smiley, R; Wang, S, 2016
)
0.94
"Because nefopam's morphine-sparing is debated when combined with paracetamol, this study aimed to assess pain relief by IV nefopam in combination with paracetamol after major abdominal surgery."( Opioid-sparing effect of nefopam in combination with paracetamol after major abdominal surgery: a randomized double-blind study.
Alonso, S; Casano, F; Cuvillon, P; Demattei, C; L'hermite, J; Lefrant, JY; Muller, L; Ripart, J; Zoric, L, 2017
)
0.79
"This prospective randomized study suggested that nefopam in combination with paracetamol has no benefit after open abdominal surgery."( Opioid-sparing effect of nefopam in combination with paracetamol after major abdominal surgery: a randomized double-blind study.
Alonso, S; Casano, F; Cuvillon, P; Demattei, C; L'hermite, J; Lefrant, JY; Muller, L; Ripart, J; Zoric, L, 2017
)
0.46
" Hyperbaric bupivacaine 3 mg combined with 50 mcg of intradural morphine hydrochloride (BUP-MOR group) was compared with 5 mg hyperbaric bupivacaine (BUP group)."( Intraspinal administration of morphine hydrochloride combined with low doses of bupivacaine in hemorrhoidectomy: a clinical randomized trial.
de Abajo Iglesias, FJ; Rodríguez-Miguel, A; Ruiz-Castro, M; San José Santos, M, 2017
)
0.98
" Solutions containing mixtures of methadone combined with acepromazine, medetomidine or xylazine were stored in syringes at 25°C/60%RH."( Chemical stability of morphine and methadone, and of methadone in combination with acepromazine, medetomidine or xylazine, during prolonged storage in syringes.
Lee, DY; Watson, N; Whittem, T, 2017
)
0.77
" When in combination with acepromazine or xylazine, methadone also remained chemically stable, but the combination with medetomidine failed stability criteria prior to 6 months."( Chemical stability of morphine and methadone, and of methadone in combination with acepromazine, medetomidine or xylazine, during prolonged storage in syringes.
Lee, DY; Watson, N; Whittem, T, 2017
)
0.77
"OBJECTIVE To evaluate cardiopulmonary, sedative, and antinociceptive effects of dexmedetomidine combined with commonly administered opioids in dogs."( Effects of dexmedetomidine combined with commonly administered opioids on clinical variables in dogs.
Auckburally, A; de Mattos-Junior, E; Garcia, DO; Honsho, CS; Nishimura, LT; Santilli, J; Vieira, BHB, 2018
)
0.48
" The aim of our study was to test the effects of dexmedetomidine in combination with opioids and benzodiazepines compared to benzodiazepine-opioids alone."( Use of low-dose dexmedetomidine in combination with opioids and midazolam in pediatric cardiac surgical patients: randomized controlled trial.
Benegni, S; Cogo, P; Garisto, C; Pezzella, C; Ricci, Z; Tofani, L, 2018
)
0.48
"Low dose of dexmedetomidine in combination with morphine and midazolam was safe in a high-risk cohort of CHD children after cardiac surgery and reduced the onset of withdrawal symptoms."( Use of low-dose dexmedetomidine in combination with opioids and midazolam in pediatric cardiac surgical patients: randomized controlled trial.
Benegni, S; Cogo, P; Garisto, C; Pezzella, C; Ricci, Z; Tofani, L, 2018
)
0.74
"Dexmedetomidine in combination with opioids has been used for postoperative analgesia."( Dexmedetomidine in combination with morphine improves postoperative analgesia and sleep quality in elderly patients after open abdominal surgery: A pilot randomized control trial.
Hu, J; Li, CJ; Li, HJ; Mu, DL; Wang, DX; Wei, XN, 2018
)
0.76
" These data suggest a mechanism of medication overuse headache by which migraine medications combined with repeated episodes of pain may amplify the consequences of nociceptor activation and increase the probability of future migraine attacks as well as risk of medication overuse headache."( Sustained exposure to acute migraine medications combined with repeated noxious stimulation dysregulates descending pain modulatory circuits: Relevance to medication overuse headache.
Dodick, DW; Nation, KM; Navratilova, E; Porreca, F, 2019
)
0.51
"To study the effect of epidural infusion of morphine combined with small-dose naloxone on gastrointestinal interstitial cells of Cajal (ICC) in rabbits."( Effects of epidural infusion of morphine combined with small-dose naloxone on gastrointestinal interstitial cells of Cajal in rabbits.
Li, YH; Luo, H; Yang, H, 2019
)
1.06
"Epidural infusions of morphine combined with small-dose naloxone effectively inhibit the gastrointestinal motility of rabbits via the reduction of ICC in the proximal colon of the gastrointestinal tract of rabbits."( Effects of epidural infusion of morphine combined with small-dose naloxone on gastrointestinal interstitial cells of Cajal in rabbits.
Li, YH; Luo, H; Yang, H, 2019
)
1.11
" However, whether ACB combined with LIA has synergistic effect than ACB alone remains unknown."( Dose adductor canal block combined with local infiltration analgesia has a synergistic effect than adductor canal block alone in total knee arthroplasty: a meta-analysis and systematic review.
Cui, W; Guo, W; Ma, J; Zuo, W, 2019
)
0.51
" Here, we evaluated the efficacy of single-shot ACB combined with posterior capsular infiltration (PCI) vs multimodal periarticular infiltration analgesia in treating postoperative pain."( Efficacy of Single-Shot Adductor Canal Block Combined With Posterior Capsular Infiltration on Postoperative Pain and Functional Outcome After Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Study.
Kang, P; Li, D; Wang, Q; Yang, Z; Yeersheng, R; Yue, Y, 2019
)
0.51
" Patients were randomized into 2 groups, one of which was treated with ACB combined with PCI, and the other with periarticular infiltration analgesia."( Efficacy of Single-Shot Adductor Canal Block Combined With Posterior Capsular Infiltration on Postoperative Pain and Functional Outcome After Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Study.
Kang, P; Li, D; Wang, Q; Yang, Z; Yeersheng, R; Yue, Y, 2019
)
0.51
"The ACB combined with PCI can reduce postoperative pain sooner after TKA without affecting postoperative functional recovery and increasing complications."( Efficacy of Single-Shot Adductor Canal Block Combined With Posterior Capsular Infiltration on Postoperative Pain and Functional Outcome After Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Study.
Kang, P; Li, D; Wang, Q; Yang, Z; Yeersheng, R; Yue, Y, 2019
)
0.51
"This study evaluated the effects of 3 morphine doses combined with acepromazine, on sedation and physiological parameters in 5 clinically healthy dogs."( Effects of 3 morphine doses, in combination with acepromazine, on sedation and some physiological parameters in dogs.
Campagnol, D; Freire, CD; Monteiro, ER; Nunes, JS; Rabello, TA; Rangel, JPP, 2019
)
1.15
"The purpose of this study was to evaluate the pharmacokinetics of morphine in combination with dexmedetomidine and maropitant injected intramuscularly in dogs under general anaesthesia."( Pharmacokinetics of morphine in combination with dexmedetomidine and maropitant following intramuscular injection in dogs anaesthetized with halothane.
Chambers, P; Karna, SR; Kongara, K; Singh, P, 2020
)
1.12
"" The present studies tested the hypothesis that in evoked pain, certain chemokine receptor antagonists (CRAs), given with a submaximal dose of morphine, would result in enhanced morphine potency."( Chemokine Receptor Antagonists in Combination with Morphine as a Novel Strategy for Opioid Dose Reduction in Pain Management.
Adler, MW; Chen, X; Cowan, A; Eisenstein, TK; Geller, EB; Inan, S; Meissler, JJ; Rawls, SM; Tallarida, CS, 2020
)
1.01
" In the cold-water tail flick and formalin tests, significant increases of the antinociceptive effects of morphine were also observed when combined with CRAs."( Chemokine Receptor Antagonists in Combination with Morphine as a Novel Strategy for Opioid Dose Reduction in Pain Management.
Adler, MW; Chen, X; Cowan, A; Eisenstein, TK; Geller, EB; Inan, S; Meissler, JJ; Rawls, SM; Tallarida, CS, 2020
)
1.02
" In this paper, a novel strategy for quality assessment of PPCE, systematic quantified fingerprint method (SQFM) combined with quantitative analysis of multi-components by a single marker (QAMS) method, was developed and validated."( Quality evaluation of powdered poppy capsule extractive by systematic quantified fingerprint method combined with quantitative analysis of multi-components by single marker method.
Guo, Y; Sun, G; Wang, Y; Yu, Y, 2020
)
0.56
"To observe the effect of early intervention of bone-nearby acupuncture (BNA) combined with electroacupuncture (EA) on the expression of histone deacetylase1(HDAC1), histone deacetylase 2 (HDAC2) andμ-opioid recepter (MOR) in dorsal root ganglia (DRG) of bone cancer pain-morphine tolerance (BCP-MT) rats, and to explore its possible mechanism."( [Early intervention of bone-nearby acupuncture combined with electroacupuncture on morphine tolerance in bone cancer pain rats and its effect on the expression of HDAC and MOR in dorsal root ganglia].
Cai, YQ; Chen, F; Du, JY; Fang, JF; Fang, JQ; Jiang, B; Liang, Y; Zhong, XM; Zhou, J, 2020
)
0.96
"Early intervention of bone-nearby acupuncture combined with electroacupuncture can relieve the morphine tolerance in bone cancer pain rats, it may relate to down-regulating the expression of HDAC1 and up-regulating the expression of MOR in the dorsal root ganglia."( [Early intervention of bone-nearby acupuncture combined with electroacupuncture on morphine tolerance in bone cancer pain rats and its effect on the expression of HDAC and MOR in dorsal root ganglia].
Cai, YQ; Chen, F; Du, JY; Fang, JF; Fang, JQ; Jiang, B; Liang, Y; Zhong, XM; Zhou, J, 2020
)
1
" We systematically searched for studies of acute toxicity of quetiapine or other antipsychotics combined with morphine or methadone."( Quetiapine and other antipsychotics combined with opioids in legal autopsy cases: A random finding or cause of fatal outcome?
Andersen, CU; Andersen, FD; Simonsen, U, 2021
)
0.83
"This study was designed to evaluate the clinical efficacy of controlled-release morphine tablets combined with celecoxib in relieving osteocarcinoma-related pain and the effects of the combination on WNK1 expression."( Clinical Efficacy of Controlled-Release Morphine Tablets Combined with Celecoxib in Pain Management and the Effects on WNK1 Expression.
Dong, J; Li, J; Luan, F; Shang, M; Song, J, 2021
)
1.12
"5 mg/kg) combined with lidocaine (2 mg/kg) or lidocaine (2 mg/kg) only (control treatment)."( Neuraxial administration of morphine combined with lidocaine induces regional antinociception in inland bearded dragons (Pogona vitticeps).
Ferreira, TH; Fink, DM; Mans, C, 2021
)
0.92
"This study was aimed at exploring the efficacy of morphine combined with mechanical ventilation in the treatment of heart failure with artificial intelligence algorithms."( Efficacy of Morphine Combined with Mechanical Ventilation in the Treatment of Heart Failure with Cardiac Magnetic Resonance Imaging under Artificial Intelligence Algorithms.
Chen, B; Geng, Z; Han, X; Li, Q; Zhu, X, 2022
)
1.35
"The purpose of this study was to evaluate the efficacy of intrathecal morphine (ITM) in combination with bupivacaine as pre-emptive analgesia in patients undergoing posterior lumbar fusion surgery."( Intrathecal morphine in combination with bupivacaine as pre-emptive analgesia in posterior lumbar fusion surgery: a retrospective cohort study.
Balain, B; Dheerendra, S; Ghodke, A; John, J; Kuiper, J; Munigangaiah, S; Ockendon, M; Trivedi, J; Trivedi, R, 2022
)
1.33
"ITM in combination with bupivacaine results in a significantly decreased use of perioperative opioids."( Intrathecal morphine in combination with bupivacaine as pre-emptive analgesia in posterior lumbar fusion surgery: a retrospective cohort study.
Balain, B; Dheerendra, S; Ghodke, A; John, J; Kuiper, J; Munigangaiah, S; Ockendon, M; Trivedi, J; Trivedi, R, 2022
)
1.1
" The purpose of this study was to evaluate whether ACB combined with a LIA cocktail of ropivacaine, morphine, and betamethasone has superior analgesic effect than LIA for TKA."( Adductor canal block combined with local infiltration analgesia with morphine and betamethasone show superior analgesic effect than local infiltration analgesia alone for total knee arthroplasty: a prospective randomized controlled trial.
Chen, X; Luo, ZY; Wang, HY; Xiao, Q; Yu, QP; Zeng, WN; Zhou, Z, 2022
)
1.17
" ACB combined with LIA had significantly lower resting and active VAS pain scores, better ROM, better sleeping quality and higher satisfaction rates than LIA alone within 72 h postoperatively (P < 0."( Adductor canal block combined with local infiltration analgesia with morphine and betamethasone show superior analgesic effect than local infiltration analgesia alone for total knee arthroplasty: a prospective randomized controlled trial.
Chen, X; Luo, ZY; Wang, HY; Xiao, Q; Yu, QP; Zeng, WN; Zhou, Z, 2022
)
0.96
"Adductor canal block combined with Local infiltration analgesia provide better early pain control."( Adductor canal block combined with local infiltration analgesia with morphine and betamethasone show superior analgesic effect than local infiltration analgesia alone for total knee arthroplasty: a prospective randomized controlled trial.
Chen, X; Luo, ZY; Wang, HY; Xiao, Q; Yu, QP; Zeng, WN; Zhou, Z, 2022
)
0.96
"This retrospective study evaluated the efficacy, opioid consumption, and safety profile of two patient-controlled intravenous analgesia (PCIA) regimens (sufentanil combined with nalbuphine vs sufentanil alone) after cesarean section (CS)."( Sufentanil Combined with Nalbuphine via Patient-Controlled Intravenous Analgesia After Cesarean Section: A Retrospective Evaluation.
Ma, Y; Mu, X; Nie, H; Wang, H; Wang, L; Wang, Y; Zhang, Z; Zheng, Z, 2022
)
0.72
"Parturients (n = 1808) received sufentanil combined with nalbuphine (SN group) or sufentanil alone (S group) as PCIA after CS."( Sufentanil Combined with Nalbuphine via Patient-Controlled Intravenous Analgesia After Cesarean Section: A Retrospective Evaluation.
Ma, Y; Mu, X; Nie, H; Wang, H; Wang, L; Wang, Y; Zhang, Z; Zheng, Z, 2022
)
0.72
"Compared with sufentanil alone, sufentanil combined with nalbuphine for PCIA provided superior analgesia in parturient women after CS."( Sufentanil Combined with Nalbuphine via Patient-Controlled Intravenous Analgesia After Cesarean Section: A Retrospective Evaluation.
Ma, Y; Mu, X; Nie, H; Wang, H; Wang, L; Wang, Y; Zhang, Z; Zheng, Z, 2022
)
0.72
"To investigate the effect of intrathecal morphine, dexmedetomidine, or both in combination with bupivacaine on cellular immunity and cytokine production in cancer surgical patients."( Immunosuppressive Effect of Intrathecal Morphine, Dexmedetomidine, or Both in Combination with Bupivacaine on Patients Undergoing Major Abdominal Cancer Surgery.
Abdelemam, RM; Elmasry, HM; Fares, KM; Kamal, SM; Mansour, S; Mohamed, SA, 2022
)
1.25
"Intrathecal dexmedetomidine has the least immunosuppressive effect than morphine and morphine-dexmedetomidine, in combination with bupivacaine."( Immunosuppressive Effect of Intrathecal Morphine, Dexmedetomidine, or Both in Combination with Bupivacaine on Patients Undergoing Major Abdominal Cancer Surgery.
Abdelemam, RM; Elmasry, HM; Fares, KM; Kamal, SM; Mansour, S; Mohamed, SA, 2022
)
1.22
"This study examined whether pericapsular nerve group (PENG) block combined with local infiltration analgesia (LIA) could improve pain management and functional recovery after total hip arthroplasty."( Efficacy of Ultrasound-Guided Pericapsular Nerve Group (PENG) Block Combined With Local Infiltration Analgesia on Postoperative Pain After Total Hip Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Trial.
Hu, J; Kang, P; Wang, Q; Yang, J, 2023
)
0.91
"All patients were randomly assigned to receive PENG block combined with LIA (PENG group) or sham PENG block and LIA (Sham group)."( Efficacy of Ultrasound-Guided Pericapsular Nerve Group (PENG) Block Combined With Local Infiltration Analgesia on Postoperative Pain After Total Hip Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Trial.
Hu, J; Kang, P; Wang, Q; Yang, J, 2023
)
0.91
"PENG block combined with LIA could improve postoperative pain relief, reduce opioid use, and enhance recovery in total hip arthroplasty patients, without weakening the quadriceps muscle strength."( Efficacy of Ultrasound-Guided Pericapsular Nerve Group (PENG) Block Combined With Local Infiltration Analgesia on Postoperative Pain After Total Hip Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Trial.
Hu, J; Kang, P; Wang, Q; Yang, J, 2023
)
0.91
"The aim of this study was to compare the effects of constant rate infusions (CRI) of fentanyl alone or combined with lidocaine and ketamine (FLK), on physiological parameters, isoflurane requirements and the number of postoperative analgesic rescues in dogs undergoing unilateral mastectomy."( Influence of Constant Rate Infusions of Fentanyl Alone or in Combination With Lidocaine and Ketamine on the Response to Surgery and Postoperative Pain in Isoflurane Anesthetized Dogs Undergoing Unilateral Mastectomy: A Randomized Clinical Trial.
Alievi, MM; de Oliveira, TF; Herrera-Becerra, JR; Marques, ÉJ; Monteiro, ER; Rovaris, IB; Tomazeli, D; Valle, SF,
)
0.13
" To evaluate the efficacy and safety of adding morphine to periarticular infiltration analgesia (PIA) combined with single-dose epidural morphine for the patients undergoing TKA."( Effects of Adding Morphine to Periarticular Infiltration Analgesia Combined with Single Dose Epidural Morphine in Total Knee Arthroplasty: A Randomized Controlled Study.
Cao, L; Gu, W; Guo, X; Li, Y; Wulamu, W; Yushan, N; Zhang, X, 2023
)
1.5
"PIA combined with single-dose epidural morphine effectively reduces early postoperative pain and tramadol requirement as well as few complications, which can become a safe and effective measure to improve postoperative pain after TKA."( Effects of Adding Morphine to Periarticular Infiltration Analgesia Combined with Single Dose Epidural Morphine in Total Knee Arthroplasty: A Randomized Controlled Study.
Cao, L; Gu, W; Guo, X; Li, Y; Wulamu, W; Yushan, N; Zhang, X, 2023
)
1.51
" We compared the analgesic efficacies of ultrasound-guided iPACK block and GNB when combined with continuous adductor canal block after total knee arthroplasty."( Comparison of Analgesic Efficacies of the iPACK (Interspace Between the Popliteal Artery and Capsule of the Posterior Knee) and Genicular Nerve Blocks Used in Combination With the Continuous Adductor Canal Block After Total Knee Arthroplasty: A Randomized
Kampitak, W; Kertkiatkachorn, W; Ngarmukos, S; Tanavalee, A; Tanavalee, C; Tangkittithaworn, C, 2023
)
0.91
"To evaluate the safety and efficacy of computed tomography (CT)-guided microwave ablation combined with vertebral augmentation under real-time temperature monitoring in the treatment of painful osteogenic spinal metastases."( Microwave ablation combined with vertebral augmentation under real-time temperature monitoring for the treatment of painful spinal osteogenic metastases.
Bai, Y; Fan, J; Li, P; Qiu, Y; Wu, L; Yang, S; Yuan, Q; Zhang, K; Zhang, X, 2023
)
0.91
"The results indicate that microwave ablation combined with vertebral augmentation under real-time temperature monitoring is a feasible, effective, and safe treatment for painful osteoblast spinal metastases."( Microwave ablation combined with vertebral augmentation under real-time temperature monitoring for the treatment of painful spinal osteogenic metastases.
Bai, Y; Fan, J; Li, P; Qiu, Y; Wu, L; Yang, S; Yuan, Q; Zhang, K; Zhang, X, 2023
)
0.91
" More importantly, opioids are often prescribed in combination with multiple other drugs, especially in patient populations who typically are prescribed a large drug regimen."( Hydrocodone, Oxycodone, and Morphine Metabolism and Drug-Drug Interactions.
Coates, S; Lazarus, P, 2023
)
1.2
"05 mg/cc morphine, administered with a basal infusion rate of 4 cc/h, a 2-cc bolus dose, and a 30-minute lockout time."( Bupivacaine combined with morphine for patient-controlled epidural analgesia after thoracotomy: high volume and low concentration vs. low volume and high concentration.
Baldemir, R; Cirik, MÖ; Kaybal, O; Küçük, O; Sazak, H; Tunç, M; Ülger, G, 2023
)
1.63

Bioavailability

The absolute bioavailability of morphine in the oral solution was 21%. The morphine pharmacokinetics following administration of a specifically formulated controlled release suppository showed less variability (rectal bioavailability was 42%).

ExcerptReferenceRelevance
" Hepatic morphine clearances at normal therapeutic doses parallel hepatic blood flow and explain the lack of oral morphine bioavailability by anticipating complete first-pass liver metabolism."( Pharmacokinetics of morphine and its surrogates. III: Morphine and morphine 3-monoglucuronide pharmacokinetics in the dog as a function of dose.
Garrett, ER; Jackson, AJ, 1979
)
1
" Attempts to use pupil diameter to assess morphine bioavailability illuminate the fact that multiple responses, nonlinearities, and the condition of the subject can produce misleading results unless the applicability of the method is confirmed."( Use of pharmacological data for bioavailability and pharmacokinetic analyses.
Kramer, PA, 1977
)
0.52
" Unlike morphine, the glucuronide conjugate in bile was poorly absorbed from the small intestine where its hydrolysis occurred slowly."( Studies of the enterohepatic circulation of morphine in the rat.
Levine, RR; Walsh, CT, 1975
)
0.95
" Phamacokinetics of morphine from the suppository were compared with the orally administered MST, and it was found that there was no difference in the maximum plasma concentration (Cmax) and the peak time (Tmax) between MSC and MST, but the mean residence time (MRT) of MSC was approximately three times longer than that of MST, and the extent of bioavailability (BA) of MSC was significantly larger than that of MST (71."( Bioavailability of morphine in rabbits after rectal administration of suppository containing controlled release morphine tablet.
Adachi, I; Horikoshi, I; Kanamoto, I; Koizumi, T; Ueno, M; Zheng, NX, 1992
)
0.94
"The effect of food on the oral bioavailability of sustained-release morphine sulfate tablets (ORAMORPH SR; Roxane Laboratories, Inc."( An evaluation of the effect of food on the oral bioavailability of sustained-release morphine sulfate tablets (ORAMORPH SR) after multiple doses.
Bass, J; Hulse, J; Lee, JW; Shepard, KV, 1992
)
0.74
" We compared the bioavailability of two prototype 30-mg morphine sulfate controlled-release suppository formulations (high and low viscosity) with 30-mg oral controlled-release morphine sulfate tablets in a 14-subject single-dose randomized, three-way crossover study."( Pharmacokinetics of two novel rectal controlled-release morphine formulations.
Anslow, JA; Babul, N; Darke, AC; Krishnamurthy, TN, 1992
)
0.78
"The bioavailability of controlled-release morphine 30-mg tablets (MSC) administered orally or rectally and immediate-release morphine (RMS) 30-mg suppositories per rectum, was compared in this 14-subject, randomized, single-dose, analytically blinded, crossover study."( The bioavailability of morphine in controlled-release 30-mg tablets per rectum compared with immediate-release 30-mg rectal suppositories and controlled-release 30-mg oral tablets.
Fitzmartin, RD; Goldenheim, PD; Kaiko, RF; Thomas, GB, 1992
)
0.86
" Although the co-administration of tricyclic antidepressants may increase plasma morphine concentrations, any potentiation of morphine analgesia is thought not to be due to an increased bioavailability of the opiate, but to an intrinsic analgesic effect of antidepressants."( Antidepressants in cancer pain.
Bianchi, M; De Conno, F; Panerai, AE; Ripamonti, C; Sacerdote, P; Ventafridda, V, 1991
)
0.51
" Ocular bioavailability of morphine is higher than after non-parenteral routes."( Systemic morphine pharmacokinetics after ocular administration.
Bardin, C; Callaert, S; Chast, F; Chaumeil, JC; Sauvageon-Martre, H, 1991
)
1
" The rate of absorption differs between patients and governs the overall pharmacokinetic profile of the compound."( Pharmacokinetics of intramuscular nicomorphine and its metabolites in man.
Booij, LH; Dirksen, R; Koopman-Kimenai, PM; Nijhuis, GM; Vree, TB, 1991
)
0.55
" Hepatic insufficiency decreases the first-pass effect and therefore increases the bioavailability of oral morphine."( [Pharmacokinetic effects in morphine toxicity, with case examples].
Morant, R; Senn, HJ, 1991
)
0.79
" These data indicate that controlled-release morphine sulphate may be well absorbed in relation to the regular tablets."( Plasma concentrations of morphine in children with chronic pain--comparison of controlled release and regular morphine sulphate tablets.
Nahata, MC, 1991
)
0.84
" The bioavailability of free morphine and the 6-glucuronated active metabolite was comparable through the different routes."( Plasma morphine and morphine-6-glucuronide patterns in cancer patients after oral, subcutaneous, sublabial and rectal short-term administration.
Bianchi, M; Breda, M; Panerai, AE; Ripamonti, C; Ventafridda, V; Zecca, E, 1991
)
1.03
"The reproducibility in bioavailability of orally administered morphine (as a solution) under fed and fasted conditions was studied in 5 patients with chronic pain on three occasions over 1 yr (0, 6, and 12 mo)."( The reproducibility of bioavailability of oral morphine from solution under fed and fasted conditions.
Cherry, DA; Gourlay, GK; Plummer, JL; Purser, T, 1991
)
0.78
"The bioavailability of a single, orally administered, 30-mg controlled-release morphine tablet (MS Contin Tablet; The Purdue Frederick Company, Norwalk, Conn."( Controlled-release morphine bioavailability (MS Contin tablets) in the presence and absence of food.
Cronin, C; Goldenheim, P; Grandy, R; Kaiko, RF; Lazarus, H; Thomas, G, 1990
)
0.84
" The assumed oral bioavailability ratios were 44% (group 1, first 10 patients) and 33% (group 2, last 10 patients) for morphine and 66% (group 1) and 50% (group 2) for oxycodone hydrochloride, respectively."( Morphine and oxycodone hydrochloride in the management of cancer pain.
Kalso, E; Vainio, A, 1990
)
1.93
" Although the bioavailability of morphine after rectal administration of morphine."( [Morphine hydrochloride suppositories. II. Bioavailability of morphine hydrochloride suppositories in dogs].
Arakawa, S; Kitamura, K; Kojima, K; Nakanishi, Y; Tan, T; Yamanaka, M, 1990
)
1.47
" Morphine bioavailability and morphine glucuronide production were not altered."( Morphine and metabolite behavior after different routes of morphine administration: demonstration of the importance of the active metabolite morphine-6-glucuronide.
Joel, S; Osborne, R; Slevin, M; Trew, D, 1990
)
2.63
" The mean oral bioavailability was 101% (95% CI 56-147)."( The metabolism and bioavailability of morphine in patients with severe liver cirrhosis.
Eriksson, S; Hasselström, J; Persson, A; Rane, A; Säwe, J; Svensson, JO, 1990
)
0.55
" The extent of bioavailability of morphine by rectal administration varied with the bases used (30."( Studies on sustained-release suppositories. III. Rectal absorption of morphine in rabbits and prolongation of its absorption by alginic acid addition.
Fujiwara, H; Inoue, Y; Kawashima, S; Shimeno, T, 1990
)
0.79
" The method provides high sensitivity and selectivity and has been used successfully in bioavailability studies."( Determination of opiates and other basic drugs by high-performance liquid chromatography with electrochemical detection.
Band, C; Besner, JG; Caillé, G; Rondeau, JJ; Stewart, J; Varin, F; Yamlahi, L, 1989
)
0.28
" 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."( The bioavailability and pharmacokinetics of morphine after intravenous, oral and buccal administration in healthy volunteers.
Aherne, GW; Chapman, D; Filshie, J; Hanks, GW; Hoskin, PJ; Littleton, P, 1989
)
0.82
" Under the conditions of this study there was no clinically significant difference in bioavailability between MSC and oral MSS."( Pharmacokinetics and clinical efficacy of oral morphine solution and controlled-release morphine tablets in cancer patients.
Besner, JG; Boos, GJ; Maroun, JA; Mount, BM; Sloan, PA; Stewart, JH; Thirlwell, MP, 1989
)
0.53
" Part II presents three studies in which the MSC formulations (15-mg, 60-mg, and 100-mg tablets) were compared to the 30-mg tablet within three randomized, single-dose, two-way crossover, analytically blinded bioavailability protocols, to determine bioequivalence and dose proportionality."( The United States experience with oral controlled-release morphine (MS Contin tablets). Parts I and II. Review of nine dose titration studies and clinical pharmacology of 15-mg, 30-mg, 60-mg, and 100-mg tablet strengths in normal subjects.
Goldenheim, PD; Grandy, RP; Horodniak, J; Ingber, E; Kaiko, RF; Oshlack, B; Pav, J; Thomas, G, 1989
)
0.52
" In the in situ loop method, morphine was well absorbed in the order of jejunal site greater than duodenal site greater than ileal site greater than middle intestinal site greater than rectal site, but it was poorly absorbed from the stomach."( Characteristics of the gastrointestinal absorption of morphine in rats.
Imasato, Y; Kuramoto, M; Nakamura, H; Nakanishi, Y; Takahashi, T; Tan, T; Yoshimura, H, 1989
)
0.82
" Similarly, clinical myotonolytic activity of eperisone would only be expected at high doses unless its functional bioavailability were to be much better in man than in either the mouse or rabbit."( Comparison of the myotonolytic activity of tizanidine, eperisone and afloqualone in mouse and rabbit.
Coward, DM; White, TG,
)
0.13
" Peak plasma morphine concentrations were slightly lower after buccal than after intramuscular administration but they declined more slowly; consequently, the drug's bioavailability was 40-50% greater after buccal than after intramuscular administration."( Buccal morphine--a new route for analgesia?
Bell, MD; Calvey, TN; Mishra, P; Murray, GR; Weldon, BD; Williams, NE, 1985
)
1.09
" Differences in absorption rate of 99mTc-EDTA, a poorly absorbable marker, were found, as morphine caused nearly all radioactive compound to be retained in the colon, while rhein significantly facilitated the transfer of marker from colon through mucosal barrier to blood."( The antagonistic effect of morphine on rhein-stimulated fluid, electrolyte and glucose movements in guinea-pig perfused colon.
Geeraerts, VC; Lemli, J; Verhaeren, EH, 1987
)
0.79
" However, in both cases, levels of corticosterone in plasma were dramatically elevated, clearly demonstrating the bioavailability of the kappa agonists."( The endogenous kappa agonist, dynorphin(1-13), does not alter basal or morphine-stimulated dopamine metabolism in the nigrostriatal pathway of the rat.
Cosi, C; Iyengar, S; Kim, HS; Wood, PL, 1987
)
0.51
"5 cm from the anus, 10 mg kg-1) administration of morphine hydrochloride were determined in 10 or 11-week-old male Wistar rats to compare bioavailability of morphine after the rectal dosage with that after oral administration."( Enhanced bioavailability of morphine after rectal administration in rats.
Itakura, T; Iwamoto, K; Kanba, Y; Katagiri, Y; Naora, K, 1988
)
0.82
" Gastric emptying after each premedication was assessed indirectly from the rate of absorption of oral paracetamol."( Comparison of the effect of cisapride and metoclopramide on morphine-induced delay in gastric emptying.
Bamber, PA; Nimmo, WS; Rowbotham, DJ, 1988
)
0.52
"The bioavailability of oral controlled release morphine tablets (MST, Napp Laboratories) and oral morphine sulphate in aqueous solution (MSS) was compared in 10 patients with advanced cancer."( Relative bioavailability of controlled release morphine tablets (MST continus) in cancer patients.
A-Omar, O; Aherne, GW; Hanks, GW; Hoskin, PJ; Johnston, A; Poulain, P; Turner, P; Walker, VA, 1988
)
0.79
" The bioavailability of morphine after rectal administration was found to be 53."( The bioavailability of rectally administered morphine.
Christensen, CB; Frølund, C; Jonsson, T; Jordening, H, 1988
)
0.84
" The oral bioavailability is approximately 40% with marked patient-to-patient variations as a result of differences in presystemic elimination."( High-dose morphine and methadone in cancer patients. Clinical pharmacokinetic considerations of oral treatment.
Säwe, J,
)
0.53
" There were pronounced differences in oral bioavailability between the two opioids: methadone, 79 +/- 11."( A comparative study of the efficacy and pharmacokinetics of oral methadone and morphine in the treatment of severe pain in patients with cancer.
Cherry, DA; Cousins, MJ; Gourlay, GK, 1986
)
0.5
"The bioavailability and clinical effects of an oral controlled-release morphine sulfate tablet, MS-contin (MSC; Purdue-Frederick, Norwalk, CT) in comparison to an immediate-release (IRMS) preparation were evaluated in normal subjects and cancer patients, respectively."( Controlled-release oral morphine sulfate in the treatment of cancer pain with pharmacokinetic correlation.
Evans, W; Khojasteh, A; Reynolds, RD; Savarese, JJ; Thomas, G, 1987
)
0.81
" Serum morphine concentrations were measured (high pressure liquid chromatography) every 2 h for the first 16 h after surgery and the results were strongly suggestive of a decrease in the rate of absorption of morphine in this situation."( Absorption of controlled release morphine sulphate in the immediate postoperative period.
Achola, KJ; Derbyshire, DR; Pinnock, CA; Smith, G, 1986
)
1.01
" Controlled release tablets had 86% the bioavailability of the solution."( Steady-state pharmacokinetics of controlled release oral morphine sulphate in healthy subjects.
Goldenheim, PD; Kaiko, RF; Savarese, JJ; Thomas, GB,
)
0.38
" In accordance with previous results marked interindividual differences were seen in the kinetics of morphine; the oral bioavailability varied between 30 and 69% and the systemic plasma clearance between 18."( Oral morphine in cancer patients: in vivo kinetics and in vitro hepatic glucuronidation.
Kager, L; Rane, A; Säwe, J; Svensson Eng, JO, 1985
)
1
" It is therefore recommended that further studies of the bioavailability of MST in the early postoperative period be undertaken before any recommendations are made regarding its routine use for pain relief at that time."( Morphine sulphate slow release. Comparison with i.m. morphine for postoperative analgesia.
Bell, A; Derbyshire, DR; Parry, PA; Smith, G, 1985
)
1.71
"The analgesic effects and bioavailability of a slow-release preparation of morphine (Duromorph) were studied in 12 patients with acute postoperative pain."( Postoperative analgesia with Duromorph.
Calvey, TN; Charway, CL; Murray, GR; Williams, NE, 1985
)
0.5
" The absorption rate and bioavailability could be greatly improved, as compared to orally administered morphine, by adjusting the pH."( Drastic improvement in the rectal absorption profile of morphine in man.
Meijer, DK; Moolenaar, F; Visser, J; Yska, JP, 1985
)
0.73
" There were no significant differences between the tablets and the solution of morphine with regard to relative oral bioavailability or peak concentration."( Steady-state kinetics and analgesic effect of oral morphine in cancer patients.
Dahlström, B; Rane, A; Säwe, J, 1983
)
0.75
"The bioavailability of codeine and extent of its transformation to morphine were stated in 12 smoking and 11 nonsmoking subjects after single doses 60 mg IM codeine and 60 mg codeine sulfate orally, given 1 wk apart."( Codeine disposition in smokers and nonsmokers.
Bustrack, JA; Butz, RF; Findlay, JW; Hull, JH; Jones, EC; Rogers, JF; Welch, RM, 1982
)
0.5
" The relative codeine bioavailability in these groups was 54."( An evaluation of the effects of smoking on codeine pharmacokinetics and bioavailability in normal human volunteers.
Bustrack, JA; Butz, RF; Findlay, JW; Hull, JH; Rogers, JF; Welch, RM, 1982
)
0.26
" There was a variation in oral bioavailability of 15% to 64% and an interindividual variation in terminal half-life from 58 to 465 min."( Morphine kinetics in cancer patients.
Dahlström, B; Paalzow, L; Rane, A; Säwe, J, 1981
)
1.71
" Oral naltrexone and nalmefene have significantly more central nervous system (CNS) bioavailability than oral naloxone."( Orally administered opioid antagonists reverse both mu and kappa opioid agonist delay of gastrointestinal transit in the guinea pig.
Culpepper-Morgan, JA; Holt, PR; Kreek, MJ; LaRoche, D, 1995
)
0.29
" The absolute bioavailability of morphine in both IR and in CR tablets was, 32%, and the relative bioavailability of the CR tablet versus the IR tablets was 103% (91-115%, 95% confidence interval)."( Plasma concentrations of morphine, morphine-3-glucuronide, and morphine-6-glucuronide after intravenous and oral administration to healthy volunteers: relationship to nonanalgesic actions.
Höglund, P; Persson, C; Westerling, D, 1995
)
0.88
"Twenty-three normal volunteers who received morphine sulphate (MS Contin) with naltrexone completed this randomized, analytically blinded, two-way crossover comparison of the bioavailability of one 200-mg oral controlled-release morphine sulfate tablet with two 100-mg MSC tablets."( A bioequivalence study of oral controlled-release morphine using naltrexone blockade.
Goldenheim, PD; Grandy, RP; Kaiko, RF; Reder, RF; Sackler, RS, 1995
)
0.81
"A liquid solution of morphine is well absorbed via the rectal route."( Role of rectal route in treating cancer pain: a randomized crossover clinical trial of oral versus rectal morphine administration in opioid-naive cancer patients with pain.
Bruera, E; De Conno, F; Hanson, J; MacEachern, T; Ripamonti, C; Saita, L, 1995
)
0.82
" Bioavailability (F) for both oral dosages was approximately 20%."( Pharmacokinetics of parenteral and oral sustained-release morphine sulphate in dogs.
Dohoo, S; Donald, A; Tasker, RA, 1994
)
0.53
" A combination of alpha-cyclodextrin and xanthan gum produced sustained plasma profiles of morphine along with an increased rectal bioavailability (more than 4 times)."( Modification of rectal absorption of morphine from hollow-type suppositories with a combination of alpha-cyclodextrin and viscosity-enhancing polysaccharide.
Arakawa, K; Irie, T; Kondo, T; Nakamura, K; Shibuya, M; Tanaka, J; Uekama, K, 1995
)
0.78
" These findings may be explained in part by prolongation of meperidine bioavailability because of impairment of hepatic function."( Meperidine in conjunction with cholescintigraphy to diagnose acute cholecystitis in a patient allergic to morphine.
Fong, J; Gora, ML; Shih, WJ, 1994
)
0.5
" This study shows that administration of a suppository with 30 mg nicomorphine gives an excellent absolute bioavailability of morphine and its metabolites of 88%."( Rectal administration of nicomorphine in patients improves biological availability of morphine and its glucuronide conjugates.
Booij, LH; Dirksen, R; Koopman-Kimenai, PM; Vree, TB, 1994
)
0.81
" The absolute bioavailability of transdermal morphine was 75% (65-85%; 95% CI)."( Transdermal administration of morphine to healthy subjects.
Höglund, P; Lundin, S; Svedman, P; Westerling, D, 1994
)
0.84
" The bioavailability of sublingual and buccal opioids is better as the uptake of active drug is governed by local blood flow."( [Are there indications for oral or sublingual administration of morphines?].
Spielvogel, C, 1994
)
0.53
" Bioavailability of codeine using the dosed feed route increased with dose, varying from 10% to 25%, which was somewhat higher than the previously reported approximately 8% bioavailability using the gavage route."( Codeine toxicokinetics in rats during a two-year dosed feed study.
Barnes, ER; Dunnick, JK; Findlay, JW; Yuan, J,
)
0.13
" The absolute bioavailability of morphine in the oral solution was 21."( Morphine pharmacokinetics and effects on salivation and continuous reaction times in healthy volunteers.
Frigren, L; Höglund, P; Westerling, D, 1993
)
2.01
"The bioavailability of morphine after rectal administration using three types of suppositories containing morphine hydrochloride (10 mg) in different added forms was evaluated in rabbits."( Difference in rectal absorption of morphine from hollow-type and conventional suppositories in rabbits.
Matsumoto, M; Matsumoto, Y; Watanabe, Y; Yamamoto, I, 1993
)
0.87
" Systemic bioavailability and peak plasma concentrations of morphine-6-glucuronide and morphine-3-glucuronide were significantly greater after oral morphine administration compared with the rectal route (AUC: M6G, 377."( Disposition of morphine and its glucuronide metabolites after oral and rectal administration: evidence of route specificity.
Babul, N; Darke, AC, 1993
)
0.88
"Previous literature reports have suggested that sublingually administered morphine sulfate results in an improved bioavailability of the drug when compared to orally administered morphine."( Comparative morphine pharmacokinetics following sublingual, intramuscular, and oral administration in patients with cancer.
Ames, MM; Burnham, NL; Davis, T; Dose, AM; Kaur, JS; Loprinzi, CL; Miser, AW, 1993
)
0.9
"8 L/kg and oral bioavailability was 29."( Morphine pharmacokinetics and metabolism in humans. Enterohepatic cycling and relative contribution of metabolites to active opioid concentrations.
Hasselström, J; Säwe, J, 1993
)
1.73
"The effect of naltrexone hydrochloride on the bioavailability of 60 mg controlled-release oral morphine sulfate in normal volunteers was determined using a randomized, 2-way crossover, analytically blinded study design."( Relative bioavailability of controlled-release oral morphine sulfate during naltrexone blockade.
Bashaw, ED; Goldenheim, PD; Grandy, RP; Kaiko, RF; Reder, RF, 1995
)
0.76
"29), suggesting it is directly related to the absorption rate of nicomorphine."( The bioavailability of intramuscularly administered nicomorphine (Vilan) with its metabolites and their glucuronide conjugates in surgical patients.
Booij, LH; Dirksen, R; Koopman-Kimenai, PM; Vree, TB, 1995
)
0.77
" This investigation was carried out to evaluate the bioavailability of a recent sustained-release (SR) formulation of morphine sulphate (30 mg), Skenan, consisted of capsules, relative to a recognized product, Moscontin which is a matrix tablet SR form."( Study of the bioequivalence of two controlled-release formulations of morphine.
Bourget, P; Lesne-Hulin, A; Quinquis-Desmaris, V, 1995
)
0.73
"The relative bioavailability and pharmacokinetic profiles of Oramorph SR (OSR) and MST Continus (MST), were evaluated by a randomized, four-way cross-over study in 24 healthy, male volunteers given single oral (30 mg) doses whilst fasting or after a high-fat breakfast."( Effect of food on the comparative pharmacokinetics of modified-release morphine tablet formulations: Oramorph SR and MST Continus.
Aliyar, CA; Crawford, FE; Drake, J; Gibson, P; Horth, CE; Kirkpatrick, CT, 1996
)
0.53
"The mean rectal bioavailability of morphine was 35% (range 18-59) after hydrogel administration and 27% (range 6-93) after the solution."( Rectal administration of morphine in children. Pharmacokinetic evaluation after a single-dose.
Beck, O; Boreus, LO; Lundeberg, S; Olsson, GL, 1996
)
0.87
" In combination with xanthan gum, alpha-cyclodextrin reduced the first-pass metabolism of morphine in the rectal mucosa and by the liver and improved the apparent rectal bioavailability of the opioid about 4 fold."( Combination effects of alpha-cyclodextrin and xanthan gum on rectal absorption and metabolism of morphine from hollow-type suppositories in rabbits.
Irie, T; Kondo, T; Uekama, K, 1996
)
0.73
" Bioavailability was estimated by dividing the morphine concentration AUC/dose by that obtained after intravenous morphine."( Systemic absorption of nebulized morphine compared with oral morphine in healthy subjects.
Masood, AR; Thomas, SH, 1996
)
0.83
"The feasibility of administering drugs in a wide size range by passive diffusion through a standardized skin mini-erosion was demonstrated; the rate of absorption decreased with increasing molecular weight."( Passive drug diffusion via standardized skin mini-erosion; methodological aspects and clinical findings with new device.
Hammarlund, C; Höglund, P; Lundin, S; Malmros, C; Pantzar, N; Svedman, P, 1996
)
0.29
"The oral bioavailability of morphine following administration of a single dose of 30 mg morphine hydrochloride as Vendal retard film tablets (Lannacher Heilmittel) was investigated and compared with the bioavailability of morphine following administration of 30 mg morphine sulphate as Mundidol retard film tablets (Mundipharma)."( [Bioavailability of morphine after oral administration as retard tablets].
Beubler, E; Dittrich, P; Semmelrock, J; Wolf, G, 1996
)
0.91
") bioavailability of the sublingual aerosol morphine was 19."( A pharmacokinetic study of sublingual aerosolized morphine in healthy volunteers.
Eden, OB; Joel, SP; Slevin, ML; Taylor, KM; Watson, NW, 1996
)
0.81
" The ability of acylcarnitines to increase the transmeningeal flux of morphine in vitro suggests that lauroyl or myristoyl carnitine may increase the spinal bioavailability of morphine after epidural administration."( Acylcarnitine chain length influences carnitine-enhanced drug flux through the spinal meninges in vitro.
Bernards, CM; Ummenhofer, WC, 1997
)
0.53
" The rate of absorption of morphine from the SR capsule was slower with food intake as evidenced by a 13% decrease in the maximum concentration (Cmax), a 28% increase in the half-life of absorption, and a 19% increase in the time to Cmax."( The effect of food intake on the pharmacokinetics of sustained-release morphine sulfate capsules.
Kaiko, RF,
)
0.66
"5 to 2 g/kg of alcohol did not alter blood alcohol concentrations significantly, suggesting that the interactions between alcohol and naltrexone were unrelated to gross changes in alcohol metabolism or bioavailability factors."( Interactions between alcohol- and opioid-induced suppression of rat testicular steroidogenesis in vivo.
Adams, ML; Cicero, TJ; Meyer, ER, 1997
)
0.3
" These data show that there are sex differences in the effects of ibogaine and that this may be due to decreased bioavailability of ibogaine in males as compared to females."( Sex differences in ibogaine antagonism of morphine-induced locomotor activity and in ibogaine brain levels and metabolism.
Boyd, DL; Glick, SD; Hough, LB; Pearl, SM, 1997
)
0.56
"The pharmacokinetics and bioavailability (F) of single dose sustained release morphine sulfate (OSRMS) and nonsustained release morphine sulfate (NSRMS) were compared to each other and to a bolus injection of morphine sulfate (MS) intravenously (i."( Pharmacokinetics of oral morphine sulfate in dogs: a comparison of sustained release and conventional formulations.
Dohoo, SE; Tasker, RA, 1997
)
0.83
" The bioavailability [AUC(0-360 min)] of aerosol-delivered morphine was approximately 100% relative to intravenous infusion, with similar intersubject variability in AUC for both routes (coefficient of variation < 30%)."( Morphine pharmacokinetics after pulmonary administration from a novel aerosol delivery system.
Farr, SJ; Lloyd, P; Mather, LE; Okikawa, JK; Rubsamen, RM; Schuster, JA; Ward, ME; Woodhouse, A, 1997
)
1.98
" The use of a penetration enhancer is required to improve the bioavailability of the drug via buccal route."( In vitro studies on enhancing effect of sodium glycocholate on transbuccal permeation of morphine hydrochloride.
Capan, Y; Duchêne, D; Hincal, AA; Ponchel, G; Senel, S, 1998
)
0.52
"A new bioadhesive buccal morphine tablet was developed for controlled release delivery of drug and improved bioavailability compared with oral controlled release tablet."( Bioavailability of morphine after administration of a new bioadhesive buccal tablet.
Aiache, JM; Beyssac, E; Jacob, L; Meyer, M; Sandouk, P; Touaref, F, 1998
)
0.93
" The morphine pharmacokinetics following administration of a specifically formulated controlled release suppository showed less variability (rectal bioavailability was 42%)."( Sustained relief of chronic pain. Pharmacokinetics of sustained release morphine.
Gourlay, GK, 1998
)
1.05
"3%), indicating a 36% reduction in the bioavailability of trovafloxacin."( The pharmacokinetic effects of coadministration of morphine and trovafloxacin in healthy subjects.
Friedman, HL; Hunt, T; Robarge, L; Teng, R; Vincent, J; Willavize, SA, 1998
)
0.55
"Coadministration of trovafloxacin and morphine reduces the bioavailability and maximum serum concentrations of trovafloxacin."( The pharmacokinetic effects of coadministration of morphine and trovafloxacin in healthy subjects.
Friedman, HL; Hunt, T; Robarge, L; Teng, R; Vincent, J; Willavize, SA, 1998
)
0.82
" Of this, 42+/-8% passed through the liver, resulting in an oral bioavailability of morphine of 34+/-9%."( Pharmacokinetic modeling of M6G formation after oral administration of morphine in healthy volunteers.
Ahne, G; Geisslinger, G; Kobal, G; Lötsch, J; Weiss, M, 1999
)
0.76
"A decrease in the rate of gastric emptying can delay resumption of enteral feeding, alter bioavailability of orally administered drugs, and result in larger residual gastric volumes, increasing the risk of nausea and vomiting."( Delayed postoperative gastric emptying following intrathecal morphine and intrathecal bupivacaine.
Cooke, T; Duggan, F; Lydon, AM; Shorten, GD, 1999
)
0.54
"These results fail to support the view that naloxone has reduced bioavailability after oral administration, as compared to naltrexone, or that its pharmacokinetic profile is particularly advantageous for some therapeutic settings (e."( The discriminative stimulus effects of naloxone and naltrexone in morphine-treated rhesus monkeys: comparison of oral and subcutaneous administration.
France, CP; Gauthier, CA, 1999
)
0.54
"To compare systemic bioavailability and duration for therapeutic plasma concentrations and cardiovascular, respiratory, and analgesic effects of morphine administered per rectum, compared with IV and IM administration in dogs."( Pharmacokinetics, pharmacodynamics, and analgesic effects of morphine after rectal, intramuscular, and intravenous administration in dogs.
Barnhart, MD; Bednarski, RM; Hubbell, JA; Muir, WW; Sams, RA, 2000
)
0.75
" Overall systemic bioavailability of morphine administered per rectum was 19."( Pharmacokinetics, pharmacodynamics, and analgesic effects of morphine after rectal, intramuscular, and intravenous administration in dogs.
Barnhart, MD; Bednarski, RM; Hubbell, JA; Muir, WW; Sams, RA, 2000
)
0.82
"Rectal administration of morphine did not increase bioavailability above that reported for oral administration of morphine in dogs."( Pharmacokinetics, pharmacodynamics, and analgesic effects of morphine after rectal, intramuscular, and intravenous administration in dogs.
Barnhart, MD; Bednarski, RM; Hubbell, JA; Muir, WW; Sams, RA, 2000
)
0.85
" The presence of other elimination organs did not affect the intestinal clearance and bioavailability estimates, but reduced the percentage of dose metabolized by the intestine."( A new physiologically based, segregated-flow model to explain route-dependent intestinal metabolism.
Cong, D; Doherty, M; Pang, KS, 2000
)
0.31
"The quantitative structure-bioavailability relationship of 232 structurally diverse drugs was studied to evaluate the feasibility of constructing a predictive model for the human oral bioavailability of prospective new medicinal agents."( QSAR model for drug human oral bioavailability.
Topliss, JG; Yoshida, F, 2000
)
0.31
" The authors found that, with administration by inhalation, the total bioavailability was 59%, of which 43% was absorbed almost instantaneously and 57% was absorbed with a half-life of 18 min."( Pharmacokinetics and pharmacodynamics of inhaled versus intravenous morphine in healthy volunteers.
Connors, PM; Dershwitz, M; Morishige, RJ; Rosow, CE; Rubsamen, RM; Shafer, SL; Walsh, JL, 2000
)
0.54
" Morphine bioavailability after such administration is 59% of the dose loaded into the dosage form."( Pharmacokinetics and pharmacodynamics of inhaled versus intravenous morphine in healthy volunteers.
Connors, PM; Dershwitz, M; Morishige, RJ; Rosow, CE; Rubsamen, RM; Shafer, SL; Walsh, JL, 2000
)
1.45
" The variation in plasma morphine concentrations was higher than that of oxycodone, consistent with the lower bioavailability of morphine."( Morphine or oxycodone in cancer pain?
Heiskanen, TE; Kalso, EA; Ruismäki, PM; Seppälä, TA, 2000
)
2.05
"Although liposome encapsulation prolongs the duration of action of epidurally administered drugs, little is known about how liposome encapsulation affects opioids differently, or about how lipid content of liposomes alters the bioavailability of epidurally-administered opioids."( The role of drug-lipid interactions on the disposition of liposome-formulated opioid analgesics in vitro and in vivo.
Bernards, CM; Bethune, CR; Bui-Nguyen, T; Ho, RJ; Shen, DD, 2001
)
0.31
" Bioavailability of MNTX is low after oral administration, and plasma levels do not correlate with its actions in the gut, suggesting a predominantly local luminal action of MNTX on the gut."( A review of the potential role of methylnaltrexone in opioid bowel dysfunction.
Foss, JF, 2001
)
0.31
"Morphine administered nasally to humans as a simple solution is only absorbed to a limited degree, with a bioavailability of the order of 10% compared with intravenous administration."( Intranasal delivery of morphine.
Davis, SS; Fisher, AN; Hinchcliffe, M; Illum, L; Jabbal-Gill, I; Nankervis, R; Norbury, H; Watts, P, 2002
)
2.07
"This study compared the bioavailability of MSER and its metabolites morphine-3-glucuronide and morphine-6-glucuronide after administration of MSER in a sprinkle-dose regimen relative to an intact capsule swallowed whole."( Pharmacokinetic evaluation of a sprinkle-dose regimen of a once-daily, extended-release morphine formulation.
Butler, J; Devane, J; Eliot, L; Loewen, G, 2002
)
0.77
" MSER and CRM demonstrated similar bioavailability (AUC) of morphine and its metabolites."( Steady-state pharmacokinetic comparison of a new, extended-release, once-daily morphine formulation, Avinza, and a twice-daily controlled-release morphine formulation in patients with chronic moderate-to-severe pain.
Butler, J; Devane, J; Eliot, L; Loewen, G; Portenoy, RK; Sciberras, A, 2002
)
0.78
" This "ceiling" effect may be the result of saturation of opioid receptors in the lung, the variable bioavailability of inhaled morphine, or a placebo response."( Nebulized morphine as a treatment for dyspnea in a child with cystic fibrosis.
Cohen, SP; Dawson, TC, 2002
)
0.92
" Intraperitoneal administration of morphine reduced the bioavailability compared to intravenous and subcutaneous administration, but not so for morphine-glucuronides."( Pharmacokinetic differences of morphine and morphine-glucuronides are reflected in locomotor activity.
Grung, M; Handal, M; Mørland, J; Ripel, A; Skurtveit, S, 2002
)
0.88
") administration to SOP rabbits was almost the same as that in normal rabbits, suggesting that an increase in the rate of absorption of morphine in SOP rabbits was not due to inflammation at the absorption site caused by operation, but probably due to its increased solubility in loose stools."( Bioavailability of a morphine suppository is increased after intracolostomal administration in colostoma-constructed rabbits.
Fujimoto, S; Kintsuji, S; Nagai, K; Nagasawa, K; Nakanishi, H, 2003
)
0.84
" These observations are attributed to the greater effects of noninstantaneous mixing of drugs for jugular vein sampling following nasal dosing, compared to the other sampling sites, which is significant for drugs that are rapidly and well absorbed and that have a high volume of distribution (Vd)."( The effect of blood sampling site and physicochemical characteristics of drugs on bioavailability after nasal administration in the sheep model.
Davis, SS; Hinchcliffe, M; Illum, L, 2003
)
0.32
"The aim of this study was to determine the influence of the type of paracetamol formulation on the rate of absorption when subjects are in the supine position, with or without taking concomitant morphine."( The influence of morphine on the absorption of paracetamol from various formulations in subjects in the supine position, as assessed by TDx measurement of salivary paracetamol concentrations.
Davey, AK; Kennedy, JM; Tyers, NM, 2003
)
0.85
" In this study, we investigated the bioavailability of topically applied morphine to cutaneous ulcers."( The bioavailability of morphine applied topically to cutaneous ulcers.
Joel, SP; Ribeiro, MD; Zeppetella, G, 2004
)
0.87
" morphine-induced systemic skin scratching and is more readily absorbed intragastrically than is U-50488H, resulting in high bioavailability in the intragastric route."( Inhibitory effects of TRK-820 on systemic skin scratching induced by morphine in rhesus monkeys.
Endoh, T; Fujiwara, A; Nagase, H; Okano, K; Tanaka, T; Umeuchi, H; Wakasa, Y, 2004
)
1.47
" Total body clearance (Cl) and systemic bioavailability were estimated using a compartmental method."( Pharmacokinetics of controlled release morphine (MST) in patients with liver carcinoma.
El-Kabsh, MY; El-Kady, SA; Emara, SE; Fouad, EA; Kotb, HI, 2005
)
0.6
"Morphine bioavailability showed a substantial increase in patients with primary liver and secondary metastatic carcinoma than that of controls (64."( Pharmacokinetics of controlled release morphine (MST) in patients with liver carcinoma.
El-Kabsh, MY; El-Kady, SA; Emara, SE; Fouad, EA; Kotb, HI, 2005
)
2.04
" A mean bioavailability of 78% was estimated; the total clearance averaged 41 L/h."( Inter- and intraindividual variabilities in pharmacokinetics of fentanyl after repeated 72-hour transdermal applications in cancer pain patients.
Bressolle, F; Caumette, L; Culine, S; Garcia, F; Pinguet, F; Poujol, S; Solassol, I, 2005
)
0.33
" Oral bioavailability was 5% as determined from naïve-averaged analysis."( Pharmacokinetics of morphine and plasma concentrations of morphine-6-glucuronide following morphine administration to dogs.
KuKanich, B; Lascelles, BD; Papich, MG, 2005
)
0.65
" Mean residence time of morphine was considerably prolonged without changing relative bioavailability in the case of the mixed base suppositories containing 15-17% HB750, compared with the Witepsol H15 suppository, clearly indicating that the mixed bases containing HB750 are expected to be useful for the design of controlled-release morphine suppositories."( Design of controlled-release morphine suppositories containing polyglycerol ester of fatty acid.
Higaki, K; Kimura, T; Takatori, T; Yamaguchi, T; Yamamoto, K, 2005
)
0.93
"The bioavailability of inhaled heroin was estimated to be 53% (95% CI 43."( Population pharmacokinetics of heroin and its major metabolites.
Beijnen, JH; Huitema, AD; Rook, EJ; van den Brink, W; van Ree, JM, 2006
)
0.33
" This efficient route enabled to scale up the synthesis of an orally bioavailable glycine antagonist showing outstanding in vivo anti-hyperalgesic activity in different animal models of sustained inflammation and chronic neuropathic pain."( Chiral tetrahydroquinoline derivatives as potent anti-hyperalgesic agents in animal models of sustained inflammation and chronic neuropathic pain.
Alvaro, G; Barnaby, RJ; Bertani, B; Corsi, M; Di Fabio, R; Donati, D; Gentile, G; Giacobbe, S; Pentassuglia, G; Pizzi, DM; Quartaroli, M; Ratti, E; Spada, S; Vitulli, G, 2007
)
0.34
" Relative bioavailability following SPILA granules administration to twice-a-day MS Contin (30 mg) administration was 131%."( Pharmacokinetic and pharmacodynamic evaluations of novel oral morphine sustained release granules.
Akiyama, Y; Fuse, T; Nakamura, K; Nara, E, 2007
)
0.58
" Human oral bioavailability is an important pharmacokinetic property, which is directly related to the amount of drug available in the systemic circulation to exert pharmacological and therapeutic effects."( Hologram QSAR model for the prediction of human oral bioavailability.
Andricopulo, AD; Moda, TL; Montanari, CA, 2007
)
0.34
" They constitute the first report of a demonstration of the effect of the EHC on morphine bioavailability in an addict, and could be considered as indication, without supporting circumstantial evidence, that the morphine level in bile is related to chronic opiate use."( Bile analysis in heroin overdose.
Cacaci, C; Froldi, R; Tassoni, G; Zampi, M, 2007
)
0.57
" Naloxone, an opiate antagonist, is very poorly absorbed with sublingual administration, but if it is injected intravenously, it will antagonise the effects of buprenorphine."( Buprenorphine + naloxone: new combination. Opiate dependence: no proof of reduced risk of self-administered injection.
, 2007
)
0.34
" Topical morphine might provide an alternate delivery form but morphine bioavailability from a topical gel formulation has not been reported in humans."( Morphine bioavailability from a topical gel formulation in volunteers.
Avram, MJ; Hudgins, JC; Krejcie, TC; Luong, L; Paice, JA; Von Roenn, JH, 2008
)
2.21
" The present study was undertaken to assess the single-dose relative bioavailability of polymer-coated, extended-release morphine sulfate capsules (KADIAN, 100 mg; Alpharma Pharmaceuticals LLC, Piscataway, NJ)."( Effect of concomitant ingestion of alcohol on the in vivo pharmacokinetics of KADIAN (morphine sulfate extended-release) capsules.
Johnson, F; Stauffer, J; Sun, S; Wagner, G, 2008
)
0.78
"The bioavailability of morphine sulfate extended-release capsules is not compromised when taken with food and dose dumping (immediate elevations in dose) does not occur when morphine sulfate extended-release capsules are taken concomitantly with alcohol."( Morphine sulfate extended-release capsules for the treatment of chronic, moderate-to-severe pain.
Nicholson, B, 2008
)
2.1
" Morphine bioavailability after high-dose oral diacetylmorphine is considerably higher than would be predicted from low-dose trials."( Oral diacetylmorphine (heroin) yields greater morphine bioavailability than oral morphine: bioavailability related to dosage and prior opioid exposure.
Diterich, I; Eich-Höchli, D; Fattinger, K; Halbsguth, U; Rentsch, KM, 2008
)
1.63
" However, morphine bioavailability was considerably higher in chronic users [diacetylmorphine 45."( Oral diacetylmorphine (heroin) yields greater morphine bioavailability than oral morphine: bioavailability related to dosage and prior opioid exposure.
Diterich, I; Eich-Höchli, D; Fattinger, K; Halbsguth, U; Rentsch, KM, 2008
)
1.12
" Though oral transmucosal fentanyl citrate has reduced bioavailability (25%), it inherits potential for breakthrough pain management."( Pediatric palliative care: use of opioids for the management of pain.
Anderson, BJ; Craig, F; Michel, E; Zernikow, B, 2009
)
0.35
" Recently, we described a novel series of potent, selective, and orally bioavailable delta opioid receptor agonists."( Spirocyclic delta opioid receptor agonists for the treatment of pain: discovery of N,N-diethyl-3-hydroxy-4-(spiro[chromene-2,4'-piperidine]-4-yl) benzamide (ADL5747).
Ajello, CW; Barker, WM; Belanger, S; Brogdon, BL; Cassel, JA; Chu, GH; DeHaven, RN; DeHaven-Hudkins, DL; Derelanko, MJ; Dolle, RE; Feschenko, MS; Graczyk, TM; Gu, M; Koblish, M; Kutz, S; Le Bourdonnec, B; Leister, LK; Little, PJ; Smith, SA; Tuthill, PA; Wiant, DD; Windh, RT; Zhou, QJ, 2009
)
0.35
" Concomitant SC administration of rHuPH20 enhanced the absorption rate of morphine compared with SC morphine with placebo, significantly reducing the mean T(max) from 13."( The INFUSE-Morphine study: use of recombinant human hyaluronidase (rHuPH20) to enhance the absorption of subcutaneously administered morphine in patients with advanced illness.
Flament, J; Haller, MF; Thomas, JR; Vaughn, DE; Wallace, MS; Yocum, RC, 2009
)
0.97
" Morphine regulates NO bioavailability in various organs."( Interactions between morphine and nitric oxide in various organs.
Hatano, Y; Kishioka, S; Toda, H; Toda, N, 2009
)
1.58
"The primary aim of this study was to compare the oral bioavailability of naltrexone and its metabolite 6-beta-naltrexol, derived from crushed pellets from MS-sNT capsules, to naltrexone solution."( Relative oral bioavailability of morphine and naltrexone derived from crushed morphine sulfate and naltrexone hydrochloride extended-release capsules versus intact product and versus naltrexone solution: a single-dose, randomized-sequence, open-label, thr
Bieberdorf, FA; Johnson, FK; Stark, JG; Stauffer, J, 2010
)
0.64
" The analysis of relative bioavailability was based on conventional FDA criteria for assuming bioequivalence; that is, 90% CIs for ratios of geometric means (natural logarithm [In]-transformed C(max) and AUC) fell within the range of 80% to 125%."( Relative oral bioavailability of morphine and naltrexone derived from crushed morphine sulfate and naltrexone hydrochloride extended-release capsules versus intact product and versus naltrexone solution: a single-dose, randomized-sequence, open-label, thr
Bieberdorf, FA; Johnson, FK; Stark, JG; Stauffer, J, 2010
)
0.64
" The primary objective of this study was to assess single-dose relative bioavailability of morphine when morphine sulfate and naltrexone hydrochloride extended release capsules were taken under fed and fasting conditions and when pellets were sprinkled on apple sauce."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.85
"Morphine bioavailability was similar for all treatments."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
2.07
" When PK parameters were grouped as low-medium-high, clearance, volume of distribution, half life and bioavailability were similar between discrete and cassette analysis for 90%, 86%, 95% and 90% of the total number of compounds tested, respectively."( High-throughput analysis of standardized pharmacokinetic studies in the rat using sample pooling and UPLC-MS/MS.
Betnér, I; Briem, S; Bueters, T; Dahlström, J; Kvalvågnaes, K, 2011
)
0.37
" This open-label, single-dose, 4-way crossover, pharmacokinetic drug interaction study compared the relative bioavailability of morphine and naltrexone when MS-sNT is administered (under fasting conditions) with increasing doses of alcohol."( Effects of alcohol on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, FK; Kisicki, J; Stauffer, J, 2012
)
0.84
"The naltrexone bioavailability study compared naltrexone release from MS-sNTC with that from whole intact MS-sNT capsules (MS-sNTW) and an equal naltrexone solution (NS) dose."( Morphine sulfate and naltrexone hydrochloride extended-release capsules: naltrexone release, pharmacodynamics, and tolerability.
Johnson, F; Setnik, B,
)
1.57
"Naltrexone from MS-sNTC met criteria for equivalent bioavailability to NS."( Morphine sulfate and naltrexone hydrochloride extended-release capsules: naltrexone release, pharmacodynamics, and tolerability.
Johnson, F; Setnik, B,
)
1.57
"028 L·min⁻¹·kg⁻¹, and the absolute bioavailability of inhaled morphine was 35."( The pharmacokinetics of inhaled morphine delivered by an ultrasonic nebulizer in ventilated dogs.
Ge, W; Pan, L; Wang, X; Xu, X; Zheng, M, 2012
)
0.9
" Their impact on oral pharmacotherapy, including their effect on the bioavailability of oral medications, is poorly understood."( Unpredictable absorption of oral opioid medications in a quadriplegic patient with chronic enterocutaneous fistulas.
Viswesh, VV, 2012
)
0.38
"The combined decrease in Ago2 and increases in Nurr1 and Pitx3 might represent some of the mechanisms that served to protect against accumbal TH regulation observed in morphine withdrawn rats, which may be critical for DA bioavailability to influence behaviour."( Morphine administration modulates expression of Argonaute 2 and dopamine-related transcription factors involved in midbrain dopaminergic neurons function.
García-Pérez, D; Laorden, ML; Milanés, MV; Núñez, C; Sáez-Belmonte, F, 2013
)
2.03
" Moreover, the intravenous titration option used in the study provided a clean collection of pharmacokinetic surrogate data of morphine along with its metabolites without the issue of absorption and/or oral bioavailability setback if morphine was given by oral route."( Do we have clarity on the therapeutic levels of morphine and its metabolites: seeking answers for the dilemma?
Srinivas, NR, 2013
)
0.85
" This study characterized the bioavailability of these drugs following buccal administration to cats."( Bioavailability of morphine, methadone, hydromorphone, and oxymorphone following buccal administration in cats.
Ilkiw, JE; Pypendop, BH; Shilo-Benjamini, Y, 2014
)
0.73
" That is, morphine and quinidine significantly increased the bioavailability of etoposide believed to be due to competitive P-gp inhibition in the intestine."( Pharmacokinetic assessment of absorptive interaction of oral etoposide and morphine in rats.
Iwanaga, K; Kakemi, M; Minamida, M; Miyazaki, M; Nishimura, C, 2014
)
1.04
" As a result, repeated ETP dosing without MOR showed a significant decrease in the intestinal absorption rate constant (ka), and single MOR coadministration induced an increase in bioavailability (F) and decrease in ka."( Pharmacokinetics and toxicity of repeated oral etoposide is altered by morphine coadministration in rats.
Iwanaga, K; Kakemi, M; Kawase, T; Kitamura, T; Miyazaki, M; Nishimura, C, 2015
)
0.65
"It is known that bile acids improve the absorption, bioavailability and pharmacodynamic characteristics of some drugs."( Influence of bile acid derivates on morphine analgesic effect in mice.
Budakov, Z; Mikov, I; Mikov, M; Milijasević, B; Stilinović, N; Vasović, V; Vukmirović, S, 2014
)
0.68
"6h, clearance 78 L/h [relative standard error (RSE) 12%] and absolute bioavailability 24% (RSE 11%)."( Population pharmacokinetics of morphine and morphine-6-glucuronide following rectal administration--a dose escalation study.
Brokjær, A; Christrup, LL; Dahan, A; Drewes, AM; Kreilgaard, M; Olesen, AE; Simonsson, US, 2015
)
0.7
" In this paper, we expand on our original series by presenting two modifications, both of which were designed with the following objectives: (1) probing bioavailability and improving metabolic stability, (2) balancing affinities between MOR and DOR while reducing affinity and efficacy at the κ-opioid receptor (KOR), and (3) improving in vivo efficacy."( Further Optimization and Evaluation of Bioavailable, Mixed-Efficacy μ-Opioid Receptor (MOR) Agonists/δ-Opioid Receptor (DOR) Antagonists: Balancing MOR and DOR Affinities.
Anand, JP; Griggs, NW; Harland, AA; Jutkiewicz, EM; Mosberg, HI; Pogozheva, ID; Traynor, JR; Yeomans, L, 2015
)
0.42
" Therefore, this study highlights that both peculiar biological profile and bioavailability of such ligands complement each other to modulate the reduction of morphine tolerance."( Biological profile and bioavailability of imidazoline compounds on morphine tolerance modulation.
Caprioli, G; Comi, E; Del Bello, F; Domi, E; Ferrari, F; Galimberti, C; Giannella, M; Lanza, M; Mammoli, V; Mennuni, L; Milia, C; Pigini, M; Ricciutelli, M; Sabatini, C; Sagratini, G; Ubaldi, M, 2015
)
0.85
" The absorption rate constant and bioavailability were estimated in NAS after oral administration of diluted tincture of opium (DTO)."( Mechanistic Population Pharmacokinetics of Morphine in Neonates With Abstinence Syndrome After Oral Administration of Diluted Tincture of Opium.
Gauda, E; Gobburu, J; Ivaturi, V; Lewis, T; Liu, T, 2016
)
0.7
"Systemic inflammation may change the bioavailability and pharmacokinetics of opioids."( Effects of Low-Dose Escherichia coli Lipopolysaccharide-Induced Endotoxemia on Morphine Pharmacokinetics in an Animal Model.
Billert, H; Grabowski, T; Grześkowiak, E; Lisiecka, J; Michalak, M; Szkutnik-Fiedler, D; Urjasz, H, 2016
)
0.66
" Dose dependencies were found for morphine absorption rate and gabapentin bioavailability."( Population Pharmacokinetic Modelling of Morphine, Gabapentin and their Combination in the Rat.
Gabel-Jensen, C; Juul, RV; Kreilgaard, M; Lund, TM; Papathanasiou, T, 2016
)
0.98
"Glycosylation by simple sugars is a drug discovery alternative that has been explored with varying success for enhancing the potency and bioavailability of opioid peptides."( Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
Arévalo, JC; Arsequell, G; Barreto-Valer, K; Calle, LP; Gonzalez-Nunez, V; Jiménez-Barbero, J; Marcelo, F; Rodríguez, RE; Rosa, M; Sánchez-Sánchez, J; Valencia, G, 2017
)
0.46
" As the bioavailability of each opioid has a certain extent of interindividual bioavailability this conversion represents an approximation."( Oral oxycodone for pain after caesarean section: A randomized comparison with nurse-administered IV morphine in a pragmatic study.
Arnelo, C; Blanck, A; Niklasson, B; Öhman, SG; Segerdahl, M, 2015
)
0.63
" Here we evaluate the relative bioavailability of morphine ARER and extended-release morphine."( Relative Oral Bioavailability of an Abuse-deterrent, Extended-release Formulation of Morphine Versus Extended-release Morphine: A 2-period, Single-dose, Randomized Crossover Study in Healthy Subjects.
Aigner, S; Kinzler, ER; Pantaleon, C, 2018
)
0.96
"This single-dose, 2-treatment, 2-period, 2-sequence, randomized crossover study in healthy adult subjects compared the relative bioavailability of morphine ARER 100 mg to that of ER morphine 100 mg in the fasted condition."( Relative Oral Bioavailability of an Abuse-deterrent, Extended-release Formulation of Morphine Versus Extended-release Morphine: A 2-period, Single-dose, Randomized Crossover Study in Healthy Subjects.
Aigner, S; Kinzler, ER; Pantaleon, C, 2018
)
0.9
"Failure to recognize the impact of various situations described throughout this work, including the bioavailability due to loss of oral route, due to pharmacokinetics and pharmacodynamics of the various drugs, either in the context of the impaired metabolism or excretion, or in due to pharmacological interactions, conditions a serious risk of subtreatment of pain and consequent impact in terms of quality of life."( [Opioids for Cancer Pain and its Use under Particular Conditions: A Narrative Review].
Brás, M; Fragoso, M; Vieira, C, 2019
)
0.51
"TRV734 is an orally bioavailable G-protein-biased ligand at the μ-opioid receptor."( A First-in-Human Clinical Study With TRV734, an Orally Bioavailable G-Protein-Biased Ligand at the μ-Opioid Receptor.
Fossler, MJ; James, IE; Ramos, KA; Ruff, D; Skobieranda, F; Soergel, DG, 2020
)
0.56
" Additionally, because of the very low oral bioavailability of naloxone, an oral formulation is not currently available."( Novel Oral Nanoparticle Formulation of Sustained Release Naloxone with Mild Withdrawal Symptoms in Mice.
Arora, M; Eitan, S; Kumar, MNVR; Madison, CA, 2020
)
0.56
" To develop stable and orally bioavailable analogues of DN-9, eight lactam-bridged cyclic analogues of DN-9 between positions 2 and 5 were designed, synthesized, and biologically evaluated."( Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
Chen, D; Fang, Q; Li, N; Niu, J; Shi, X; Shi, Y; Xiao, J; Xu, B; Xu, K; Zhang, M; Zhang, Q; Zhang, R, 2021
)
0.62
" Ferulic acid (FA), a phenolic phytochemical found in a variety of foods, has been reported to exert antioxidant and neuroprotective effects; however, its low bioavailability makes its nano-encapsulated form a promising alternative."( Ferulic acid-loaded nanostructure prevents morphine reinstatement: the involvement of dopamine system, NRF2, and ΔFosB in the striatum brain area of rats.
Burger, ME; D'avila, LF; de Bona da Silva, C; Metz, VG; Milanesi, LH; Pereira, VG; Rampelotto, CR; Rosa, JLO; Rossato, DR; Schaffazick, SR, 2023
)
1.17

Dosage Studied

The correct dosage of lactulose for the prevention of oral morphine-induced constipation is 60 ml/d. For both morphine and ziconotide, the PACC guidelines recommend conservative initial dosing strategies. We conclude that morphine is clinically effective at this dosage range.

ExcerptRelevanceReference
" Dose-response curves for locomotor activity were also determined with morphine and methadone administered intraventricularly."( Interactions between narcotic analgesics and benzodiazepine derivatives on behavior in the mouse.
Davis, DC; Holtzman, SG; Shannon, HE, 1976
)
0.49
" Dose-response data revealed essentially the same ED50's for naloxone in both tests."( Antagonism by naloxone of morphine-induced single-dose dependence and antinociception in mice.
Smits, SE, 1976
)
0.56
" The discriminative effects of morphine, measured by responding on the morphine-appropriate lever, were then evaluated by determining the dose-response characteristics of representative narcotic analgesics, analgesics with mixed agonist and narcotic antagonist properties and nonopioid psychoactive drugs."( Further evaluation of the discriminative effects of morphine in the rat.
Holtzman, SG; Shannon, HE, 1977
)
0.79
" Unfortunately, the occurrence of psychotomimetic side effects prevented the administration of doses of Win 20,836 equieffective with the morphine standard, and this necessitated substantal extrapolation of the dose-response curve of the test drug to arrive at a relative potency estimate."( Twin crossover relative potency analgesic assays in man. II. Morphine vs. 8-methoxycyclazocine.
Beaver, WT; Feise, GA,
)
0.58
" Dose-response and time-effect curves were determined for morphine (1."( Dose- and time-dependent effects of narcotic analgesics on intracranial self-stimulation in the rat.
Holtzman, SG; Schaefer, GJ, 1977
)
0.5
" 2 In the absence of morphine the inhibitory effects of the presynaptic alpha-adrenoceptor agonists, clonidine and oxymetazoline were much reduced and the dose-response curve was flat."( The inhibitory effects of presynaptic alpha-adrenoceptor agonists on contractions of guinea-pig ileum and mouse vas deferens in the morphine-dependent and withdrawn states produced in vitro.
Gillan, MG; Kosterlitz, HW; Robson, LE; Waterfield, AA, 1979
)
0.78
" Dose-response studies indicated that sensitivity to morphine's rewarding property was decreased by frontal cortical and hippocampal lesions."( Changes in morphine self-administration after tel-diencephalic lesions in rats.
Cox, RD; Glick, SD, 1978
)
0.9
" In the second series of experiments the dose-response curve of morphine for the motor activity has been found to shift to the left by the pretreatment of mice with 10 mg/kg of THC."( Interaction between delta 9-tetrahydrocannabinol and morphine on the motor activity of mice.
Ayhan, IH; Kaymakçalan, S; Tulunay, FC, 1979
)
0.75
" Evidence of tolerance was indicated by the fact that when the antinociceptive response to morphine was assessed by the hot-plate and the tail-flick procedures, a shift in the dose-response curve of morphine to the right occurred after an adequate single priming dose of morphine."( Studies on tolerance development to single doses of morphine in mice.
Huidobro, F; Huidobro-Toro, JP; Leong Way, E, 1976
)
0.73
"1 Dose-response curves for normorphine in the absence and presence of naloxone have been obtained from myenteric plexus-longitudinal muscle strip preparations from normal and morphine pretreated guinea-pigs."( Opiate binding and effect in ileum preparations from normal and morphine pretreated guinea-pigs.
Cox, BM; Padhya, R, 1977
)
0.78
" Two populations of units were observed in the latter group: two-thirds of cells showed a dose-response curve similar to that of the non-pretreated group whereas the remaining one-third were unaffected either by morphine or naloxone."( The depressive effects of morphine on the C fibre response of dorsal horn neurones in the spinal rat pretreated or not by pCPA.
Besson, JM; Guilbaud, G; Le Bars, D; Menetrey, D; Rivot, JP, 1979
)
0.75
" For compounds with dual agonist and antagonist properties, the dose-response curves for agonist activity are shallow."( Effect of morphine on adrenergic transmission in the mouse vas deferens. Assessment of agonist and antogonist potencies of narcotic analgesics.
Hughes, J; Kosterlitz, HW; Leslie, FM, 1975
)
0.66
" With l-dopa it was antogonised when the dose of morphine was minimal but with increased dosage of morphine, there was no significant effect."( Morphine analgesia and its modification by drugs altering serotonin (5-HT) and dopamine levels in the brain.
Gupta, SK; Shinde, S,
)
1.83
" The three diarrheal agents, administered intraperitoneally, showed dose-dependent and parallel dose-response curves with the following order of decreasing potency: PGF2 alpha, methacholine and 5-HTP."( Naloxone reversal of drug-induced diarrhea in mice.
Bertermann, RE; Dajani, EZ; Roge, EA; Schweingruber, FL; Woods, EM, 1979
)
0.26
" Dose-response studies indicated that sensitivity to morphine's rewarding property was increased by substantia nigra lesions and decreased by medial raphe lesions."( Changes in morphine self-administration after brainstem lesions in rats.
Cox, RD; Glick, SD, 1977
)
0.9
" In contrast, the morphine dose-response relationship was linear."( The animal pharmacology of buprenorphine, an oripavine analgesic agent.
Cowan, A; Doxey, JC; Harry, EJ, 1977
)
0.59
"Tolerance to various effects of morphine in the rat can be quantified by means of a shift of semi-logarithmic dose-response curves."( The development of tolerance to morphine in the rat.
Coper, H; Fernandes, M; Kluwe, S, 1977
)
0.82
" New dose-response curves indicated that tolerance developed to the morphine-induced discriminative stimulus, and to the analgesic action of morphine, but doses of morphine that failed to cause detectable analgesia still produced a pronounced discriminative stimulus."( Tolerance to morphine-produced discriminative stimuli and analgesia.
Lal, H; Miksic, S, 1977
)
0.86
" Naloxone (5-500 microgram/kg) uniformly produced a dose dependent, parallel shift of the morphine dose-response curves to right."( A dose ratio comparison of the interaction between morphine and cyclazocine with naloxone in rhesus monkeys on the shock titration task.
Rudy, TA; Yaksh, TL, 1977
)
0.73
" When the dosage in children receiving morphine as premedication before surgery is based on kilograms of body weight, there are only minor differences in the kinetic patterns of morphine at different ages (0 to 1, 1 to 7, and 7 to 15 yr)."( Morphine kinetics in children.
Bolme, P; Dahlström, B; Feychting, H; Noack, G; Paalzow, L, 1979
)
1.97
"Continuous intravenous infusion of morphine in a dosage varied according to the changing needs of the patient is proposed as an ideal method of controlling postoperative pain and reducing postoperative respiratory complications."( Measurement and control of postoperative pain.
Nayman, J, 1979
)
0.54
" In this series of experiments, the actions of morphine on BP, heart rate (HR) and pupillary diameter were re-examined in sedated, paralyzed cats under 2 ranges of dosage and 3 types of sedative."( Biphasic effects of morphine on cardiovascular system of the cat.
Wallenstein, MC, 1979
)
0.84
" dose-response relationships induced by repeated opioid administration."( Quantitative assessment of tolerance to and dependence on morphine in mice.
Coper, H; Fernandes, M; Kluwe, S, 1977
)
0.5
" L-5418 had an inhibitory effect on tonic convulsions induced by pentetrazol and N-sulfamoyl-hexahydroazepine (SaH 41-178), but not on clonic convulsions by those compounds at even a high dosage or on clonic convulsions induced by picrotoxin and bemegride."( Anti-convulsant effect of phthalazino-2,3b-phthalazine-5(14H),12(7h)-dione (L-5418). I. Behavioral effect.
Fujimura, H; Go, K; Tsurumi, K, 1978
)
0.26
"To date there has been no description of the hemodynamic dose-response relationship between enflurane and sodium nitroprusside (SNP), although these drugs are often used together to induce deliberate hypotension."( Sodium nitroprusside: hemodynamic dose-response during enflurane and morphine anesthesia.
Bedford, RF,
)
0.37
"Guinea pigs were injected SC for 3 weeks with 3 different dosage schedules of morphine or methadone, or with saline."( Time course of dopaminergic hypersensitivity following chronic narcotic treatment.
Almasi, J; Carlson, KR, 1979
)
0.49
") dosing produced only a slight cross-tolerance to the rate-decreasing effects of anileridine and alphaprodine."( Comparing the effects of anileridine, alphaprodine and fentanyl on schedule-controlled responding by pigeons.
Leander, JD, 1978
)
0.26
" In the rats, naloxone administered systemically in doses of 10--100 microgram/kg produced a parallel shift in the dose-response curves of both nociceptive measures suggesting a competitive antagonism."( Antinociceptive effects of intrathecally administered human beta-endorphin in the rat and cat.
Henry, JL; Yaksh, TL, 1978
)
0.26
" Both dose-response and time-duration studies were conducted."( Morphine and methadone-induced antinociception in rats permanently depleted of brain dopamine.
Elchisak, MA; Harry, GJ; Rosecrans, JA, 1977
)
1.7
" Naloxone caused a parallel shift to the right of the dose-response curve for morphine."( Inhibition by morphine of prostaglandin-stimulated fluid secretion in rat jejunum.
Coupar, IM, 1978
)
0.85
" Brain morphine concentration and tail-flick latency both increased with increasing dosage over the first 3 days of the 6-day infusion regimen."( Disposition of morphine in chronically infused rats: relationship to antinociception and tolerance.
Daves, ED; Dewey, WL; Harris, LS; Huger, FP; Patrick, GA, 1978
)
1.07
" Based on these results we recommend an individual, Sisomicin dosage for each age group."( [Pharmacokinetic investigations on sisomicin in children (author's transl)].
Patsch, R; Richter, J; Sitka, U; Weingärtner, L, 1978
)
0.26
" The study was double-blind, and the drugs were given IM at several dosage levels."( Butorphanol and morphine: a double-blind comparison of their parenteral analgesic activity.
Caruso, FS; Corssen, G; Tavakoli, M,
)
0.48
" Dosage forms of small implantable cylinders, 1/16'' diameter, (25 mg/rod, one rod/mouse) containing 33% by weight naltrexone pamoate in 90 L(+)/10 polylactic/glycolic acid have sustained the delivery of chemical for 20 days."( Development of polylactic/glycolic acid delivery systems for use in treatment of narcotic addiction.
Howes, JF; Schwope, AD; Wise, DL, 1976
)
0.26
" Dose-response analyses of the effects of d-amphetamine, an indirectly acting dopamine agonist, and apomorphine, a directly acting dopamine agonist, revealed a shift in the dose-response curves following chronic morphine treatment, indicating that the animals were supersensitive to these agents."( Alterations in the effects of dopamine agonists and antagonists on general activity in rats following chronic morphine treatment.
Overstreet, DH; Smee, ML, 1976
)
0.68
" The dose-response relationship of the MF rats, thus, clearly differed from that of the hypothalamic rats."( Comparison of the effects of morphine on hypothalamic and medial frontal cortex self-stimulation in the rat.
Lorens, SA, 1976
)
0.55
"The use of pharmacological responses such as pupil diameter for dosage individualization, bioavailability, and pharmacokinetic analyses is becoming more widespread."( Use of pharmacological data for bioavailability and pharmacokinetic analyses.
Kramer, PA, 1977
)
0.26
" Cumulative dose-response curves for morphine and for morphine after naloxone yielded the value pA2=6."( Miosis and fluctuation in the rabbit pupil: effects of morphine and naloxone.
Adler, MW; Kester, RA; Kramer, MS; Murray, RB; Roy, JW; Tallarida, RJ, 1977
)
0.78
"A biphasic dose-response pattern is generated by the isoquinoline, 3-carboxysalsolinol, in analgesia tests conducted in mice."( Analgesic effects of 3-carboxysalsolinol alone and in combination with morphine.
Blum, K; Hirst, M; Marshall, A, 1977
)
0.49
" Neither the control rate of ACh release nor the dose-response curve for atropine were altered by (a) an 8-day morphine injection schedule, and (b) exposure of the tissue to morphine in the bath for 90 min."( Muscarinic feedback inhibition of acetylcholine release from the myenteric plexus in the quinea pig ileum and its status after chronic exposure to morphine.
Jhamandas, K; Sawynok, J, 1977
)
0.67
" Compared with basal anesthesia with pentobarbital, 15 mg/kg, neither morphine nor halothane increased sensitivity to any measured effect of propranolol expressed as the slope of the log dose-response relationship."( Failure of general anesthesia to potentiate propranolol activity.
Bragg, DA; Edmonds, CH; Hibbs, CW; Keats, AS; Slogoff, S, 1977
)
0.49
" Morphine dose-response curves were determined in the offspring at 5 weeks of age."( Prenatal administration of morphine to the rat: tolerance to the analgesic effect of morphine in the offspring.
Holtzman, SG; O'Callaghan, JP, 1976
)
1.46
" The analgesia dose-response curves for the surrogate pairs, nalodeine-nalorphine and codeine-morphine, were parallel but had significantly different slopes."( A comparative study of the analgesic and respiratory effects of N-allylnorcodeine (nalodeine), nalorphine, codeine and morphine.
Elliott, HW; Rundlett Beyer, J, 1976
)
0.68
" Dose-response curves were determined for the effects of morphine (0."( Comparison of the effects of morphine, pentazocine, cyclazocine and amphetamine on intracranial self-stimulation in the rat.
Holtzman, SG, 1976
)
0.79
" These results emphasize the need to consider not only drug dosage levels, but also the interaction of task difficulty in the application of drugs in learning paradigms."( Acute effects of morphine and chlorpromazine on the acquisition of shuttle box conditioned avoidance response.
Ageel, AM; Chin, L; Jones, BC; Picchioni, AL; Trafton, CL, 1976
)
0.6
" Thus far, the most useful of several dosage forms studied is a suspension in an aluminum monostearate gel."( Long-acting narcotic antagonist complexes.
Gray, AP; Guardina, WJ, 1976
)
0.26
" We have demonstrated that the polypeptides can be fabricated into dosage forms that are amenable to administration by trochar."( Use of synthetic polypeptides in the preparation of biodegradable delivery vehicles for narcotic antagonists.
Arnold, DL; Granchelli, FE; Nelsen, L; Sheth, SG; Sidman, KR; Steber, WD; Strong, P, 1976
)
0.26
" There is a more marked tolerance to the depression of stimulating effects, thus the bell shaped dose-response relationship is broadened and shifted somewhat towards higher doses."( [Relationship between dependence on and tolerance to morphine in the rat (author's transl)].
Fernandes, M; Kluwe, S, 1976
)
0.51
" A dose-response study indicated that all values of morphine between 5 and 1000 mug/kg resulted in a transient bradycardia."( Morphine effects on the cardiovascular system of awake, freely behaving rats.
Stein, EA, 1976
)
1.95
" The pretreatment of rats by 6-hydroxydopamine strongly potentiated the seizure producing activity of morphine and the dose-response curve of seizure severity shifted to the right."( Potentiation of morphine-induced seizure by 6-hydroxydopamine.
Ayhan, IH, 1976
)
0.82
" Possibly, morphine has a diphasic dose-response curve with respect to cardiovascular function and, by inference, on brain noradrenergic mechanisms."( Effects of morphine on central catecholamine turnover, blood pressure and heart rate in the rat.
Gomes, C; Svensson, TH; Trolin, G, 1976
)
1.04
" Strength of the conditioned reinforcer, measured in terms of responding on a lever for the stimulus plus infusion of saline solution, was proportional to the unit dosage of morphine employed in pairings of buzzer and drug."( Role of conditioned reinforcers in the initiation, maintenance and extinction of drug-seeking behavior.
Davis, WM; Smith, SG,
)
0.32
" Morphine was a potent respiratory depressant at therapeutic dosage while nefopam was not."( Respiratory effects of nefopam.
Bellville, JW; Gasser, JC, 1975
)
0.98
" With regard to the dosage and method of administration, ketamine was shown to be less effective than morphine for the first 3 hours postoperatively, but equally effective subsequently, whereas the patients who received ketamine showed a greater progressive tendency for their respiratory parameters to improve with time."( Intravenous ketamine for postoperative analgesia.
Clausen, L; Sinclair, DM; Van Hasselt, CH, 1975
)
0.47
" A significant dose-response curve was obtained with nefopam and with morphine, and there was no significant deviation from parallelism."( Nefopam and morphine in man.
Laska, E; Sunshine, A, 1975
)
0.87
"Morphine in therapeutic dosage has been shown to impair the plasma 11-hydroxycorticosteroid response to the stress of insulin-induced hypoglycaemia."( The effects of morphine and nalorphine on the plasma 11-hydroxycorticosteroid response to insulin-induced hypoglycaemia in patients with rheumatoid arthritis.
Bell, MA; Buchanan, W; Downie, WW; Nuki, G; Shenkin, A; Wasson, J, 1975
)
2.05
" There was a significant difference in the slope of log dose-response curves; these curves were much steeper for pentobarbitone, droperidol and chlorpromazine than for nitrazepam, flunitrazepam, and diazepam."( [Action of central depressants on the nitrous oxide anesthesia (author's transl)].
Andics, A; Gogolák, G; Huck, S; Stumpf, C, 1975
)
0.25
" The rats (drug dependence-experimented rats) who survived the first stage of this experiment were continuously subjected to re-administration by the same dosage schedule as in Exp."( [Comparison of development of drug dependence in naive and drug dependence-experienced rats].
Tagashira, E; Yanaura, S, 1975
)
0.25
"Intraocular pressure (IOP) measurements were made in a series of 92 male surgical patients, to assess the effects of timing and dosage of succinylcholine given after a standardized sleep dose of thiopental (3 mg."( Thiopental and succinylcholine: Action on intraocular pressure.
Bruce, DL; Joshi, C,
)
0.13
"Mice were given several atropine injections at a high dosage level."( Sensitivity changes to morphine and other drugs induced by cholinergic blockade.
Contreras, E; Quijada, L; Tamayo, L, 1975
)
0.57
" The shift of the morphine dose-response curve to the right is expressed in terms of dose ratios, which were calculated from the ED50 values for morphine obtained 9 days before, and 1, 8, 15, 22 and 29 days after implantation of the polymer."( Preparation and evaluation of a sustained naloxone delivery system in rats.
Fishman, J; Foldes, FF; Hahn, EF; Norton, BI; Ronai, A, 1975
)
0.59
" Thus far, the most useful of several dosage forms studied is s suspension in an aluminum monostearate gel."( Long-acting narcotic antagonist complexes.
Gray, AP; Guardina, WJ, 1975
)
0.25
" We have demonstrated that the polypeptides can be fabricated into dosage forms that are amenable to administration by trochar."( Use of synthetic polypeptides in the preparation of biodegradable delivery vehicles for narcotic antagonists.
Arnold, DL; Granchelli, FE; Nelsen, L; Sheth, SG; Sidman, KR; Steber, WD; Strong, P, 1975
)
0.25
"Derivatization of the alkaloids cephaeline, codeine, emetine, ephedrine, morphine, narcotine and others with dansyl chloride has been studied with the aim of developing a sensitive and specific liquid chromatographic method for these substances in complex pharmaceutical dosage forms."( Liquid chromatography of dansyl derivatives of some alkaloids and the application to the analysis of pharmaceuticals.
Frei, RW; Santi, W; Thomas, M, 1976
)
0.49
" The discriminable ED50 values for both pentazocine and morphine were estimated from dose-response curves and when given in combination (pentazocine ED50 + morphine ED50), more drug-related responding occurred than occurred after either drug (ED50) alone."( Stimulus properties of the narcotic antagonist pentazocine: similarity to morphine and antagonism by naloxone.
Appel, JB; Greenberg, I; Kuhn, DM, 1976
)
0.73
" In addition our results suggest that dosage of morphine and morphine blood levels might also modify norepinephrine excretion."( The effects of morphine and halothane anaesthesia on urine norepinephrine during surgery for congenital heart disease.
Lathrop, GD; Liu, WS; Stanley, TH, 1976
)
0.86
" The degree of aversion was related to the maintenance dosage of morphine."( Conditioned flavor aversions for assessing precipitated morphine abstinence in rats.
Pilcher, CW; Stolerman, IP, 1976
)
0.74
" delta PWL did not vary with morphine, indicating that the dose-response curves were parallel but shifted to the right for the hyperesthetic paw."( Studies on the spinal interaction of morphine and the NMDA antagonist MK-801 on the hyperesthesia observed in a rat model of sciatic mononeuropathy.
Yaksh, TL; Yamamoto, T, 1992
)
0.85
" In addition, dose-response curves were determined for (+)- and (-)-phenylmorphan using the mouse tail-flick assay with the (+)-enantiomer found to be about 7 times more potent."( Phenylmorphans and analogues: opioid receptor subtype selectivity and effect of conformation on activity.
Froimowitz, M; Pasternak, GW; Pick, CG, 1992
)
0.28
" The shifts in the dose-response curve of the morphine were parallel."( Antinociceptive activity of intrathecally administered cannabinoids alone, and in combination with morphine, in mice.
Stevens, DL; Welch, SP, 1992
)
0.76
" A dose-response curve was also made for the mu-opioid receptor agonist, morphine."( Spinal antinociception by Tyr-D-Ser(otbu)-Gly-Phe-Leu-Thr, a selective delta-opioid receptor agonist.
Dickenson, AH; Kalso, EA; McQuay, HJ; Sullivan, AF, 1992
)
0.52
" 1) In the presence of a fixed dose of DPDPE (150 nmol), there was a left shift in the dose-response curve of the mu agonist, with the magnitude of the shifts being greater than those anticipated from a simple additive interaction: PL017 (31-fold) > or = DAMGO (20-fold) > morphine (6."( Isobolographic and dose-response analyses of the interaction between intrathecal mu and delta agonists: effects of naltrindole and its benzofuran analog (NTB).
Malmberg, AB; Yaksh, TL, 1992
)
0.46
" We now report that LiCl pretreatment shifted the antinociceptive dose-response curve produced by the opioid agonists morphine, [D-Ala2, MePhe4, Gly5-ol]enkephalin (DAMGO) and sufentanil in inverse order of their intrinsic efficacy."( Opioid efficacy is linked to the LiCl-sensitive, inositol-1,4,5-trisphosphate-restorable pathway.
Connelly, CD; Martinez, RP; Raffa, RB, 1992
)
0.49
" Supraspinal TRIMU-5 also potentiates spinal morphine directly, shifting its dose-response to the left."( Supraspinal mu 2-opioid receptors mediate spinal/supraspinal morphine synergy.
Gacel, G; Pasternak, GW; Pick, CG; Roques, B, 1992
)
0.78
" In contrast, morphine (the positive control) produced expected dose-response relationships on measures of reinforcing and physiologic effects."( Psychoactivity and abuse potential of sumatriptan.
Busch, M; Jasinski, DR; Preston, KL; Sullivan, JT; Testa, MP, 1992
)
0.64
" agonist dose-response curves by theophylline (i."( Involvement of adenosine in antinociception produced by spinal or supraspinal receptor-selective opioid agonists: dissociation from gastrointestinal effects in mice.
DeLander, GE; Mosberg, HI; Porreca, F, 1992
)
0.28
" Experiment 2 demonstrated that the dose-response curve relating systemic morphine treatment to increases in TFR thresholds was shifted to the right in chronic spinal rats."( Characterization of tailshock elicited withdrawal reflexes in intact and spinal rats.
Anderson, ME; Borszcz, GS; Johnson, CP; Young, BJ, 1992
)
0.51
" The dextrorphan-trained birds generalized to l-cyclorphan at 10 mg/kg; naltrexone did not alter the l-cyclorphan dose-response curve for this effect."( Discriminative stimulus effects of cyclorphan: selective antagonism with naltrexone.
Bertalmio, AJ; Woods, JH, 1992
)
0.28
"6 and 10 mg/kg), resulting in a parallel, rightward shift in the MOR dose-response curve."( Modulation of morphine antinociception by antagonism of H2 receptors in the periaqueductal gray.
Hough, LB; Nalwalk, JW, 1992
)
0.64
" Tolerance, assessed on a tail-flick device using dose-response curve (DRC) methodology, developed more rapidly and reached greater magnitude when morphine and the distinctive context were explicitly paired rather than explicitly unpaired."( Effect of number of conditioning trials on the development of associative tolerance to morphine.
Cepeda-Benito, A; Tiffany, ST, 1992
)
0.71
" At the 96 h IDI, tolerance, as indexed by shifts in dose-response curves, was controlled primarily by associative processes."( Contribution of associative and nonassociative processes to the development of morphine tolerance.
Cepeda-Benito, A; Drobes, DJ; Tiffany, ST, 1992
)
0.51
" However, in rats trained on caffeine, PPA had no effect on the dose-response relationship for caffeine; similarly, in rats trained on PPA, caffeine had no effect on the dose-response relationship for PPA (no synergism or antagonism)."( Drug discrimination studies in rats with caffeine and phenylpropanolamine administered separately and as mixtures.
Mariathasan, EA; Stolerman, IP, 1992
)
0.28
"Patient selectivity, narcotic dosing requirements, discharge rate, patient preference for analgesic regimen, side effects, complications and cost-effectiveness."( Subcutaneous narcotic infusions for cancer pain: treatment outcome and guidelines for use.
Chester, MA; Geoghegan, MF; Goodwin, VA; Johnson, NG; Moulin, DE; Murray-Parsons, N, 1992
)
0.28
" The patient was treated over a period of 48 days with a morphine dosage ranging from 10 to 60 mg/h, which kept her free of pain."( [Continuous ambulatory intravenous morphine infusion for pain therapy in advanced ovarian cancer].
Günter, HH; Hilfrich, J; Kühnle, H; Schönborn, I; Sorge, J; Steffmann, B, 1992
)
0.81
" The opioid antagonist naloxone and the alpha-2 adrenergic antagonist idazoxan were given as intrathecal pretreatments at doses chosen to shift the dose-response curves of their corresponding agonist (given alone) 4- to 10-fold to the right; this always resulted in a smaller, but significant (2- to 4-fold) shift in the dose-response curve of the other agonist given alone."( Spinal interactions between opioid and noradrenergic agonists in mice: multiplicativity involves delta and alpha-2 receptors.
Hylden, JK; Kitto, K; Lei, S; Roerig, SC; Wilcox, GL, 1992
)
0.28
"The present research examined morphine dose-response effects on both the formalin test and on CNS monoamine (MA) levels and the metabolites dihydroxyphenylacetic acid (DOPAC) and 5-hydroxyindoleacetic acid (5-HIAA) in hypoalgesic (76) and hyperalgesic (SN) strains of domestic fowl."( Central monoaminergic changes induced by morphine in hypoalgesic and hyperalgesic strains of domestic fowl.
Hoganson, DA; Hughes, RA; Sufka, KJ, 1992
)
0.84
" These findings suggest the morphine dosage to be indicative of the progress of the disease rather than of a drug tolerance."( Dose changes in long- and medium-term intrathecal morphine therapy of cancer pain.
Neidhardt, J; Schramm, J; Schultheiss, R, 1992
)
0.83
", self-administered less morphine during the nighttime); specifically, dosing declined 48% from the daytime level."( Patient-controlled analgesia for cancer pain: a long-term study of inpatient and outpatient use.
Chen, S; Citron, ML; Hoffman, M; Kalra, JM; Seltzer, VL; Walczak, MB, 1992
)
0.59
" Follow-up controls were carried out at least every week and consisted on the evaluation the dosage efficacy, dose adjustments, catheter condition, physical activity, neurologic state, and requirements of adjuvant medication."( [Experience with the Du Pen epidural catheter in chronic cancer pain].
Aguilar, JL; González-Carrasco, FJ; Montes, A; Roca, G; Vallés, J; Vidal, F,
)
0.13
" This method for the study of opioid sensitivity allowed a wide dosage range to be studied."( Opioid sensitivity of chronic pain: a patient-controlled analgesia method.
Carroll, D; Faura, C; Glynn, CJ; Jadad, AR; Liu, Y; McQuay, HJ; Moore, RA, 1992
)
0.28
" Dose-response curves for all the drugs tested were similar and a significant dose-dependent antinociceptive action was evident in the formalin and writhing tests."( Antinociceptive effects of Ca2+ channel blockers.
Bustamante, D; Fernandez, E; Kramer, V; Miranda, HF; Paeile, C; Pelissier, T; Pinardi, G; Saavedra, H, 1992
)
0.28
" Both morphine and the extracts produced a dose-response relationship in their antidiarrhoeal effects."( Inhibition of Microlax-induced experimental diarrhoea with narcotic-like extracts of Psidium guajava leaf in rats.
Lutterodt, GD, 1992
)
0.76
" Dose-response curves were obtained either non-cumulatively with morphine alone or cumulatively with morphine alone and in combination with different concentrations of naloxone."( Naloxone counteracts the fast development of tolerance to morphine in guinea-pig ileum.
Hustveit, O; Oye, I; Setekleiv, J, 1992
)
0.77
" The postoperative peridural dosage of 5 mg morphine (three times in 24 h) was very effective."( [Continuous peridural anesthesia in abdominal surgery. An alternative for elderly patients].
Fuchs, C, 1992
)
0.54
" Considered together, the site-localization, pharmacologic blocking, and dose-response data support the hypothesis that specific regions of the mPRF can contribute to the long-recognized ability of morphine to inhibit REM sleep and alter respiratory control."( Sleep disruption and increased apneas after pontine microinjection of morphine.
Baghdoyan, HA; Keifer, JC; Lydic, R, 1992
)
0.71
" In contrast, at the low dose of either local anesthetic, after the resolution of the transient motor weakness, these doses resulted in a significant leftward shift in the dose-response curves for intrathecal morphine on both the hot plate and paw pressure, as measured by the maximum observed peak effect and by the area under the time-effect curve."( Interaction of intrathecal morphine with bupivacaine and lidocaine in the rat.
Penning, JP; Yaksh, TL, 1992
)
0.77
" Peak concentrations were observed within 1 h of dosage and concentrations then declined biexponentially."( Plasma morphine-3-glucuronide, morphine-6-glucuronide and morphine concentrations in patients receiving long-term epidural morphine.
Bradley, JP; Brown, AM; Cavenagh, JD; Ravenscroft, PJ; Schneider, JJ, 1992
)
0.74
" The dosage of pancuronium was 100 micrograms/kg given as required to inhibit spontaneous respiration."( Effect of morphine and pancuronium on the stress response in ventilated preterm infants.
Dean, HG; Levene, MI; Otoo, F; Puntis, JW; Quinn, MW; Rushforth, JA; Wild, J, 1992
)
0.69
" Plasma morphine concentrations were more sustained for 7 h after dosage with the MAN suppository, with lower peak (8."( Prolonged release of morphine alkaloid from a lipophilic suppository base in vitro and in vivo.
Cosolo, W; McCormick, Y; Morgan, DJ; Roller, L; Zalcberg, J, 1992
)
1.04
" Dosing periods were separated by a 14-day washout."( An evaluation of the effect of food on the oral bioavailability of sustained-release morphine sulfate tablets (ORAMORPH SR) after multiple doses.
Bass, J; Hulse, J; Lee, JW; Shepard, KV, 1992
)
0.51
" Using a cumulative dosing protocol, intravenous administration (0."( Systemic and microiontophoretic administration of morphine differentially effect ventral pallidum/substantia innominata neuronal activity.
Chrobak, JJ; Napier, TC; Yew, J, 1992
)
0.54
" Each patient received both study treatments given at an equivalent dosage of morphine during each of two 7-day periods."( A comparative study of controlled-release morphine (CRM) suspension and CRM tablets in chronic cancer pain.
Boureau, F; Brunet, R; d'Arnoux, C; Estève, M; Ranchère, JY; Roquefeuil, B; Roussel, P; Saudubray, F; Siou, DK; Vedrenne, J, 1992
)
0.78
"4 mg/ml for morphine and methadone, respectively, were achieved using an ascending dosage schedule."( Morphine and methadone dependence in the rat: withdrawal and brain met-enkephalin levels.
Olley, JE; Pierce, TL; Tiong, GK, 1992
)
2.11
" Both responses demonstrated a biphasic dose-response pattern, with depressant effects (hypothermia and hypokinesis) predominant at high doses, and excitatory effects (hyperthermia and hyperkinesis) predominant at low doses."( Biotelemetric investigation of morphine's thermic and kinetic effects in rats.
Dafters, R; Taggart, P, 1992
)
0.57
" On day 7, the magnitude of tolerance was assessed by establishing dose-response curves for the effect of the chronic drug given as an intrathecal bolus."( Studies of morphine and D-ala2-D-leu5-enkephalin (DADLE) cross-tolerance after continuous intrathecal infusion in the rat.
Stevens, CW; Yaksh, TL, 1992
)
0.67
" Morphine dose-response curves at different temperatures (30, 37 or 40 degrees C) from right atria of the rat were obtained."( Temperature-dependent effects of morphine on the isolated right atrium.
Laorden, ML; Ruiz, F; Valcarcel, MI, 1992
)
1.48
" Addition of morphine caused a left shift in the dose-response curves of all the non-opioid drugs, indicating at least some degree of additive effects."( Antinociceptive and motor effects of intrathecal morphine combined with intrathecal clonidine, noradrenaline, carbachol or midazolam in rats.
Cmielewski, PL; Cousins, MJ; Gourlay, GK; Owen, H; Plummer, JL, 1992
)
0.91
" Long-term opioid intake and development of tolerance did not appear to be linked; an increase in morphine dosage was most often explained by progression of the terminal disease."( A long-term survey of morphine in cancer pain patients.
Grond, S; Jung, H; Meuser, T; Schug, SA; Stobbe, B; Zech, D, 1992
)
0.82
" It is also suggested that dibencozide could be useful in clinical practice for reducing the dosage of opioids."( Depressive effects of mu and delta opioid receptor agonists on activities of dorsal horn neurones are enhanced by dibencozide.
Bing, Z; Bouhassira, D; Le Bars, D; Villanueva, L, 1991
)
0.28
" catheters, dose-response curves were carried out using the hot plate (HP) test for a number of receptor-preferring opioids."( Characteristics of dose-dependent antagonism by beta-funaltrexamine of the antinociceptive effects of intrathecal mu agonists.
Mjanger, E; Yaksh, TL, 1991
)
0.28
") of a 15 mg naltrexone pellet there was a significant shift to the right of the fentanyl dose-response curves for analgesia and lethality."( Evaluation of receptor mechanism mediating fentanyl analgesia and toxicity.
Jang, Y; Yoburn, BC, 1991
)
0.28
" The present study was designed to examine in rats the temporal and dosage parameters of naloxone-induced potentiation of morphine analgesia and the effect of continuous infusion of naloxone on the analgesic potency of other mu agonists."( Increased analgesic potency of mu agonists after continuous naloxone infusion in rats.
Holtzman, SG; Paronis, CA, 1991
)
0.49
" To test for a specific toxic effect on the neurons of the ciliary ganglion, we generated a dose-response curve for toxicity in vitro and determined that naltrexone was not toxic over concentration ranges that are likely to exist in vivo."( Endogenous opioids modulate neuronal survival in the developing avian ciliary ganglion.
Ford, MJ; Meriney, SD; Oliva, D; Pilar, G, 1991
)
0.28
"63 mg/kg), the morphine dose-response curve was shifted progressively in parallel to the right and the maximal effect of morphine was not altered; Schild analysis yielded a slope of close to -1."( 5-hydroxytryptamine (HT)1A receptors and the tail-flick response. II. High efficacy 5-HT1A agonists attenuate morphine-induced antinociception in mice in a competitive-like manner.
Colpaert, FC; Millan, MJ, 1991
)
0.85
" In their presence, the morphine dose-response curve was shifted in parallel to the right with no loss of maximal effect."( 5-hydroxytryptamine (HT)1A receptors and the tail-flick response. III. Structurally diverse 5-HT1A partial agonists attenuate mu- but not kappa-opioid antinociception in mice and rats.
Colpaert, FC; Millan, MJ, 1991
)
0.59
" Dose-response curves for intrathecally administered agonists with mu- and/or delta-opioid activity were shifted to the left for inflamed hindpaws when compared to contralateral non-inflamed paws."( Spinal opioid analgesic effects are enhanced in a model of unilateral inflammation/hyperalgesia: possible involvement of noradrenergic mechanisms.
Dubner, R; Hylden, JL; Iadarola, MJ; Nahin, RL; Thomas, DA, 1991
)
0.28
" Regression analyses failed to reflect significant shifts in the dose-response functions for either agonist on either measure."( Gender effects and central opioid analgesia.
Bodnar, RJ; Kepler, KL; Kest, B; Pasternak, GW; Paul, D; Standifer, KM, 1991
)
0.28
"1-810 nmol) caused a rightward shift of dose-response curve and reduction of maximal effect of alpha-2 agonists used."( Relative efficacy of spinal alpha-2 agonists, dexmedetomidine, clonidine and ST-91, determined in vivo by using N-ethoxycarbonyl-2-ethoxy-1,2-dihydroquinoline, an irreversible antagonist.
Takano, Y; Yaksh, TL, 1991
)
0.28
" Comparison of the dose-response curves demonstrated a difference in the intensity of the stimulus effects."( The discriminative stimulus effects of diazepam in rats at two training doses.
Franklin, SR; Tang, AH, 1991
)
0.28
"25 mg kg-1) caused a shift of the clonidine antisecretory dose-response curve to the right, demonstrating tolerance."( Studies to determine whether there is tolerance or cross-tolerance to the antisecretory effect of morphine and clonidine in the rat intestine.
Bentley, GA; Coupar, IM; Margaritis, J, 1991
)
0.5
" The dose-response relationship of morphine-induced suppression of FLI varied in different laminae."( Systemic morphine suppresses noxious stimulus-evoked Fos protein-like immunoreactivity in the rat spinal cord.
Basbaum, AI; Levine, JD; Menétrey, D; Presley, RW, 1990
)
0.97
" Analgesics administered intermittently were generally effective when given, however, the dosing interval was too long for the agents used resulting in frequent reports of poor pain relief."( Postoperative pain therapy: a survey of patients' expectations and their experiences.
McMillan, V; Owen, H; Rogowski, D, 1990
)
0.28
" Upon pretreatment with morphine over greater than or equal to 12 h, a fourfold shift of the PGE1-morphine dose-response curve was observed, whether or not IBMX was added."( Regulation of cyclic AMP by the mu-opioid receptor in human neuroblastoma SH-SY5Y cells.
Duan, DS; Eiger, S; Lameh, J; Sadée, W; Yu, VC, 1990
)
0.59
" Extracellular single unit recordings from both wide dynamic range and nociceptive specific neurons during controlled repetitive electrical stimulation of the ipsilateral hind paw indicated that SP enhanced C-evoked firing in an apparent dose-related manner (100 greater than 20 = 4 nmol), whereas DPDT inhibited C-evoked discharges with an apparent bell-shaped dose-response (20 greater than 100 = 4 nmol)."( Evidence that substance P selectively modulates C-fiber-evoked discharges of dorsal horn nociceptive neurons.
Hayes, RL; Kellstein, DE; Mayer, DJ; Price, DD, 1990
)
0.28
" On the one hand, the resulting data strongly validate the model since they show that pain and nociceptive reflex are similarly depressed by morphine in a dose-response fashion."( [Clinical exploration of nociception with the use of reflexologic techniques].
Willer, JC, 1990
)
0.48
" Intrathecal lidocaine in the dosage range tested during isobolographic analysis revealed no motor deficits."( Antinociceptive synergy between intrathecal morphine and lidocaine during visceral and somatic nociception in the rat.
Gebhart, GF; Maves, TJ, 1992
)
0.54
" However, when the epidural morphine was given in a double-blind and placebo-controlled manner, morphine did not produce greater analgesia than placebo and no dose-response relationship was seen."( Double-blind testing fails to confirm analgesic response to extradural morphine.
Glynn, CJ; Jadad, AR; McQuay, HJ; Popat, MT, 1991
)
0.81
" The data suggest that this dosage regimen of diamorphine is safe."( Diamorphine infusion in the preterm neonate.
Barrett, DA; Davis, SS; Elias-Jones, AC; Rutter, N; Shaw, PN, 1991
)
1.16
" The trial does give an estimation for the starting point of the intrathecal dosage but, as we have demonstrated, this is, at times, at a greater dosage than previously had been predicted."( Epidural trial in implantation of intrathecal morphine infusion pumps.
Adler, RJ; Hupert, C; Krieger, AJ; Maniker, AH, 1991
)
0.54
" In this study, we analyzed plasma morphine concentration in cancer patients who received continuous morphine drip and/or oral administrations of morphine: (1) The plasma concentration of morphine varied widely in patients whose pain was satisfactorily controlled at a constant dosage of morphine."( Relationship between plasma concentration of morphine and analgesic effectiveness.
Hiraga, K; Konishi, M; Oguma, T; Yokokawa, N, 1991
)
0.82
" The level of analgesia provided during the early post-dosing period, at the end of the dosing period and overall over the twelve hour interval were also equivalent between the preparations."( Morphine at gramme doses: kinetics, dynamics and clinical need.
Court, M; McKellar, J; Miller, AJ; Smith, KJ, 1991
)
1.72
" There was a wide dosage range and the dose required appears independent of pathology, age of patient or previous analgesic exposure."( Morphine sulphate tablets in hospice practice.
Bonifant, JD; Clark-Reynolds, M, 1991
)
1.72
" This clinical survey showed that the total effectiveness was 92% and that 90% of the patients could experience control of pain with a daily dosage of 240 mg or less of MS Contin."( A clinical survey of controlled-release morphine sulphate for cancer pain relief in a Japanese hospice.
Hayashi, A; Kashiwagi, T; Miyazaki, M; Tsuneto, S, 1991
)
0.55
" Acquisition costs for controlled-release morphine tablets, morphine sulphate solution and ancillary materials required for dosing were those actually paid by the hospital pharmacy at the time of the study."( Cost considerations of analgesic therapy: an analysis of the effects of dosing frequency and route of administration.
Goughnour, BR, 1991
)
0.55
" The indication for administering MS Contin is not a poor prognosis, but rather pain requiring repeated dosing with potent opioids over periods of more than a few days."( Guidelines for the use of MS Contin tablets in the management of cancer pain.
Warfield, CA, 1991
)
0.28
" To understand better the relationship between morphine and M-6-G in cancer patients receiving chronic therapy, we employed high performance liquid chromatography with electrochemical detection to measure: (1) morphine and M-6-G plasma concentrations following discontinuation of dosing in 2 patients, one receiving oral therapy and the other an intravenous infusion; (2) morphine and M-6-G concentrations in random blood samples taken at apparent steady state from 8 patients, 7 with normal renal function and 1 with mild renal insufficiency, who were receiving continuous morphine infusions; and (3) morphine and M-6-G concentrations in random blood samples taken over a period of weeks from 4 patients, 2 with stable and 2 with declining renal function."( Plasma morphine and morphine-6-glucuronide during chronic morphine therapy for cancer pain: plasma profiles, steady-state concentrations and the consequences of renal failure.
Adelhardt, J; Cerbone, DF; Foley, KM; Inturrisi, CE; Khan, E; Layman, M; Portenoy, RK; Stulman, J, 1991
)
0.99
" The dosing interval was 5 min, until the patient did not want any further analgesics."( Intravenous morphine and oxycodone for pain after abdominal surgery.
Kalso, E; Linko, K; Onnela, P; Pöyhiä, R; Tammisto, T; Tigerstedt, I, 1991
)
0.66
" Concurrent dosing of pentazocine (2 mg/kg, IP) and tripelennamine (2."( Potentiation of pentazocine conditioned place preference by tripelennamine in rats.
Masukawa, Y; Misawa, M; Shiozaki, Y; Suzuki, T, 1991
)
0.28
" In dose-response studies, beta-FNA antagonized all the actions with similar potencies (ID50 values of 12."( Comparison of naloxonazine and beta-funaltrexamine antagonism of mu 1 and mu 2 opioid actions.
Pasternak, GW; Paul, D; Pick, CG, 1991
)
0.28
" If these results are confirmed in a large group of patients, the controlled-release morphine sulphate tablets may offer a convenient (less frequent) dosing compared with regular tablets in children suffering from chronic pain due to malignancy."( Plasma concentrations of morphine in children with chronic pain--comparison of controlled release and regular morphine sulphate tablets.
Nahata, MC, 1991
)
0.81
" After the first eight patients, dosage regimens were changed and satisfactory postoperative analgesia was obtained in the last 20 patients with few side-effects."( [Patient-controlled analgesia in children].
Dubois, MC; Estève, C; Murat, I; Saint-Maurice, C, 1991
)
0.28
" The results suggest that the currently used dosing regimen of diamorphine achieves a safe and effective morphine concentration in the premature newborn but that the loading dose could be modified to achieve a more rapid onset of analgesia."( Morphine kinetics after diamorphine infusion in premature neonates.
Barrett, DA; Davis, SS; Elias-Jones, AC; Rutter, N; Shaw, PN, 1991
)
1.96
" During an eight-month period, 161 women undergoing cesarean delivery were assigned to receive narcotics by either epidural morphine (76 patients) or patient-controlled analgesia (85 patients) using a combined continuous infusion and demand dosing of meperidine."( Comparison of patient-controlled analgesia and epidural morphine for postcesarean pain and recovery.
Karaiskakis, PT; Morton, RD; Norvell, MJ; Rayburn, WF; Smith, CV, 1991
)
0.73
" Comparison of the dose-response curves (i."( Antinociceptive synergism between supraspinal and spinal sites after subcutaneous morphine evidenced by CNS morphine content.
Kishioka, S; Kitabata, Y; Miyamoto, Y; Morita, N; Ozaki, M; Yamamoto, H; Yamanishi, T, 1991
)
0.51
" Antinociception, tested by the tail-flick method, did not diminish over days 5-8, yet on day 9 a rightward shift in the dose-response curve occurred."( Evidence for opiate tolerance in newborn rats.
Frenk, H; Van Praag, H, 1991
)
0.28
" These experiments determined specifically morphine's effects on the distinctiveness and time course of stimulus representations by examining morphine's dose-response effect on (a) differential responding to A and B and their conditional control over responding to X within the compounds and (b) the unconditioned excitatory effects of the compounds and their components as assessed by their ability to modify the amplitude of the unconditioned NMR."( Morphine's effects on differential serial compound conditioning and reflex modification of the rabbit's (Oryctolagus cuniculus) nictitating membrane response.
Gormezano, I; McEchron, MD, 1991
)
1.99
" Drug interactions were studied by redetermining the cocaine dose-response curve in the presence of various fixed doses of the other drugs."( The effects of cocaine in combination with other drugs of abuse on schedule-controlled behavior in the pigeon.
Evans, EB; Wenger, GR, 1990
)
0.28
"The purpose of this study was to determine the effect of oral estazolam at two and three times the usually recommended dosage (2 mg) on ventilation and respiratory drive during wakefulness."( Ventilatory response to single, high dose estazolam in healthy humans.
Badr, S; Begle, RL; Juan, D; Skatrud, JB, 1990
)
0.28
" Dose-response curves for IT morphine were obtained in the presence of fixed doses (0."( Interaction of intrathecal morphine and ST-91 on antinociception in the rat: dose-response analysis, antagonism and clearance.
Monasky, MS; Stevens, CW; Yaksh, TL; Zinsmeister, AR, 1990
)
0.87
" On day 7, the magnitude of tolerance was assessed in each group by establishing intrathecal dose-response curves and ED50 values for sufentanil and morphine given as a bolus injection."( Differential cross-tolerance between intrathecal morphine and sufentanil in the rat.
Sosnowski, M; Yaksh, TL, 1990
)
0.73
" The A50 (dose producing 50% MPE) for each drug or drug combination was determined from the dose-response curve."( Antinociceptive interaction between opioids and medetomidine: systemic additivity and spinal synergy.
Bagley, J; Harris, S; Lin, BS; Lloyd, P; Messineo, E; Ossipov, MH, 1990
)
0.28
"The benefits of two dosing methods, patient-controlled analgesia (PCA) with morphine sulfate (MS) alone and PCA plus continuous infusion of morphine sulfate (PCA + CI) were clinically evaluated in a randomized, single-blinded study of 30 adult abdominal surgery patients."( Evaluation of patient-controlled analgesia (PCA) versus PCA plus continuous infusion in postoperative cancer patients.
Hansen, LA; Lehman, ME; Noyes, MA, 1991
)
0.51
"In an attempt to maintain stable levels of an alpha 2-adrenergic agonist throughout the perioperative period, two different oral-transdermal clonidine dosage regimens were administered according to a randomized, double-blind, placebo-controlled study in patients undergoing abdominal surgery."( Clinical efficacy of oral-transdermal clonidine combinations during the perioperative period.
Duncan, SR; Jarvis, DJ; Maze, M; Segal, IS; White, PF, 1991
)
0.28
" The efficacy of the treatment was estimated from: 1) daily dosage (intraspinal and total opiates, and intraspinal bupivacaine), and 2) scores of non-opiate analgesic and sedative consumption, gait and daily activities, and amount and pattern of sleep."( Long-term intrathecal morphine and bupivacaine in "refractory" cancer pain. I. Results from the first series of 52 patients.
Appelgren, L; Curelaru, I; Einarsson, S; Hultman, E; Linder, LE; Nitescu, P; Sjöberg, M, 1991
)
0.6
" Among the patients receiving the bolus injections, morphine was required 62 +/- 15 (SEM) times over the 24-h study period with total morphine dosage averaging 30 +/- 15 mg."( Continuous infusion of interpleural bupivacaine maintains effective analgesia after cholecystectomy.
Citron, GM; Kirz, LI; Laurito, CE; Pelligrino, DA; Riegler, FX; Segil, LJ; VadeBoncouer, TR, 1991
)
0.53
" The use of IT morphine significantly reduced the dosage requirement of epidural bupivacaine."( Intrathecal morphine 0.2 mg versus epidural bupivacaine 0.125% or their combination: effects on parturients.
Abouleish, E; Lorenz, T; Rashad, MN; Rawal, N; Shaw, J, 1991
)
1.01
" Tolerance was indexed as the magnitude of the shift to the right of the dose-response curve (DRC)."( Effect of interdose interval on the development of associative tolerance to morphine in the rat: a dose-response analysis.
Drobes, DJ; Maude-Griffin, PM; Tiffany, ST, 1991
)
0.51
" Subjective, behavioral and miotic changes were assessed prior to dosing and intermittently for 12 h after drug administration."( Abuse potential and pharmacological comparison of tramadol and morphine.
Jasinski, DR; Preston, KL; Testa, M, 1991
)
0.52
" With the dosage regimens used, neither drug adequately controlled moderate to severe pain in the immediate postoperative period."( Intravenous ketorolac tromethamine versus morphine sulfate in the treatment of immediate postoperative pain.
Fragen, RJ; Peirce, RJ; Pemberton, DM, 1990
)
0.54
" Seventy patients completed this multi-investigator study; each patient was assigned to one of two dosing protocols, as determined by their previous analgesic regimen."( A multi-investigator clinical evaluation of oral controlled-release morphine (MS Contin tablets) administered to cancer patients.
Fitzmartin, RD; Goldenheim, PD; Lazarus, H, 1990
)
0.51
" ACH dose-response curves for dexamethasone (DM)- and corticosterone (B)-treated but not deoxycorticosterone (DOC)-treated BSM were significantly shifted to the right; this provides evidence that glucocorticoid treatment reduced the sensitivity of BSM to ACH."( Effect of acetylcholine and morphine on bronchial smooth muscle contraction and its modulation by steroid hormones.
Kadir, BA; Khalid, BA; Morat, PB; Nabishah, BM, 1990
)
0.57
" Although the relationship between these different effects is not known, the similarity in their dose-response relationship suggests that they may be mediated by a common mechanism."( Aversive properties of bombesin in rats.
Lorens, SA; Meisenberg, G; Simmons, WH, 1990
)
0.28
" On the other hand, concurrent dosing of dihydrocodeine (2 mg/kg, IP) and a mixture (SC) of methylephedrine (4 mg/kg), caffeine (4 mg/kg) and chlorpheniramine (0."( Drug interactions in the reinforcing effects of over-the-counter cough syrups.
Masukawa, Y; Misawa, M; Suzuki, T, 1990
)
0.28
" Dose-response studies demonstrated that higher doses (greater than 1 microgram) of morphine IC were required to block TRH-induced increases in preweaning rats."( Morphine inhibits TRH-induced intestinal transit increases.
Bond, EF; Heitkemper, MM,
)
1.8
" Although the average opioid dosage requirements were 10 to 28% higher with SQ-PCA, it is an acceptable alternative to conventional IV-PCA for pain control after major surgical procedures."( Subcutaneous-PCA: an alternative to IV-PCA for postoperative pain management.
White, PF, 1990
)
0.28
" In Long-Evans rats, BW942C produced a biphasic dose-response curve for urine output with lower doses increasing and higher doses suppressing output."( Kappa opioid partial agonist activity of the enkephalin-like pentapeptide BW942C based on urination and in vitro studies in humans and animals.
Cone, EJ; Johnson, RE; Su, TP; Vaupel, DB, 1990
)
0.28
" An inactive dose of intrathecally-administered midazolam (20 micrograms) produced a leftward shift in the dose-response curve for intrathecally administered morphine, in the thermal antinociceptive tests."( Interaction of midazolam and morphine in the spinal cord of the rat.
Sabbe, MB; Stevens, CW; Yaksh, TL; Yanez, A, 1990
)
0.77
" On day 6, the magnitude of tolerance was assessed by establishing IT dose-response lines for the effect of the chronic drug given as bolus injections (probe)."( Tolerance to delta- but not mu-opioid receptors in the spinal cord attenuates inhibition of the tail-flick response induced by beta-endorphin administered intracerebroventricularly in mice.
Suh, HH; Tseng, LF, 1990
)
0.28
" Proglumide both shifted the dose-response curve for morphine analgesia to the left and prolonged morphine's duration of action."( Proglumide selectively potentiates supraspinal mu 1 opioid analgesia in mice.
Bodnar, RJ; Pasternak, GW; Paul, D, 1990
)
0.53
" morphine dose-response line was shown to be displaced progressively to the right with decreasing maximal effect (i."( Modulation of the potency and efficacy of mu-mediated antinociception by delta agonists in the mouse.
Mosberg, HI; Porreca, F; Qi, JN, 1990
)
1.19
") had no effects on duodenal intraluminal pressure, but reduced the responses to distension with a bell-shaped dose-response relationship."( The effects of granisetron, ICS 205-930 and ondansetron on the visceral pain reflex induced by duodenal distension.
Moss, HE; Sanger, GJ, 1990
)
0.28
" The extent to which this phenomenon depends upon the dosage employed has not been elucidated."( [Urinary retention in connection with postoperative pain treatment with epidural opioids].
Andersen, JT; Hansen, BJ; Rosenberg, J, 1990
)
0.28
" Morphine dose-response relationships were fitted to a 4 parameter sigmoidal function."( Behavioural modification of bulbospinal serotonergic inhibition and morphine analgesia.
Gamble, GD; Milne, RJ, 1990
)
1.42
" The described approach made it possible to reduce substantially the dosage and to protract the action of morphine, as compared with intramuscular administration."( [Administration of morphine into the cerebral ventricles in chronic intractable pain].
Houdek, M; Opavský, J, 1990
)
0.82
" The average nursing time for narcotic dosing with the standard policy was 5 minutes/unit dose."( Alternative delivery system for controlled drugs in the surgical intensive care unit.
Dyke, C; Martin, RL; Weigelt, JA, 1990
)
0.28
" Graded dose-response curves (DRC) were constructed from tail-flick latencies converted to % maximal possible effect (%MPE), and the ED50 calculated."( Spinal antinociceptive synergy between clonidine and morphine, U69593, and DPDPE: isobolographic analysis.
Green, J; Harris, S; Lloyd, P; Lozito, R; Messineo, E; Ossipov, MH, 1990
)
0.53
" administration of verapamil (30-120 micrograms/mouse) and diltiazem (60-120 micrograms/mouse) significantly enhanced, in a dose-dependent way, the analgesic effects of morphine and produced a parallel displacement to the left of the morphine log dose-response line."( Analgesic effects of diltiazem and verapamil after central and peripheral administration in the hot-plate test.
Baeyens, JM; Del Pozo, E; Ruiz-García, C, 1990
)
0.47
" The quantitative significance of the active metabolite morphine-6-glucuronide was assessed, and the effects of novel dosing forms on morphine metabolism and distribution were examined."( Morphine and metabolite behavior after different routes of morphine administration: demonstration of the importance of the active metabolite morphine-6-glucuronide.
Joel, S; Osborne, R; Slevin, M; Trew, D, 1990
)
1.97
" Tolerance did not develop in the PCA group; in patients receiving continuous infusion morphine dosage continued to increase throughout the study while pain scores remained constant, indicating that tolerance had developed."( Self-administration of morphine in bone marrow transplant patients reduces drug requirement.
Benedetti, C; Chapman, RC; Hill, HF; Kornell, JA; Saeger, LC; Sullivan, KM, 1990
)
0.81
" These findings call for cautious dosing of oral and intravenous morphine in patients with severe end stage liver disease."( The metabolism and bioavailability of morphine in patients with severe liver cirrhosis.
Eriksson, S; Hasselström, J; Persson, A; Rane, A; Säwe, J; Svensson, JO, 1990
)
0.79
" Cases where the dosage of MDP would be influenced by neurological, hemodynamic, or painful diagnoses were excluded."( Age-related differences in the use of morphine, diazepam, and pancuronium for mechanically ventilated children.
Albert, MA; Lucking, SE; Mickell, JJ; Pedigo, SA, 1990
)
0.55
" The mean dosing interval was 15 hr and no episodes of nausea, vomiting, hypotension or histamine release were noted."( Lumbar and thoracic epidural analgesia via the caudal approach for postoperative pain relief in infants and children.
Gurkowski, MA; Pollard, TG; Rasch, DK; Webster, DE, 1990
)
0.28
" When doses of morphine which had no significant effect when administered alone (1 or 3 mg/kg) were combined with cocaine, the cocaine dose-response curve for efficiency was shifted down and to the left and response rates were increased."( Behavioral effects of cocaine and its interaction with d-amphetamine and morphine in rats.
Wenger, GR; Wright, DW, 1990
)
0.86
" morphine dose-response line."( Modulation of morphine antinociception by peripheral [Leu5]enkephalin: a synergistic interaction.
Jiang, Q; Porreca, F; Tallarida, RJ, 1990
)
1.55
" There was a strong dose-response relationship between feeding frequency and a decreased incidence of significant hyperbilirubinemia (transcutaneous bilirubin readings greater than or equal to 23."( Breast-feeding frequency during the first 24 hours after birth in full-term neonates.
Yamanouchi, I; Yamauchi, Y, 1990
)
0.28
", consistently produced a nearly maximal hypothermic response in non tolerant rats, whereas this dosage induced an elevation of body temperature in tolerant rats."( Modification of rat thermal responses to morphine by alpha-FMH suggests a role for neural histamine in morphine tolerance.
Arrigo-Reina, R; Spadaro, C, 1990
)
0.54
" Dose-response curves were determined with a probit procedure."( Sedative and hypnotic midazolam-morphine interactions in rats.
Bradley, EL; Brown, PT; Kissin, I, 1990
)
0.56
" In both species, bell-shaped dose-response curves were obtained, indicating that high doses of gentamicin had little or no effect."( Antinociception induced by intraperitoneal injection of gentamicin in rats and mice.
Corrado, AP; Prado, WA; Rego, EM; Tonussi, CR, 1990
)
0.28
" Dose-response functions for generalization of morphine stimulus control were determined before, during, and after repeated treatment with selected doses of morphine."( Tolerance to morphine stimulus control: role of morphine maintenance dose.
Doty, MD; Lipinski, WJ; Sannerud, CA; Steigerwald, ES; Tetrick, LE; Young, AM, 1990
)
0.91
" The return to normal naltrexone sensitivity after elimination of the two highest doses suggests that a reliable association between the lower and higher doses in a cumulative dosing procedure can result in conditioned effects to the lower doses."( Enhanced sensitivity to behavioral effects of naltrexone in rats.
Goldberg, SR; Katz, JL; Schindler, CW; Su, TP; Wu, XZ, 1990
)
0.28
" Mathematic analysis of the dose-response (wheal) relationship suggested that two different effects were involved."( Morphine-induced skin wheals: a possible model for the study of histamine release.
Erill, S; Saucedo, R, 1985
)
1.71
" CI was always preceded by a period of repetitive dosing of opioids."( I.v. infusion of opioids for cancer pain: clinical review and guidelines for use.
Foley, KM; Inturrisi, CE; Moulin, DE; Portenoy, RK; Rogers, A, 1986
)
0.27
" The mean efficient dosage is 3 mg of morphine chlorhydrate once or twice a day."( [Intrathecal injection of morphine in the ambulatory treatment of neoplastic pain (lumbar route)].
Esteve, M; Guillaume, A; Vedrenne, JB, 1986
)
0.84
" The study design included an attempt at conversion of 30 patients from the previously required narcotic analgesic to around the clock (ATC) 4-h dosing of morphine sulfate immediate-release (MSIR) that would provide satisfactory analgesia."( Dosage range study of morphine sulfate controlled-release.
Homesley, HD; Muss, HB; Richards, F; Welander, CE, 1986
)
0.78
" On reduction of opioid dosage he had visual and auditory hallucinations and showed deterioration of consciousness progressing to coma."( Unusual opioid withdrawal syndrome. A case-report.
Grochow, LB; Hausheer, F; Kumor, KM, 1987
)
0.27
" The naltrexone stimulus-generalization curve and dose-response curve for loss of body weight were shifted to the left by IBMX and Ro 20-1724, which produce quasi-withdrawal, but not by papaverine, which does not."( Phosphodiesterase inhibitors potentiate opiate-antagonist discrimination by morphine-dependent rats.
Holtzman, SG, 1989
)
0.51
" Dosing intervals, pain intensity assessments and toxicity were evaluated."( Does intravenous methadone provide longer lasting analgesia than intravenous morphine? A randomized, double-blind study.
Enterline, J; Green, L; Grochow, L; Grossman, S; Sheidler, V, 1989
)
0.51
" In 5-min extinction tests with nicotine, rats maintained under the FR schedule yielded a clear dose-response curve with a bar-selection (quantal) index; in these rats, discrimination of nicotine appeared generally poor, and dose-response curves were shallow, when the percentage of drug-appropriate responding (quantitative index) was calculated."( Discriminative stimulus effects of nicotine in rats trained under different schedules of reinforcement.
Stolerman, IP, 1989
)
0.28
" dose-response curves for the effect of the chronic drug given as a bolus."( Potency of infused spinal antinociceptive agents is inversely related to magnitude of tolerance after continuous infusion.
Stevens, CW; Yaksh, TL, 1989
)
0.28
" Dose-response curves were constructed for the opioid effects on C fibre evoked activity of dorsal horn nociceptive neurones following intrathecal application of each opioid, and the ED50 values were correlated with lipid solubility."( Intrathecal opioids, potency and lipophilicity.
Dickenson, AH; McQuay, HJ; Smallman, K; Sullivan, AF, 1989
)
0.28
" Antinociception was determined by observing the response to a clamp applied to the tail (Haffner test) in mice and by the tail-flick test in rats; log dose-response curves for antinociception were generated for morphine, clonidine, and each drug combination."( Antinociceptive interactions between alpha 2-adrenergic and opiate agonists at the spinal level in rodents.
Ossipov, MH; Spaulding, TC; Suarez, LJ, 1989
)
0.46
"A dose-response analysis of the effects of morphine on fetal heart rate (FHR) and blood pressure (FBP) was conducted in 28 chronically instrumented fetal lambs."( Morphine-induced tachycardia in fetal lambs: a bell-shaped dose-response curve.
Szeto, HH; Zhu, YS, 1989
)
1.98
" Both the morphine and normorphine dose-response lines were displaced to the left in the presence of DPDPE."( Modulation of mu-mediated antinociception by delta agonists in the mouse: selective potentiation of morphine and normorphine by [D-Pen2,D-Pen5]enkephalin.
Haaseth, RC; Heyman, JS; Mosberg, HI; Porreca, F; Vaught, JL, 1989
)
0.9
" Naloxonazine shifted the supraspinal DAGO dose-response curve 4-fold to the right without changing the curve for spinal DAGO."( Different mu receptor subtypes mediate spinal and supraspinal analgesia in mice.
Bodnar, RJ; Gistrak, MA; Pasternak, GW; Paul, D, 1989
)
0.28
" The log dose-response relationship of the infusion rate to peak tailflick latency was linear from 10 to 50 micrograms/kg/min."( Differential development of acute tolerance to analgesia, respiratory depression, gastrointestinal transit and hormone release in a morphine infusion model.
Ling, GS; Pasternak, GW; Paul, D; Simantov, R, 1989
)
0.48
" However, in mice tested with the naltrexone pellets still implanted, the 15 mg naltrexone pellet was able to shift the dose-response function for morphine analgesia more than 300-fold."( Chronic opioid antagonist treatment: assessment of receptor upregulation.
Lutfy, K; Sierra, V; Yoburn, BC, 1989
)
0.48
"5 to both morphine and methadone, and their dose-response curves were parallel."( Differences in efficacies between morphine and methadone demonstrated in the guinea pig ileum: a possible explanation for previous observations on incomplete opioid cross-tolerance.
Ivarsson, M; Neil, A, 1989
)
0.96
", DPDPE displaced the morphine dose-response line to the left and also potentiated the effects of normorphine and etorphine."( Differential modulation by [D-Pen2, D-Pen5]enkephalin and dynorphin A-(1-17) of the inhibitory bladder motility effects of selected mu agonists in vivo.
Nunan, L; Porreca, F; Sheldon, RJ, 1989
)
0.59
" In 11 patients, the dosage of MS Contin was decreased."( The rectal administration of MS Contin: clinical implications of use in end stage cancer.
Bockenstette, J; Kesner, RK; Klein, G; Maloney, CM,
)
0.13
" The useful dosage of morphine, the scores of relief, and the frequency of side effects are comparable to those observed in non-geriatric groups."( The treatment of pain in the elderly patient. The use of oral morphine in the treatment of pain.
Rapin, CH, 1989
)
0.83
" Experiments 3 and 4 provide data to demonstrate (a) that a positive CPP can be established in our chambers using injections of morphine, (b) that a regimen of dosing with unequal numbers of days of putative and alternate conditioning is a reliable and conservative test of the opioid's ability to establish a CPP, and (c) that although the activity of rats decreases across a session, the general activity of rats before and after conditioning procedures is the same."( Measuring morphine's capacity to establish a place preference.
Hubbell, CL; Marglin, SH; Mattie, ME; Reid, LD, 1989
)
0.88
" Neither chronic morphine nor saline pretreatment altered the dose-response function to intrathecal morphine."( The synergistic effect of concurrent spinal and supraspinal opiate agonisms is reduced by both nociceptive and morphine pretreatment.
Advokat, C; Siuciak, JA, 1989
)
0.83
" The present study evaluated the roles of gender, gonadectomy and estrous phase upon dose-response and time-response functions of analgesia following intracerebroventricular administration of morphine as measured by the tail-flick and jump tests."( Roles of gender, gonadectomy and estrous phase in the analgesic effects of intracerebroventricular morphine in rats.
Bodnar, RJ; Cooper, ML; Kepler, KL; Kest, B; Kiefel, JM, 1989
)
0.68
" After titration of the morphine dosage to optimize the analgesic effect, each patient received 10 days of therapy with either MSC or MSS, then 10 days of therapy with an equal daily dose of the other formulation."( Control of severe pain with sustained-release morphine tablets v. oral morphine solution.
Arkinstall, WW; Goughnour, BR; Stewart, JH; White, JA, 1989
)
0.84
" Proposed are ten principles of dosing oral morphine, especially MSC, which were followed in a clinical trial involving cancer patients."( Principles of cancer pain management. Use of long-acting oral morphine.
Blumenreich, M; Brooks, I; De Jager, R; George, E; Savarese, JJ, 1989
)
0.78
" In contrast, the reference NSAIDS (piroxicam, indomethacin, naproxen and ibuprofen) exhibited similar dose-response relationships for the analgesic, anti-inflammatory and gastric irritant effects."( Pemedolac: a novel and long-acting non-narcotic analgesic.
Chau, TT; Weichman, BM, 1989
)
0.28
" When given on a 12-hourly basis in individually titrated doses, the MSC provided therapeutic plasma morphine concentrations throughout the dosing interval."( Pharmacokinetics and clinical efficacy of oral morphine solution and controlled-release morphine tablets in cancer patients.
Besner, JG; Boos, GJ; Maroun, JA; Mount, BM; Sloan, PA; Stewart, JH; Thirlwell, MP, 1989
)
0.75
"Fifty-one cancer pain patients with limited opioid exposure participated in a randomized, double-blind, repeated-dose, parallel-group comparison of two dosage strengths of the controlled-release morphine preparation, MS Contin tablets (The Purdue Frederick Company, Norwalk, CT)."( Oral controlled-release morphine sulfate. Analgesic efficacy and side effects of a 100-mg tablet in cancer pain patients.
Fitzmartin, R; Kaiko, RF; Kanner, R; Maldonado, M; Portenoy, RK, 1989
)
0.77
" The results showed that MSC 15-mg, 30-mg, 60-mg, and 100-mg dosage strengths are bioequivalent and dose proportional, and, therefore, therapeutically interchangeable."( The United States experience with oral controlled-release morphine (MS Contin tablets). Parts I and II. Review of nine dose titration studies and clinical pharmacology of 15-mg, 30-mg, 60-mg, and 100-mg tablet strengths in normal subjects.
Goldenheim, PD; Grandy, RP; Horodniak, J; Ingber, E; Kaiko, RF; Oshlack, B; Pav, J; Thomas, G, 1989
)
0.52
" Each patient received MSC every 12 hours in accordance with specific dosing procedures designed to arrive at doses that would provide acceptable analgesia without unacceptable side effects."( Evaluation of dosing guidelines for the use of oral controlled-release morphine (MS Contin tablets).
Warfield, CA, 1989
)
0.51
" In spite of this difference in the analgesic dosage requirement, the side effect profile was similar for the 2 groups."( Epidural patient-controlled analgesia (PCA): an alternative to continuous epidural infusions.
Engstrom, R; Marlowe, S; White, PF, 1989
)
0.28
" The main advantages were not only continuous pain relief despite the fact that the nonepidural control group required more than twice the dosage of morphine derivatives; also, the respiratory and pain-related recovery time was reduced."( [Catheter epidural analgesia in serial rib fractures].
Glatzl, A; Poigenfürst, J; Sandtner, W; Thonke, N, 1989
)
0.48
" Dose-response relationships were modeled with the empirical function; E = Eo + (EMAX*DN)/(ED50N + DN) where E is the time-integrated response, EMAX is the response attributable to morphine, Eo is the baseline response, D is the dose and N is a steepness parameter."( Behavioural tolerance to morphine analgesia is supraspinally mediated: a quantitative analysis of dose-response relationships.
Gamble, GD; Holford, NH; Milne, RJ, 1989
)
0.77
" Antinociceptive dose-response curves were constructed for mu ([D-Ala2,NMePhe4,Gly-ol]enkephalin, DAGO; morphine) and delta ([D-Pen2,D-Pen5]enkephalin, DPDPE)-agonists in the absence, and in the presence of the mu non-surmountable antagonist, beta-funaltrexamine (beta-FNA) or the delta-antagonist ICI 174,864 (N,N-diallyl-Tyr-Aib-Aib-Phe-Leu-OH, where Aib is alpha-amino-isobutyric acid)."( Opioid delta-receptor involvement in supraspinal and spinal antinociception in mice.
Heyman, JS; Mosberg, HI; Mulvaney, SA; Porreca, F, 1987
)
0.49
" Following intravenous administration PD117302, U50488, U69593 and morphine produced steep parallel dose-response curves indicating antinociceptive activity when evaluated in the paw pressure test."( kappa-Opioid agonists produce antinociception after i.v. and i.c.v. but not intrathecal administration in the rat.
Hill, RG; Hughes, J; Leighton, GE; Rodriguez, RE, 1988
)
0.51
" In an effort to examine the receptor subtypes responsible for opioid analgesia in specific brain regions, we examined dose-response relationships and naloxonazine sensitivity of morphine and two enkephalin derivatives in the above 4 brain regions."( Role of mu 1-opiate receptors in supraspinal opiate analgesia: a microinjection study.
Bodnar, RJ; Lee, SJ; Pasternak, GW; Williams, CL, 1988
)
0.47
" Acute exposure to endogenous opioids induces analgesia in the short-term yet shifts the morphine dose-response curve to the right for a period of several weeks."( ACTH: a single pretreatment enhances the analgesic efficacy of and prevents the development of tolerance to morphine.
Hendrie, CA, 1988
)
0.71
" 3) The phenomenon was specific since the dose-response curve of the adenosine-inhibitory effect was comparable in preparations from tolerant animals and controls."( Decreased response to GABA-B agonists in longitudinal smooth muscle-myenteric plexus preparations from morphine-tolerant guinea-pigs.
Ciuffi, M; Franchi-Micheli, S; Gentilini, G; Gori, AM; Luzzi, S; Zilletti, L, 1988
)
0.49
" After 1 week of treatment and after pump removal, dose-response curves for the induction of antinociception by morphine against noxious heat, pressure and electrical stimulation were shifted to the left across the entire time course of action: this supersensitivity subsided over a period of 1 week postremoval."( Antagonist-induced opioid receptor up-regulation. I. Characterization of supersensitivity to selective mu and kappa agonists.
Herz, A; Millan, MJ; Morris, BJ, 1988
)
0.49
" During thermal pain stimulation pymadine had the analgesic effect only at dosage of 5 mg/kg and potentiated the action of morphine given in doses of 3 and 5 mg/kg."( [Analgesic activity of pymadine].
Bantutova, I; Mitsov, V,
)
0.34
" Then increased and repetitive injections of morphine sulphate were administered intracerebroventricularly (ICV) in dosage of 30 micrograms/2 microliter, 45 micrograms/3 microliter, 60 micrograms/4 microliter, 75 micrograms/5 microliter, 90 micrograms/6 microliter and 105 micrograms/7 microliter on each following day respectively."( Effect of chronic intracerebroventricular morphine to feeding responses in male rats.
Dhatt, RK; Mangat, HK; Rattan, AK, 1988
)
0.8
" Physicians often fail to tailor analgesic dosages to the needs of the individual and unnecessarily limit the dosage because they have an ill founded fear that the patient will become addicted."( Drug management of pain in cancer patients.
Tuttle, CB, 1985
)
0.27
" There is an inverse dose-response relation for PMN but not PMO."( Opioid peptides rapidly stimulate superoxide production by human polymorphonuclear leukocytes and macrophages.
Gekker, G; Keane, WF; Peterson, PK; Sharp, BM; Suh, HJ; Tsukayama, D, 1985
)
0.27
" However, the dose-response curve for naltrexone was not parallel to the morphine or fentanyl dose-response curves."( An analysis of naltrexone and naloxone's possible agonistic actions in the dog.
Martin, WR; Wettstein, JG, 1985
)
0.5
" After 10 days, dose-response curves for tail-flick inhibition were determined for both intraperitoneal and intraventricular injections of morphine."( Intrathecal DSP4 selectively depletes spinal noradrenaline and attenuates morphine analgesia.
Ji, XQ; Tsou, K; Zhong, FX, 1985
)
0.7
" The dose-response curves were monotonic and the slopes were log-linear."( Epidural injections of bupivacaine, morphine, fentanyl, lofentanil, and DADL in chronically implanted rats: a pharmacologic and pathologic study.
Durant, PA; Yaksh, TL, 1986
)
0.55
" The slopes of the monotonic dose-response curves for the five opioids did not differ significantly."( Studies of the pharmacology and pathology of intrathecally administered 4-anilinopiperidine analogues and morphine in the rat and cat.
Durant, PA; Noueihed, RY; Yaksh, TL, 1986
)
0.48
" (+/-)-Propranolol caused rightward shifts, usually parallel, of the dose-response curves for (-)-isoprenaline."( The antinociceptive action of some beta-adrenoceptor agonists in mice.
Bentley, GA; Starr, J, 1986
)
0.27
" All three antihistaminics, at some dosage levels, slightly increased activity when given alone, but strongly enhanced morphine-induced hyperactivity."( Enhancement of morphine-induced hyperactivity by antihistaminic drugs in mice.
Castellano, C; D'Amato, FR; Sansone, M, 1986
)
0.83
" Flunitrazepam, Midazolam or Lormetazepam in a higher dosage could be expected."( [Effect and side effects of oral morphine, lormetazepam and placebos as premedication].
Hartung, M; Hettenbach, A; Krug, C; Tolksdorf, W, 1987
)
0.55
" With repeated oral administration it becomes very effective and it may be that on repeated dosage active metabolites, particularly morphine-6-glucuronide, account for much of the analgesic activity."( Explanation for potency of repeated oral doses of morphine?
Aherne, GW; Hanks, GW; Hoskin, PJ; Poulain, P; Turner, P, 1987
)
0.73
" dose of morphine, show a dose-dependent rightward shift in hot-plate dose-response curves."( Spinal infusion of opiate and alpha-2 agonists in rats: tolerance and cross-tolerance studies.
Monasky, MS; Stevens, CW; Yaksh, TL, 1988
)
0.69
" All three antihistaminics, at some dosage levels, enhanced morphine-induced hyperactivity, but did not change or even reduce locomotor stimulation induced by amphetamine and scopolamine."( Antihistaminics enhance morphine-, but not amphetamine- and scopolamine-induced hyperactivity in mice.
D'Udine, B; Renzi, P; Sansone, M; Vetulani, J, 1987
)
0.82
" However, the dosage employed here was associated with urinary and emetic side-effects."( Efficacy of 0.3 mg morphine intrathecally in preventing tourniquet pain during spinal anaesthesia with hyperbaric bupivacaine.
Kalso, E; Rosenberg, PH; Tuominen, M; Valli, H, 1988
)
0.6
" Dose-response curves for the relatively specific ligands for the mu-, kappa-, and sigma-receptors were determined using morphine (mu-receptors), dynorphin-(1-13) (kappa-receptors), and N-allylnormetazocine (sigma-receptors)."( Sites of action of mu-, kappa- and sigma-opiate receptor agonists at the feline ileocecal sphincter.
Cohen, S; Ouyang, A; Vos, P, 1988
)
0.48
" Naloxonazine (10 mg/kg) shifted the morphine hyperphagia dose-response curve to the right."( Differential sensitivity of opioid-induced feeding to naloxone and naloxonazine.
Arjune, D; Bodnar, RJ; Hahn, EF; Mann, PE; Pasternak, GW; Romero, MT, 1988
)
0.55
" Thus, the dose-response curves for fentanyl and sufentanil were shifted to the left and the ED50 of the analgesics lowered in droperidol pre-treated animals."( Droperidol enhances fentanyl and sufentanil, but not morphine, analgesia.
Bansinath, M; Lovitz, M; Puig, MM; Statile, L; Turndorf, H; Warner, W, 1988
)
0.52
"5 cm from the anus, 10 mg kg-1) administration of morphine hydrochloride were determined in 10 or 11-week-old male Wistar rats to compare bioavailability of morphine after the rectal dosage with that after oral administration."( Enhanced bioavailability of morphine after rectal administration in rats.
Itakura, T; Iwamoto, K; Kanba, Y; Katagiri, Y; Naora, K, 1988
)
0.82
" The purpose of this study was to examine further this phenomenon in humans by characterizing the antagonist dose-response function."( Acute opioid physical dependence in postaddict humans: naloxone dose effects after brief morphine exposure.
Bigelow, GE; Heishman, SJ; Liebson, IA; Stitzer, ML, 1989
)
0.5
") shifted the dose-response curves to morphine to the right in a parallel manner."( Antinociceptive effects of azepexole (BHT 933) in mice.
Bansinath, M; Puig, MM; Turndorf, H; Vargas, ML, 1989
)
0.55
" The dose-response curves for midazolam, morphine, and their combination (each in a group of 30 patients) were determined by probit procedure and compared with isobolographic and algebraic (fractional) analyses."( Midazolam-morphine sedative interaction in patients.
Bradley, EL; Ezry, J; Fleyshman, G; Kissin, I; Tverskoy, M, 1989
)
0.95
" None of the differences observed reached statistical significance, in agreement with the similarity of the dose-response curves."( Analysis of the wheal-and-flare reactions that follow the intradermal injection of histamine and morphine in adults with recurrent, unexplained anaphylaxis and systemic mastocytosis.
Bressler, RB; Kaliner, MA; Keffer, JM; Metcalfe, DD; Wright, R, 1989
)
0.49
" The slope of the dose-response curve was steeper after pre-exposure."( Behavioral effects of morphine and phencyclidine in rats: the influence of repeated testing before and after single treatment.
Leys, A; Van Ree, JM, 1985
)
0.58
" An inverted-U dose-response curve was obtained."( Pharmacological evidence of a central effect of naltrexone, morphine, and beta-endorphin and a peripheral effect of met- and leu-enkephalin on retention of an inhibitory response in mice.
Baratti, CM; Introini, IB; McGaugh, JL, 1985
)
0.51
" We conclude that sufentanil administered in the dosage range of 19 micrograms/kg allows more rapid induction, earlier emergence from anesthesia, and faster extubation of patients than either morphine or fentanyl."( A comparison of morphine, fentanyl, and sufentanil anesthesia for cardiac surgery: induction, emergence, and extubation.
Dec-Silver, H; Harrison, WK; Sanford, TJ; Smith, NT, 1986
)
0.81
" Complete dose-response data for morphine, heroin, etorphine, d- and l-ethylketazocine, d- and l-pentazocine, and d- and l-N-allylnormetazocine revealed a predominant response of hyperthermia."( Body temperature effects of opioids in rats: intracerebroventricular administration.
Adler, MW; Geller, EB; Rowan, CH, 1986
)
0.55
" Using an appropriate dosage of intrathecal midazolam selective blockade of spasticity of the hind legs may be demonstrated with integrated EMG."( [Spasticity treatment with spinal morphine or midazolam. In vitro experiments, animal studies and clinical studies on compatibility and effectiveness].
Boldt, J; Börner, U; Gerlach, H; Hempelmann, G; Hild, P; Müller, H; Oehler, KU; Zierski, J, 1986
)
0.55
" However, these challenges have been conducted after relatively acute dosing with naltrexone, and tolerance to this antagonism after chronic treatment is possible."( Nontolerance to the opioid antagonism of naltrexone.
Gaspari, J; Kleber, HD; Kosten, TR; Topazian, M, 1985
)
0.27
" Full dose-response curves show a 4-fold shift to the right (P less than ."( Separation of opioid analgesia from respiratory depression: evidence for different receptor mechanisms.
Ling, GS; Lockhart, SH; Pasternak, GW; Spiegel, K, 1985
)
0.27
" The administration of the lowest dose of EKC stimulated the release of prolactin whereas higher doses were without effect suggesting biphasic dose-response relationship."( Identification of multiple opiate receptors through neuroendocrine responses. I. Effects of agonists.
George, R; Pechnick, R; Poland, RE, 1985
)
0.27
" In long-term dosing studies in rodents and primates buprenorphine did not produce the manifestations of physical dependence when treatment was stopped."( Buprenorphine.
Lewis, JW, 1985
)
0.27
" The dose-response curves for the biological response were suggestive of positive cooperativity and systematically occurred at lower ligand concentrations than those for the binding of [3H] [D-Ala2, D-Leu5]enkephalin (DADLE), which were instead shallow and suggestive of a site heterogeneity or of a cooperative phenomenon."( Multiple states of opioid receptors may modulate adenylate cyclase in intact neuroblastoma X glioma hybrid cells.
Costa, T; Gramsch, C; Herz, A; Wüster, M, 1985
)
0.27
" In these experiments, dose-response curves were recorded."( New models for the evaluation of opioid effects in the guinea-pig ileum.
Donnerer, J; Lembeck, F, 1985
)
0.27
" Cannabinol (CBN) showed the same activity but required a dosage of approximately eight times that of THC to produce an equivalent effect."( The quasi-morphine withdrawal syndrome: effect of cannabinol, cannabidiol and tetrahydrocannabinol.
Chesher, GB; Jackson, DM, 1985
)
0.67
" Under the same treatment conditions, caffeine became a more potent antagonist of PIA-induced analgesia, and the dose-response curve for the locomotor effects of caffeine was shifted to the left."( Changes in adenosine receptor sensitivity in morphine-tolerant and -dependent mice.
Ahlijanian, MK; Takemori, AE, 1986
)
0.53
" Naloxonazine also shifted full morphine dose-response curves to the right."( Antagonism of morphine analgesia by intracerebroventricular naloxonazine.
Bodnar, RJ; Pasternak, GW; Portzline, T; Simone, DA, 1986
)
0.92
" The dosage of beta-FNA utilized (5 mg/kg) blocked morphine-induced analgesia (2 mg/kg morphine sulfate, SC) for each injection period (i."( beta-Funaltrexamine (beta-FNA) and the regulation of body and brain development in rats.
McLaughlin, PJ; Zagon, IS, 1986
)
0.52
" pairs of time-response curves, pairs of dose-response lines were constructed at various times; these lines showed decreasing displacement with time, indicative of the disappearance of naloxone."( Estimation of the affinity of naloxone at supraspinal and spinal opioid receptors in vivo: studies with receptor selective agonists.
Heyman, JS; Koslo, RJ; Mosberg, HI; Porreca, F; Tallarida, RJ, 1986
)
0.27
"5 mg/kg diazepam-morphine dose-response curve."( The possible modulation of morphine analgesia by the supramolecular GABA receptor complex.
Ayhan, IH; Palaoglu, O, 1986
)
0.91
" The slope of the analgesic dose-response curve for the highly specific delta agonist, cyclic [D-Penicillamine2, D-Penicillamine5]enkephalin (DPDPE), was significantly different (flatter) from those of mu agonists or DADLE."( Continuous intrathecal opioid analgesia: tolerance and cross-tolerance of mu and delta spinal opioid receptors.
Chang, KJ; Leslie, JB; Russell, RD; Su, YF; Watkins, WD, 1987
)
0.27
"Systemic administration of beta-funaltrexamine (beta-FNA) 24 hr before analgesic testing produced approximately a 10-fold parallel shift in the dose-response curves of the prototypic mu agonists morphine, I-methadone, fentanyl and etorphine in the mouse abdominal constriction test."( Use of beta-funaltrexamine to determine mu opioid receptor involvement in the analgesic activity of various opioid ligands.
Hynes, MD; Leander, JD; Reel, JK; Zimmerman, DM, 1987
)
0.46
" However, a U-shaped dose-response effect on morphine antinociception (3 micrograms, IT) was observed, wherein potent attenuation, moderate attenuation, or enhancement of morphine-induced antinociception was observed following the various doses tested."( Role of spinal cord neuropeptides in pain sensitivity and analgesia: thyrotropin releasing hormone and vasopressin.
Culhane, ES; Suberg, SN; Thurston, CL; Watkins, LR, 1986
)
0.53
" This effect was time-dependent and dose-dependent, and the usual naloxone dose-response function could be recaptured 1 week after the pretreatment effect was obtained."( Effects of acute morphine pretreatment on the rate-decreasing and antagonist activity of naloxone.
Young, AM, 1986
)
0.61
" The slope of this sigmoid dose-response curve varied with the inspirate; it increased as the concentration of CO2 was higher."( Respiratory effects of morphine in awake unrestrained rats.
Colpaert, FC; van den Hoogen, RH, 1986
)
0.58
", the morphine dose-response curve was shifted to the right."( Potentiation of disruptive effects of dextromethorphan by naloxone on fixed-interval performance in rats.
Taşkin, T, 1986
)
0.75
" The well-known tolerance to the hypothermic effect was confirmed by changes in the dose-response curves for latency to peak hyperthermic response."( Tolerance to hyperthermia produced by morphine in rat.
Kalant, H; Kim, C; Mucha, RF, 1987
)
0.54
" Similarly, chronic dosing with acetorphan after withdrawal produced no significant effect on body weight."( Amelioration of naloxone-precipitated opioid withdrawal symptoms by peripheral administration of the enkephalinase inhibitor acetorphan.
Livingston, SJ; Rooney, KF; Sewell, RD; Smith, HJ, 1988
)
0.27
" Dosing rates and rankings of pain, sedation, and liking decreased as a function of time postoperatively, but respiratory rates did not."( Relationship between plasma morphine concentrations and pharmacologic effects in postoperative patients using patient-controlled analgesia.
Arrigo, JM; Batenhorst, RL; Baumann, TJ; Foster, TS; Graves, DA,
)
0.43
" The development of tolerance following this regimen was assessed by shifts in dose-response curves to the right when animals were tested on a tail-flick device in the distinctive context."( Tolerance to morphine in the rat: associative and nonassociative effects.
Maude-Griffin, PM; Tiffany, ST, 1988
)
0.64
" Systemic dosing of opiates is therefore required to reduce the cough reflex, whereas inhaled opiates may reduce the increase in Rrs after inhaled capsaicin."( Effect of inhaled and systemic opiates on responses to inhaled capsaicin in humans.
Choudry, NB; Fuller, RW; Karlsson, JA; Pride, NB, 1988
)
0.27
"The respiratory-depressant effect of the benzodiazepine-derived hypnotic triazolam was investigated with a single oral dose at two and three times the usual dosage in 62 awake normal subjects."( Ventilatory effects of single, high-dose triazolam in awake human subjects.
Begle, RL; Busch, MA; Skatrud, JB, 1988
)
0.27
" We administered propranolol over a wide dosage range to a different group of animals and found that a high dose (20 mg/kg) increased separation-induced coos while decreasing the activity levels."( Effects of clonidine and propranolol on separation-induced distress in infant rhesus monkeys.
Kalin, NH; Shelton, SE, 1988
)
0.27
" Morphine altered dose-response curves for exogenous PGE2, evoking a parallel surmountable shift to the right, but did not affect the inotropic action of added PGF2 alpha."( Morphine diminishes the constancy of spontaneous uterine contractions, antagonizes the positive inotropic effects of prostaglandin E2, but not of prostaglandin F2 alpha and inhibits prostaglandin E and F outputs from the uterus of ovariectomized rats.
Chaud, MA; Faletti, A; Gimeno, AL; Gimeno, MA, 1988
)
2.63
" A U-shaped dose-response relationship was observed for the ability of CCK-8-S to attenuate (by approximately 50%, at most) morphine-induced tail flick analgesia."( Antagonism of morphine analgesia by CCK-8-S does not extend to all assays nor all opiate analgesics.
Barbaz, BS; Hall, NR; Liebman, JM,
)
0.7
" Vagotomy and atropine prevented the effect of morphine so that the dose-response relationships and the mean digoxin dose at onset of ventricular arrhythmias and the development of fatal arrhythmias were not significantly different from the control group receiving saline."( The interrelationship of morphine and the parasympathetic nervous system in digoxin-induced arrhythmias in the guinea-pig.
Rabkin, SW, 1988
)
0.84
" Dose-response curves revealed that adult animals were more than 10-fold less sensitive to NMDA than their younger counterparts."( Characterization and possible opioid modulation of N-methyl-D-aspartic acid induced increases in serum luteinizing hormone levels in the developing male rat.
Bell, RD; Cicero, TJ; Meyer, ER, 1988
)
0.27
" Adjustment of dosage regimen may be required in some patients with uremia receiving multiple-dose codeine therapy."( Pharmacokinetics and pharmacodynamics of codeine in end-stage renal disease.
Abraham, PA; Awni, WM; Findlay, JW; Guay, DR; Halstenson, CE; Jones, EC; Matzke, GR; Opsahl, JA, 1988
)
0.27
" The results of this study confirm previous reports of acute physical dependence in man and extend those findings by demonstrating a morphine dose-response function."( Acute physical dependence in man: effects of naloxone after brief morphine exposure.
Bickel, WK; Bigelow, GE; Liebson, IA; Stitzer, ML, 1988
)
0.72
" This situation demonstrates the difficulties of assessing the level of sedation as well as the dosage requirements in this type of patient."( Detection of overdosage of sedation in a patient with renal failure by the absence of lower oesophageal motility.
Sinclair, ME; Suter, PM, 1988
)
0.27
" Rescue use is measured over dosing intervals as test drug is titrated from a subanalgesic dose to that requiring no or minimal rescue."( Rescue factor: a design for evaluating long-acting analgesics.
Hill, CS; Homesley, H; Savarese, JJ; Thomas, GB, 1988
)
0.27
"25-50 micrograms) in ICR mice, which showed a bell-shaped hyperglycemic dose-response relationship and a brief explosive motor behavior at the higher doses (25-50 micrograms)."( Differential effects of subcutaneous and intrathecal morphine administration on blood glucose in mice: comparison with intracerebroventricular administration.
Brase, DA; Dewey, WL; Lux, F, 1988
)
0.52
" The need for increased dosage seems to be related not only to changes in receptor sensitivity but also to changes in pain mechanisms."( Clinical experience of long-term treatment with epidural and intrathecal opioids--a nationwide survey.
Arnér, S; Gustafsson, LL; Rawal, N, 1988
)
0.27
" Yohimbine, but not naloxone, antagonized the antinociceptive effects of clonidine, whereas both yohimbine and naloxone altered the dose-response function for the effects of clonidine on blood pressure."( Intrathecal morphine and clonidine: antinociceptive tolerance and cross-tolerance and effects on blood pressure.
Gebhart, GF; Solomon, RE, 1988
)
0.65
" In light of these conflicting reports, we have conducted a systematic dose-response analysis of the effects of morphine on FBM in 27 fetal lambs."( Dual action of morphine on fetal breathing movements.
Amione, J; Clare, S; Dwyer, G; Szeto, HH; Umans, JG; Zhu, YS, 1988
)
0.84
" A reduced dosage of local anesthetics, as commonly recommended during pregnancy, was used."( [Epidural anesthesia in a patient with Friedreich's ataxia].
Alon, E; Waespe, W, 1988
)
0.27
" The magnitude of the activating effect depended on the dosage and time after morphine administration."( [Mechanism of the stimulating effect of sucrose in the small intestine as affected by morphine].
Itina, LV, 1987
)
0.72
" However, accumulation of morphine during multiple dosing was significant (AUC24 = 102 +/- 33 ng/mL/hr after single dose versus 212 +/- 118 ng/mL/hr after the last multiple dose)."( Pharmacokinetics of codeine after single- and multiple-oral-dose administration to normal volunteers.
Abraham, PA; Awni, WM; Findlay, JW; Guay, DR; Halstenson, CE; Jones, EC; Matzke, GR; Opsahl, JA, 1987
)
0.57
" The diffusion of 14-18% of the epidurally injected dosage of morphine and 18-27% of dikain through the dura mater takes place depending on the segmentary level."( [Experimental evaluation of dura mater permeability on a model of peridural analgesia with morphine and dikain].
Vitenbek, IA, 1987
)
0.73
" The programmable pump allows precise dosage which is adjusted to the requirements of the individual patient."( Continuous intraventricular morphine- or peptide-infusion for intractable cancer pain.
Chrubasik, J; Mundinger, F; Weigl, K, 1987
)
0.57
" Continuous administration of low dosage epidural narcotics has been shown to have less frequent side effects than bolus administration."( Epidural catheter analgesia for the management of postoperative pain.
Cullen, ML; Staren, ED, 1986
)
0.27
" In contrast to the above, either morphine or [Met5]enkephalin in subthreshold dosage administrated together with the peptidase inhibitors displayed antinociceptive activity in the two groups of tests."( Dissociated effects of inhibitors of enkephalin-metabolising peptidases or naloxone on various nociceptive responses.
Aveaux, D; Ben Natan, L; Chaillet, P; Costentin, J; Schwartz, JC; Vlaiculescu, A, 1986
)
0.55
" However, the large variation in the half-life of methadone necessitated careful adjustment of the dosing interval in individual patients."( A comparative study of the efficacy and pharmacokinetics of oral methadone and morphine in the treatment of severe pain in patients with cancer.
Cherry, DA; Cousins, MJ; Gourlay, GK, 1986
)
0.5
" Dose-response curves for the different behavioral measures revealed significant effects of systemic morphine at the following dosages: The adjunctive behaviors clearly were the most susceptible to depression."( Measurement of pain and morphine hypalgesia in monkeys.
Cooper, BY; Vierck, CJ, 1986
)
0.79
" When this preparation was incubated with morphine for 1 h tolerance developed to the inhibitory effect, since dose-response curves were shifted to the right."( Yohimbine reduces morphine tolerance in guinea-pig ileum.
Alamo, C; Alguacil, LF; Cuenca, E; Santos, C, 1987
)
0.87
" The 4-dose twin crossover trial in which doses are adjusted sequentially is more flexible in that a wide range of doses may be studied, but it lacks the ability of the 6-dose design to provide estimates of the curvature of the dose-response slopes of the study drugs."( Crossover trials in clinical analgesic assays: studies of buprenorphine and morphine.
Houde, RW; Kaiko, RF; Rogers, AG; Wallenstein, SL,
)
0.36
" After 12 generations of selective breeding, the high antinociceptive response line exhibited about 7 times steeper dose-response curve than did the low antinociceptive response line whereas only small differences were seen with saline alone."( Selective breeding for levorphanol-induced antinociception on the hot-plate assay: commonalities in mechanism of action with morphine, pentazocine, ethylketocyclazocine, U-50488H and clonidine in mice.
Belknap, JK; Danielson, PW; Laursen, SE; Noordewier, B, 1987
)
0.48
" The mean dosage of bupivacaine decreased from 21."( Comparison of continuous epidural infusion of a local anesthetic and administration of systemic narcotics in the management of pain after total knee replacement surgery.
Denson, DD; Edström, HH; Hartrick, CT; Hopson, CN; Knarr, DC; Pither, CE; Raj, PP; Vigdorth, E, 1987
)
0.27
" Chronic dosing with morphine or clonidine caused partial tolerance and cross-tolerance to the rise in hepatic BSP caused by an acute challenge with either agonist."( Tolerance to effects of clonidine and morphine on sulfobromophthalein disposition in mice.
Ben-Zvi, Z; Graham, CE; Hurwitz, A, 1987
)
0.86
" The majority had their MSC dosing interval lengthened to every 12 hours with a decrease in the total daily morphine requirement."( Controlled-release oral morphine sulfate in the treatment of cancer pain with pharmacokinetic correlation.
Evans, W; Khojasteh, A; Reynolds, RD; Savarese, JJ; Thomas, G, 1987
)
0.79
" The acetylcholine dose-response curves for steroid pretreated ileum but not duodenum were significantly shifted to the right; evidence that pretreated ileum required higher dose of acetylcholine than normal to cause 50% maximal contraction."( The effect of corticosteroid pretreatment in vivo on the contraction of guinea-pig ileum and duodenum.
Alias, AK; Idid, SZ; Khalid, BA; Merican, Z; Morat, P, 1987
)
0.27
" All the calcium channel blockers studied increased morphine analgesia and displaced to the left the morphine dose-response curve."( Analgesic effects of several calcium channel blockers in mice.
Baeyens, JM; Caro, G; Del Pozo, E, 1987
)
0.52
" The dose-response curve for morphine (i."( Central and systemic morphine-induced antinociception in mice: contribution of descending serotonergic and noradrenergic pathways.
Wigdor, S; Wilcox, GL, 1987
)
0.88
" The study results showed very similar analgesic efficacy for both treatments at a single dosage level of morphine (3 mg) compared to buprenorphine (0."( Buprenorphine vs. morphine via the epidural route: a controlled comparative clinical study of respiratory effects and analgesic activity.
Belfior, R; Berioli, MB; Bifarini, G; Dottorini, ML; Grassi, V; Paoletti, F; Pasqualucci, V; Sorbini, CA; Tantucci, C, 1987
)
0.82
" Mg2+ dose-response curves also reinforced the differences in the Ca2+/CaM requirement for Gpp(NH)p- and morphine-induced inhibition."( Ca2+/calmodulin distinguishes between guanyl-5'-yl-imidodiphosphate- and opiate-mediated inhibition of rat striatal adenylate cyclase.
Ahlijanian, MK; Cooper, DM; Halford, MK, 1987
)
0.49
" Patients were followed up primarily at home, supervised by a local hospice care team, and received daily dosage ranging from 60 mg to 420 mg morphine administered as 30 mg sustained-release tablets delivered at intervals from 6 to 10 hours for 'Roxanol SR' and from 8 to 14 hours for 'MS Contin'."( The use of sustained-release morphine in a hospice setting.
Sherman, LM, 1987
)
0.77
" To better define the interactions between gamma irradiation and these opiate-mediated phenomena, dose-response studies were undertaken of the effect of irradiation on morphine-induced antinociception, and on the naloxone-precipitated withdrawal syndrome of morphine-dependent rats."( Irradiation exposure modulates central opioid functions.
Dafny, N; Dougherty, PM, 1987
)
0.47
" Morphine pharmacokinetics were also studied in cancer patients administered long-term infusions of morphine sulfate over a wide dosage range (0."( Cerebrospinal fluid and plasma pharmacokinetics of morphine infusions in pediatric cancer patients and rhesus monkeys.
Balis, FM; Greene, RF; Lester, CM; Miser, AW; Poplack, DG, 1987
)
1.44
" Of the 18 patients who completed the study, all achieved satisfactory levels of analgesia on MSC, seven at q8h and 11 at q12h dosing intervals."( Management of cancer pain with oral controlled-release morphine sulfate.
Blum, RH; Kantor, TG; Kleinman, PM; Meed, SD; Savarese, JJ, 1987
)
0.52
" With increasing dosage of nalbuphine there appeared to be a limit to the extent of respiratory depression."( Respiratory function following nalbuphine and morphine in anaesthetized man.
Klepper, ID; Mapleson, WW; Rosen, M; Vickers, MD, 1986
)
0.53
" Dose-response and time-course experiments were carried out using both static incubation of paired hemipituitary glands and perifusion of whole glands."( Effects of two enkephalin analogues, morphine sulphate, dopamine and naloxone on prolactin secretion from rat anterior pituitary glands in vitro.
Bentley, AM; Wallis, M, 1986
)
0.54
" All eight drugs produced dose-related decreases in response rates, and the buprenorphine dose-response curve was more shallow and not parallel to the others."( Comparison of opioid self-injection and disruption of schedule-controlled performance in the baboon.
Brady, JV; Griffiths, RR; Lukas, SE, 1986
)
0.27
"A study of the liver N-demethylase activity in rats treated with different dosage schedule of morphine, or with a single dose of haloperidol was carried out."( N-demethylase activity in the rat liver following morphine and haloperidol treatment.
Daniel, W; Melzacka, M,
)
0.6
" Tolerance to the acute effects of morphine on phenol red disposition is probably due to lessened response of blood flow or tubular function in chronically dosed mice."( Tolerance to morphine effects on renal disposition of xenobiotics in mice.
Garty, M; Hurwitz, A, 1986
)
0.92
" The immunoreactivity of the tissue extracts gave dose-response lines in the radioimmunoassay for met-enkephalin which were near parallel to that for the standard."( Evidence for intrinsic regulation of met-enkephalin-immunoreactivity in gastroenteropancreatic tissues of the rat.
Degler, T; Feurle, GE; Frank, B, 1986
)
0.27
" Morphine analgesic effect during subchronic dosage (50 mg/kg a day) was gradually decreased."( Stimulation-produced analgesia under repeated morphine treatment in rats.
Morozova, AS; Zvartau, EE, 1986
)
1.44
" Dose-response curves for the convulsive effect of pentylenetetrazol obtained at the peak of the withdrawal signs shifted greatly to the left in alcohol withdrawn animals but less in barbital withdrawn animals."( Differentiation of alcohol and barbital physical dependence.
Kaneda, H; Kaneto, H; Kawatani, S, 1986
)
0.27
" Patients given continuous infusions required more narcotic to control their pain and had more side effects than those treated with bolus injections alone, suggesting a dose-response relationship between narcotic dose and several known side effects."( Intravenous narcotic therapy for children with severe sickle cell pain crisis.
Buchanan, GR; Cole, TB; Smith, SJ; Sprinkle, RH, 1986
)
0.27
"Experimentation with the "in vitro" methodology allowed the authors to study the effects of several pharmacological substances on human and animal tissue, making possible a qualitative assessment of activity, the quantitative dose-response relationships, the possible existence of specific drug receptors and the action, competitive or non-competitive, of a given antagonist."( In vitro study on isolated tissues: applications to perinatology.
Branconi, F; D'Alessandro, A; Di Tommaso, M; Farruggia, A, 1986
)
0.27
" Comparisons of dose-response curves and efficacies demonstrated that d-NANM was more similar to PCP in its effectiveness in depressing the flexor and skin twitch reflexes than was l-NANM."( Pharmacologic and reinforcing properties of phencyclidine and the enantiomers of N-allylnormetazocine in the dog.
Risner, ME; Shannon, HE; Vaupel, DB, 1986
)
0.27
" The mean daily morphine dosage was 103 +/- 36 mg and the maximum daily dosage was 170 +/- 65 mg."( Morphine in tetanus--the management of sympathetic nervous system overactivity.
Calver, AD; Hariparsad, D; Pather, M; Rocke, DA; Wesley, AG, 1986
)
2.06
"8 ng/ml depending on daily dosage and body weight."( [The pharmacokinetics of continuous peridural morphine infusion].
Gips, H; Hempelmann, G; Krumholz, W; Lüben, V; Müller, H; Zierski, J, 1986
)
0.53
" When the scores derived from the categorized ratings 1 hour after drug dosing (generally the time of peak effect) were analyzed, there was little difference whether a parametric or nonparametric approach was taken."( Reassessment of verbal and visual analog ratings in analgesic studies.
Littman, GS; Schneider, BE; Walker, BR, 1985
)
0.27
" Most importantly, however, we showed that the GPT-LHRH produced equivalent, parallel shifts to the right in the dose-response curves for LHRH and naloxone, indicative of competitive inhibition."( Luteinizing hormone releasing hormone mediates naloxone's effects on serum luteinizing hormone levels in normal and morphine-sensitized male rats.
Cicero, TJ; Meyer, ER; Miller, BT; Schmoeker, PF, 1985
)
0.48
" A valid dose-response curve was obtained for both drugs with no significant deviation from parallelism."( Comparative evaluation of ciramadol (WY-15.705), morphine and placebo for treatment of postoperative pain.
Camu, F; Van den Abeele, G, 1985
)
0.52
" Continuous subcutaneous infusion of morphine is a practical and effective means of achieving post-operative analgesia but, as with other mandatory dosing regimens, relative overdosage may occur."( Continuous subcutaneous infusion of morphine for postoperative pain relief.
Allan, MW; Burrow, LM; Goudie, TA; Grant, IS; Lonsdale, M; Macrae, WA, 1985
)
0.82
" Schedule-controlled responding was disrupted when morphine maintenance was abruptly discontinued but not when the maintenance dosage was gradually reduced to zero."( Behavioral effects of naloxone and nalorphine preceding and following morphine maintenance in the rhesus monkey.
Bergman, J; Schuster, CR, 1985
)
0.75
"A randomized double-blind study compared the dose-response relationship of epidural morphine for postoperative pain relief in two groups of patients whose surgical procedures would result in either moderate (femoral-popliteal bypass) or severe (total knee replacement) postoperative pain."( Epidural morphine provides postoperative pain relief in peripheral vascular and orthopedic surgical patients: a dose-response study.
Allen, PD; Concepcion, M; Covino, BG; Cullen, D; Patterson, MK; Sheskey, M; Walman, T, 1986
)
0.91
" These results provide evidence that tolerance for cocaine used as a discriminative stimulus occurs as a function of chronic dose, dosing regimen and class of drug administered."( Characteristics of tolerance, recovery from tolerance and cross-tolerance for cocaine used as a discriminative stimulus.
Emmett-Oglesby, MW; Wood, DM, 1986
)
0.27
" This dosing method produced high plasma naltrexone levels (350 ng/ml) by 1 hr which declined over an implant period of 192 hr (24 ng/ml)."( Pharmacokinetics and pharmacodynamics of subcutaneous naltrexone pellets in the rat.
Cohen, AH; Inturrisi, CE; Yoburn, BC, 1986
)
0.27
" The degree of drug tolerance was assessed by determining cumulative dose-response functions for morphine before, during and after chronic administration."( Modification of morphine tolerance by behavioral variables.
Sannerud, CA; Young, AM, 1986
)
0.83
" After these dose-response curve determinations, chronic daily treatment with haloperidol (0."( Effects of drugs on schedule-controlled behavior in rats during chronic haloperidol administration.
McMillan, DE; Rastogi, SK, 1985
)
0.27
" The N-methyl-quaternary analog of naloxone (methylnaloxone, which presumably entails selective action at opiate receptors outside the CNS) was also effective, indicating peripheral effects at the dosage level used (0."( Colonic motor responses in the pony: relevance of colonic stimulation by opiate antagonists.
Bardon, T; Roger, T; Ruckebusch, Y, 1985
)
0.27
"Low dosage epidural morphine (4 mg) provided adequate postoperative pain relief in patients undergoing elective cesarean section under epidural analgesia."( Epidural morphine as postoperative analgesic following cesarean section under epidural analgesia.
Aaltonen, L; Aärimaa, L; Erkkola, R; Kanto, J, 1985
)
1.01
"Male and female normotensive Wistar-Kyoto rats (WKYs) and spontaneously hypertensive rats (SHRs) all responded to morphine treatment with biphasic dose-response curves, exhibiting hyperthermia at low doses and hypothermia at higher doses."( Sex and strain differences in morphine-induced temperature effects in WKYs and SHRs.
Barlament, J; Quock, RM; Vaughn, LK; Wojcechowskyj, JA, 1985
)
0.77
" These data indicate that an interindividual variation in morphine pharmacokinetics is one factor responsible for varying dosage requirements in children with cancer."( Variation in morphine pharmacokinetics in children with cancer.
Miser, AW; Miser, JS; Nahata, MC; Reuning, RH, 1985
)
0.88
" at a dosage 1000 times lower than that of morphine on a molar basis."( Comparative study on the electrophysiological responses at thalamic level to different analgesic peptides.
Biella, G; Braga, PC; Fraschini, F; Guidobono, F; Pecile, A; Tiengo, M, 1985
)
0.53
" At 30 min, the dose-response curve was shifted to the right."( Chronic stress, aging and morphine analgesia: chronic stress affects the reactivity to morphine in young mature but not old rats.
Girardot, MN; Holloway, FA, 1985
)
0.57
" Naloxone, in the dosage used (40 micrograms/kg body wt as a bolus, followed by 10 micrograms/kg body wt X h) had no independent effects on motility or flow, but did blunt the stimulatory effects of morphine and atropine on migrating motor complexes."( Effects of morphine and atropine on motility and transit in the human ileum.
Borody, TJ; Haddad, A; Phillips, SF; Quigley, EM; Tucker, RL; Wienbeck, M; Zinsmeister, AR, 1985
)
0.85
" In each series of experiments, dose-response curves for morphine (probit analysis) were determined with and without the addition of caffeine (30 mg X kg-1)."( Morphine--caffeine analgesic interaction in rats.
Bradley, EL; Brown, PT; Kissin, I; Person, DL; Vinik, HR; Xavier, AV, 1985
)
1.96
" On combined use of gidifen and analgesics applied in a definite dosage range the analgesic effect is potentiated."( [Pain-alleviating action of gidifen and its combinations with analgesics].
Aleksandrova, GM; Efremova, GN; El'tsova, ZI; Milogradova, GP; Zorian, EV,
)
0.13
" Under conditions of high stress, rats first showed diminished, and then enhanced, hyperthermic responding across repeated morphine dosing (5 or 35 mg/kg)."( Influence of stress on morphine-induced hyperthermia: relevance to drug conditioning and tolerance development.
Baker, TB; Tiffany, ST; Zelman, DC, 1985
)
0.79
" It was concluded that a rectal solution adjusted to pH 7 to 8 provided an entirely adequate dosage form."( Drastic improvement in the rectal absorption profile of morphine in man.
Meijer, DK; Moolenaar, F; Visser, J; Yska, JP, 1985
)
0.52
" The pharmacodynamic consequences of these dosage characteristics are the rapid development of tolerance and maintenance of physical dependence during the period of the implant."( Pharmacokinetics and pharmacodynamics of subcutaneous morphine pellets in the rat.
Chen, J; Huang, T; Inturrisi, CE; Yoburn, BC, 1985
)
0.52
" The absence of any effects of a 2-mg/kg dose of 4,5,6,7-tetrahydroisoxazolo[5,4-c]pyridin-3-ol and the severe side effects produced by 10 mg/kg prevented determination of its dose-response relationship."( Shock titration in the rhesus monkey: effects of opiate and nonopiate analgesics.
Bloss, JL; Hammond, DL, 1985
)
0.27
" After the lower dosage of morphine the plasma concentrations never exceeded 10 ng X ml-1, whereas the mean peak plasma concentration was 25."( Rectally administered morphine: plasma concentrations in children premedicated with morphine in hydrogel and in solution.
Westerling, D, 1985
)
0.88
" Due to the rather high dosage necessary (1-2 mg/ml), well-known side-effects of these opiates must also be taken into consideration."( [Local anesthetic effects of morphine and naloxone].
Gilly, H; Kramer, R; Zahorovsky, I, 1985
)
0.56
" The dose-response relationship for hyperactivity in grouped mice following the injection of morphine sulphate has been established."( Monoamine mediation of the morphine-induced activation of mice.
Carroll, BJ; Sharp, PT, 1972
)
0.77
" Rats were dosed continuously with morphine hydrochloride by giving a daily dose through tubes connected to small, subcutaneously implanted reservoirs."( An implanted reservoir of morphine solution for rapid induction of physical dependence in rats.
Goode, PG, 1971
)
0.83
" Tolerance was manifested by a shift to the right in the dose-response curve for morphine after mice were treated repeatedly with morphine."( Tolerance to morphine-induced increases in [14C]catecholamine synthesis in mouse brain.
Bednarczyk, JH; Sheldon, MI; Smith, CB; Villarreal, JE, 1970
)
0.84
" Log dose-response curves to oxotremorine and acetylcholine were similar and both drugs were competitively antagonized by atropine."( Investigation of the mechanism of action of oxotremorine on the guinea-pig isolated ileum preparation.
Cox, B; Hecker, SE, 1971
)
0.25
" These results show that tumorigenic events are dictated by the duration of opiate receptor blockade rather than the dosage of opiate antagonist, and provide compelling evidence that endogenous opioid systems play a crucial role in neuro-oncogenic expression."( Duration of opiate receptor blockade determines tumorigenic response in mice with neuroblastoma: a role for endogenous opioid systems in cancer.
McLaughlin, PJ; Zagon, IS, 1984
)
0.27
" Dose-response experiments indicated that cyclo (leu-Gly) was much more potent than MIF in these tests."( Development of narcotic tolerance and physical dependence: effects of Pro-Leu-Gly-NH2 and cyclo (Leu-Gly).
Bhargava, HN; Ritzmann, RF; Walter, R, 1980
)
0.26
" While the dose-response curves for the antipsychotic drugs were parallel, had steep slopes and similar maxima, the curves for morphine and oxotremorine were irregularly shaped but the curve for morphine in the TO had some similarity to that of the antipsychotic drugs."( The differential effects of morphine, oxotremorine and antipsychotic drugs on DOPAC concentrations in rat brain.
Stanley, M; Wilk, S, 1980
)
0.76
"5 mum produced a 1000 fold shift in the opiate dose-response curve but the anaesthetic responses showed only slight sensitivity to antagonism by naloxone."( Opiate-like analgesic activity in general anaesthetics.
Lawrence, D; Livingston, A, 1981
)
0.26
") produced a dose-response curve with a reduced maximum effect."( Relative involvement of receptor subtypes in opioid-induced inhibition of intestinal motility in mice.
Takemori, AE; Ward, SJ,
)
0.13
" Similar dose-response curves in an apparent sine-wave pattern were noted with both MIF-1 and naloxone when comparisons were made both at 20 minutes after administration of morphine and over the entire 150 minutes of the experiment."( Similar antagonism of morphine analgesia by MIF-1 and naloxone in Carassius auratus.
Ehrensing, RH; Kastin, AJ; Michell, GF, 1982
)
0.77
" A reliable dose-response and time-response relations were observed for both groups of analgesics."( A new method for the rapid measurement of analgesic activity in rabbits.
Ayhan, IH; Melli, M; Türker, RK, 1983
)
0.27
" [14C]Morphinone-cysteine conjugate was detected in proteolytic digests of mouse liver protein dosed with radiolabeled morphine."( Studies on the mechanism of covalent binding of morphine metabolites to proteins in mouse.
Ishida, T; Kido, Y; Nagamatsu, K; Terao, T; Toki, S,
)
0.6
" In contrast, removal of the morphine pellet 3 hours prior to the analgesic evaluation apparently unmasked the expression of tolerance and cross-tolerance as evidenced by a three fold, parallel shift to the right of the analgesic dose-response curve for subcutaneously administered etorphine and methadone and a seven fold shift to intracerebroventricularly administered morphine."( Differential analgesic cross-tolerance to morphine between lipophilic and hydrophilic narcotic agonists.
Paktor, J; Vaught, JL, 1984
)
0.82
" We have also found that the route of administration, dosage schedule, and satiation of animals may affect the distribution and metabolism of drugs, and this in turn may change their pharmacological effects."( Pharmacokinetic aspects of some behavioral effects of psychotropic drugs.
Melzacka, M,
)
0.13
" One group of experiments established a dose-response range."( Effects of morphine on glucose homeostasis in the conscious dog.
Abumrad, NN; Cherrington, AD; Lacy, DB; Lacy, WW; McRae, JR; Radosevich, PM; Steiner, KE; Williams, PE, 1984
)
0.66
" More than 45% of ventromedial hypothalamic units reacted in a dose-response fashion to local application of morphine."( Microiontophoretic application of morphine and naloxone to neurons in hypothalamus of rat.
Dafny, N; Prieto-Gomez, B; Reyes-Vazquez, C, 1984
)
0.76
"01 mg/kg IP, the dose-response pattern for MIF-1 resembling an inverted-U."( Tyr-MIF-1 and MIF-1 are active in the water wheel test for antidepressant drugs.
Abel, DA; Coy, DH; Ehrensing, RH; Graf, MV; Kastin, AJ, 1984
)
0.27
"-butyl-amino-ethanol hydrochloride (mabuterol) was tested in male rats dosed with 20, 100 and weekly increasing doses of 20, 40, 60, 80 and 100 mg/kg over 7 weeks."( Special toxicology--physical dependence potential, antigenicity and mutagenicity--of mabuterol.
Amemiya, K; Arika, T; Asano, T; Kudoh, M; Nakamura, M, 1984
)
0.27
" Dose-response curves were constructed using the rat tail pressure test for analgesia which indicated a rank order of potency of buprenorphine much greater than morphine greater than butorphanol greater than xorphanol = nalbuphine."( Physical dependence induced by opiate partial agonists in the rat.
Howlett, GJ; McCarthy, PS, 1984
)
0.46
" Adverse reactions occurred more often with higher doses of morphine and codeine; the dose-response relationship could not be evaluated for the other three drugs."( Clinical effects of parenteral narcotics in hospitalized medical patients.
Miller, RR, 1980
)
0.5
" IF produced a long-lasting increase in firing discharges and exhibited dose-response characteristics."( Novel effects of interferon on the brain: microiontophoretic application and single cell recording in the rat.
Dafny, N; Prieto-Gomez, B; Reyes-Vazquez, C, 1982
)
0.26
" Morphine in the dosage used did not influence the intradental sensory nerve conductivity."( Morphine inhibits substance P release from peripheral sensory nerve endings.
Brodin, E; Gazelius, B; Olgart, L; Panopoulos, P, 1983
)
2.62
" Specifically in the case of morphine it is clear that: it is a very effective analgesic given orally, dosage must be individualized, parenteral use or exotic analgesic 'cocktails' are usually unnecessary, and tolerance, dependence and respiratory depression are rarely common or serious problems which prevent effective pain control provided morphine is used appropriately in accordance with its pharmacological characteristics."( Oral morphine in chronic cancer pain.
Walsh, TD, 1984
)
1.07
" Although the patient gave no previous history of narcotic use or abuse, he required morphine dosing rates as high as 56 mg/h to maintain adequate analgesia."( Extraordinary analgesic requirement in a patient previously unexposed to narcotics.
Batenhorst, RL; Baumann, TJ; Bennett, RL; Foster, TS; Graves, DA; Griffen, WO; Plumlee, JE,
)
0.36
"3 mg/kg) produced a 3-fold shift to the right of the cyclazocine dose-response curve but did not completely block the cyclazocine-like stimulus effects of either SKF 10,047 or ethylketocyclazocine."( Discriminative stimulus effects of prototype opiate receptor agonists in monkeys.
Holtzman, SG; Teal, JJ, 1980
)
0.26
" Morphine's direct effect on activity is believed to have a biphasic dose-response curve; therefore, the relation of dose to conditioning was also studied."( Conditioned increases in locomotor activity produced with morphine as an unconditioned stimulus, and the relation of conditioning to acute morphine effect and tolerance.
Kalant, H; Mucha, RF; Volkovskis, C, 1981
)
1.42
" The parallelism of the dose-response curves of opiates in the presence and absence of naloxone indicated competitive reversible antagonism."( Opiate receptors in the rabbit iris.
Dal Bello, A; Drago, F; Gorgone, G; Moro, F; Panissidi, G; Scapagnini, U; Spina, F, 1980
)
0.26
" A dose-response investigation of morphine's action (5, 10, 15 and 20 mg/kg) in additional animals receiving 10 daily administrations of ECS reveals that a greater tolerance to morphine's motor inhibitory effect than to its analgesic effect results from repeated ECS administration."( Different opioid systems may participate in post-electro-convulsive shock (ECS) analgesia and catalepsy.
Frenk, H; Urca, G; Yitzhaky, J, 1981
)
0.54
" 2 Buprenorphine revealed a bell-shaped dose-response curve for antinociception peaking at approx."( In vivo receptor binding of the opiate partial agonist, buprenorphine, correlated with its agonistic and antagonistic actions.
Dum, JE; Herz, A, 1981
)
0.26
" Dose-response curves for serotonin before morphine application and in the presence of morphine show a noncompetitive mechanism of morphine-serotonin interaction."( [Naloxone-dependent morphine-induced depression of the snail response to serotonin].
Bezrukova, LV; Solntseva, EI, 1981
)
0.85
" Analyses of all measures revealed a significant effect of morphine dose, although the shape of the dose-response curve differed for individual responses."( Altered behavioral responsivity to morphine during the periadolescent period in rats.
Horowitz, GP; Lipovsky, J; Spear, LP, 1982
)
0.78
" Thus, both sites demonstrated similar dose-response relationships, both responding to at least 100 times lower doses of enkephalins than MS."( Characterization of opiate-mediated responses of the feline ileum and ileocecal sphincter.
Clain, CJ; Cohen, S; Ouyang, A; Snape, WJ, 1982
)
0.26
" In the presence of 30 microM morphine, the dose-response curve of beta-endorphin shifted to the right by about 10-fold."( Partial agonistic action of morphine in the rat vas deferens.
Ishii, K; Kato, R; Muraki, T; Yamamoto, S, 1981
)
0.85
"The dose-response curve for morphine-induced stimulation of striatal dopamine metabolism was shifted to the right in mice which had been withdrawn for 24 hours after chronic consumption of an ethanol-containing liquid diet."( Alterations in opiate receptor function after chronic ethanol exposure.
Hoffman, PL; Tabakoff, B; Urwyler, S, 1982
)
0.56
") and 60 min before testing, it produced the theoretically predicted alterations in the morphine dose-response relation that are indicative of partial receptor blockade."( The affinity of morphine for its pharmacologic receptor in vivo.
Cowan, A; Tallarida, RJ, 1982
)
0.83
" Parallel dose-response lines were obtained for the two opioid agonists but the effect of EKC was more resistant to naloxone antagonism."( Mu and kappa opioid agonists elevate brain stimulation threshold for escape by inhibiting aversion.
Bonnet, KA; Carr, KD; Simon, EJ, 1982
)
0.26
" In a further series of tests, a 50 mg/kg dose of naloxazone 20 hr prior to the assessment of morphine or metkephamid analgesia in the mouse hot plate test substantially shifted the dose-response curve for morphine to the right, while leaving the dose-response curve for metkephamid unchanged."( Cross-tolerance studies distinguish morphine- and metkephamid-induced analgesia.
Frederickson, RC; Hynes, MD,
)
0.63
" Under the same conditions of dosage and time course of administration the activities of relevant mucosal enzymes were studied."( Effects of morphine on net water absorption, mucosal adenylate cyclase activity and PGE2 metabolism in rat intestine.
Smith, G; Tonge, A; Turnberg, L; Warhurst, G, 1982
)
0.65
"The relationship between opiate binding density and morphine-induced catalepsy was estimated via dose-response analysis of the brain sites in which naloxone microinjections reversed the catalepsy induced by intraperitoneal morphine."( Reversal of morphine-induced catalepsy by naloxone microinjections into brain regions with high opiate receptor binding: a preliminary report.
Bozarth, M; Levitt, RA; Wilcox, RE, 1983
)
0.9
" It increased the IC50 values and slopes of their dose-response curve for enkephalins and their analogs, and shifted to the right the curves for FK33824, levorphanol and normorphine."( Functional opiate receptor in mouse vas deferens: evidence for a complex interaction.
Garzón, J; Lee, NM; Sánchez-Blázquez, P, 1983
)
0.46
" 5-HTP alone (200 mg/kg) increased wet dog shakes epissodes, whereas TP alone in the same dosage practically did not have any influence on the wet dog shakes in morphine-dependent rats."( The role of central serotoninergic neurotransmission in the morphine abstinence syndrome in rats.
Kruszewska, A; Langwiński, R, 1983
)
0.7
"Agonist/antagonist (Ag/Ant) analgesics possess bell-shaped dose-response curves with regard to nigrostriatal dopamine (DA) metabolism in the rat."( Agonist/antagonist analgesics and nigrostriatal dopamine metabolism in the rat: evidence for receptor dualism.
McQuade, P; Richard, JW; Thakur, M; Wood, PL, 1983
)
0.27
" The application of naloxone alone in naive and morphine-dependent rats demonstrated that the PF units responded in a characteristic dose-response manner to incremental naloxone administration."( Microiontophoretically applied morphine and naloxone on single cell activity in the parafasciculus nucleus of naive and morphine-dependent rats.
Dafny, N; Reyes-Vazquez, C, 1984
)
0.81
" An increase in the naloxone dosage (up to 1 mg/kg) was necessary to demonstrate the naloxone antagonistic effect (8-fold increase in the morphine ED50 value) when morphine was given with halothane."( Effect of morphine on the heart rate response to noxious stimulation: interaction with halothane and naloxone.
Kerr, RC; Kissin, I; Smith, RL, 1984
)
0.87
" Respiratory frequency was dose-dependently depressed by FK-33824 and DADLE ; dose-response curves with morphine and D-Ser2- Thr6 could not be obtained for technical reasons."( A comparative study in rats of the respiratory depression and analgesia induced by mu- and delta-opioid agonists.
Flórez, J; Pazos, A, 1984
)
0.48
", delayed nociceptive reaction on a 55 degrees C hot-plate with a dose-response curve not readily fitting a single straight line; this effect was antagonized by high doses of naloxone."( Bremazocine induces antinociception, but prevents opioid-induced constipation and catatonia in rats and precipitates withdrawal in morphine-dependent rats.
Gambino, MC; Petrillo, P; Tavani, A, 1984
)
0.47
"0 mg/kg) produced dose-related shifts to the right in the dose-response curves for the discriminative stimulus and rate-decreasing effects of morphine and ethylketazocine without affecting the response produced by meperidine."( Narcotic discrimination in pigeons: antagonism by naltrexone.
Herling, S; Solomon, RE; Valentino, RJ; Woods, JH, 1984
)
0.47
" Dose-response curves for subcutaneous (SC) morphine (0."( Reinforcing properties of morphine and naloxone revealed by conditioned place preferences: a procedural examination.
Iversen, SD; Mucha, RF, 1984
)
0.83
" Footshock intensity thresholds for eliciting locomotion were determined and dose-response curves for EKC and MS analgesia were obtained."( Analgesic effects of ethylketocyclazocine and morphine in rat and toad.
Aleman, DO; Carr, KD; Holland, MJ; Simon, EJ, 1984
)
0.53
" Higher dosage of narcotic administered during anesthetic induction did not temper increase in metabolic rate observed after unclamping."( Abdominal aortic cross-clamping. Metabolic and hemodynamic consequences.
Askanazi, J; Damask, MC; Hyman, AI; Rodriguez, J; Rosenbaum, SH; Weissman, C, 1984
)
0.27
" Simultaneous application of Hi and 10 micrograms of diphenhydramine, pyrilamine or promethazine, apparently causing no analgesic effect from a single administration, caused a parallel shift of the dose-response curve of Hi to the right."( Analgesic effect of histamine induced by intracerebral injection into mice.
Chung, YH; Kamei, C; Miyake, H; Tasaka, K, 1984
)
0.27
" There were no significant differences between dosage forms in mean morphine-3-glucuronide concentrations at individual time points or over the entire period."( Plasma concentrations following single doses of morphine sulfate in oral solution and rectal suppository.
Ellison, NM; Lewis, GO,
)
0.62
" In most experimental situations, indications for bell-shaped dose-response curves of DSIP were found."( Some pharmacological effects of delta-sleep-inducing peptide (DSIP).
Aeppli, L; Haefely, W; Polc, P; Scherschlicht, R, 1984
)
0.27
"From birth to day 21, rat offspring received daily injections of naltrexone at a dosage that blocked morphine-induced analgesia 24 hours a day."( Increased brain size and cellular content in infant rats treated with an opiate antagonist.
McLaughlin, PJ; Zagon, IS, 1983
)
0.48
" Besides the advantage of stronger and longer duration, small dosage and minor central depressive side effects, epidural opiate analgesia has proven to result in positive clinical consequences."( [Peridural opiate analgesia. Clinical results of a 2-year study].
Brämswig, H; Piepenbrock, S; Tryba, M; Zenz, M, 1983
)
0.27
" The defensive biting response to heat shows reliable dose-response effects with morphine which compare well with our similar upper body device (Rosenfeld et al."( A new, reliable lower-body nociception device for unrestrained animals yields data comparable to a new portable version of the face-rub test.
Gribben, D; Rosenfeld, JP, 1983
)
0.49
" This has brought about a reconsideration upon the usefulness of neonatal screenings and this goes for the most recent method based on the dosage of blood trypsin levels."( [Diagnosis of cystic fibrosis].
Battistini, A,
)
0.13
" The data indicate that morphine pharmacokinetics change after chronic treatment and depend on dosage schedule and that plasma concentration of morphine may not reflect the drug level in tissues, particularly in the central nervous system."( Changes in morphine pharmacokinetics in nervous and peripheral tissues following different schedules of administration.
Adamus, A; Danek, L; Melzacka, M; Vetulani, J, 1983
)
0.96
" We define dosing rules for a loading dose followed by a continuous intravenous infusion of morphine sulfate to achieve a serum morphine concentration of 75 micrograms/L."( Pharmacokinetics of intravenous morphine in balanced anesthesia: studies in children.
Chinyanga, H; Endrenyi, L; Mac Leod, S; Soldin, S; Vandenberghe, H, 1983
)
0.77
" Although morphine (ID50 = 4 micrograms) was a very potent analgesic when given intracerebroventricularly, very shallow dose-response curves were obtained with the other substances which promoted less than 30% of inhibition at doses up to 250 micrograms."( The peripheral analgesic effect of morphine, codeine, pentazocine and d-propoxyphene.
Ferreira, SH; Lorenzetti, BB; Molina, N; Vettore, O, 1983
)
0.95
" Naloxone dose-response curves revealed that the naloxone ED50 was reduced by either morphine pretreatment regimen, but was much more pronounced in pellet-implanted animals [181."( Morphine-induced supersensitivity to the effects of naloxone on luteinizing hormone secretion in the male rat.
Cicero, TJ; Meyer, ER; Owens, DP; Schmoeker, PF, 1983
)
1.93
" Dosing rates were studied with regard to the time of day."( Morphine requirements using patient-controlled analgesia: influence of diurnal variation and morbid obesity.
Batenhorst, RL; Bennett, RL; Foster, TS; Graves, DA; Griffen, WO; Wettstein, JG; Wright, BD,
)
1.57
" d-Amphetamine, cocaine, and caffeine each had the effect of elevating both bite and lever press responses; nicotine, chlorpromazine, chlordiazepoxide, and diazepam each elevated lever press responding while depressing bite responding across a portion of the dosage range; phenobarbital, alcohol, and morphine had the effect of depressing both bite and lever press responses but lever pressing was selectively more depressed than biting."( Unique influences of ten drugs upon post-shock biting attack and pre-shock manual responding.
Emley, GS; Hutchinson, RR, 1983
)
0.44
" One subject who was administered dextroamphetamine did not produce a wave consistent with amphetamine with a dosage of 5 mg."( Qualitative measurement of drugs.
Gilbert, LM; Golz, A; Komorowski, FS; Westerman, ST, 1984
)
0.27
" To investigate the extent to which this may be due to different experimental parameters, foot-shock intensity and dosage of morphine were systematically varied in a passive-avoidance task."( Facilitation or inhibition of memory by morphine: a question of experimental parameters.
Classen, W; Mondadori, C, 1984
)
0.74
" The dose-response curve was an inverted U in this range of dose."( Possible interaction between central cholinergic muscarinic and opioid peptidergic systems during memory consolidation in mice.
Baratti, CM; Huygens, P; Introini, IB, 1984
)
0.27
" The factors affecting the release of drug from the delivery system were the ratio of cholesterol to naltrexone, drug loading level and surface area to unit volume of dosage form."( An improved long-acting delivery system for narcotic antagonists.
Misra, AL; Pontani, RB, 1981
)
0.26
" In the remaining 13 patients nitroglycerin produced partial relief of pain in 17 +/- 5 minutes and complete relief in 127 +/- 65 minutes, requiring a cumulative dosage of 23."( Large dose sublingual nitroglycerin in acute myocardial infarction: relief of chest pain and reduction of Q wave evolution.
Kim, YI; Williams, JF, 1982
)
0.26
" The increasing morphine dosage was associated with progressive rightward displacements and ultimately decreases in the slope of the CO2 response curves."( Analgesic and respiratory depressant activity of nalbuphine: a comparison with morphine.
DiFazio, CA; Gal, TJ; Moscicki, J, 1982
)
0.84
" Hypophysectomy altered the slope of the dose-response curve for morphine antinociception without significantly changing the ED50."( Endocrine influences on the actions of morphine. II. Responses to pituitary hormones.
Carlson, HE; George, R; Kasson, BG, 1983
)
0.77
"0 mg/kg) shifted the clonidine dose-response curves to the right, suggesting competitive antagonism."( An analysis of the effects of systemically administered clonidine on the food and water intake of rats.
Sanger, DJ, 1983
)
0.27
" In 86 units, morphine at any dosage failed to alter neuronal activity, but in 54 of these units naloxone nevertheless induced alterations in firing rates."( Dose effects of morphine on the spontaneous unit activity recorded from the thalamus, hypothalamus, septum, hippocampus, reticular formation, central gray, and caudate nucleus.
Bergmann, F; Burks, TF; Dafny, N, 1983
)
0.97
" Nevertheless, the antinociceptive action of vasopressin does not appear to be secondary to its pressor activity, since phenylephrine failed to induce an antinociceptive effect at a dosage that mimicked the pressor response to vasopressin."( Vasopressin-induced antinociception: an investigation into its physiological and hormonal basis.
Berntson, GG; Berson, BS; Kirk, WT; Torello, MW; Zipf, W, 1983
)
0.27
" The depressive effect was significantly dose-related (with linear semi-logarithmic dose-response curve) and naloxone-reversible."( Low dose of morphine strongly depresses responses of specific nociceptive neurones in the ventrobasal complex of the rat.
Benoist, JM; Gautron, M; Guilbaud, G; Kayser, V, 1983
)
0.64
" In a similar dose-response relationship, injections of morphine into this area inhibited the reflex activation of alpha-motoneurones by mild tetanic stimulation of the ipsilateral peroneal nerve (flexor alpha-motoneurones) in halothane-anesthetized rats."( Is morphine-induced akinesia related to inhibition of reflex activation of flexor alpha-motoneurones? Role of the nucleus accumbens.
Havemann, U; Kuschinsky, K; Winkler, M, 1982
)
1.13
" All along gestation, the dosage was gradually increased up to the final dose of 56 mg/kg/day on the 16th day when the treatment was interrupted."( Morphine treatment during rat pregnancy: neonatal and preweaning consequences.
Lapointe, G; Nosal, G, 1982
)
1.71
" Group II drugs, upon reaching a threshold value, cause first a dose-dependent increase in water intake to a maximum; additional dosage increments produce a dose-dependent decrease."( A simple animal test system to predict the likelihood of a drug causing human physical dependence.
Maickel, RP; Zabik, JE, 1980
)
0.26
" In a second experiment, rats were injected for ten days with the same dosage of naloxone."( Behavioral alterations produced by chronic naloxone injections.
Baker, MJ; Hood, JL; Layng, MP; Malin, DH; Swank, P, 1982
)
0.26
" In 15 patients after upperabdominal surgery the overall mean dosage of morphine was 8,85 mg within three days."( [Epidural morphine injections for the treatment of pain].
Otten, B; Otten, G; Piepenbrock, S; Zenz, M, 1980
)
0.9
" It is suggested that previously reported respiratory depression using these techniques is associated with the administration of other analgesics contemporaneously; that dosage should be limited to one-fifth of the estimation intramuscular dose; and that patients should be observed in a recovery ward for 24 hours."( Postoperative analgesia in major orthopaedic surgery. Epidural and intrathecal opiates.
Barron, DW; Strong, JE, 1981
)
0.26
"Experiments on rabbits showed the summation of analgesia induced by electric stimulation of biologically active points (BAP) and by administration of morphine and fentanil within a certain dosage range."( [Action of morphine and fentanyl during the electrostimulation of biologically active points].
Iasnetsov, VV; Komendantova, MV; Zorian, EV,
)
0.72
"Insulin and glucagon release from monolayer pancreatic islet cell cultures were inhibited in a dose-response fashion by various enkephalins."( Disparate effects of enkephalin and morphine upon insulin and glucagon secretion by islet cell cultures.
Ensinck, JW; Fujimoto, WY; Kanter, RA, 1980
)
0.54
" A significant shift of the normal dose-response curve towards the right was seen after electroshock."( Reduction in opiate activation after chronic electroconvulsive shock--possible role for endorphins in the behavioral effects of convulsive shock treatment.
Katz, RJ; Schmaltz, K, 1980
)
0.26
" An additional study was conducted in which six subjects took 0 (placebo), 1, 2, and 4 gm/day of AA to determine the dose-response effect of AA on histamine skin tests."( The effect of ascorbic acid on cutaneous and nasal response to histamine and allergen.
Danziger, RE; Fortner, BR; Nelson, HS; Rabinowitz, PS, 1982
)
0.26
" Other experiments involving intracisternal dosing with this long acting form at higher levels (0."( Effects of enkephalins versus opiates on locomotor activity of the horse.
Burns, P; Combie, JD; Nugent, TE; Tobin, T; Weld, JM, 1982
)
0.26
" Buprenorphine showed a bell-shaped dose-response curve in the mouse D'Amour-Smith's test at high stimulus intensity."( [Analgesic and narcotic antagonist effects of buprenorphine (author's transl)].
Hiyama, T; Shintani, S; Tsutsui, M; Yasuda, Y, 1982
)
0.26
" These data would suggest that, at least in respect to the effects of narcotics on water intake, naloxone is a partial agonist of the nalorphine type, but the slopes of naloxone and of morphine dose-response regression lines are not in keeping with this hypothesis."( Dual effect of naloxone on drinking behaviour of rats.
Cantalamessa, F; de Caro, G; Massi, M; Micossi, LG, 1982
)
0.46
" The dose-response curves for both were shifted to the right in non-parallel fashion with decreased slopes and antidiuretic efficacies."( Cross tolerance to etorphine in rats tolerant to morphine-induced antidiuresis.
Fuhrman-Lane, C; Fujimoto, JM; Tseng, LF, 1982
)
0.52
"Adult proestrous rats were subjected to either electrochemical or electrical stimulation of the medial preoptic area after ovulation-blocking dosage with either pentobarbital (PTBL), morphine, chlorpromazine, or atropine."( Similarity of luteinizing hormone surges induced by medial preoptic stimulation in female rats blocked with pentobarbital, morphine, chlorpromazine, or atropine.
Everett, JW; Tyrey, L, 1982
)
0.66
" This insensitivity to morphine satisfied the two pharmacological criteria for tolerance: a parallel shift to the right in the morphine dose-response curve and a reduced effect of the drug at the same brain concentration."( Development of tolerance to the effects of morphine on luteinizing hormone secretion as a function of castration in the male rat.
Cicero, TJ; Meyer, ER; Schmoeker, PF, 1982
)
0.84
"The changes in effects on motor activity of rats upon repeated (48 day) dosing with four narcotic analgesics were determined."( Motility response of rats to chronic constant-dose treatment with narcotics.
Davis, WM; Hemnani, KL; Pace, HB, 1982
)
0.26
" In either type of experiment the dose-response lines of naloxone against caerulein were very shallow as compared with those against morphine."( Caerulein and morphine: an attempt to differentiate their antinociceptive effects.
Zetler, G, 1982
)
0.83
" Buprenorphine showed naloxone-sensitive effects with a bell-shaped dose-response curve in the thermal test but dose-dependent activity in the pressure test."( Involvement of the median raphe nucleus in antinociception induced by morphine, buprenorphine and tilidine in the rat.
Bryant, RM; Olley, JE; Tyers, MB, 1982
)
0.5
" The dose-response and naloxone antagonism studies suggest that the receptor mechanisms which may subserve opiate convulsions differ from those mediating either analgesia or depressant lethality."( Heroin: analgesia, toxicity and disposition in the mouse.
Inturrisi, CE; Umans, JG, 1982
)
0.26
" By dosing plasmatic neurophysins, a selective loss of the osmoreceptor function was demonstrated."( [Chronic hypernatremia. A study of plasma neurophysins and action of morphine].
Deschepper, C; Ducobu, J; Dupont, P; Legros, JJ; Smitz, S,
)
0.37
"The dose-response relationships for morphine analgesia were studied in morphine-tolerant and non-tolerant rats using two pain tests: the tail-flick test which measures the threshold for an escape response, and the formalin test which assesses the behavioral response to continuous pain generated in injured tissue."( Morphine analgesia and tolerance in the tail-flick and formalin tests: dose-response relationships.
Abbott, FV; Leber, BF; Melzack, R, 1982
)
1.98
" Although there was no significant difference in the efficacy of the three doses, increasing dosage increased the average duration of analgesia provided by the drug (4 mg--593 min; 6 mg--772 min; 8 mg--885 min)."( Dose-effect relationships of extradural morphine.
Pybus, DA; Torda, TA, 1982
)
0.53
" 2 The dose-response curves to naloxone obtained in tissues individually exposed to different opiates showed that their relative potency in increasing sensitivity to naloxone was as follows: levorphan greater than morphine greater than Met-enkephalin greater than nalorphine greater than pentazocine."( Pharmacological characterization of opiate physical dependence in the isolated ileum of the guinea-pig.
Luján, M; Rodríguez, R, 1981
)
0.45
" 3 Hemicholinium-3 (HC-3) caused a rightward shift of the dose-response curve to DL-muscarine on the ileal longitudinal muscle of the guinea-pig ileum."( Mechanism of action of muscarine on the longitudinal muscle of the guinea-pig isolated ileum.
Ochillo, RF; Tsai, CS; Tsai, MH, 1981
)
0.26
" The patterns of analgesia were similar and without indication of increasing dosage requirements with time."( The study of analgesics following single and repeated doses.
Johnson, RP; Robinson, N; Waite, E; Wang, RI,
)
0.13
"3 Pretreatment of the mice with naloxone caused a dose-dependent shift to the right of the dose-response curve to morphine."( Evidence for an action of morphine and the enkephalins on sensory nerve endings in the mouse peritoneum.
Bentley, GA; Newton, SH; Starr, J, 1981
)
0.77
"Diacetylmorphine (DAM) and 6-acetylmorphine (AM) exhibit virtually identical dose-response and time-action profiles in studies in antinociceptive, excitatory, antidiarrheal and antidiuretic activity after subcutaneous administration to mice."( Pharmacodynamics of subcutaneously administered diacetylmorphine, 6-acetylmorphine and morphine in mice.
Inturrisi, CE; Umans, JG, 1981
)
0.94
" The reduced dosage of local anaesthetic improves neonatal status and reduces the necessity of extractional aids."( [Epidural morphine as adjunct to epidural anaesthesia in obstetrics (author's transl)].
Börner, U; Brähler, A; Hempelmann, G; Müller, H; Stoyanov, M, 1981
)
0.67
" Pooled data from all patients produced a dose-response curve asymptotic by 8 mg."( Analgesic responses to morphine and placebo in individuals with postoperative pain.
Fields, HL; Gordon, NC; Levine, JD; Smith, R, 1981
)
0.57
" Serum luteinising hormone (LH) and testosterone concentrations and the weight and morphology of testes, pituitary glands and secondary sex organs were examined after 4 and 9 weeks' morphine treatment and also 13 weeks after dosing stopped."( Effects of morphine sulphate on pituitary-testicular morphology of rats.
Crook, D; Heywood, R; James, RW, 1980
)
0.84
" The dose-response curves for dopamine before morphine application and in its presence indicate a noncompetitive mechanism of interaction between morphine and dopamine."( [Naloxone-dependent morphine reduction of excitatory responses of mollusk neurons to dopamine].
Bezrukova, LV; Solntseva, EI, 1981
)
0.84
" 75 of these catheters were evaluated according to morphine dosage and effect."( [Epidural morphine analgesia (PMA). III. Cancer pain (author's transl)].
Hüsch, M; Piepenbrock, S; Schappler-Scheele, B; Zenz, M, 1981
)
0.92
" The dose-response curves of the naloxone group were shifted to the right of those for the saline group."( Time course of antagonism of morphine antinociception by intracerebroventricularly administered naloxone in the rat.
Cowan, A; Porreca, F; Tallarida, RJ, 1981
)
0.55
" Reports of high intrabiliary pressures and bizarre cholangiograms for patients under such anesthesia led us to investigate the specific effects on intrabiliary pressure of morphine sulfate, fentanyl and butorphanol tartrate, each at two different dosage levels."( Effects of butorphanol, fentanyl and morphine on the intrabiliary pressure of guinea pigs.
Aldrete, JA; Franatovic, Y; Romo-Salas, F, 1980
)
0.73
" For neurons exhibiting each of these three patterns, the mean T100, a modification of the T50 which is analogous to a dose-response curve, correlated with the effects of the drugs on evoked firing."( Morphine and methionine-enkephalin: different effects on spontaneous and evoked neuronal firing in the mesencephalic reticular formation of the rat.
Haigler, HJ; Hosford, DA, 1980
)
1.7
"Intramuscular injection of staphylococcal enterotoxin B (SEB) at a dosage level of 50 microgram/kg of body weight caused death in Dutch rabbits."( Modification of lethality induced by staphylococcal enterotoxin B in Dutch rabbits.
Liu, CT; Sanders, RP, 1980
)
0.26
"A new dosage form was designed whereby a polymeric silicone elastomer provided sustained delivery of morphine to mice over 11 days."( Polydimethylsiloxane pellets for sustained delivery of morphine in mice.
Anderson, JA; McGinity, JW; Riffee, WH; Wilcox, RE, 1980
)
0.72
" naloxone produced a dose-dependent rightward shifting of the morphine dose-response lines, the shift produced by the 10-micrograms dose being sufficient to abolish the analgetic action of morphine doses as large as 75 mg/kg."( Sites of antinociceptive action of systemically injected morphine: involvement of supraspinal loci as revealed by intracerebroventricular injection of naloxone.
Rudy, TA; Yeung, JC, 1980
)
0.75
"Cumulative dose-response curves have been widely used in many areas of pharmacology."( Cumulative dose-response curves in behavioral pharmacology.
Wenger, GR, 1980
)
0.26
" Consistently, 8 days after sciatic nerve ligation but not after a sham operation, an approximately 6-fold rightward shift occurred in the morphine antinociceptive dose-response curve."( Experimental mononeuropathy reduces the antinociceptive effects of morphine: implications for common intracellular mechanisms involved in morphine tolerance and neuropathic pain.
Mao, J; Mayer, DJ; Price, DD, 1995
)
0.73
" The Cmax values of the active metabolite morphine-6-glucuronide (M6G), measured in 6 of the patients, for the 3 dosing intervals followed a similar trend to the parent drug, but only doses 1 and 2 differed significantly."( Chronopharmacokinetic variability in plasma morphine concentrations following oral doses of morphine solution.
Cherry, DA; Gourlay, GK; Plummer, JL, 1995
)
0.82
"Antinociceptive tolerance to morphine (MOR) was induced in groups of Sprague-Dawley rats receiving continuous intravenous infusions of morphine sulphate administered by 3 different MOR dosing regimes."( Morphine-3-glucuronide: evidence to support its putative role in the development of tolerance to the antinociceptive effects of morphine in the rat.
Smith, GD; Smith, MT, 1995
)
2.03
" We conclude that morphine is clinically effective in the peripheral nervous system at this dosage range."( Morphine/prilocaine combination for intravenous regional anesthesia.
Aktürk, G; Dohman, D; Erciyes, N; Solak, M, 1995
)
2.07
" administration of 5 mg/kg morphine, a mu-opioid agonist, or U50488H (U50), a kappa 1-opioid agonist, for 5 days in male CD-1 mice results in a 2-3-fold shift to the right of the respective analgesic (tail flick) dose-response curves, indicating the development of tolerance."( The NMDA receptor antagonists, LY274614 and MK-801, and the nitric oxide synthase inhibitor, NG-nitro-L-arginine, attenuate analgesic tolerance to the mu-opioid morphine but not to kappa opioids.
Elliott, K; Inturrisi, CE; Kolesnikov, YA; Minami, N; Pasternak, GW, 1994
)
0.78
" Administration of L-arginine alone for 3-10 days shifts morphine's dose-response curve over 2-fold to the right while D-arginine is without effect, as is daily administration of L-arginine along with the NOS inhibitor NOArg."( Nitric oxide and opioid tolerance.
Babey, AM; Cheng, J; Inturrisi, CE; Kolesnikov, Y; Pasternak, GW; Trifilletti, RR, 1994
)
0.53
"Standard dosing of opioids adequately treats most cancer pain in children; however, a significant group requires more extensive management."( Control of severe pain in children with terminal malignancy.
Berde, CB; Collins, JJ; Grier, HE; Kinney, HC, 1995
)
0.29
") produced a significant rightward shift of the dose-response curve of morphine, levorphanol, methadone, pilocarpine, clonidine and tizanidine; a modest, but not statistically significant, rightward shift of the dose-response curves of the mu-selective peptides DAMGO ([D-Ala2,N-Me-Phe4,Gly-ol5]-enkephalin) and PL017 ([N-Me-Phe3,D-Pro4]-morphiceptin); and no shift of the dose-response curves of alfentanil, carfentanil, fentanyl, sufentanil, or beta-endorphin."( The 'glibenclamide-shift' of centrally-acting antinociceptive agents in mice.
Martinez, RP; Raffa, RB, 1995
)
0.52
" The overall frequency and severity of adverse events did not differ between the two dosing schedules."( Control of cancer-related pain with MS Contin: a comparison between 12-hourly and 8-hourly administration.
Harsanyi, Z; Latreille, J; Lemire, F; Mignault, GG; Richer, P; Stewart, JH; Viguié, F, 1995
)
0.29
" By contrast, morphine treatment during hibernation resulted in significantly reduced abstinence compared with that observed after treatment during the NH state, with no significant morphine dose-response or duration-response trends evident."( Quantitative and qualitative aspects of the hibernation-related reduction of morphine physical dependence in the ground squirrel (Citellus lateralis).
Beaver, TA; Beckman, AL; Lewis, FC; Newman, JR, 1995
)
0.88
"An intermittent intake of low-dose droperidol with morphine given via a PCA delivery system in two treatment groups gave evidence for a dose-response relation between the amount of droperidol added and the proportion of patients needing a rescue antiemetic."( Antiemetic efficacy of a droperidol-morphine combination in patient-controlled analgesia.
Bach, T; Jackson, D; McKenzie, R; Riley, T; Tantisira, B, 1995
)
0.82
", the morphine dose-response curve shifted to the left and the ED50 value of morphine decreased."( Effects of a highly selective nonpeptide delta opioid receptor agonist, TAN-67, on morphine-induced antinociception in mice.
Endoh, T; Misawa, M; Mori, T; Nagase, H; Suzuki, T; Tsuji, M, 1995
)
1
" A treatment plan was developed consisting of a low-dose morphine infusion with increasing dosage until pain was relieved."( Successful treatment of painful crises of Fabry disease with low dose morphine.
Finley, GA; Gordon, KE; Ludman, MD, 1995
)
0.77
"The aim of this prospective study was to evaluate the efficacy of two dosage regimens of (i."( Can immediate opioid requirements in the post-anaesthesia care unit be used to determine analgesic requirements on the ward?
Butscher, K; Mazoit, JX; Samii, K, 1995
)
0.29
" Dose-response curves for hot plate and tail immersion tests were established for IT neostigmine, physostigmine, and echothiophate in rats."( Intrathecal acetyl cholinesterase inhibitors produce analgesia that is synergistic with morphine and clonidine in rats.
Abram, SE; Winne, RP, 1995
)
0.51
" The first dose of naltrexone was given 24 hours before MSC dosing, followed by a second dose at the time of MSC dosing and a third dose 24 hours after MSC administration."( A bioequivalence study of oral controlled-release morphine using naltrexone blockade.
Goldenheim, PD; Grandy, RP; Kaiko, RF; Reder, RF; Sackler, RS, 1995
)
0.54
" Dose-response analysis showed a smaller (26%), non-significant, increase at a lower dose of 2 mg kg-1 and no effect at a higher dose of 40 mg kg-1."( Microdialysis reveals a morphine-induced increase in pallidal opioid peptide release.
Bertolucci, M; Evans, CJ; Maidment, NT; Olive, MF, 1995
)
0.6
" Dose-response curves were subsequently determined under conditions of no stress, restraint, corticosterone (3 mg/kg, IP), and saline."( Effects of restraint stress and intra-ventral tegmental area injections of morphine and methyl naltrexone on the discriminative stimulus effects of heroin in the rat.
Shaham, Y; Stewart, J,
)
0.36
" Bicuculline (GABAA receptor antagonist) and picrotoxin (chloride ion channel blocker) given intrathecally produced rightward shifts in the dose-response curves of DPDPE and heroin given intracerebroventricularly."( Spinal GABA receptors mediate brain delta opioid analgesia in Swiss Webster mice.
Fujimoto, JM; Rady, JJ, 1995
)
0.29
" Dose-response and time course curves for the analgesic effect of morphine (1."( Rat strain differences in the potentiation of morphine-induced analgesia by stress.
Holtzman, SG; Woolfolk, DR, 1995
)
0.79
" pretreatment (25 min) with morphine sulfate, 8-OH-DPAT, buspirone and 5-CT shifted the morphine sulfate dose-response curve 3- to 5-fold to the right."( Differential roles of 5-hydroxytryptamine1A and 5-hydroxytryptamine1B receptor subtypes in modulating spinal nociceptive transmission in mice.
Alhaider, AA; Wilcox, GL, 1993
)
0.58
" A single NO2Arg dose retards morphine tolerance for several days, and dosing every 4 days is almost as effective as daily NO2Arg."( Blockade of tolerance to morphine but not to kappa opioids by a nitric oxide synthase inhibitor.
Ciszewska, G; Kolesnikov, YA; Pasternak, GW; Pick, CG, 1993
)
0.88
" These data suggest a dose-response relation between the magnitude of prenatal cocaine exposure and impaired fetal growth."( Relation between meconium concentration of the cocaine metabolite benzoylecgonine and fetal growth.
Cabral, H; Frank, DA; Mirochnick, M; Turner, A; Zuckerman, B, 1995
)
0.29
"Tolerance to the antinociceptive (analgesic) effect of morphine, a mu-opioid agonist, was developed in male CD-1 mice as assessed by a shift to the right of the analgesic (tail-flick) dose-response curves and an increase in the ED50 values."( Dextromethorphan attenuates and reverses analgesic tolerance to morphine.
Elliott, K; Hynansky, A; Inturrisi, CE, 1994
)
0.77
" The midazolam infusion allowed for continuation of the morphine dosage and also permitted further dosage escalation."( Continuous midazolam infusion for the management of morphine-induced myoclonus.
Adams, VR; Chavez, CM; Duncan, MH; Holdsworth, MT; Vaughan, LJ, 1995
)
0.79
" If further dosage increase of morphine are necessary in this setting, increases in the midazolam infusion also may be required."( Continuous midazolam infusion for the management of morphine-induced myoclonus.
Adams, VR; Chavez, CM; Duncan, MH; Holdsworth, MT; Vaughan, LJ, 1995
)
0.83
" The dose-response curves of [Lys7]dermorphin antinociception were shifted to the right by the pretreatment with naloxone (0."( Production of antinociception by peripheral administration of [Lys7]dermorphin, a naturally occurring peptide with high affinity for mu-opioid receptors.
Lattanzi, R; Melchiorri, P; Negri, L, 1995
)
0.29
" We have further investigated the non-opioid nature of this activity by comparing the efficacies of dyn A(1-13) and (2-17) under different experimental protocols with a variety of dosing regimens."( Dynorphin A modulates acute and chronic opioid effects.
He, L; Hooke, LP; Lee, NM, 1995
)
0.29
" To examine the properties of various pain rating methods we established dose-response relations for formalin injected in the plantar surface of one hind paw, and the analgesic effects of morphine and amphetamine using the most frequently reported behavioural measures of pain (favouring, lifting, licking and flinching/shaking of the injured paw) and combinations of these."( The formalin test: scoring properties of the first and second phases of the pain response in rats.
Abbott, FV; Franklin, KBJ; Westbrook, FR, 1995
)
0.48
" Morphine, pethidine and fentanyl, which showed a biphasic dose-response relationship with respect to seizure modulation, abolished the anticonvulsant activity of propofol to exhibit their own intrinsic activity in proconvulsant doses."( Interactions between opioid drugs and propofol in laboratory models of seizures.
Ahmad, I; Pleuvry, BJ, 1995
)
1.2
"The randomized, double-blind, dose-response study was designed to evaluate the effects of the addition of clonidine to epidural morphine on postoperative analgesia and side effects in patients undergoing cesarean delivery."( Addition of clonidine to epidural morphine enhances postoperative analgesia after cesarean delivery.
Capogna, G; Celleno, D; Costantino, P; Foresta, S; Zangrillo, A,
)
0.62
" However, the effect of differences in dosing protocol on tolerance to opioid analgesics of high or low efficacy has not been addressed."( The effect of intrinsic efficacy on opioid tolerance.
Duttaroy, A; Yoburn, BC, 1995
)
0.29
" At the end of treatment, the pumps and placebos were removed, and 4-24 h later, mice were tested in dose-response studies (tail flick) using the same drug that had been chronically administered."( The effect of intrinsic efficacy on opioid tolerance.
Duttaroy, A; Yoburn, BC, 1995
)
0.29
"5 micrograms), parallel rightward shifts of both morphine and RB 101 (mixed enkephalin-degrading-enzyme inhibitor) dose-response curves, were observed, but the concentration of beta-FNA required to reduce the analgesic responses was about 10 times higher for RB 101 (0."( Assessment of endogenous enkephalins efficacy in the hot plate test in mice: comparative study with morphine.
Noble, F; Roques, BP, 1995
)
0.76
" The five opioid peptides induced no changes in the dose-response curves with isoproterenol and forskolin."( Effects of opioid substances on cAMP response to the beta-adrenergic agonist isoproterenol in human mononuclear leukocytes.
Ioverno, A; Lotti, G; Musso, NR; Pende, A; Vergassola, C, 1995
)
0.29
" Pretreatment with morphine (3 nmol, -140 min) produced acute antinociceptive tolerance as demonstrated by a 45-fold rightward shift of the morphine dose-response curve."( Preventing morphine antinociceptive tolerance by irreversible mu opioid antagonists before the onset of their antagonism.
Archer, S; Bidlack, JM; Jiang, Q; Sebastian, A; Seyed-Mozaffari, A, 1995
)
1.01
" This shift in the cocaine dose-response curve was apparent when conditioning commenced either 3 or 7, but not 14, days after the cessation of cocaine pretreatment."( Sensitization to the conditioned rewarding effects of cocaine: pharmacological and temporal characteristics.
Heidbreder, C; Shippenberg, TS, 1995
)
0.29
" Increasing the stimulus intensity was associated with a shift of the dose-response curve to the right, without a change of slope."( Effects of intravenous morphine and buprenorphine on a C-fiber reflex in the rat.
Chauvin, M; Guirimand, F; Le Bars, D; Willer, JC, 1995
)
0.6
" Twenty-seven-, 20- and 15-day-old rats all developed tolerance as indicated by a rightward shift of the dose-response curve after chronic morphine."( The ontogeny of mu opiate tolerance and dependence in the rat: antinociceptive and biochemical studies.
Kuhn, CM; Little, PJ; Windh, RT, 1995
)
0.49
" At the spinal level, the dose-response curves for peak effect and area under the curve for morphine were shifted to the left (indicating potentiation) by a submaximal dose of intrathecal (i."( The spinal potentiating effect and the supraspinal inhibitory effect of midazolam on opioid-induced analgesia in rats.
Hayashi, T; Hill, HF; Luger, TJ; Weiss, CG, 1995
)
0.51
" Patient charts were reviewed to collect the following data: patient's age, weight, dosage schedule, concurrent sedatives, ventilatory status, whether adequacy of analgesia was documented, and descriptions of adverse drug reactions (ADRs)."( Morphine use and adverse effects in a neonatal intensive care unit.
Myers, TF; Sajous, CH; Tholl, DA; Wager, MS, 1994
)
1.73
" In terms of butorphanol and morphine tolerance, a parallel rightward shift in the dose-response curve was produced with the degree of shift proportional to the log of the infusion dose."( Tolerance development to butorphanol: comparison with morphine.
Feng, YZ; Ho, IK; Hoskins, B; Jaw, SP; Tseng, YT, 1994
)
0.83
" Continuous ICV infusion with butorphanol produced a marked rightward shift of the antinociceptive dose-response curve resulting from U-50,488 challenge."( Crosstolerance between butorphanol and morphine in rats.
Feng, YZ; Ho, IK; Hoskins, B; Narita, M; Tseng, YT, 1994
)
0.56
" Mice were injected intracerebroventricularly (ICV), or intrathecally (IT), or IT and ICV with PTX, and dose-response studies of the antinociceptive action of systemic (SC) morphine, fentanyl, and etorphine were conducted 10 days later."( Spinal and supraspinal effects of pertussis toxin on opioid analgesia.
Davis, T; Duttaroy, A; Shah, S; Yoburn, BC, 1994
)
0.48
" The test proved sensitive to the effects of barbiturates and benzodiazepines which produced graded dose-response functions."( A pharmacological evaluation of the pull-up test for muscle relaxation in rats.
Meert, TF; Shephard, RA; Wilson, NE, 1993
)
0.29
" Pain scores, frequency of medication, and total dosage of medication were recorded in the immediate postoperative period."( Postoperative pain following outpatient pediatric urologic surgery: a comparison of anesthetic techniques.
Goldberger, N; Hochman, HI; Londergan, TA, 1994
)
0.29
" The prescribed and administered mean dosages were less than the minimum recommended dosage for morphine."( Postoperative pain management in preverbal children: the prescription and administration of analgesics with and without caudal analgesia.
Altimier, L; Dick, MJ; Holditch-Davis, D; Lawless, S; Norwood, S, 1994
)
0.51
"A method of accelerated titration of morphine dosage is described."( Accelerated titration of morphine for rapid relief of cancer pain.
Lichter, I, 1994
)
0.86
" In addition, opioid dose-response curves with preemptive administration were compared with early and late postadministrations."( Electrophysiologic analysis of preemptive effects of spinal opioids on N-methyl-D-aspartate receptor-mediated events.
Chapman, V; Dickenson, AH; Haley, JE, 1994
)
0.29
" With the use of the tail flick model, dose-response curves were constructed to codeine, morphine, oxycodone and oxymorphone (the O-demethylated metabolite of oxycodone) in both rat strains."( The influence of pharmacogenetics on opioid analgesia: studies with codeine and oxycodone in the Sprague-Dawley/Dark Agouti rat model.
Bochner, F; Cleary, J; Mikus, G; Somogyi, A, 1994
)
0.51
"The pressor response to noxious colorectal distention (80 mmHg, 20 s) was evaluated in 29 male Sprague-Dawley rats and dose-response curves were determined for intravenous morphine, ketorolac and the mixture of morphine and ketorolac."( Ketorolac potentiates morphine antinociception during visceral nociception in the rat.
Gebhart, GF; Maves, TJ; Meller, ST; Pechman, PS, 1994
)
0.8
" In the physical dependence test, nefiracetam and codeine phosphate were administered to rats mixed with food for 43 days in a gradually increasing dosage schedule, followed by feeding a drug-free normal diet to detect signs of withdrawal."( Drug dependence study of the new cognition-enhancing agent nefiracetam in rats.
Akiyama, Y; Fujikawa, K; Takayama, S, 1994
)
0.29
" Intra-peritoneal injection of morphine at a dosage of 10 mg/kg did not produce appreciable changes in the catecholamine levels but a dosage of 30 mg/kg morphine was found to elevate dihydroxy phenylacetic acid content."( The effect of morphine on the biosynthesis of catecholamines in the rat brain.
Kwan, TK; Malini, M; Perumal, R, 1994
)
0.94
"5 to 37 fold) to the right of the dose-response curve for clonidine without significant change of maximum inhibitory effect, in a manner compatible with competitive antagonism (ED50B = 29."( Modulation by central postsynaptic alpha 2-adrenoceptors of the jaw-opening reflex induced by orofacial stimulation in rats.
Barturen, F; García-Sevilla, JA; García-Vallejo, P, 1994
)
0.29
" Ketamine (1, 5, 10 and 20 mg/kg) showed relatively weak antinociceptive effects with no apparent dose-response relationship."( Antinociceptive effects of ketamine-opioid combinations in the mouse tail flick test.
Dambisya, YM; Lee, TL, 1994
)
0.29
" Subsequent dose-response studies across a somewhat lower dose range using equimolar doses of morphine and M6G (3-80 mumoles/kg) found that both drugs significantly increased locomotor activity beginning at 20 mumoles/kg."( Morphine-6-glucuronide: a potent stimulator of locomotor activity in mice.
Alkana, RL; Jones, BL; Mørland, J; Palomares, ML, 1994
)
1.95
"3 mg/kg) which shifted the dose-response curve to the right."( An investigation into the discriminative stimulus and reinforcing properties of the CCKB-receptor antagonist, L-365,260 in rats.
Bentley, G; Bourson, A; Hargreaves, R; Iversen, S; Jackson, A; Rycroft, W; Tattersall, D; Tricklebank, M, 1994
)
0.29
" Dosage patterns were individualized."( Intraspinal delivery of opiates by an implantable, programmable pump in patients with chronic, intractable pain of nonmalignant origin.
Kanoff, RB, 1994
)
0.29
" The following were taken as evaluation criteria: age, sex, performance status, duration and dosage of previous systemic and current spinal morphine therapy, concomitant analgesic and co-analgesic medication, pretreatment of the dorsal column and neurological dysfunction due to damage either of the nerval plexus or of the medulla spinalis."( Complications of spinal opioid therapy: myoclonus, spastic muscle tone and spinal jerking.
Bingel, U; Kloke, M; Seeber, S, 1994
)
0.49
" The observation parameters included plasma leucine enkephalin (LEK), postoperative total dosage of narcotics administered for 5 days, VAS for pain and pain reliever, abdominal distension, urinary retention, constipation, etc."( Combined traditional Chinese medicine and Western medicine. Relieving effects of Chinese herbs, ear-acupuncture and epidural morphine on postoperative pain in liver cancer.
Cao, SH; Gan, YH; Li, QS; Lu, JZ; Ma, HJ; Xie, GM; Zhang, ZH, 1994
)
0.49
"Randomized, double-blind, placebo-controlled, dose-response evaluation."( Intravenous ketorolac as an adjunct to patient-controlled analgesia (PCA) for management of postgynecologic surgical pain.
Paige, D; Sevarino, FB; Silverman, DG; Sinatra, RS,
)
0.13
" The different temporospatial pattern of immediate early gene expression in neurons of the spinal cord dorsal horn following noxious stimulation suggest that variable transcription complexes may interact with DNA regulatory sequences and could thus activate alternative secondary response genes, even under protection of a high dosage of morphine applied before noxious stimulation."( Application of morphine prior to noxious stimulation differentially modulates expression of Fos, Jun and Krox-24 proteins in rat spinal cord neurons.
Bravo, R; Herdegen, T; Schadrack, J; Tölle, TR; Zieglgänsberger, W; Zimmermann, M, 1994
)
0.81
" A bell-shaped dose-response curve was observed for the priming effect of morphine; maximal enhancement of TNF-alpha release (310 +/- 15% of control) was detected at a concentration of 10(-10) M morphine."( Priming effect of morphine on the production of tumor necrosis factor-alpha by microglia: implications in respiratory burst activity and human immunodeficiency virus-1 expression.
Chao, CC; Gekker, G; Hu, S; Peterson, PK; Sheng, WS; Tsang, M, 1994
)
0.85
" produced an acute rightward shift of the dose-response curves of the selective mu opioid agonists alfentanil and morphine at all tested temperatures."( In vivo determination of mu opioid receptor turnover in rhesus monkeys after irreversible blockade with clocinnamox.
Butelman, ER; Lewis, JW; Walker, EA; Woods, JH; Zernig, G, 1994
)
0.5
"This double-blind randomised study compared the analgesic efficacy, respiratory effects, side effects, and pharmacokinetic disposition of 24 hr lumbar epidural and intravenous infusions of the same dosage regimen of fentanyl (1."( A comparison of lumbar epidural and intravenous fentanyl infusions for post-thoracotomy analgesia.
Baxter, AD; Goernert, L; Hull, K; Laganière, S; Samson, B; Stewart, J, 1994
)
0.29
" The prolonged release of MS-CR makes the MS-CR a good choice in the management of pain in patients with burns on an 8- to 12-hour dosing schedule, even though the patient might exhibit an increased clearance."( Pharmacokinetics of morphine sulfate in patients with burns.
Herman, RA; Kealey, GP; Komorowski, J; Miotto, J; Veng-Pedersen, P,
)
0.45
" The present studies test the hypothesis of local morphine activity at two dosage concentrations, 100 ng ml-1 and 100 micrograms ml-1 after third molar surgery."( The efficacy of locally applied morphine in post-operative pain after bilateral third molar surgery.
Gilroy, J; Moore, UJ; Rawlins, MD; Seymour, RA, 1994
)
0.83
" Therefore, we prospectively determined the dose-response relationship and the minimum effective combination dose of epidural morphine and fentanyl (fentanyl given after morphine) for posthysterectomy analgesia."( Minimum effective combination dose of epidural morphine and fentanyl for posthysterectomy analgesia: a randomized, prospective, double-blind study.
Akiyoshi, Y; Ashimura, H; Naito, H; Nishijima, Y; Sato, S; Tanaka, M; Watanabe, S, 1993
)
0.75
") induced a parallel displacement to the right of the morphine dose-response curve."( Gliquidone, an ATP-dependent K+ channel antagonist, antagonizes morphine-induced hypermotility.
Baeyens, JM; Del Pozo, E; Ocaña, M, 1993
)
0.77
" morphine dose-response curve in mice exposed to CWSS was displaced significantly to the left when compared to that obtained in control (i."( Modulation of morphine antinociception by swim-stress in the mouse: involvement of supraspinal opioid delta-2 receptors.
Bowen, WD; Hruby, VJ; Mosberg, HI; Porreca, F; Portoghese, PS; Sultana, M; Takemori, AE; Vanderah, TW; Wild, KD, 1993
)
1.56
" Dose-response curves for the enhancement of the two drugs on morphine analgesia were bell-shaped."( [Potentiation of morphine- and ohmefentanyl-induced analgesia by cholecystokinin receptor antagonists in rat].
Han, JS; Sun, YH; Zhou, Y, 1993
)
0.87
" Before these changes may lead to new dosing guidelines for small children receiving ECMO, more experiments with new and used systems are warranted, as well as with different types of ECMO."( Preliminary studies of the effects of extracorporeal membrane oxygenator on the disposition of common pediatric drugs.
Barker, G; Bohn, D; Dagan, O; Gruenwald, C; Klein, J; Koren, G, 1993
)
0.29
" In addition to fixed combinations, inclusion of a low morphine dose in one region shifts the analgesic dose-response curves in the others."( Synergistic brainstem interactions for morphine analgesia.
Bodnar, RJ; Pasternak, GW; Rossi, GC, 1993
)
0.8
" Tolerance development was assessed by evaluating dose-response curves to the analgesic effects of morphine on the tail-flick test."( Morphine as a cue in associative tolerance to morphine's analgesic effects.
Cepeda-Benito, A; Tiffany, ST, 1993
)
1.95
" These data suggest that this new formulation of morphine is equipotent to conventional controlled-release morphine tablets and provides pain relief for a 12-hour dosing interval."( A novel morphine sulphate preparation: clinical trial of a controlled-release morphine suspension in cancer pain.
Forman, WB; Hunt, C; Kush, R; Portenoy, RK; Shepard, K; Yanagihara, RH, 1993
)
0.97
" Cumulative dose-response curves for chlordiazepoxide were obtained before and during chronic chlordiazepoxide administration and during chronic saline administration."( Tolerance to the behavioral effects of chlordiazepoxide: pharmacological and biochemical selectivity.
Alastra, AJ; Cohen, C; Goldberg, SR; Marley, RJ; Sannerud, CA; Serdikoff, SL, 1993
)
0.29
" Both morphine and amphetamine shifted the dose-response curve for nicotine down and to the left, indicating increased efficacy and potency, respectively."( Nicotine and brain-stimulation reward: interactions with morphine, amphetamine and pimozide.
Huston-Lyons, D; Kornetsky, C; Sarkar, M, 1993
)
1.01
" Bupivacaine-induced side effects were absent below a daily dosage of 30 mg by continuous infusion."( Long-term intrathecal infusion of morphine and morphine/bupivacaine mixtures in the treatment of cancer pain: a retrospective analysis of 51 cases.
Crul, BJP; De Bock, M; Van Dongen, RTM, 1993
)
0.57
" TRH significantly potentiated the magnitude and duration of both morphine antinociception and hyperthermia in both anterior and posterior PAG placements, and shifted mesencephalic morphine's antinociceptive dose-response curve significantly to the left."( Site-specific modulation of morphine and swim-induced antinociception following thyrotropin-releasing hormone in the rat periaqueductal gray.
Bodnar, RJ; Robertson, JA, 1993
)
0.82
" Estimated ED50 from the dose-response curves for morphine and morphine-6-glucuronide showed about a 30 times more potent antinociceptive effect of morphine-6-glucuronide compared with morphine."( Intrathecal morphine-3-glucuronide does not antagonize spinal antinociception by morphine or morphine-6-glucuronide in rats.
Kalso, E; Rosenberg, PH; Suzuki, N, 1993
)
0.92
"This study compares several dosing regimens for patient-controlled analgesia (PCA) in the management of acute maxillofacial surgical pain."( Patient-controlled analgesia: a comparison of dosing regimens for acute postsurgical pain.
Edwards, RC; Foley, WL; Jacobs, LF, 1994
)
0.29
" A randomized, placebo-controlled study comparing the time-action, dose-response and potency of the respiratory effects of M6G to morphine was done using a nonanesthetized neonatal guinea pig model and a noninvasive computerized plethysmograph technique."( Morphine-6-beta-D-glucuronide respiratory pharmacodynamics in the neonatal guinea pig.
Murphey, LJ; Olsen, GD, 1994
)
1.94
" In the present study we used an experimental tolerance paradigm using morphine pellets (75 mg) to produce an 1-fold shift in the morphine dose-response curve in rats."( Modulation of morphine tolerance by the competitive N-methyl-D-aspartate receptor antagonist LY274614: assessment of opioid receptor changes.
Cheng, J; Inturrisi, CE; Pasternak, GW; Tiseo, PJ, 1994
)
0.88
" The results strongly recommend extensive application of EA in postoperative care, so as to decrease both the required dosage of morphine and the subsequent occurrence of postoperative ileus, while attaining sufficient analgesia."( Electroacupuncture reversed the inhibition of intestinal peristalsis induced by intrathecal injection of morphine in rabbits.
Dai, JL; Fu, ZM; Ren, ZJ; Xu, SF; Zhu, YH, 1993
)
0.71
" Inadequate information exists delineating ITMS respiratory effects in the dosage range most frequently employed today."( Dose-response pharmacology of intrathecal morphine in human volunteers.
Bailey, PL; Foster, W; Lu, JK; Pace, NL; Rhondeau, S; Schafer, PG; Stanley, TH; Timmins, BS, 1993
)
0.55
"To determine the influence of stimulation intensity on dose-response curves of three analgesics in halothane-anesthetized rats, continued immersion of the tail in 52."( Suppression of nociceptive responses by spinal mu opioid agonists: effects of stimulus intensity and agonist efficacy.
Saeki, S; Yaksh, TL, 1993
)
0.29
"To report a case of high transdermal fentanyl dosage requirements in a patient with chronic cancer pain."( High transdermal fentanyl requirements in a patient with chronic cancer pain.
Lehr, VT; Renaud, EA, 1993
)
0.29
" Transdermal fentanyl therapy was initiated on hospital day 1 at 100 micrograms/h and the MS continuous intravenous infusion dosage was increased."( High transdermal fentanyl requirements in a patient with chronic cancer pain.
Lehr, VT; Renaud, EA, 1993
)
0.29
"This patient's high transdermal fentanyl dosage requirement was related to disease progression."( High transdermal fentanyl requirements in a patient with chronic cancer pain.
Lehr, VT; Renaud, EA, 1993
)
0.29
" The primary physician was allowed to titrate the dosage as required to meet the patient's requirement for analgesia."( Relationship between pain severity and serum beta-endorphin levels in postoperative patients.
Asher, MA; Klem, SA; Leff, RD; Leonard, TM; Rapoff, MA,
)
0.13
"A dose-response curve was established for the mu/delta-opioid-receptor agonist morphine (0."( The medullary dorsal horn. A site of action of morphine in producing facial scratching in monkeys.
Dubner, R; Iwata, K; Kenshalo, DR; Thomas, DA; Williams, GM, 1993
)
0.77
" This study demonstrates that the hollow-type suppository containing powdered morphine is a more effective rectal dosage vehicle than the conventional suppository."( Difference in rectal absorption of morphine from hollow-type and conventional suppositories in rabbits.
Matsumoto, M; Matsumoto, Y; Watanabe, Y; Yamamoto, I, 1993
)
0.79
" In both tests KT had a poor analgesic effect without dose-response relationships."( Ketorolac tromethamine: an experimental study of its analgesic effects in the rat.
Bustamante, D; Paeile, C, 1993
)
0.29
" In groups II and III, 43% of the patients needed an increase of the morphine dosage during therapy."( [Morphine tablets for chronic non-tumor-induced pain. Which factors modify the success or failure of a long-term therapy?].
Gleim, M; Maier, C; Schulzeck, S, 1993
)
1.43
" Both devazepide and L-365,260 showed a bell-shaped dose-response curve."( Increased release of immunoreactive cholecystokinin octapeptide by morphine and potentiation of mu-opioid analgesia by CCKB receptor antagonist L-365,260 in rat spinal cord.
Han, JS; Sun, YH; Zhang, ZW; Zhou, Y, 1993
)
0.52
" These results suggest a 50% reduction in morphine dosage in children requiring inotropic support following cardiac surgery."( Morphine pharmacokinetics in children following cardiac surgery: effects of disease and inotropic support.
Barker, G; Bohn, D; Dagan, O; Klein, J; Koren, G, 1993
)
1.99
"A randomized, placebo-controlled, double-blind clinical trial was conducted to compare the use of regularly dosed po morphine and on-demand in morphine in 47 patients undergoing total hip arthroplasty."( A comparison of regularly dosed oral morphine and on-demand intramuscular morphine in the treatment of postsurgical pain.
Glick, N; Levine, M; McCormack, JP; Warriner, CB, 1993
)
0.77
" Thus, epidural BUP-MS appears to provide adequate postoperative analgesia while preventing withdrawal in opioid-dependent patients, if three times the normal dosage and duration of therapy are employed."( A comparison of postoperative epidural analgesia between patients with chronic cancer taking high doses of oral opioids versus opioid-naive patients.
Bacon, DR; de Leon-Casasola, OA; Donaparthi, S; Lema, MJ; Myers, DP; Peppriell, J; Rempel, J, 1993
)
0.29
" Dose-response curves for pentobarbital given alone and in combination with morphine were determined (by probit analysis) separately for each of the pressure levels."( Pentobarbital-morphine anesthetic interactions in terms of intensity of noxious stimulation required for arousal.
Bradley, EL; Brown, PT; Kissin, I; Stanski, DR, 1993
)
0.88
" Dose-response curves for precipitated abstinence evaluated as changes in mean arterial pressure and heart rate show a gradual increase in maximum followed by a progressive shift to the left as dependence progresses."( Acute opioid dependence in the cardiovascular system of the spinal rat.
Cruz, SL; Villarreal, JE, 1993
)
0.29
" Dose-response curves showed a maximum at 10(-8) M morphine."( Direct influence of morphine on the release of arachidonic acid and its metabolites.
Mevkh, AT; Sergeeva, MG; Terentjeva, IV; Varfolomeev, SD, 1993
)
0.86
"The plasma concentrations and renal clearance values of morphine, morphine-3-glucuronide (M3G) and morphine-6-glucuronide (M6G) were determined in 11 adult cancer patients maintained on a long term oral morphine dosage (10 to 100mg every 4h)."( Plasma concentrations and renal clearance of morphine, morphine-3-glucuronide and morphine-6-glucuronide in cancer patients receiving morphine.
Bochner, F; Cleary, JF; Danz, C; Milne, RW; Nation, RL; Olweny, C; Somogyi, AA; Tsirgiotis, P; van Crugten, J, 1993
)
0.79
" A naltrexone-insensitive component to beta-endorphin antinociception also was identified in studies which evaluated the ability of the antagonist to shift the beta-endorphin dose-response curve."( Biochemical and pharmacological characterization of multiple beta-endorphinergic antinociceptive systems in the rat periaqueductal gray.
Hawranko, AA; Monroe, PJ; Smith, DJ; Smith, DL, 1996
)
0.29
" Recommendations for managing opioid-induced muscle hyperactivity include reduction of the opioid dosage and/or administration of clonazepam therapy."( Opioid-induced muscle activity: implications for managing chronic pain.
Levitt, R; Steen, PD; Sylvester, RK, 1995
)
0.29
" Morphine-tolerant mice displayed a 7-fold greater ED50 for Bay K 8644 antinociception than placebo-treated animals; no difference was found in the dose-response curve for thapsigargin."( Alterations in L-type calcium channels in the brain and spinal cord of acutely treated and morphine-tolerant mice.
Bernstein, MA; Welch, SP, 1995
)
1.42
" When the regenerated cellulose acetate device filled with osmotic filler was implanted in rabbits which were subsequently dosed at day 7 and day 14 post-implant with 150 mg kg(-1) morphine sulphate, the concentration of morphine in the device was only about 10-fold less than that measured in rabbit blood."( Biocompatibility and in vivo morphine diffusion into a placebo morphine-triggered naltrexone delivery device in rabbits.
Fritzinger, BK; Heller, J; Nakayama, GR; Roskos, KV; Tefft, JA, 1995
)
0.77
" Average daily dosage of intrathecal morphine increased over time by approximately sevenfold."( Intrathecal infusion systems for treatment of chronic low back and leg pain of noncancer origin.
Doleys, DM; Tutak, U, 1996
)
0.57
" In the present experiment, baseline nociceptive sensitivities and morphine antinociceptive dose-response relationships (0."( Differential genetic mediation of sensitivity to morphine in genetic models of opiate antinociception: influence of nociceptive assay.
Belknap, JK; Kest, B; Mogil, JS; Sadowski, B, 1996
)
0.78
" The main aim of this study was to investigate the dose-response relationship of extradural infusion of ropivacaine."( Postoperative analgesia by continuous extradural infusion of ropivacaine after upper abdominal surgery.
Hägglöf, B; Mooney, PH; Payne, J; Schug, SA; Scott, DA, 1996
)
0.29
"To assess effects of stimulus intensity, dose-response curves in rats for radiant heat-evoked withdrawal of the hind paw was assessed after the intrathecal (i."( Differential right shifts in the dose-response curve for intrathecal morphine and sufentanil as a function of stimulus intensity.
Dirig, DM; Yaksh, TL, 1995
)
0.53
" We conclude that a single dose of 150 mg tramadol given at the end of surgery provided postoperative analgesia equivalent to that provided by this dosage regimen of epidural morphine for the initial postoperative period."( Intravenous tramadol versus epidural morphine for postthoracotomy pain relief: a placebo-controlled double-blind trial.
Gordon, PC; Heijke, SA; James, MF, 1996
)
0.76
" This information must be considered above all as a dosage adjustment tool enabling use of the two forms by application of a correction factor of the order of 15% when prescribing Skenan in comparison with Moscontin."( Study of the bioequivalence of two controlled-release formulations of morphine.
Bourget, P; Lesne-Hulin, A; Quinquis-Desmaris, V, 1995
)
0.53
" Rats were injected with morphine or saline between days 4-8 postnatal (pups) or days 21-25 (weanlings) and tolerance assessed by determining dose-response curves for ACTH and corticosterone secretion following an acute morphine challenge."( Ontogenetic studies of tolerance development: effects of chronic morphine on the hypothalamic-pituitary-adrenal axis.
Kuhn, CM; Little, PJ, 1995
)
0.83
"1 mg/kg) which does not affect morphine analgesia acutely prevents tolerance following chronic morphine dosing for 10 days."( Modulation of opioid analgesia by agmatine.
Jain, S; Kolesnikov, Y; Pasternak, GW, 1996
)
0.58
" These results suggest that OSR and MST are bioequivalent and that if patients were to transfer between formulations, dosage adjustment would be unnecessary, irrespective of their meal schedules or food intake."( Effect of food on the comparative pharmacokinetics of modified-release morphine tablet formulations: Oramorph SR and MST Continus.
Aliyar, CA; Crawford, FE; Drake, J; Gibson, P; Horth, CE; Kirkpatrick, CT, 1996
)
0.53
"Tolerance to morphine analgesia (tail-immersion test) was examined after manipulation of two aspects of a tolerance test: 1) the route of drug administration and 2) the time interval between the test dosing and the tolerance test."( Loss of tolerance to morphine after a change in route of administration: control of within-session tolerance by interoceptive conditioned stimuli.
Birbaumer, N; Kalant, H; Mucha, RF, 1996
)
0.98
" Dose-response curves for both measures shifted rightward substantially (roughly fivefold) following chronic (daily) exposure to morphine, indicating that tolerance developed to the drug's effects."( Acute and chronic effects of morphine in pigeons responding under a progressive-ratio schedule of food delivery.
Lesage, M; Poling, A; Roe, D; Schaefer, D, 1996
)
0.79
" Analgesia was measured by the tail-flick method, and tolerance levels were assessed by dose-response curve methodology."( Unsignaled morphine delivery does not disrupt the development of associative morphine tolerance in the rat.
Cepeda-Benito, A; Tiffany, ST, 1996
)
0.68
" Analgesia was assessed by the tail-flick method, and tolerance was defined as the shift to the right of the dose-response curve of morphine-experienced relative to saline control animals."( Role of drug-administration cues in the associative control of morphine tolerance in the rat.
Cepeda-Benito, A; Tiffany, ST, 1995
)
0.73
" Each morphine dosing level was maintained for 2 weeks, with test drugs administered during the second week of maintenance of each morphine dose."( Buprenorphine, morphine and naloxone effects during ascending morphine maintenance in humans.
Bigelow, GE; Preston, KL; Schuh, KJ; Stitzer, ML; Walsh, SL, 1996
)
1.13
" A bell shaped dose-response curve was noted in the behavioural studies with respect to the interaction between L740,094 and morphine."( L-740,093, a new antagonist of the CCK-B receptor, potentiates the antinociceptive effect of morphine: electrophysiological and behavioural studies.
Hoffmann, O; Wiesenfeld-Hallin, Z; Xu, XJ, 1996
)
0.72
" Patients with a 'stable and low level of cancer pain' receiving a constant dosage of sustained release morphine during a pre-study phase of 6 days were included in the study."( Direct conversion from oral morphine to transdermal fentanyl: a multicenter study in patients with cancer pain.
Donner, B; Strumpf, M; Tryba, M; Zenz, M, 1996
)
0.8
"]) did not change tail-flick latency in control animals but produced a dose-dependent enhancement of the antinociception induced by clonidine and morphine, and shifted their dose-response curves to the left."( Cromakalim differentially enhances antinociception induced by agonists of alpha(2)adrenoceptors, gamma-aminobutyric acid(B), mu and kappa opioid receptors.
Baeyens, JM; Barrios, M; Ocaña, M, 1996
)
0.49
" Fourteen days after beginning the dosing protocol, hair was collected and analyzed for codeine, and its metabolite, morphine, by positive-ion chemical ionization GC/ion-trap MS."( Incorporation of codeine and metabolites into hair. Role of pigmentation.
Cone, EJ; Gygi, SP; Joseph, RE; Rollins, DE; Wilkins, DG, 1996
)
0.5
" Total morphine dose remained stable while IRM dosage and frequency of use significantly decreased with escalation of the SRM dose."( Sustained-release morphine sulfate in the management of pain associated with acquired immune deficiency syndrome.
Buckley, B; Conant, M; Cundiff, D; Kaplan, R; Maciewicz, R; Ries, K; Slagle, S; Slywka, J, 1996
)
1.08
" Using a multiple regression analysis, only the morphine dosage was found to be an independent prognostic factor."( Intraventricular administration of morphine for control of intractable cancer pain in 90 patients.
Foroglou, G; Fountzilas, G; Karavelis, A; Selviaridis, P, 1996
)
0.83
"0 mg/kg) if the dosing interval was 10 min, whereas 30."( Opioid antagonist profile of SC nor-binaltorphimine in the formalin paw assay.
Grouhel, A; Wettstein, JG, 1996
)
0.29
" Full dose-response curves were done of the effects of morphine on food intake in males and females in both rats and mice, representing the typical and atypical responses, respectively."( Male/female comparison of morphine effect on food intake--relation to anorexia nervosa.
Barnes, C; D'Amico-Rasmussen, Q; Lawhorn, J; Marrazzi, MA; McQuarters, A, 1996
)
0.84
" The AUC0-24 ratios were similar to those following oral and rectal dosing in other studies involving cancer patients."( Rectal controlled-release morphine: plasma levels of morphine and its metabolites following the rectal administration of MST Continus 100 mg.
Campbell, WI, 1996
)
0.59
" The dose-response relationship showed a U-shaped curve; the smallest dose had a minor inhibitory effect and the highest dose had no further effect on the PRL rise."( Modulating effect of the nootropic drug, piracetam on stress- and subsequent morphine-induced prolactin secretion in male rats.
Bollengier, F; Engelborghs, S; Finné, E; Matton, A; Vanhaeist, L, 1996
)
0.52
" The dose-response curve for M6G was shifted to the right by prior administration of M3G."( Lack of morphine-6-glucuronide antinociception after morphine treatment. Is morphine-3-glucuronide involved?
Cabanes, CG; Faura, CC; Horga, JF; Olaso, JM, 1996
)
0.73
"IVPCA ketamine in combination with morphine provides superior postsurgical pain relief at lower dosage and with fewer side effects than morphine alone."( Comparison of morphine and morphine with ketamine for postoperative analgesia.
Colclough, GW; Javery, KB; Steger, HG; Ussery, TW, 1996
)
0.93
" Treatment included naloxone (12 patients), admission to the pediatric intensive care unit (8), ventilation (5), and reduction in dosage (1)."( Opiate-induced respiratory depression in pediatric patients.
Choonara, IA; Cousins, A; Gill, AM; Nunn, AJ, 1996
)
0.29
" The lateral hypothalamus met these five measures: (i) 81% of the lateral hypothalamus neurons (247/304) responded to noxious stimuli using a single cell recording procedure; (ii) stimulation of the periaqueductal gray-dorsal raphe area or the habenula modulated 98% and 87% of the lateral hypothalamus noxious-evoked activity; (iii) microiontophoretically applied morphine modulated 77% of the lateral hypothalamus noxious evoked activity; (iv) electrical stimulation of the lateral hypothalamus produced behavioral analgesia proportional to the stimulus intensity as assessed by the tail flick assay; and (v) morphine application into the lateral hypothalamus produced behavioral analgesia in a dose-response manner using the tail flick assay."( Lateral hypothalamus: site involved in pain modulation.
Dafny, N; Dong, WQ; Prieto-Gomez, C; Qiao, JT; Reyes-Vazquez, C; Stanford, J, 1996
)
0.46
" There was considerable individual variability in the time to initial morphine dosing and cumulative supplemental morphine dose."( Intrathecal morphine for analgesia in children undergoing selective dorsal rhizotomy.
Dews, TE; Ebrahim, Z; Fried, A; Oswalt, K; Paranandi, L; Schubert, A, 1996
)
0.91
"The analgesic and sedative effects of intravenous morphine or pethidine and their effect on anxiety were compared in a prospective, double-blind, randomised dose-response study."( Lack of analgesic effect of systemically administered morphine or pethidine on labour pain.
Ekblom, A; Ekman-Ordeberg, G; Hjelm, A; Irestedt, L; Olofsson, C, 1996
)
0.8
" However, dose-response studies indicate that the induction of morphine tolerance following 3 days of chronic morphine administration was blocked in antisense but not mismatch ODN or saline-treated mice."( An antisense oligodeoxynucleotide to the delta opioid receptor (DOR-1) inhibits morphine tolerance and acute dependence in mice.
Inturrisi, CE; Kest, B; Lee, CE; McLemore, GL, 1996
)
0.76
" DBA/2 but not C57BL/6 acquired self-administration of morphine with a bell-shaped unit dose-response curve."( Enhancement of morphine self-administration in drug naive, inbred strains of mice by acute emotional stress.
Kuzmin, A; Semenova, S; Van Ree, JM; Zvartau, EE, 1996
)
0.89
" For this debate, controlled clinical studies on the opioid-sparing effect of different analgesic techniques are mentioned, and preferably studies with multiple dosing of analgesics and/or a reasonably large patient sample size."( Postoperative opioid analgesia: time for a reconsideration?
Callesen, T; Kehlet, H; Rung, GW, 1996
)
0.29
" We measured the tail flick latency in response to thermal stimulation of the tail on a hot plate (53 degrees C), and determined dose-response functions of IT, EP and IV morphine, L-NAME, and morphine co-administered with subeffective doses of L-NAME."( Antinociceptive synergistic interaction between morphine and n omega-nitro 1-arginine methyl ester on thermal nociceptive tests in the rats.
Naito, H; Yamaguchi, H, 1996
)
0.74
" In addition, a dose-response relationship was suggested."( Prenatal cocaine and neonatal outcome: evaluation of dose-response relationship.
Angelilli, ML; Baker, D; Covington, C; Delaney-Black, V; Hack, C; Long, J; Nordstrom-Klee, B; Ostrea, E; Romero, A; Silvestre, MA; Tagle, MT, 1996
)
0.29
" A dose-response relationship was evident."( Prenatal cocaine and neonatal outcome: evaluation of dose-response relationship.
Angelilli, ML; Baker, D; Covington, C; Delaney-Black, V; Hack, C; Long, J; Nordstrom-Klee, B; Ostrea, E; Romero, A; Silvestre, MA; Tagle, MT, 1996
)
0.29
" This retrospective, descriptive study identifies the demographic characteristics, dosing patterns, and side-effects evident in vascular patients placed on IV morphine PCA following surgery."( Acute pain management: evaluation of the effectiveness of intravenous patient-controlled analgesia with vascular patients.
Maxwell, LE, 1996
)
0.49
" The dosage of epidural morphine used in this study was a likely explanation of this depression."( Does morphine premedication influence the pain and consumption of postoperative analgesics after total knee arthroplasty?
Hendolin, H; Kokki, H; Nuutinen, L; Tuomisto, L, 1996
)
1.11
" Repetitive dosing (1/4 of the greatest dose every 30 min) was as effective as a single bolus dose for both drugs."( Attenuation of c-Fos expression in the rat lumbosacral spinal cord by morphine or tramadol following noxious colorectal distention.
Gebhart, GF; Stitt, S; Traub, RJ, 1995
)
0.53
" At various times during and after the dosing protocol, approximately 50 mg of hair was shaved from a different area of the animals' backs and analyzed for codeine and morphine concentrations by ion-trap gas chromatography-mass spectrometry."( Distribution of codeine and morphine into rat hair after long-term daily dosing with codeine.
Gygi, SP; Rollins, DE; Wilkins, DG, 1995
)
0.78
" We also examined tolerance on these analgesic systems by using a daily morphine injection paradigm which shifts the dose-response curve for systemic morphine approximately 2-fold after 5 days."( Peripheral morphine analgesia: synergy with central sites and a target of morphine tolerance.
Jain, S; Kolesnikov, YA; Pasternak, GW; Wilson, R, 1996
)
0.92
" The mean settings for morphine dosage were a loading dose of 114."( Patient-controlled analgesia after spinal fusion for idiopathic scoliosis.
Beaulieu, P; Cyrenne, L; Mathews, S; Villeneuve, E; Vischoff, D, 1996
)
0.6
" After preconstriction with the selective alpha 1-adrenergic receptor agonist phenylephrine, dose-response curves were constructed to (1) opiate receptor agonists morphine (1 to 30 micrograms/min) or fentanyl (0."( Morphine-induced venodilation in humans.
Abiose, A; Blaschke, TF; Grossmann, M; Hoffman, BB; Tangphao, O, 1996
)
1.93
" This effect appeared to be dose-dependent, with patients in the lornoxicam 4 mg or morphine 10 mg groups recording significantly lower TOTPAR0-4 scores than patients in the higher dosage groups of these drugs."( Pain control after dental surgery: a double-blind, randomised trial of lornoxicam versus morphine.
Bang, U; Ersbøll, AK; Hansen, HJ; Ingerslev, J; Larsen, U; Nielsen, O; Nørholt, SE; Sindet-Pedersen, S, 1996
)
0.74
" This was done to evaluate the dose-response effect of these drugs when used for postoperative pain relief, and the results were applied to phase II of the study, in which all patients received ketamine pretreatment (total 30 mg) with each dose of lidocaine administered before and during surgery."( Ketamine potentiates analgesic effect of morphine in postoperative epidural pain control.
Ho, ST; Liaw, WJ; Su, YF; Tung, CS; Wong, CS,
)
0.4
" The resulting lowered dosage of epidural morphine needed for postoperative pain relief reduces, in turn, the incidence of side effects."( Ketamine potentiates analgesic effect of morphine in postoperative epidural pain control.
Ho, ST; Liaw, WJ; Su, YF; Tung, CS; Wong, CS,
)
0.66
" The high dosage of morphine required to induce anticarcinogenic effects is also discussed."( Anti-cancer effects of morphine through inhibition of tumour necrosis factor-alpha release and mRNA expression.
Fujiki, H; Okabe, S; Sueoka, E; Sueoka, N, 1996
)
0.93
"Tolerance was produced in mice given morphine subcutaneously and was assessed by a cumulative dose-response analysis using the tail-flick test."( Ketamine attenuates and reverses morphine tolerance in rodents.
Elliott, KJ; Inturrisi, CE; Shimoyama, M; Shimoyama, N, 1996
)
0.85
" Dose-response curves were obtained for each drug individually; for morphine:clonidine at 1:3, 1:1, and 1:0."( Interaction of morphine and clonidine on gastrointestinal transit in mice.
Pol, O; Puig, MM; Warner, W, 1996
)
0.88
" We conclude that subarachnoid morphine at the dosage used produces no apparent benefit in sheep which have had stifle surgery, and in fact may cause detrimental side effects, such as hindlimb weakness, and pruritus or irritation of the hindquarters."( Experiences with morphine injected into the subarachnoid space in sheep.
Dunlop, CI; Turner, AS; Wagner, AE,
)
0.76
" Buprenorphine, when injected systemically, revealed a potent analgesic effect by tailflick assay, with a biphasic dose-response curve, which was reversed by naloxone."( Pharmacological characterization of buprenorphine, a mixed agonist-antagonist with kappa 3 analgesia.
Peter, Y; Pick, CG; Schreiber, S; Weizman, R, 1997
)
0.3
" No dose-response relationships could be elicited with U-50488H or ICI-204448, and their antitransit effects were analogous in SS- and CO-treated animals."( Peripheral effects of opioids in a model of intestinal inflammation in mice.
Pol, O; Puig, MM; Sanchez, B, 1996
)
0.29
"In a double-blind randomised study, two dosing regimens for controlled-release morphine tablets were compared against placebo to ascertain the extent of prophylactic postoperative pain control in 51 women undergoing abdominal hysterectomy."( Pretreatment with controlled-release morphine for pain after hysterectomy.
Cruickshank, RH; Ellis, FR; Spencer, A, 1996
)
0.79
" Five patients showed symptoms of compression of the cauda equina or spinal cord shortly after the start of combined IT administration of morphine and bupivacaine in a dosage usually not associated with neurologic symptoms."( Neurological impairment during long-term intrathecal infusion of bupivacaine in cancer patients: a sign of spinal cord compression.
Crul, BJ; van Dongen, RT; van Ee, R, 1997
)
0.5
" However, the time-course of potency changes in morphine analgesia as determined in dose-response studies and biochemical correlates of PTX treatment have not been reported to date."( Time-dependent effects of in vivo pertussis toxin on morphine analgesia and G-proteins in mice.
Breivogel, C; Childers, S; Munirathinam, G; Selly, D; Shah, S; Yoburn, BC, 1997
)
0.8
" At 7 weeks of age, dose-response curves were obtained with morphine (10, 31."( Influence of chronic prenatal and postnatal administration of naltrexone in locomotor activity induced by morphine in mice.
Luján Estrada, M; Medina Jiménez, M; Rodríguez, R, 1997
)
0.75
" The result strongly suggests a synergy from this combination that warrants a formal study of the dose-response relationship involved in this treatment and the mechanism by which this effect is achieved."( Epidural coadministration of ketamine, morphine and bupivacaine attenuates post-herpetic neuralgia--a case report.
Cherng, CH; Ho, ST; Liaw, WJ; Shen, TT; Wong, CS, 1996
)
0.56
" Self-administration of cocaine (by rats) and morphine (by mice) was readily initiated and showed an inverted U-shaped unit dose-response curve."( Kappa-opioid receptor agonist U50,488H modulates cocaine and morphine self-administration in drug-naive rats and mice.
Gerrits, MA; Kuzmin, AV; Semenova, S; Van Ree, JM; Zvartau, EE, 1997
)
0.8
" The pharmacokinetic profile of Kapanol exhibited a significantly higher Cmin (minimum plasma morphine concentration), less fluctuation in plasma morphine concentration throughout the dosing interval, a longer Tmax (time associated with the maximum morphine concentration) and a greater time that the plasma morphine concentration was > or = 75% of Cmax (an index of the control the formulation exerts over the morphine release rate) compared to that of MS Contin."( Pharmacokinetics and pharmacodynamics of twenty-four-hourly Kapanol compared to twelve-hourly MS Contin in the treatment of severe cancer pain.
Cherry, DA; Conn, DA; Gourlay, GK; Hood, GM; Onley, MM; Plummer, JL; Tordoff, SG, 1997
)
0.52
" We now report a prospective randomized study evaluating the effectiveness and dosage of various concentrations of intravesical morphine infusions."( Intravesical morphine analgesia after bladder surgery.
Cangiano, T; Cohen, D; Cubina, M; Duckett, JW; Howe, C, 1997
)
0.87
" injections of morphine or fentanyl, produced antinociceptive tolerance as shown by a significant rightward displacement of the agonist dose-response curves compared to controls."( Competitive and non-competitive NMDA antagonists block the development of antinociceptive tolerance to morphine, but not to selective mu or delta opioid agonists in mice.
Bilsky, EJ; Hruby, VJ; Inturrisi, CE; Porreca, F; Sadée, W, 1996
)
0.86
" Area under the concentration-time curve and maximum serum concentrations were significantly greater for the section of the curve following dosing at 7:30 h than following dosing at 19:30 h in the 12-h treatment group."( Steady-state pharmacokinetics of oral sustained-release morphine sulphate in dogs.
Dohoo, S, 1997
)
0.54
" The dose-response curve was shifted dose dependently to the right by the muscarinic antagonist scopolamine but not by the opioid antagonist naltrexone."( Butylthio[2.2.2] (NNC 11-1053/LY297802): an orally active muscarinic agonist analgesic.
Bymaster, FP; Calligaro, DO; Delapp, NW; Hansen, KT; Mitch, CH; Olesen, PH; Sauerberg, P; Shannon, HE; Sheardown, MJ; Suzdak, PD; Swedberg, MD; Ward, JS, 1997
)
0.3
" Tolerance was assessed as shifts in morphine dose-response curves on the tail-flick test."( Associative and nonassociative tolerance: the effects of dose and interdose interval.
Cox, LS; Tiffany, ST,
)
0.4
" The sweat patch was applied 10 min before the first dosage and removed approximately 24 h later, minutes before the next dosage."( Sweat testing for heroin and metabolites in a heroin maintenance program.
Brenneisen, R; Bundeli, P; Kintz, P; Mangin, P, 1997
)
0.3
"5 mg of morphine with a 6-minute lockout and a 4-hour maximum dosage of 30 mg."( Postoperative analgesia with parenteral opioids: does continuous delivery utilizing a transdermal opioid preparation affect analgesic efficacy or patient safety?
Paige, D; Sevarino, FB; Silverman, DG; Sinatra, RS, 1997
)
0.73
"The time and dosage of morphine administered was recorded."( Postoperative analgesia with parenteral opioids: does continuous delivery utilizing a transdermal opioid preparation affect analgesic efficacy or patient safety?
Paige, D; Sevarino, FB; Silverman, DG; Sinatra, RS, 1997
)
0.61
"5 g/kg) inhibited naltrexone-induced stimulation of testosterone secretion and shifted the naltrexone dose-response curve to the right."( Interactions between alcohol- and opioid-induced suppression of rat testicular steroidogenesis in vivo.
Adams, ML; Cicero, TJ; Meyer, ER, 1997
)
0.3
" Accordingly dosage should be reduced or other opioids be considered in such cases."( [Morphine metabolism--pharmacokinetics and pharmacodynamics].
Andersen, G; Christrup, LL; Sjøgren, P, 1997
)
1.21
" The present study provides systematic dose-response analyses indicating that NTX elicited optimal enhancement of morphine's antinociceptive potency in mice when co-administered (i."( Ultra-low doses of naltrexone or etorphine increase morphine's antinociceptive potency and attenuate tolerance/dependence in mice.
Crain, SM; Shen, KF, 1997
)
0.76
" There was no dose-response evident."( Pain relief from intra-articular morphine after knee surgery: a qualitative systematic review.
Carroll, D; Kalso, E; McQuay, HJ; Moore, RA; Tramèr, MR, 1997
)
0.58
" Conversely, an antisense probe selectively targeting nNOS-2 blocks morphine analgesia, shifting the morphine dose-response curve over 2-fold to the right."( Functionally differentiating two neuronal nitric oxide synthase isoforms through antisense mapping: evidence for opposing NO actions on morphine analgesia and tolerance.
Babey, AM; Jain, S; Kolesnikov, YA; Pan, YX; Pasternak, GW; Wilson, R, 1997
)
0.74
" These systems allowed bolus dosing and also provided a basic level of analgesic protection through continuous drug infusion."( Differences among patients in opioid self-administration during bone marrow transplantation.
Chapman, CR; Donaldson, GW; Hautman, B; Jacobson, RC, 1997
)
0.3
" Under this simple schedule, dose-response curves were determined for diazepam, morphine, pentobarbital, and phencyclidine."( Behavior of rats under fixed consecutive number schedules: effects of drugs of abuse.
Hardin, JL; McMillan, DE; Snodgrass, SH, 1997
)
0.52
" In dose-response studies, 3-methoxynaltrexone (2."( 3-Methoxynaltrexone, a selective heroin/morphine-6beta-glucuronide antagonist.
Brown, GP; Chang, A; King, MA; Leventhal, L; Pasternak, GW; Rossi, GC; Yang, K, 1997
)
0.56
" Using multiple logistic regression, three factors are identified as significantly impedimental to staying at home: high morphine dosage (> 60 mg daily oral morphine equivalence), direct transfer from hospital to hospice, and living on the second or upper floors in an apartment building."( [Determinants associated with location of terminal care in the cancer patient].
Adachi, M; Kon, H, 1997
)
0.5
" Overall, these data indicate that the starting dose and increment dose can impact on morphine's potency determined by cumulative dosing protocols."( The effect of cumulative dosing on the analgesic potency of morphine in mice.
Duttaroy, A; Farrell, F; Kirtman, R; Monderson, T; Philippe, J; Phillips, M; Yoburn, BC, 1997
)
0.76
"7 for M/HM when rotating from HM to M in patients exposed to chronic dosing of these opioids."( Dose ratio between morphine and hydromorphone in patients with cancer pain: a retrospective study.
Bruera, E; Hanson, J; Lawlor, P; Turner, K, 1997
)
0.63
" The dose-response curves were first obtained for each drug alone."( Isobolographic analysis of interactions between intravenous morphine, propacetamol, and diclofenac in carrageenin-injected rats.
Benoist, JM; Fletcher, D; Gautron, M; Guilbaud, G, 1997
)
0.54
"We previously reported that stimulus properties of morphine can be assessed in a passive avoidance conditioning paradigm using a single dosing discrimination test."( Footshock facilitates discrimination of stimulus properties of morphine.
Borlongan, CV; Watanabe, S, 1997
)
0.79
"6-fold rightward shift in the morphine dose-response curve."( Acute tolerance to spinally administered morphine compares mechanistically with chronically induced morphine tolerance.
Fairbanks, CA; Wilcox, GL, 1997
)
0.85
" It also did not appear that the sustained release formulation provided sufficiently prolonged release of morphine sulfate from the tablet matrix in dogs to allow prolonged dosing intervals compared to NSRMS."( Pharmacokinetics of oral morphine sulfate in dogs: a comparison of sustained release and conventional formulations.
Dohoo, SE; Tasker, RA, 1997
)
0.81
" This dosing regimen can be prepared with 400 microg naloxone in 1,000 ml crystalloid given in 24 h to a patient weighing 70 kg."( Opioid-sparing effects of a low-dose infusion of naloxone in patient-administered morphine sulfate.
Fortney, J; Gan, TJ; Ginsberg, B; Glass, PS; Jhaveri, R; Perno, R, 1997
)
0.52
" In the test of physical dependence-producing potential with the drug-admixed food method in rats, vigabatrin and diazepam were given to rats mixed with food for 28 days in an increasing dosage schedule, followed by feeding a drug-free diet to observe withdrawal signs for 7 days."( Drug dependence study on vigabatrin in rhesus monkeys and rats.
Takada, K; Yanagita, T, 1997
)
0.3
" Larger studies are needed to establish which patients are most likely to benefit and optimal dosage regimens."( Oral morphine as symptomatic treatment of dyspnoea in patients with advanced cancer.
Boyd, KJ; Kelly, M, 1997
)
0.81
" They were found fairly potent in rat tail flick and mouse phenylquinone writhing assays but the dose-response curves were rather shallow as compared to that of morphine."( Apparent antinociceptive and anti-inflammatory effects of GYKI 52466.
Kedves, R; Máté, I; Székely, JI; Tarnawa, I; Török, K, 1997
)
0.49
"0 mg/kg clocinnamox displaced the morphine dose-response curve 4-fold to the right of the control curve and 10 mg/kg clocinnamox eliminated morphine's antinociceptive effects at doses up to 1000 mg/kg for at least seven days."( Clocinnamox dose-dependently antagonizes morphine-analgesia and [3H]DAMGO binding in rats.
Paronis, CA; Woods, JH, 1997
)
0.84
" Administration of morphine, DPDPE, or U50,488H three times daily for 3 days according to an escalating dosing schedule resulted in analgesic tolerance as indicated by an increase in analgesic ED50 values using the tail-flick test in mice."( The competitive alpha-amino-3-hydroxy-5-methylisoxazole-4-propionate receptor antagonist LY293558 attenuates and reverses analgesic tolerance to morphine but not to delta or kappa opioids.
Inturrisi, CE; Kao, B; Kest, B; McLemore, G, 1997
)
0.83
" doses of morphine, as demonstrated by a 120-fold rightward shift of the morphine dose-response curve."( The nitric oxide/cyclic GMP system at the supraspinal site is involved in the development of acute morphine antinociceptive tolerance.
Bidlack, JM; Hill, KP; Xu, JY, 1998
)
0.92
" As a conclusion, no analgesic effect of alpha-trinositol at the dosage used was observed in the postoperative patients studied."( Postoperative recovery after cholecystectomy by minilaparotomy: a randomized double-blind comparison between alpha-trinositol and placebo.
Holmin, T; Landquist, E; Luttropp, HH; Westerling, D, 1997
)
0.3
" Similarly, the progressive and complete loss of analgesia in CD-1 mice seen with repeated dosing of the delta ligand [D-Pen2, D-Pen5]enkephalin is not observed in 129/SvEv mice."( Lack of morphine and enkephalin tolerance in 129/SvEv mice: evidence for a NMDA receptor defect.
Jain, S; Kolesnikov, Y; Pasternak, GW; Wilson, R, 1998
)
0.73
" It shifted the dose-response curve of morphine to the left."( The interaction of FK409, a novel nitric oxide releaser, and peripherally administered morphine during experimental inflammation.
Nozaki-Taguchi, N; Yamamoto, T, 1998
)
0.79
") After initiating morphine or making any change of dose or route of administration, the dosage should be evaluated after approximately 24 hours."( The management of chronic pain in patients with breast cancer. The Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer. Canadian Society of Palliative Care Physicians. Canadian Association of Radiation Oncologist
, 1998
)
0.63
" Sixteen patients were administered dextropropoxyphene (DPP) in a dosage ranging from 120 mg to 240 mg daily (group 1), and 16 patients were administered the lowest doses (20 mg daily) of commercially available controlled-release morphine (group 2)."( Dextropropoxyphene versus morphine in opioid-naive cancer patients with pain.
Agnello, A; Dardanoni, G; Garofalo, S; Mercadante, S; Salvaggio, L, 1998
)
0.78
" This rightward shift of the morphine dose-response curve was reversed by the intrathecal administration of either the CCKA receptor antagonist, lorglumide, or the CCKB receptor antagonist, PD135, 158."( Pentobarbital antagonism of morphine analgesia mediated by spinal cholecystokinin.
Fujimoto, JM; Lin, W; Rady, JJ, 1998
)
0.89
" For these changes in the kinetic profile of morphine (as MST) in cirrhotic patients, who experienced more sedation than controls, a smaller dose study together with longer dosing intervals is recommended."( Pharmacokinetics of controlled release morphine (MST) in patients with liver cirrhosis.
el-Kabsh, MY; Emara, SE; Fouad, EA; Kotb, HI, 1997
)
0.83
" CGP 35348 (50-200 mg/kg IP), a highly selective GABA(B) antagonist, was administered prior to carrying out a dose-response curve of homotaurine (22."( GABA(B) receptors and opioid mechanisms involved in homotaurine-induced analgesia.
Asadi, I; Fernández, A; Serrano, JS; Serrano, MI; Serrano-Martino, MC, 1998
)
0.3
" MXL capsules were shown to provide effective analgesia over the 24-h dosing interval which was comparable to that of MST Continus tablets administered twice daily."( A randomized crossover study comparing the efficacy and tolerability of a novel once-daily morphine preparation (MXL capsules) with MST Continus tablets in cancer patients with severe pain.
McDonald, CJ; Miller, AJ; Mortimer, PG; O'Brien, T, 1997
)
0.52
" If the instillation occurs at the lumbosacral level (between the last lumbar and the first sacral vertebra), a dosage of 70 mg morphine/day cannot induce the same pain relief as 450 mg subcutaneous morphine (VAS score 5/10 vs."( Subcutaneous morphine is superior to intrathecal morphine for pain control in a patient with hypernephroma.
Devulder, JE, 1998
)
0.87
" In dose-response tests, subjects rarely responded on the U-50,488H-appropriate key when morphine was administered or on the morphine-appropriate key when they received U-50,488H."( Establishing morphine and U-50,488H as discriminative stimuli in a three-choice assay with pigeons.
Makhay, MM; Poling, A; Young, AM, 1998
)
0.89
" was initiated and the dosage was titrated upward to a total of 6613 mg/d by hospital day 16."( Continuous fentanyl infusion: use in severe cancer pain.
Dunlap, DS; Lenz, KL, 1998
)
0.3
" Dose-response curves for 1DMe in the presence of naltrindole or naltrexone, delta- and mu-opioid selective antagonists respectively, indicate that 1DMe preferentially reversed mu-receptor-mediated but increased delta-receptor-mediated analgesia."( Differential modulation of mu- and delta-opioid antinociception by neuropeptide FF receptors in young mice.
Desprat, C; Zajac, JM, 1997
)
0.3
" Compared with immediate-release (IR) morphine, this formulation provides the benefit of dosing every 12 hours."( Controlled-release morphine tablets in patients with chronic cancer pain: a narrative review of controlled clinical trials.
Warfield, CA, 1998
)
0.9
"Twice-daily dosing of CR morphine provides convenient, safe, and effective relief of cancer pain."( Controlled-release morphine tablets in patients with chronic cancer pain: a narrative review of controlled clinical trials.
Warfield, CA, 1998
)
0.93
"Case 1: A 72-year-old 84-kg white man with cancer of the bladder and bone metastases had intense back and leg pain that was treated with intrathecal morphine for 6 months at an increasing dosage up to 10 mg twice daily."( Respiratory depression following administration of intrathecal bupivacaine to an opioid-dependent patient.
Barjhoux, CE; Danel, VC; Lemoigne, AH; Mallaret, MP; Piquet, CY; Vincent, FH, 1998
)
0.5
"5 nmol/h) of the agonist for 5 days, the OFQ dose-response curves for its antinociceptive effect in the tail-flick and paw-pressure tests were significantly shifted to the right."( Antinociceptive and morphine modulatory actions of spinal orphanin FQ.
Henderson, G; Jhamandas, KH; Sutak, M, 1998
)
0.62
"0001) in the nociceptive threshold of the cows with cumulative dosing of morphine sulphate was noticed."( A thermal threshold assay to measure the nociceptive response to morphine sulphate in cattle.
Ewing, KK; Hurnik, JF; Machado Filho, LC, 1998
)
0.77
" After the block, her conditions improved markedly at a dosage of 300 mg."( [Long-term administration of large doses of oral morphine for chronic pain].
Kitajima, T; Okuda, Y; Saito, K; Takanishi, T, 1998
)
0.55
"The availability of various dosage forms allows morphine to be administered in a number of ways."( Intravaginal morphine: an alternative route of administration.
Lamb, J; Ostrop, NJ; Reid, G,
)
0.76
" Morphine sulfate was administered using a cumulative dosing procedure (2."( Chronic running-wheel activity decreases sensitivity to morphine-induced analgesia in male and female rats.
D'Anci, KE; Gerstein, AV; Kanarek, RB; Mathes, WF; Wildman, RP, 1998
)
1.46
"The concurrent administration of spinal morphine and systemic buprenorphine produces an antinociceptive effect that is greater than what could have been predicted from individual dose-response curves."( Antinociceptive effect induced by the combined administration of spinal morphine and systemic buprenorphine.
Jurna, I; Metzner, J; Nemirovsky, A; Niv, D; Rudick, V; Urca, G, 1998
)
0.8
" Morphine dose-response curves were carried out for morphine and fixed doses of ACEA 1021 (12 microg) or AP-5 (10 microg)."( Effects of intrathecal NMDA and non-NMDA antagonists on acute thermal nociception and their interaction with morphine.
Nishiyama, T; Weber, E; Yaksh, TL, 1998
)
1.42
"There are a number of modified release formulations of morphine with recommended dosage intervals of either 12 or 24 hours, including tablets (MS Contin, Oramorph SR), capsules (Kapanol, Skenan), suspension and suppositories."( Sustained relief of chronic pain. Pharmacokinetics of sustained release morphine.
Gourlay, GK, 1998
)
0.78
" infusion of morphine (half dosage of daily oral dosage), or subcutaneous injection (one sixth dosage of daily oral morphine) while preoperative epidural morphine was continued throughout the perioperative period."( [Perioperative managements of the patients with cancer-pain receiving morphine].
Maeda, S; Matsuda, M; Murakawa, K; Noma, K; Tashiro, C; Uemura, Y, 1998
)
0.9
" The purpose of this study was to describe patient responses to continuous intrathecal morphine over the course of one year with respect to morphine dosage used, complications and subjective assessments of pain."( Managing chronic nonmalignant pain with continuous intrathecal morphine.
Pillay, KV; Valentino, L; Walker, J, 1998
)
0.76
" Seven patients in the methadone group maintained the same initial dosage until death, whereas only one patient in the morphine group did not require opioid dose escalation."( Morphine versus methadone in the pain treatment of advanced-cancer patients followed up at home.
Agnello, A; Barresi, L; Calderone, L; Casuccio, A; Mercadante, S; Serretta, R, 1998
)
1.95
" Fentanyl and morphine both caused a downward shift in the dose-response curve to extracellular Ca2+ for shortening, with no concomitant effect on the Ca2+ transient."( Differential effects of fentanyl and morphine on intracellular Ca2+ transients and contraction in rat ventricular myocytes.
Damron, DS; Kanaya, N; Murray, PA; Zakhary, DR, 1998
)
0.93
" Morphine dosage was increased to maximally 3 x 30 mg daily, depending on effectiveness and side effects, dyspnoea at rest and immediately after a 6-min walk (assessed with Borg's visual analog scale), maximal walking capacity were determined, as well as blood gases, respiratory minute volume and the respiratory drive (airway occlusion pressure [P0."( [Value of orally administered retard morphine for therapy of severe pulmonary emphysema of the pink-puffer type. A pilot study].
Köhler, D; Schönhofer, B, 1998
)
1.48
" Groups of six rats received either vehicle or analgesic drug and antinociception was evaluated by evaluating the dose-response curves over time."( Antinociceptive effects of S(+)-ketoprofen and other analgesic drugs in a rat model of pain induced by uric acid.
Cabré, F; Díaz, I; Fernández-Guasti, A; López-Muñoz, FJ; Mauleón, D; Tost, D; Ventura, R, 1998
)
0.3
" The maximum dosage of morphine in the period of home therapy was 57."( [Continuous injection therapy of morphine solution for terminally-ill patients at home].
Abe, K; Komatsu, H; Matsumoto, S; Terashima, H, 1998
)
0.89
" Medical treatment at home consisted of dosage of morphine for 30 patients, parenteral nutrition for 30 patients, dosage of steroids for 29 patients, infusion of haloperidol for 8 patients, continuous draining of ascites for 6 patients, and continuous draining of intestinal fluid through nasogastric tube for 3 patients."( [Home care for terminally ill cancer patients in 1997].
Ashino, Y; Kanno, A; Muto, A; Sato, M, 1998
)
0.55
" A rightward shift of the dose-response curve was observed in rats made tolerant to systemic morphine with subcutaneous morphine pellets."( Characterization of the antihyperalgesic action of a novel peripheral mu-opioid receptor agonist--loperamide.
Nozaki-Taguchi, N; Yaksh, TL, 1999
)
0.52
" After the tail-flick latencies returned to baseline levels, dose-response curves were generated to Mor, Clon, and Mor-Clon combinations in tolerant and control mice."( Spinal antinociceptive synergism between morphine and clonidine persists in mice made acutely or chronically tolerant to morphine.
Fairbanks, CA; Wilcox, GL, 1999
)
0.57
" Pretreatment with a non-opioid receptor-selective dose (2 mg/kg) of NLXM produced a rightward shift in the dose-response function of EMD 61,753."( Effects of kappa opioids in the inflamed rat colon.
Gebhart, GF; Sengupta, JN; Snider, A; Su, X, 1999
)
0.3
" Finally, shifts in the morphine dose-response lines after 24-h pretreatment with the four dihydrocodeinone compounds suggest that the nitrocinnamoylamino derivatives may produce a greater magnitude long-term antagonism of morphine-induced antinociception than the chlorocinnamoylamino analogs."( Nitrocinnamoyl and chlorocinnamoyl derivatives of dihydrocodeinone: in vivo and in vitro characterization of mu-selective agonist and antagonist activity.
Archer, S; Bidlack, JM; Hill, KP; Jiang, Q; McLaughlin, JP; Sebastian, A, 1999
)
0.61
" The concentrations of the drug in the tissues sampled were determined to be similar to those normally encountered in human overdoses and were correlated with the dosage of morphine that had been administered."( Determination of drug levels in larvae of Lucilia sericata (Diptera: Calliphoridae) reared on rabbit carcasses containing morphine.
Bécart, A; Bourel, B; Deveaux, M; Gosset, D; Hédouin, V; Martin-Bouyer, L; Tournel, G, 1999
)
0.7
" Dose-response relationships show that higher doses of ibuprofen may be particularly effective."( Postoperative analgesia and vomiting, with special reference to day-case surgery: a systematic review.
McQuay, HJ; Moore, RA, 1998
)
0.3
"Under steady-state conditions in the first dosing interval, mean maximum plasma concentrations for morphine were 19."( Bioequivalence study of two morphine extended release formulations after multiple dosing in healthy volunteers.
Blume, HH; Crawford, F; Elze, M; Evers, G; Heinrich-Nols, J; Larsimont, V; Lee, LS; Schug, BS, 1999
)
0.81
" Morphine analgesia was inhibited by dynorphin as shown by a rightward shift of the morphine dose-response curve."( Antianalgesic action of dynorphin A mediated by spinal cholecystokinin.
Fujimoto, JM; Holmes, BB; Rady, JJ, 1999
)
1.21
" This study was designed to determine the dose-response relation for nalmefene for the prevention of morphine-related side effects in patients receiving intravenous patient-controlled analgesia."( Effects of prophylactic nalmefene on the incidence of morphine-related side effects in patients receiving intravenous patient-controlled analgesia.
Chehade, J; Duffy, L; Gajraj, N; Johnson, ER; Joshi, GP; Wesevich, J, 1999
)
0.77
" Simulation of effect-site concentrations of M6G indicated that after multiple oral dosing of morphine in patients with normal liver and renal function, M6G might reach concentrations two times greater than that of morphine."( Pharmacokinetic modeling of M6G formation after oral administration of morphine in healthy volunteers.
Ahne, G; Geisslinger, G; Kobal, G; Lötsch, J; Weiss, M, 1999
)
0.76
" The current model of morphine and M6G pharmacokinetics after oral administration of morphine may serve as a pharmacokinetic basis for experiments evaluating the analgesic contribution of M6G with long-term oral dosing of morphine."( Pharmacokinetic modeling of M6G formation after oral administration of morphine in healthy volunteers.
Ahne, G; Geisslinger, G; Kobal, G; Lötsch, J; Weiss, M, 1999
)
0.85
" The dose-response curves for oxymorphone and hydromorphone were shifted 5- and 12."( Enhancement mu opioid antinociception by oral delta9-tetrahydrocannabinol: dose-response analysis and receptor identification.
Cichewicz, DL; Martin, ZL; Smith, FL; Welch, SP, 1999
)
0.3
" In contrast, there were no sex differences in morphine's hotplate or tail withdrawal effects under repeated (1-week interval) dosing conditions."( Sex differences in development of morphine tolerance and dependence in the rat.
Bartok, RE; Craft, RM; King, SJ; Stratmann, JA; Walpole, TI, 1999
)
0.84
" Orderly dose-response functions suggested that our cumulative-dosing procedure is an efficient way of determining dose-response functions for multiple opioids within the same subjects within the same study."( Subjective, psychomotor, and physiological effects of cumulative doses of opioid mu agonists in healthy volunteers.
Walker, DJ; Zacny, JP, 1999
)
0.3
" The average dose of morphine administered during each of the 8-hour dosing intervals was approximately 12 mg."( Prescribing of analgesics in trauma patients.
Chopda, S; Erstad, BL; Esser, MJ, 1997
)
0.62
" The availability of a ready to use parental dosage form of morphine and bupivacaine is comfortable for health care workers."( Long-term stability of morphine and bupivacaine mixture for spinal use.
Beelen, M; Burger, DM; Essink-Tjebbes, CM; Hekster, YA; Wuis, EW, 1999
)
0.86
" This patient's clinical course indicates that oral oxycodone can be used safely and to good effect at high dose, that the milligram relative potency ratio for oral oxycodone to parenteral morphine during repeated dosing is 3:1, and suggests that availability of multiple formulations of oxycodone may benefit cancer patients."( The relative potency between high dose oral oxycodone and intravenous morphine: a case illustration.
Doona, M; Walsh, D; Zhukovsky, DS, 1999
)
0.73
"There was evidence of context-specific tolerance across both testing methods, with a rightward shift of dose-response curves of paired relative to unpaired animals."( Context-specific morphine tolerance on the paw-pressure and tail-shock vocalization tests: evidence of associative tolerance without conditioned compensatory responding.
Cepeda-Benito, A; Cox, LS; Tiffany, ST, 1999
)
0.64
" Morphine dosage was negatively associated with age (r = -0."( High dose morphine use in the hospice setting. A database survey of patient characteristics and effect on life expectancy.
Adunsky, A; Bercovitch, M; Waller, A, 1999
)
1.62
"A fairly strong correlation exists between morphine dosage and some clinicodemographic data."( High dose morphine use in the hospice setting. A database survey of patient characteristics and effect on life expectancy.
Adunsky, A; Bercovitch, M; Waller, A, 1999
)
0.97
" Morphine dosage must therefore be carefully controlled in patients with renal failure."( [Morphine poisoning in chronic kidney failure. Morphine-6-glucuronide as a pharmacologically active morphine metabolite].
Caduff, B; Dubs, A; Wiedemeier, P, 1999
)
2.12
" Glibenclamide enhanced spontaneous alternation performance in an inverted-U dose-response manner."( ATP-sensitive potassium channel blockade enhances spontaneous alternation performance in the rat: a potential mechanism for glucose-mediated memory enhancement.
Gold, PE; Nicholson, GM; Stefani, MR, 1999
)
0.3
"To search for the optimal dosage of nalbuphine relief of intrathecal-morphine induced pruritus after caesarean section."( Optimal dose of nalbuphine for treatment of intrathecal-morphine induced pruritus after caesarean section.
Ketchada, U; Oranuch, K; Siriprapa, S; Somrat, C; Thipawan, R, 1999
)
0.78
" Clinical applications are rare because of the lack of dose-response relationships in the studies performed to date, and questions remain regarding the mechanisms of drug incorporation into hair."( Codeine concentration in hair after oral administration is dependent on melanin content.
Ahlner, J; Förstberg-Peterson, S; Kågedal, B; Kronstrand, R; Larson, G, 1999
)
0.3
" Assessments were made at 30 min, 60 min, then hourly after dosing for 12 h or until remedication."( Relative potency of controlled-release oxycodone and controlled-release morphine in a postoperative pain model.
Brown, J; Clark, P; Curtis, GB; Johnson, GH; Lacouture, PG; O'Callaghan, R; Shi, M; Taylor, R, 1999
)
0.54
" for generation of dose-response curves in the tail-flick test."( Involvement of phospholipid signal transduction pathways in morphine tolerance in mice.
Dewey, WL; Lohmann, AB; Smith, FL, 1999
)
0.55
" The titrated dosages (a bolus dosage and a maintenance dosage) chosen by the nurses for the patient with slightly elevated vital signs differed significantly from the titrated dosages chosen by the same group of nurses for another patient with vital signs at the lower end of the stable range (t=3."( Vital signs and nurses' choices of titrated dosages of intravenous morphine for relieving pain following cardiac surgery.
Chuk, PK, 1999
)
0.54
" The equipotent morphine dosage requirements were also not statistically different."( Patient-controlled analgesia in postoperative cardiac surgery.
Brush, B; Tsang, J, 1999
)
0.65
" In contrast, repeated dosage twice daily for 10 days and ascending from 10 to 50 mg/kg resulted in a sharply delineated morphine-induced c-fos synthesis in the dorsomedial and lateral striatum, lateral septum, medial mammillary nuclei, anterior thalamus and, in part masked by a high background due to injection stress, in the cingulate cortex."( Long-lasting sensitization towards morphine in motoric and limbic areas as determined by c-fos expression in rat brain.
Erdtmann-Vourliotis, M; Höllt, V; Linke, R; Mayer, P; Riechert, U, 1999
)
0.79
" Next, a morphine dose-response curve (1."( Sensitization to daily morphine injections in rats with unilateral lesions of the substantia nigra.
Easterling, KW; Holtzman, SG; Kimmel, HL; Volpicelli, LA, 1999
)
1.03
" Furthermore, morphine-induced analgesia in a hot-plate test showed a leftward shift in the morphine dose-response curve after naloxone treatment."( Effects of continuous opioid receptor blockade on alcohol intake and up-regulation of opioid receptor subtype signalling in a genetic model of high alcohol drinking.
Hyytiä, P; Ingman, K; Korpi, ER; Laitinen, JT; Soini, SL, 1999
)
0.66
" Data derived from the hand set signals are used by an expert algorithm to repeatedly adapt the drug dosage of the bolus and of the background infusion according to both current pain intensity and the patient's response to previous dosage."( Smart technology improves patient-controlled analgesia: a preliminary report.
Cade, JF; Lee, B; Morley, PT; Packer, JS; Rudolph, H, 1999
)
0.3
" 18-Methoxycoronaridine produced a downward shift in the entire morphine dose-response curve without any displacement to the left or right."( Attenuation of the reinforcing efficacy of morphine by 18-methoxycoronaridine.
Glick, SD; Maisonneuve, IM, 1999
)
0.8
" Inclusion of a fixed dose of 3-O-methylnaltrexone significantly shifted the analgesic dose-response curves for 6-acetylmorphine and heroin without altering the morphine dose-response curves."( Antagonism of heroin and morphine self-administration in rats by the morphine-6beta-glucuronide antagonist 3-O-methylnaltrexone.
Izzo, E; King, M; Koob, GF; Pasternak, GW; Walker, JR, 1999
)
0.81
" The combinations of moxonidine-morphine and moxonidine-deltorphin II resulted in significant leftward shifts in the dose-response curves compared to those of each agonist administered separately."( Moxonidine, a selective imidazoline/alpha(2) adrenergic receptor agonist, synergizes with morphine and deltorphin II to inhibit substance P-induced behavior in mice.
Fairbanks, CA; Kitto, KF; Posthumus, IJ; Stone, LS; Wilcox, GL, 2000
)
0.81
" Diazoxide (2 microg/mouse) shifted morphine's dose-response curve 47-fold, while levcromakalim (0."( ATP-gated K(+) channel openers enhance opioid antinociception: indirect evidence for the release of endogenous opioid peptides.
Lohmann, AB; Welch, SP, 1999
)
0.58
") daily morphine dosage at study entry was 135 (127) mg, and the daily morphine dose at study completion was 244 (240) mg."( Long-term patterns of morphine dosage and pain intensity among cancer patients.
Melzack, R; Sloan, P, 1999
)
1.05
" The following conclusions were reached: 1) MSC should be explained individually and repeatedly, 2) exact informations on a patient's status should be collected using scales and charts, 3) nurse charts should record when MSC is initially administered and when the dosage is changed, and 4) the cases of poorly controlled patients should be studied and specialists consulted if necessary."( [Roles of outpatient nurses in the care of cancer patients receiving MS Contin tablets].
Naito, A; Sekiya, Y, 1999
)
0.3
" Disposition was examined either following intraperitoneal dosing as a single dose or continuous infusion."( Disposition of morphine in tissues of the pregnant rat and foetus following single and continuous intraperitoneal administration to the mother.
Boulton, DW; DeVane, CL; Laizure, SC; Miller, RL; Simpkins, JW, 1999
)
0.66
" Our results showed that morphine served as a positive reinforcing agent in both male and female rats in a place conditioning paradigm, but that the dose-response curves displayed marked sex-related differences."( Gender differences in the reinforcing properties of morphine.
Cicero, TJ; Ennis, T; Meyer, ER; Ogden, J, 2000
)
0.86
" Existing models often fail to predict route-dependent intestinal metabolism, namely, little metabolism occurs after systemic dosing but notable metabolism exists after oral dosing."( A new physiologically based, segregated-flow model to explain route-dependent intestinal metabolism.
Cong, D; Doherty, M; Pang, KS, 2000
)
0.31
" Acutely, parenteral coadministration of chloramphenicol and morphine resulted in an approximately 75% increase in the mean area under the serum morphine concentration-time curve but for chronic dosing there was no significant change in this curve, indicating that factors other than morphine concentrations contribute significantly to antinociception."( Systemic coadministration of chloramphenicol with intravenous but not intracerebroventricular morphine markedly increases morphine antinociception and delays development of antinociceptive tolerance in rats.
Lau, M; Lim-Fraser, MY; Nielsen, CK; Smith, MT; Wright, AW, 2000
)
0.77
" Daily dosing requirements were less in the elderly for intermittent intravenous lorazepam, haloperidol, and morphine but not for midazolam (p=0."( Frequency, severity, and treatment of agitation in young versus elderly patients in the ICU.
Berthiaume, D; Fraser, GL; Prato, BS; Riker, RR; Wilkins, ML, 2000
)
0.52
"3, 1, 3, and 10 microg) were administered intrathecally to obtain the dose-response curves and the 50% effective dose (ED(50)) for each drug."( An analysis of drug interaction between morphine and neostigmine in rats with nerve-ligation injury.
Choi, Y; Han, SM; Hwang, JH; Hwang, KS; Lee, DM; Park, PH, 2000
)
0.57
" The combination of ziconotide and morphine produced an additive inhibition of formalin-induced tonic flinch responses and a significant leftward shift of the morphine dose-response curve in the paw pressure test."( Interactions of intrathecally administered ziconotide, a selective blocker of neuronal N-type voltage-sensitive calcium channels, with morphine on nociception in rats.
Bowersox, SS; Gao, D; Pettus, M; Phillips, C; Wang, YX, 2000
)
0.79
" Behaviourally, rats co-administered sub-antinociceptive doses of oxycodone and morphine were similar to control rats dosed with saline, whereas rats that received equi-potent doses of either opioid alone, were markedly sedated."( Co-administration of sub-antinociceptive doses of oxycodone and morphine produces marked antinociceptive synergy with reduced CNS side-effects in rats.
Ross, FB; Smith, MT; Wallis, SC, 2000
)
0.77
" The concept of rescue dosing in safe analgesic titration and management of breakthrough/incident pain is a key concept."( Pharmacological management of cancer pain.
Walsh, D, 2000
)
0.31
" To minimise the total daily opioid dosage and the potential risk of a neonatal withdrawal syndrome due to opioids, the route of administration was changed from oral to epidural."( Treatment of severe low back pain with opioids during pregnancy in a patient with incomplete tetraplegia.
Göhring, UJ; Grond, S; Radbruch, L; Sabatowski, R, 2000
)
0.31
" The dose-response of intrathecal morphine (1-320 microg) for both scratching and antinociception in all subjects was established."( An experimental itch model in monkeys: characterization of intrathecal morphine-induced scratching and antinociception.
Ko, MC; Naughton, NN, 2000
)
0.82
" Pretreatment with nalmefene (32 microg/kg subcutaneously) produced approximately 10-fold rightward shifts of intrathecal morphine dose-response curves for both behavioral effects."( An experimental itch model in monkeys: characterization of intrathecal morphine-induced scratching and antinociception.
Ko, MC; Naughton, NN, 2000
)
0.75
"The purpose of this study was to describe the dose-response relationship of epidural morphine for postcesarean analgesia for quality of analgesia and relation to the side effects of pruritus, nausea, and vomiting."( Postcesarean epidural morphine: a dose-response study.
Alves, DM; Nogami, WM; Palmer, CM; Van Maren, G, 2000
)
0.85
"9-fold rightward shift of the cumulative dose-response curves."( Clinically available NMDA receptor antagonists memantine and dextromethorphan reverse existing tolerance to the antinociceptive effects of morphine in mice.
Danysz, W; Kozela, E; Popik, P, 2000
)
0.51
" Individualization of analgesic therapy, patient-controlled analgesia (PCA), can provide optimal dosage for pain control and minimize the side-effects."( Efficacy and safety of patient-controlled analgesia for morbidly obese patients following gastric bypass surgery.
Brolin, RE; Choi, YK; Chou, S; Etesham, S; Pollak, P; Wagner, BK, 2000
)
0.31
"A dose-response curve for intravenous morphine and vomiting was investigated in children having day-stay tonsillectomy."( The dose-effect relationship for morphine and vomiting after day-stay tonsillectomy in children.
Anderson, BJ; Barber, C; Holford, NH; Ralph, CJ; Stewart, AW, 2000
)
0.86
" Compared to vehicle pretreated controls, 18-MC increased the potency of morphine, shifting the dose-response curve to the left, in acute morphine treated rats; however, 18-MC did not alter the potency of morphine in rats treated repeatedly with morphine."( The potential anti-addictive agent, 18-methoxycoronaridine, blocks the sensitized locomotor and dopamine responses produced by repeated morphine treatment.
Glick, SD; Maisonneuve, IM; Szumlinski, KK, 2000
)
0.74
"To compare morphine dosage and effectiveness in AIDS patients with/without prior substance use and pain, a prospective, open-label case series lasting 3-18 days was conducted in both outpatients and inpatients at major pain service teaching programs."( A titrated morphine analgesic regimen comparing substance users and non-users with AIDS-related pain.
Kaplan, R; Ries, K; Slagle, S; Slywka, J, 2000
)
1.09
" After obtaining dose-response curves for each agent, combinations of morphine and AP-5, ACEA 1021 or ACEA 2752 were tested for their effect on the number of flinches in the formalin test and for associated side-effects, such as motor disturbances, flaccidity, and agitation/allodynia."( Interaction between intrathecal morphine and glutamate receptor antagonists in formalin test.
Nishiyama, T, 2000
)
0.82
" Nevertheless, prescription parameters such as the bolus dosage and the possible association of a continuous background infusion have not yet been standardized."( [Patient-controlled analgesia for prolonged pain in the child. An open-label feasibility study of a standardized method].
Bockenmeyer, J; Duval, M; Escot, A; Faye, A; Legrand, F; Rohrlich, P; Vernois, S; Vilmer, E; Wood, C, 2000
)
0.31
"Thirty-three children, aged four to 17, hospitalized in a pediatric hematology ward, benefited from PCA with a standardized prescription: a bolus dosage of at least 25 mg/kg, without a background infusion."( [Patient-controlled analgesia for prolonged pain in the child. An open-label feasibility study of a standardized method].
Bockenmeyer, J; Duval, M; Escot, A; Faye, A; Legrand, F; Rohrlich, P; Vernois, S; Vilmer, E; Wood, C, 2000
)
0.31
" Dose-response curves for morphine and clonidine alone and combined at a 1:1 potency ratio were obtained, and doses producing a 50% and 60% inhibition were calculated (ED50, ED60)."( Intestinal inflammation and morphine tolerance alter the interaction between morphine and clonidine on gastrointestinal transit in mice.
Pol, O; Puig, MM; Warner, W, 2000
)
0.9
"In naive and tolerant mice, the combination induced linear dose-response curves up to the ED60 and then reached a plateau."( Intestinal inflammation and morphine tolerance alter the interaction between morphine and clonidine on gastrointestinal transit in mice.
Pol, O; Puig, MM; Warner, W, 2000
)
0.6
" The dose that yielded 50% of the maximum possible effect (ED50) and dose-response and time-course curves were determined for the ketamines (30-300 microg), morphine (0."( The effects of ketamine and its enantiomers on the morphine- or dexmedetomidine-induced antinociception after intrathecal administration in rats.
Benedek, G; Dobos, I; Horvath, G; Joó, G; Kekesi, G; Klimscha, W; Szikszay, M, 2000
)
0.76
" Chronic (daily) dosing with a dose that reduced, but did not eliminate, responding then occurred until response rates stabilized."( Effects of cocaine and morphine under mixed-ratio schedules of food delivery: support for a behavioral momentum analysis.
Byrne, T; Christian, L; Lesage, MG; Poling, A, 2000
)
0.62
" In the first study, U50,488H was administered in a cumulative dosing procedure (5."( Long-term voluntary access to running wheels decreases kappa-opioid antinociception.
D'Anci, KE; Gerstein, AV; Kanarek, RB, 2000
)
0.31
" Twenty-four hours later, a morphine dose-response study was conducted (tail flick); or mice were sacrificed and saturation binding studies ([3H]DAMGO) were performed in whole brain."( The effect of nimodipine on opioid antagonist-induced upregulation and supersensitivity.
Lee, SC; Yoburn, BC, 2000
)
0.6
" In contrast, agonist-stimulated coupling was diminished (desensitization), resulting in a substantially flattened morphine dose-response curve."( Calmodulin regulation of basal and agonist-stimulated G protein coupling by the mu-opioid receptor (OP(3)) in morphine-pretreated cell.
Sadée, W; Surratt, CK; Wang, D, 2000
)
0.73
" Animals dosed with RB 120 (10 mg/kg) failed to develop a discriminative response."( Analgesic doses of the enkephalin degrading enzyme inhibitor RB 120 do not have discriminative stimulus properties.
Fournié-Zaluski, M; Hutcheson, DM; Maldonado, R; Pache, DM; Roques, BP; Sewell, RD; Subhan, F, 2000
)
0.31
" Subjects were then tested for tolerance in the distinctive context using the tail-flick procedure and dose-response curve methodology."( Associative and non-associative fentanyl tolerance in the rat: evaluation of cross tolerance with mu-and kappa-specific opioids.
Carter, BL; Conklin, CA; Tiffany, ST, 2000
)
0.31
"8 mg/kg) produced a 74-fold increase in the ED(50) of morphine while showing no effect on bremazocine or BW373U86 dose-response curves."( Methocinnamox is a potent, long-lasting, and selective antagonist of morphine-mediated antinociception in the mouse: comparison with clocinnamox, beta-funaltrexamine, and beta-chlornaltrexamine.
Broadbear, JH; Burke, TF; Husbands, SM; Lewis, JW; Sumpter, TL; Traynor, JR; Woods, JH, 2000
)
0.79
" The mean titrated daily morphine dosage was 97 mg (range, 60-180)."( Effects on cancer patients' health-related quality of life after the start of morphine therapy.
Borchgrevink, PC; Kaasa, S; Klepstad, P, 2000
)
0.84
"The dosage of transdermal fentanyl had to be increased on average 50% over that indicated by the manufacturer."( Opioid treatment of painful chronic pancreatitis.
Larsen, S; Madsen, LG; Niemann, T; Thorsgaard, N, 2000
)
0.31
" However, the dosage often has to be increased above that recommended by the manufacturer."( Opioid treatment of painful chronic pancreatitis.
Larsen, S; Madsen, LG; Niemann, T; Thorsgaard, N, 2000
)
0.31
" Dose-response and time-course determinations were performed with various opioids."( Sex-related differences in the antinociceptive effects of opioids: importance of rat genotype, nociceptive stimulus intensity, and efficacy at the mu opioid receptor.
Barrett, AC; Bowman, JR; Cook, CD; Picker, MJ; Roach, EL, 2000
)
0.31
" Morphine bioavailability after such administration is 59% of the dose loaded into the dosage form."( Pharmacokinetics and pharmacodynamics of inhaled versus intravenous morphine in healthy volunteers.
Connors, PM; Dershwitz, M; Morishige, RJ; Rosow, CE; Rubsamen, RM; Shafer, SL; Walsh, JL, 2000
)
1.45
" Furthermore, the combinations of moxonidine-morphine and clonidine-morphine resulted in substantial leftward shifts in the dose-response curves compared with those of each agonist administered separately."( Moxonidine, a selective imidazoline-alpha2 -adrenergic receptor agonist, produces spinal synergistic antihyperalgesia with morphine in nerve-injured mice.
Fairbanks, CA; Grocholski, BM; Nguyen, HO; Wilcox, GL, 2000
)
0.77
" This study was conducted to determine: (1) if analgesic effects of polymer-encapsulated intrathecal adrenal chromaffin cells could be detected in the more sensitive low temperature hot-plate test without using nicotine to stimulate chromaffin cell output, (2) if a dose-response curve can be produced in the hot-plate and formalin tests with different numbers of adrenal chromaffin cells (0K, 120K, or 330K), (3) if cell viability and/or the magnitude of analgesic effects are affected by differences in implant site (i."( Intrathecal polymer-encapsulated bovine adrenal chromaffin cells fail to produce analgesic effects in the hotplate and formalin test.
Francis, JM; Lindner, MD; Saydoff, JA, 2000
)
0.31
" Overall, patients in both groups requested only 25% of the permissible dosage of analgesia."( Oral analgesia in the treatment of post-cesarean pain.
Alpert, I; Itskovitz-Eldor, J; Jakobi, P; Solt, I; Weiner, Z; Zimmer, EZ, 2000
)
0.31
" Three and 7 days of systemic morphine injections produced significant but unequal rightward shifts in the morphine dose-response curve such that females displayed greater increases in analgesic ED(50) values when compared to males."( A comparison of morphine analgesic tolerance in male and female mice.
Hopkins, E; Kest, B; Palmese, C, 2000
)
0.94
" We conclude that periarticularly administered morphine in arthroscopic subacromial decompression in the dosage applied in this study does exert no relevant analgesic effect."( [Effectiveness of morphine by periarticular injections after shoulder arthroscopy].
Fischer, A; Fischer, M; Henn, P; Steuer, K, 2000
)
0.9
" In the presence of morphine the ACh dose-response curve was shifted to the right in a parallel fashion, suggesting a competitive interaction."( Morphine inhibits an alpha9-acetylcholine nicotinic receptor-mediated response by a mechanism which does not involve opioid receptors.
Elgoyhen, AB; Guth, PS; Holt, JC; Lioudyno, MI; Verbitsky, M, 2000
)
2.07
" However, they shifted the morphine antinociceptive dose-response curve to the left when coadministered with morphine during tolerance induction, and reduced the increase in the ED50 of morphine (dose producing 50% of the maximum response) three- to four-fold."( Intrathecal cyclooxygenase inhibitor administration attenuates morphine antinociceptive tolerance in rats.
Chou, R; Chou, YY; Hsu, MM; Tung, CS; Wong, CS, 2000
)
0.84
" The MOR internalization is dose-dependent, with a similar dose-response to that observed for opioid-induced increases in potassium conductance."( Postsynaptic signaling via the [mu]-opioid receptor: responses of dorsal horn neurons to exogenous opioids and noxious stimulation.
Abbadie, C; Basbaum, AI; Marek, K; Trafton, JA, 2000
)
0.31
" Time- and dose-response curves were obtained in beta-endorphin-deficient and matched wild-type C57BL/6 congenic control mice using the tail-immersion/withdrawal assay."( Disparate spinal and supraspinal opioid antinociceptive responses in beta-endorphin-deficient mutant mice.
Bales, JR; Belknap, JK; Grisel, JE; Hayward, MD; Low, MJ; Mogil, JS; Rubinstein, M, 2000
)
0.31
" The use of the LMA had no effect on this dose-response curve."( Investigations using logistic regression models on the effect of the LMA on morphine induced vomiting after tonsillectomy.
Anderson, BJ; Holford, NH; McGann, JE; Newson, AJ; Pearce, S, 2000
)
0.54
" Both shifted the dose-response curve of morphine to the right and these actions were eliminated by intrathecal PGD(2."( Antianalgesic action of nociceptin originating in the brain is mediated by spinal prostaglandin E(2) in mice.
Campbell, WB; Fujimoto, JM; Rady, JJ, 2001
)
0.58
" The intrathecal morphine antinociceptive dose-response curve (DRC) in morphine-pelleted rats was displaced to the right of that in placebo-pelleted rats, indicating antinociceptive "tolerance."( Tonic descending facilitation from the rostral ventromedial medulla mediates opioid-induced abnormal pain and antinociceptive tolerance.
Lai, J; Malan, TP; Ossipov, MH; Porreca, F; Suenaga, NM; Vanderah, TW, 2001
)
0.65
"1 times more potent during acute and chronic CO, and the E(max) values of the dose-response curves increased 35% during inflammation."( Intestinal inflammation enhances the inhibitory effects of opioids on intestinal permeability in mice.
Pol, O; Puig, MM; Valle, L, 2001
)
0.31
" Toluene was not able to block morphine-induced antinocieption, however, it produced a shift of the morphine dose-response curve to lower effects, suggesting a physiological antagonism."( Toluene increases acute thermonociception in mice.
Cruz, SL; López-Rubalcava, C; Páez-Martínez, N; Pellicer, F; Salazar, LA, 2001
)
0.6
" This dose-response analysis suggests that the increase in the severity of autonomic manifestations of MW is associated with a gradual activation of major structures of the autonomic nervous system."( Sensitivity to naloxone of the behavioral signs of morphine withdrawal and c-Fos expression in the rat CNS: a quantitative dose-response analysis.
Besson, JM; Gestreau, C; Le Guen, S, 2001
)
0.56
" To maintain comfort, drugs were required at doses substantially above standard dosing schemes."( Management of background pain and anxiety in critically burned children requiring protracted mechanical ventilation.
Querzoli, E; Sheridan, R; Stoddard, F,
)
0.13
" The time course and dose-response studies demonstrated that mu receptor phosphorylation was a rapid event, exhibited a positive dose-dependent response, and was similar to that observed in the cloned mu receptor in CHO cells."( Agonist-induced mu opioid receptor phosphorylation and functional desensitization in rat thalamus.
Deng, HB; Guang, W; Wang, H; Wang, JB; Yu, Y, 2001
)
0.31
" Relative to morphine-naive control mice, significant rightward shifts in the morphine dose-response curve, resulting in increased morphine ED(50) values (approximately two to three-fold), was observed for all genotypes following three days of repeated systemic morphine injections."( Morphine tolerance and dependence in nociceptin/orphanin FQ transgenic knock-out mice.
Chen, ZP; Hopkins, E; Kest, B; Mogil, JS; Palmese, CA; Pintar, JE, 2001
)
2.12
"Taken together, these data suggest that magnitude of antinociceptive tolerance is inversely related to relative efficacy of mu agonists, with lower efficacy agonists being more susceptible to tolerance than are higher efficacy agonists under these intermittent dosing conditions."( Differential tolerance to antinociceptive effects of mu opioids during repeated treatment with etonitazene, morphine, or buprenorphine in rats.
Walker, EA; Young, AM, 2001
)
0.52
" When responding was maintained under the FR schedule, the dose-response curves for drugs that generalized to the training drugs were quantal in shape, while under the FI schedule, the dose-response curves for drugs that generalized to the training drugs were graded."( Schedule control of quantal and graded dose-effect curves in a drug-drug-saline discrimination.
Hardwick, WC; Li, M; McMillan, DE, 2001
)
0.31
" Further research is needed to determine the time frame of exposure represented by pesticide levels in meconium and to evaluate the dose-response relationship."( Measurement of organophosphate metabolites in postpartum meconium as a potential biomarker of prenatal exposure: a validation study.
Barr, DB; Whyatt, RM, 2001
)
0.31
" On the basis of the dose-response curve analysis, ohmefentanyl stereoisomers displayed a significant difference in place preference ED50."( Quantitative comparison of ohmefentanyl isomers induced conditioning place preference in mice.
Chen, XJ; Chi, ZQ; Guo, GW; Jin, WQ; Liu, ZH; Zhang, HP; Zhu, YC, 2001
)
0.31
" Table 2 reviews recommended dosing of selected agents in acute coronary syndromes."( General pharmacologic treatment of acute myocardial infarction.
Harrigan, RA; Shannon, AW, 2001
)
0.31
" When initiating treatment, controlled-release preparations of opioids are generally favoured, and are combined with immediate release morphine to prevent or treat 'breakthrough' pain and to enable the optimum opioid dosage to be calculated."( [Treatment of pain in cancer with systemically administered opioids].
de Wit, R; Enting, RH; Lieverse, PJ; Smitt, PA; van der Rijt, CC; Wilms, EB, 2001
)
0.51
" Dose-response curves for morphine (1."( Repeated cocaine administration does not alter morphine-induced rotational behavior in nigrally denervated rats.
Holtzman, SG; Kimmel, HL, 2001
)
0.87
"Conducting complete dose-response evaluations of multiple drugs in a single within-subjects experiment is very time-consuming when a complete session is required for evaluation of each dose."( Subjective, psychomotor, and physiological effects of cumulative doses of mixed-action opioids in healthy volunteers.
Galva, KE; Lichtor, JL; Walker, DJ; Zacny, JP, 2001
)
0.31
"To evaluate a within-session cumulative-dosing procedure as a potentially efficient method for conducting dose-response evaluations of mixed-action opioids."( Subjective, psychomotor, and physiological effects of cumulative doses of mixed-action opioids in healthy volunteers.
Galva, KE; Lichtor, JL; Walker, DJ; Zacny, JP, 2001
)
0.31
"Orderly dose-response functions and replication of results of single-dosing studies confirmed that the cumulative-dosing procedure is an efficient way of determining dose-response functions for multiple opioids within the same subjects."( Subjective, psychomotor, and physiological effects of cumulative doses of mixed-action opioids in healthy volunteers.
Galva, KE; Lichtor, JL; Walker, DJ; Zacny, JP, 2001
)
0.31
" The article shows the usual dosage and "therapeutic", toxic and fatal concentrations."( [Pharmacokinetic and toxicokinetic parameters of some drugs of abuse].
Panas, M, 2001
)
0.31
" Both lorglumide and PD-135,158 induced a significant shift to the left in the morphine dose-response curves as well as a significant decrease in ED50 of the STR."( Stimulation of either cholecystokinin receptor subtype reduces while antagonists potentiate or sensitize a morphine-induced excitatory response.
Cacheiro, RG; Cruz, TN; Felicio, LF; Flório, JC; Mazzini, BK; Nasello, AG, 2001
)
0.75
" The dosing intervals suggested by our study are 2 to 3 h for morphine in both rats and mice, 1 to 2 h for butorphanol in both rats and mice; and 6 to 8 h in rats and 3 to 5 h in mice for buprenorphine."( The magnitude and duration of the analgesic effect of morphine, butorphanol, and buprenorphine in rats and mice.
Danneman, PJ; Gades, NM; Tolley, EA; Wixson, SK, 2000
)
0.8
"Morphine pretreatment 1 h prior to assessment of the cocaine dose-response function significantly enhanced the discriminative stimulus effects of cocaine."( Temporal factors affecting cocaine-opioid interactions: a cocaine drug discrimination study in rats.
Green-Jordan, K; Kantak, KM; Warren, L, 2001
)
1.75
" No clear dose-response effect was seen when VAS was used as a measure of pain, but it was seen when area under the curve was used as a measure of pain."( A systematic review of the peripheral analgesic effects of intraarticular morphine.
Berggren, L; Bodin, L; Gupta, A; Holmström, B, 2001
)
0.54
" Second, increasing dosage of morphine often reduces pain, at the same time patients become drowsy."( [Issues in cancer pain management].
Hoka, S; Matoba, M; Murakami, S, 2001
)
0.6
" Both sexes displayed a positive dose-response relationship between acute morphine and naloxone doses and jumping frequency."( Assessment of acute and chronic morphine dependence in male and female mice.
Adler, M; Hopkins, E; Juni, A; Kest, B; Palmese, CA, 2001
)
0.83
" As previously reported urine concentrations varied greatly between subjects and within subjects with time after dosing but were much more predictable when values were reported as amount of drug per unit of creatinine."( Urinary excretion profiles for total morphine, free morphine, and 6-acetylmorphine following smoked and intravenous heroin.
Cone, EJ; Darwin, WD; Jenkins, AJ; Paul, BD; Shimomura, ET; Smith, ML; Summers, J, 2001
)
0.58
" An inhibition of morphine-induced increases in dopamine could be interpreted as either antagonism or potentiation depending the shape of the morphine dose-response curve."( Biphasic dose-related effects of morphine on dopamine release.
Glick, SD; Maisonneuve, IM; Warner, LM, 2001
)
0.93
" Results suggest that the pharmacokinetic properties of a drug, including the dosage administered and the rate of at which it is administered may function to jointly affect the abuse liability of the drug."( Effects of infusion rate of intravenously administered morphine on physiological, psychomotor, and self-reported measures in humans.
Badger, GJ; Bickel, WK; Jonzon, B; Marsch, LA; Norsten-Höög, C; Rathmell, JP; Swedberg, MD, 2001
)
0.56
" In this pilot trial of five patients with tardive and four patients with idiopathic dystonia we tested the effect of morphinsulfate in a retarded form with a dosage of 20-60 mg per day."( Morphine in tardive and idiopathic dystonia (short communication).
Becker, G; Berg, D; Naumann, M; Reiners, K, 2001
)
1.75
" We used the tail-flick test to construct dose-response curves before and 4 days after chronic morphine (75-mg pellets, subcutaneously (s."( Reduced development of tolerance to the analgesic effects of morphine and clonidine in PKC gamma mutant mice.
Basbaum, AI; Gilbert, H; Malmberg, AB; Zeitz, KP, 2001
)
0.77
") potentiated the cataleptic response of morphine as shown by a rightward shift in the morphine-log dose-response curve."( Role of nitric oxide in catalepsy and hyperthermia in morphine-dependent rats.
Abou Zeit-Har, MS; Afify, EA; Daabees, TT; Gabra, BH, 2001
)
0.82
" Increasing morphine dosage causes drowsiness without pain improvement."( Use of morphine and adjuvant drugs according to the condition.
Matoba, M, 2001
)
1.14
" (5) The rate of pain relief of patients staying in the ward where the guidance for dosing of morphine had been carried out was 37."( Usefulness of the evidence-based medicine-supported cancer pain management guideline.
Hiraga, K; Nozaki-Taguchi, N, 2001
)
0.53
" The reduced dosing frequency makes the oral medication more convenient for patients, making it easier for them to comply with the dosing regimen."( Opioid formulations: tailoring to the needs in chronic pain.
Reder, RF, 2001
)
0.31
" On the other hand, in male rats, castrated at postnatal days 1 and 2, the morphine dose-response curve shifted markedly to the right and, in fact, was almost identical to that observed in untreated females."( Role of steroids in sex differences in morphine-induced analgesia: activational and organizational effects.
Cicero, TJ; Meyer, ER; Nock, B; O'Connor, L, 2002
)
0.81
" (when necessary) alone for chronic pain, absence of review after prescribing treatment, and lack of double dosing at night."( An audit of morphine prescribing in a hospice.
Koo, WH; Loh, EC; Neo, SH, 2001
)
0.69
" Reflex contraction of the rectus abdominis in response to distension was recorded before and after cumulative dosing with the mu-opioid agonist morphine and the kappa-opioid agonist (-)U50488."( Estrogen reduces efficacy of mu- but Not kappa-opioid agonist inhibition in response to uterine cervical distension.
Eisenach, JC; Sandner-Kiesling, A, 2002
)
0.52
" When dose-response curves were redetermined with a cumulative-dosing procedure, the same pattern of generalization occurred as under single-dose procedures."( Four-choice drug discrimination in pigeons.
Li, M; McMillan, DE, 2001
)
0.31
" Examples for calculating required drug dosage depending on the clinical situation and the route of administration."( [New Level III opioids of the World Health Organization].
Laval, G; Mallaret, M; Sang, B; Villard, ML, 2002
)
0.31
"After an initial open titration phase aiming to determine the maximal tolerated dosage of IV morphine, the efficacy of morphine infusion (9-30 mg; mean dosage, 16 mg) was assessed in a double-blind, placebo-controlled and crossover fashion in 15 patients with poststroke- (6 patients) or spinal cord injury- (9 patients) related pain."( Effects of IV morphine in central pain: a randomized placebo-controlled study.
Attal, N; Bouhassira, D; Brasseur, L; Chauvin, M; Gaude, V; Guirimand, F, 2002
)
0.89
" However, chronic morphine treatment did induce a leftward shift in the adenosine dose-response curve, indicating an increase in the sensitivity of synaptic currents to exogenously applied adenosine."( Increase in adenosine sensitivity in the nucleus accumbens following chronic morphine treatment.
Brundege, JM; Williams, JT, 2002
)
0.88
" On the other hand, the bolus of intravenous clonidine 2 microg/kg (group C) was less effective in terms of pain relief but with similar side-effects to the 3 microg/kg dosage (group B)."( Clonidine for treatment of postoperative pain: a dose-finding study.
Ciccozzi, A; Di Pietro, A; Donatelli, F; Iovinelli, G; Marinangeli, F; Paladini, A; Rawal, N; Varrassi, G, 2002
)
0.31
"This was a randomized, open-label, single-dose, crossover study, with a 7-day washout period between the 2 dosing days."( Pharmacokinetic evaluation of a sprinkle-dose regimen of a once-daily, extended-release morphine formulation.
Butler, J; Devane, J; Eliot, L; Loewen, G, 2002
)
0.54
" Once-daily MSER approaches maximum morphine concentration more quickly, approximates maximum concentration longer, and demonstrates less fluctuation in morphine concentration during a 24-hour period than CRM dosed twice daily."( Steady-state pharmacokinetic comparison of a new, extended-release, once-daily morphine formulation, Avinza, and a twice-daily controlled-release morphine formulation in patients with chronic moderate-to-severe pain.
Butler, J; Devane, J; Eliot, L; Loewen, G; Portenoy, RK; Sciberras, A, 2002
)
0.82
" This study concludes that the addition of ketamine to morphine, in this dosage regimen, administered via PCAS for postoperative pain control, does not confer benefit following total abdominal hysterectomy."( Effect of the addition of ketamine to morphine in patient-controlled analgesia.
Crooks, BA; Miller, CD; Murdoch, CJ, 2002
)
0.83
" Pain therapy was continued by infusion and PCA with morphine in a daily intravenous dosage of 600-800 mg."( [Postoperative morphine excess or rational therapy? An exceptional case of applying the morphine equivalent].
Eysel, P; Heid, F; Jage, J, 2002
)
0.92
" The main principles of post-operative dosing and logistic pitfalls are illustrated."( [Postoperative morphine excess or rational therapy? An exceptional case of applying the morphine equivalent].
Eysel, P; Heid, F; Jage, J, 2002
)
0.67
" Clocinnamox (10 mg/kg) produced a 7- and 12-fold further decrease in morphine and fentanyl potency, respectively, a reduction in the slope of the morphine dose-response curve, and a suppression of the maximal morphine responding for buprenorphine."( Clocinnamox distinguishes opioid agonists according to relative efficacy in normal and morphine-treated rats trained to discriminate morphine.
Walker, EA; Young, AM, 2002
)
0.77
"To evaluate the adequacy of as-needed (prn) dosing of narcotics during the acute postoperative period following laryngectomy and to evaluate the role of nurses' interpretation and implementation of narcotic orders in postoperative pain management."( Acute pain management following laryngectomy.
Krempl, GA; Medina, JE; Orgill, R, 2002
)
0.31
"All physician orders for narcotics were at or above the minimum dosing guidelines; 68% met a recommended adequate postoperative prescription for moderate pain."( Acute pain management following laryngectomy.
Krempl, GA; Medina, JE; Orgill, R, 2002
)
0.31
"As-needed dosing of analgesia resulted in suboptimal pain control for at least 35% of patients undergoing laryngectomy."( Acute pain management following laryngectomy.
Krempl, GA; Medina, JE; Orgill, R, 2002
)
0.31
" The only sensitive study of four dose-response comparisons indicated that 5mg of IA morphine was more effective than 1mg."( No pain, no gain: clinical excellence and scientific rigour--lessons learned from IA morphine.
Kalso, E; McQuay, HJ; Moore, AR; Smith, L, 2002
)
0.76
" Random regression modeling was used to simultaneously estimate the effect of randomized group assignment, actual morphine dose (protocol dosage plus extra morphine when required), age category, surgical stress, and the time-varying covariate mechanical ventilation on COMFORT 'behavior' and the observational VAS rated pain, respectively."( Efficacy of continuous versus intermittent morphine administration after major surgery in 0-3-year-old infants; a double-blind randomized controlled trial.
Bouwmeester, NJ; de Boer, JB; Duivenvoorden, HJ; Koot, HM; Passchier, J; Tibboel, D; van Dijk, M, 2002
)
0.79
" Individuals exposed to opioid treatment for pain management during surgical procedures or maintained on oral methadone for treatment of drug addiction show either no effect or a suppressed immune system, depending on dosage and, in the case of methadone-maintained patients, duration of drug treatment."( Opioids, immunology, and host defenses of intravenous drug abusers.
Alonzo, NC; Bayer, BM, 2002
)
0.31
" Using a mouse hot-plate test, dose-response relationships were first determined for all compounds individually and then for opioids co-administered with fixed doses of ketamine or dextromethorphan."( Dextromethorphan and ketamine potentiate the antinociceptive effects of mu- but not delta- or kappa-opioid agonists in a mouse model of acute pain.
Baker, AK; Hoffmann, VL; Meert, TF, 2002
)
0.31
"Systemic opioid dosing until adequate analgesia in neuropathic pain may involve intolerable and untreatable side effects."( The glycine/NMDA receptor antagonist (+)-HA966 enhances the peripheral effect of morphine in neuropathic rats.
Christensen, D; Kayser, V; Martinez, V, 2002
)
0.54
" No sign of physical or psychological dependence was observed during the period of opiate administration, and no withdrawal phenomenon was found as the dosage was tapered."( Long-term opioid treatment in Behçet's syndrome with intractable abdominal pain--a case report.
Chang, Y; Chen, JY; Lee, CL; Swei, SC; Tseng, HC; Wen, YR; Wu, GJ, 2002
)
0.31
"Morphine antinociceptive activity was tested twice, before and after chronic morphine administration, in the tail-flick test using a cumulative dose-response protocol."( Inhibitory effects of MPEP, an mGluR5 antagonist, and memantine, an N-methyl-D-aspartate receptor antagonist, on morphine antinociceptive tolerance in mice.
Kozela, E; Pilc, A; Popik, P, 2003
)
1.97
" The colon hyperalgesia persisted for 14 days and was associated with a significant shift of the morphine dose-response function to the left."( Quantitative assessment and characterization of visceral nociception and hyperalgesia in mice.
Gebhart, GF; Jones, RC; Kamp, EH; Tillman, SR, 2003
)
0.54
" Ten to fifty micrograms of BmK venom was deemed to be a sufficient dosage to evoke c-Fos expression."( c-Fos expression in rat spinal cord induced by scorpion BmK venom via plantar subcutaneous injection.
Bai, ZT; Chen, B; Fan, GL; Ji, YH; Zhang, XY, 2002
)
0.31
" A pre-defined dosing algorithm permitted initial titration of the opioids to predetermine the optimal level of sedation and pain score."( Remifentanil vs morphine for patients in intensive care unit who need short-term mechanical ventilation.
Chinachoti, T; Kessler, P; Kirkham, A; Werawatganon, T, 2002
)
0.66
" Using a mouse hot-plate test, dose-response relationships were first determined for all compounds individually and then for opioids co-administered with fixed doses of clonidine, ketamine or dextromethorphan."( Interactions of NMDA antagonists and an alpha 2 agonist with mu, delta and kappa opioids in an acute nociception assay.
Baker, AK; Hoffmann, VL; Meert, TF, 2002
)
0.31
"From the population pharmacokinetic model presented, CSF concentration profiles can be derived for M, M3G and M6G on the basis of dosing information and creatinine clearance without collecting CSF samples."( Pharmacokinetic modelling of morphine, morphine-3-glucuronide and morphine-6-glucuronide in plasma and cerebrospinal fluid of neurosurgical patients after short-term infusion of morphine.
Brockmöller, J; Freudenthaler, S; Gleiter, CH; Hofmann, U; Meineke, I; Mikus, G; Prange, HW; Schaeffeler, E; Schwab, M, 2002
)
0.61
" In these studies, we first constructed antinociceptive dose-response curves for Dex and morphine (MSO4)."( Dexmedetomidine fails to cause hyperalgesia after cessation of chronic administration.
Clark, JD; Davies, MF; Haimor, F; Lighthall, G, 2003
)
0.54
" Self-regulated dosing of morphine is also associated with rapid escalation of daily consumption and no significant alterations in consumption rates."( Subject-regulated dosing alters morphine self-administration behavior and morphine-stimulated [35S]GTPgammaS binding.
Chen, AC; Kreek, MJ; Kruzich, PJ; Unterwald, EM, 2003
)
0.9
" Both dose-response analyses and the determination of the strength of the reinforcing properties of opiates using a "breakpoint" analysis were examined."( Gender differences in the intravenous self-administration of mu opiate agonists.
Aylward, SC; Cicero, TJ; Meyer, ER, 2003
)
0.32
" The dosage of the two comparatine groups is given according to Documentation, the method of abserving the treatment protocols and detoxification standard is according to current regulation."( [Clinial study of "qingjunyin" detoxification for the treatment of heroin addicts].
Lan, S; Lu, H; Wang, G; Yuan, D; Zhan, C, 1997
)
0.3
"Morphine dosage [median (25th-75th percentiles)] was less in the first 24 h in the patients who were given intrathecal morphine + clonidine [7 (0-37) mg] than in other patients [40."( Intrathecal morphine and clonidine for coronary artery bypass grafting.
Arnulf, JJ; Balarac, N; Bonnet, F; Lena, P; Teboul, J, 2003
)
2.14
"We sought to investigate the dose-response relationship for the effect of intrathecal morphine on the transient spastic paraparesis after short-lasting spinal ischemia in rats."( Intrathecal administration of morphine, but not small dose, induced spastic paraparesis after a noninjurious interval of aortic occlusion in rats.
Cousins, MJ; Fuchigami, T; Kakinohana, M; Kawabata, T; Nakamura, S; Sasara, T; Sugahara, K, 2003
)
0.83
" All mu and delta(2) agonists tested had similar maximal effects on phagocytosis, and all dose-response curves suggest positive cooperativity."( Mu and delta receptors mediate morphine effects on phagocytosis by murine peritoneal macrophages.
Loh, HH; Renaud, FL; Roy, S; Tomassini, N, 2003
)
0.6
"The influence of morphine dosing time on analgesic effect after acute or chronic treatment, recovery of analgesic effect after once developed tolerance, and their pharmacological mechanisms were investigated in ICR male mice under a 12-h light/dark cycle (light on from 7:00 AM to 7:00 PM)."( Chronopharmacology of analgesic effect and its tolerance induced by morphine in mice.
Higuchi, S; Matsuo, A; Ohdo, S; Takane, H; Tomiyoshi, Y; Yoshida, M; Yukawa, E, 2003
)
0.89
" The dose-response curve of morphine (1."( A persistent opioid-addiction state of memory.
Bruins Slot, LA; Colpaert, FC, 2003
)
0.61
" Morphine exhibited a bell-shaped dose-response curve in Lewis rats, these animals being more sensitive than F344 at 1 and 5 mg/kg but less sensitive at 10 mg/kg."( The contribution of alpha2-adrenoceptor and opioid receptor mechanisms to antinociception differs in Lewis and Fischer 344 rats.
Alguacil, LF; Herradón, G; Morales, L; Pérez-García, C, 2003
)
1.23
" As a positive control, morphine was infused at a dosage that definitely produced CNS effects."( Peripheral opioid analgesia in experimental human pain models.
Burian, M; Geisslinger, G; Lötsch, J; Meier, S; Schmidt, H; Tegeder, I, 2003
)
0.63
"A dosage of rectal paracetamol 1000 mg four times daily is too low, as all displayed a suboptimal serum paracetamol concentration."( Randomized, double-blind, placebo-controlled study of the effect of rectal paracetamol on morphine consumption after abdominal hysterectomy.
Borchgrevink, PC; Dale, O; Hagen, L; Kvalsvik, O, 2003
)
0.54
" A relatively flat dose-response relationship was observed, which did not increase monotonically with morphine dose."( A new progressive ratio schedule for support of morphine self-administration in opiate dependent rats.
Delich, J; Glowa, J; Grasing, K; He, S; Li, N; Parrish, C, 2003
)
0.79
" Dose-response studies indicated that c-Fos protein expression was induced at doses (0."( The novel analgesic and high-efficacy 5-HT1A receptor agonist, F 13640 induces c-Fos protein expression in spinal cord dorsal horn neurons.
Besson, JM; Buritova, J; Colpaert, F; Tarayre, JP, 2003
)
0.32
" Measuring rectal body temperatures, dose-response relationships were established for all compounds."( Morphine and d-amphetamine nullify each others' hypothermic effects in mice.
Baker, A; Meert, T, 2003
)
1.76
" Using three human cancer cell lines: MIA PaCa-2 pancreatic adenocarcinoma, HT-29 colon adenocarcinoma, and CAL-27 squamous cell carcinoma of the head and neck, and OGF and the opioid antagonist naltrexone (NTX) at a dosage (10(-6)M) selected because it is known to repress or increase, respectively, cell replication, the effects on apoptosis (TUNEL, Annexin V) and necrosis (trypan blue) were investigated on days 2, 5, and 7 of exposure."( Opioids and the apoptotic pathway in human cancer cells.
McLaughlin, PJ; Zagon, IS, 2003
)
0.32
" However, patients might have a better outcome with a reduction of morphine dosage and administration of a muscle relaxant of shorter duration of action than pancuronium."( A randomized trial of caudal block with bupivacaine 4 mg x kg-1 (1.8 ml x kg-1) plus morphine (150 microg x kg-1) vs general anaesthesia with fentanyl for cardiac surgery.
Castillo-Zamora, C; Nava-Ocampo, AA; Rojas-Pérez, E, 2003
)
0.78
"), which produced a significant shift to the right of the morphine dose-response curve."( Role of Na(+), K(+)-ATPase in morphine-induced antinociception.
Agil, A; Baeyens, JM; Del Pozo, E; Horvath, G; Masocha, W; Ocana, M; Szikszay, M, 2003
)
0.85
" It is currently debated if the steep ascending part of the biphasic dose-response curve typically obtained in multiple-dosing lever-press-based operant conditioning procedures represents a satiety-driven, all-or-none response or if the response is gradual and tightly adjusted to the various doses of the reinforcer."( Opioids, cocaine, and food change runtime distribution in a rat runway procedure.
Saria, A; Sturm, K; Wakonigg, G; Zernig, G, 2003
)
0.32
" Rats were then anesthetized, and the electromyographic response in the rectus abdominis muscle to UCD was recorded in the absence and presence of cumulative dosing with intrathecal morphine."( Intrathecal morphine reduces the visceromotor response to acute uterine cervical distension in an estrogen-independent manner.
Eisenach, JC; Shin, SW, 2003
)
0.89
" Rescue dosing was less than recommended, in relation to prescribed transdermal fentanyl strength in 21 patients (60 percent) and greater than recommended in one patient (3 percent)."( Breakthrough strong opioid analgesia prescription in patients using transdermal fentanyl admitted to a hospice.
Lawrie, I; Lloyd-Williams, M; Waterhouse, E,
)
0.13
" Nowadays the chronic use of oral morphine preparations has been supported by medical authorities who at the same time warn against incorrect dosage and combination with other drugs."( [Morphine--myths and facts].
Andres, J; Macheta, A; Weber, T; Zawiła, K, 2001
)
1.5
" The modified Brief Pain Inventory questionnaire used in the oral dosing period detected significant improvements in the parecoxib/valdecoxib treatment group in 6 of 8 domains tested (eg, current pain, worst pain, and mood) beginning on day 4 and continuing for at least 4 days."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.32
" The present study was designed to determine the extent to which D2/3 receptor activation and blockade can modulate morphine-induced locomotion using a novel cumulative dosing procedure in Swiss-Webster mice."( The modulatory actions of dopamine D2/3 agonists and antagonists on the locomotor-activating effects of morphine and caffeine in mice.
Beardsley, PM; Cook, CD, 2003
)
0.74
" Additionally, a 1 ml bolus dosage was administered at a 60-minute lockout interval employing a pump which contained 36 mg of morphine hydrochloride, 30 mg of metoclopramide hydrochloride in 62 ml of physiologic saline."( Utilization of PCIA (patient-controlled intravenous analgesia) for postoperative analgesia of spine fusion.
Hasegawa, J; Hirasawa, M; Nishiyama, J; Suzuki, T, 2003
)
0.53
") pretreatment with PI3K inhibitors at the dosage that suppressed the morphine-induced supraspinal antinociception."( [Direct involvement of the supraspinal phosphoinositide 3-kinase/phospholipase C gamma 1 pathway in the mu-opioid receptor agonist-induced supraspinal antinociception in the mouse].
Narita, M, 2003
)
0.55
" The prescription should also then be individualised as to the route of administration, dosage, dosage form, frequency, and duration of the medication being prescribed."( Individualising therapy. The right dose, dosage form, frequency and duration.
George, A; Shakib, S, 2003
)
0.32
"Sustained release, oral morphine at low dosage provides significant symptomatic improvement in refractory dyspnoea in the community setting."( Randomised, double blind, placebo controlled crossover trial of sustained release morphine for the management of refractory dyspnoea.
Abernethy, AP; Bui, C; Currow, DC; Fazekas, BS; Frith, P; McHugh, A, 2003
)
0.85
" After responding stabilized, dose-response curves were determined for other drugs."( Retention of sequential drug discriminations under fixed-interval schedules for long time periods without training.
Li, M; McMillan, DE, 2003
)
0.32
" Demerol in small dosage is safe and effective."( An evaluation of obstetrical analgesia.
FIST, HS, 1954
)
0.23
"The respiration of KCl-stimulated cortical slices of brain from control rats is markedly depressed by morphine, whereas the respiration of those from rats chronically dosed with morphine is unaffected."( Cellular adaptation to morphine in rats.
TAKEMORI, AE, 1961
)
0.77
" In the first block (n=10) a dose-response relationship for topical morphine was found."( Potential utility of the peripheral analgesic properties of morphine in stomatitis-related pain: a pilot study.
Bonomi, MR; Cerchietti, LC; Cohen, AM; Körte, MW; Navigante, AH; Quiroga, PN; Roth, BM; Villaamil, EC, 2003
)
0.8
" The incidence of intraoperative supplemental analgesic and hypotension and the dosage of ephedrine used to treat hypotension were greater in the patients anesthetized with tetracaine 10 mg than in those anesthetized with bupivacaine 10 mg, which is equipotent to tetracaine 10 mg."( [Spinal anesthesia using hyperbaric bupivacaine HCl for cesarean section].
Fukumitsu, K; Haruna, J; Hirao, O; Kawaraguchi, Y; Kinouchi, K; Kitamura, S; Matsuda, Y; Miyamoto, Y; Nakao, F; Taniguchi, A, 2003
)
0.32
"2% in oxygen and nitrous oxide and the opioid dosing was titrated to autonomic responses."( Remifentanil infusion for cleft palate surgery in young infants.
Dagher, C; Desjeux, L; Gall, O; Murat, I; Roulleau, P, 2003
)
0.32
"Opioid effects were of a similar overall magnitude following dosing for each drug and showed an inverse association with plasma drug concentrations, which peaked later for morphine compared to (R)-methadone (6."( Comparative pharmacodynamics and pharmacokinetics of methadone and slow-release oral morphine for maintenance treatment of opioid dependence.
Bochner, F; Mitchell, TB; Somogyi, AA; White, JM, 2003
)
0.74
"In this article we described a 15-year-old female who was admitted to the Clinic of Toxicology because of suicidal, oral intoxication with morphine sulphate in the total dosage of 360 mg."( [Non-invasive positive pressure respiration in acute respiratory failure caused by suicidal oral intoxication with morphine sulphate].
Anand, JS; Chodorowski, Z; Wujtewicz, M, 2003
)
0.73
" This may hinder adequate dosing in cancer pain."( Oral morphine and respiratory function amongst hospice inpatients with advanced cancer.
Kaiko, R; Rivera, NI; Walsh, TD, 2003
)
0.83
" Oral morphine given repeatedly in individualized dosage is a safe and efficacious analgesic in the majority of those with advanced cancer."( Oral morphine and respiratory function amongst hospice inpatients with advanced cancer.
Kaiko, R; Rivera, NI; Walsh, TD, 2003
)
1.31
" Sustained release versions of morphine were effective for 12 or 24 hour dosing depending on the formulation."( Oral morphine for cancer pain.
Barden, J; Edwards, JE; McQuay, HJ; Wiffen, PJ, 2003
)
1.12
" Dose-response curves for buprenorphine-induced antinociception display ceiling effects or are bell shaped, which have been attributed to the partial agonist activity of buprenorphine at opioid receptors."( Buprenorphine-induced antinociception is mediated by mu-opioid receptors and compromised by concomitant activation of opioid receptor-like receptors.
Bryant, CD; Carroll, FI; Eitan, S; Evans, CJ; Kieffer, BL; Lutfy, K; Maidment, NT; Saliminejad, N; Takeshima, H; Walwyn, W; Yang, YC, 2003
)
0.32
" The search showed sparse empirical work warranting endorsement of this dosing regimen."( Time-contingent schedules for postoperative analgesia: a review of the literature.
Craig, KD; Pillai Riddell, RR, 2003
)
0.32
"The dosage of intrathecal morphine that provides the best balance between analgesic efficacy and side effect profile in the older patient undergoing hip arthroplasty is not known."( Optimizing the dose of intrathecal morphine in older patients undergoing hip arthroplasty.
Kinirons, B; Laffey, JG; Murphy, PM; Stack, D, 2003
)
0.9
" 5-HT-evoked scratching was significantly reduced by systemic administration of the opiate antagonist naltrexone but was not affected by systemic morphine at a dosage (3 mg/kg) that induces analgesia."( Opioid modulation of scratching and spinal c-fos expression evoked by intradermal serotonin.
Carstens, E; Carstens, MI; Cuellar, JM; Moore, JA; Nojima, H; Simons, CT, 2003
)
0.52
" With appropriate opioid adjustment--in this case reduction of intrathecal morphine dosage by a factor of 100--the condition rapidly resolved and the patient became pain-free and remained so until his death six weeks later."( Morphine hyperalgesia: a case report.
Reisfield, GM; Wilson, GR,
)
1.8
" In the second protocol, plasma morphine and glucuronide metabolite concentrations and pupil diameters were evaluated after oral morphine administration (30 mg), dosed 1 hour after oral quinidine (600 mg) or placebo."( Role of P-glycoprotein in the intestinal absorption and clinical effects of morphine.
Hoffer, C; Kharasch, ED; Sheffels, P; Whittington, D, 2003
)
0.83
"Consumed amount of narcotics per day and the course of dosage of injectable heroin in different treatment regimes."( Dosage regimes in the prescription of heroin and other narcotics to chronic opioid addicts in Switzerland--Swiss national cohort study.
Blättler, R; Bürki, C; Christen, S; Gschwend, P; Gutzwiller, F; Rehm, J; Seidenberg, A; Steffen, T, 2004
)
0.32
" The mean daily dosage was 474 mg for intravenous application and 993 mg for the smokeable form."( Dosage regimes in the prescription of heroin and other narcotics to chronic opioid addicts in Switzerland--Swiss national cohort study.
Blättler, R; Bürki, C; Christen, S; Gschwend, P; Gutzwiller, F; Rehm, J; Seidenberg, A; Steffen, T, 2004
)
0.32
" dosing of mice with 1 for 1 week developed tolerance in a similar manner to that of morphine in TF and HP tests, implicating that 1 also acts through a similar mechanism analogous to morphine at mu-opioid receptors."( Novel 2',6'-dimethyl-L-tyrosine-containing pyrazinone opioid mimetic mu-agonists with potent antinociceptive activity in mice.
Ambo, A; Bryant, SD; Jinsmaa, Y; Lazarus, LH; Okada, Y; Sasaki, Y; Shiotani, K; Tsuda, Y, 2004
)
0.55
", the dose-response curves for morphine analgesia in Hargreaves thermal test were shifted rightward in partial sciatic nerve-injured mice compared with control sham-operated mice."( Loss of peripheral morphine analgesia contributes to the reduced effectiveness of systemic morphine in neuropathic pain.
Inoue, M; Rashid, MH; Toda, K; Ueda, H, 2004
)
0.94
"Opioid dosing strategies for acute pain differ from strategies for chronic pain management."( Acute pain in advanced cancer: an opioid dosing strategy and illustration.
Davis, MP,
)
0.13
" Naloxone, which had no effect on the dextromethorphan dose-response relation, abolished the synergism."( Morphine potentiates dextromethorphan-induced vasodilation in rat superior mesenteric artery.
Inan, S; Tallarida, RJ, 2004
)
1.77
" Naloxone 2 mg by gastric tube every 8 hours for 8 days was started; the dosage then was increased to 4 mg every 8 hours."( Enteral administration of naloxone for treatment of opioid-associated intragastric feeding intolerance.
Bloom, K; Liebl, MG; Mixides, G, 2004
)
0.32
"Several studies indicate greater sensitivity to morphine (MOR) analgesia in male compared to female rats under the acute dosing condition."( Morphine tolerance in male and female rats.
Holtman, JR; Sloan, JW; Wala, EP, 2004
)
2.02
" This dosage form presents the clinical advantage of less frequent dosing, with increased quality of life for patients."( Comparative study of morphine diffusion from sustained release polymeric suspensions.
Calpena, AC; Doménech, J; Gallardo Lara, V; Morales, ME; Ruiz, MA, 2004
)
0.64
"-M at a dose equivalent to 20% of the basal oral dosage is safe and effective in the majority of patients experiencing pain exacerbation."( Safety and effectiveness of intravenous morphine for episodic (breakthrough) pain using a fixed ratio with the oral daily morphine dose.
Bianchi, M; Casuccio, A; Ferrera, P; Mercadante, S; Villari, P, 2004
)
0.59
" The recommended initial dosage was 30 mg every 12 hours, and then the dosage was regulated according to the effects until the ideal anesthesia was achieved."( [Effects of sustained release morphine hydrochloride tablets in management of cancer pain: a survey of 567 patients].
Chen, J; Chen, LZ; Ma, ZS; Ma, ZY; Qiu, H; Wang, DL; Yu, SY; Zhang, Y, 2004
)
0.61
"1% of the patients received a dosage ( [Effects of sustained release morphine hydrochloride tablets in management of cancer pain: a survey of 567 patients].
Chen, J; Chen, LZ; Ma, ZS; Ma, ZY; Qiu, H; Wang, DL; Yu, SY; Zhang, Y, 2004
)
0.61
" Sustained release morphine hydrochloride is worth recommending as a first-line drug for the treatment of patients with moderate to severe cancer pain, and the usually dosage is 120 mg or less per day."( [Effects of sustained release morphine hydrochloride tablets in management of cancer pain: a survey of 567 patients].
Chen, J; Chen, LZ; Ma, ZS; Ma, ZY; Qiu, H; Wang, DL; Yu, SY; Zhang, Y, 2004
)
0.94
" Repetitive dosing with ethosuximide (i."( Ethosuximide reverses paclitaxel- and vincristine-induced painful peripheral neuropathy.
Bennett, GJ; Flatters, SJ, 2004
)
0.32
" Separate groups of animals at each interval between morphine and naloxone received cumulative naloxone dosing after all morphine pretreatments (NAL ALL DAYS) or after just the first and last morphine pretreatment (NAL FIRST/LAST)."( Conditioning processes contribute to severity of naloxone-precipitated withdrawal from acute opioid dependence.
Liu, J; Morse, AC; Schulteis, G, 2004
)
0.57
" Naltrexone produced significant and surmountable dose-dependent rightward shifts in the morphine dose-response curves for both groups, but did not differ in potency across diets."( Naltrexone antagonism of morphine antinociception in sucrose- and chow-fed rats.
D'Anci, KE; Kanarek, RB, 2004
)
0.85
" Fixed interval dosing schedules conducted over several days are associated with a high risk of serious morbidity and mortality."( Methadone for cancer pain.
Nicholson, AB, 2004
)
0.32
" As the fentanyl dosage was excessive even in some patients who followed the recommended morphine/fentanyl conversion of 150:1, it is dangerous to use the conversion ratio of 78:1 at first."( A study of transdermal fentanyl in cancer pain at Aichi-Cancer Center.
Hasegawa, M; Hosoda, R; Kamiya, Y; Kato, K; Mizaki, T; Nitta, M; Yamazaki, S, 2004
)
0.55
" Fourteen patients receiving strong opioids who had increased their dosage more than 100% in the last week unsuccessfully were randomly chosen to add a second opioid to the first using an initial equivalent dosage of 20% of the previous therapy."( Addition of a second opioid may improve opioid response in cancer pain: preliminary data.
Casuccio, A; Ferrera, P; Mercadante, S; Villari, P, 2004
)
0.32
" No relationship between morphine dosing and cortisol response was demonstrated in these infants."( Neonatal procedural pain and preterm infant cortisol response to novelty at 8 months.
Grunau, RE; Weinberg, J; Whitfield, MF, 2004
)
0.63
" Here we examined whether enhanced inflammation and END expression within the synovial tissue of patients undergoing arthroscopic knee surgery might shift the analgesic dose-response curve of intra-articular (i."( Increased numbers of opioid expressing inflammatory cells do not affect intra-articular morphine analgesia.
Koppert, W; Likar, R; Mousa, SA; Philippitsch, G; Schäfer, M; Stein, C; Steinkellner, H, 2004
)
0.55
" These dose-response relationships were not different between patients with low versus high numbers of inflammatory and END-containing synovial cells (P>0."( Increased numbers of opioid expressing inflammatory cells do not affect intra-articular morphine analgesia.
Koppert, W; Likar, R; Mousa, SA; Philippitsch, G; Schäfer, M; Stein, C; Steinkellner, H, 2004
)
0.55
"The objective of this study was to determine if judicious dosing of morphine sulfate can provide pain relief without changing important physical examination findings in patients with acute appendicitis."( Does morphine change the physical examination in patients with acute appendicitis?
Fiallo, V; Garb, JL; Montano, G; Phipen, S; Smithline, HA; Wolfe, JM, 2004
)
1.07
" It also caused a shift in the morphine antinociceptive dose-response curve to the left when co-administered with morphine during tolerance induction, and caused a 67 % reduction in the increase in the ED50 of morphine (dose producing 50 % of the maximum response)."( Intrathecal cdk5 inhibitor, roscovitine, attenuates morphine antinociceptive tolerance in rats.
Chen, YJ; Lee, TH; Liu, JK; Lu, CY; Tsai, YJ; Wang, CH; Yang, LC, 2004
)
0.86
" Timing of administration, inadequate dosing and possible altered pharmacokinetics in pregnancy may explain the lack of efficacy."( The effect of celecoxib on intrathecal morphine-induced pruritus in patients undergoing Caesarean section.
Irwin, MG; Lee, LH; Lim, J; Wong, CK, 2004
)
0.59
" ACTH levels in response to the last morphine injection of the repeated dosage regimen were found to be lower compared to those in acutely morphine-treated mice."( Behavioral sensitization to intermittent morphine in mice is accompanied by reduced adrenocorticotropine but not corticosterone responses.
Jezova, D; Makara, GB; Mlynarik, M; Zelena, D, 2004
)
0.86
" Furthermore, the differences between intermittent and continuous dosing protocols were evaluated."( Opioid agonist and antagonist treatment differentially regulates immunoreactive mu-opioid receptors and dynamin-2 in vivo.
Patel, K; Purohit, V; Yoburn, BC; Zhang, Q, 2004
)
0.32
" Morphine dosage was found to be inversely correlated (r) with age (r = -0."( Patterns of high-dose morphine use in a home-care hospice service: should we be afraid of it?
Adunsky, A; Bercovitch, M, 2004
)
1.55
" On Day 8, an antinociceptive dose-response curve was constructed and the 50% effective dose (ED(50)) values for morphine (given alone) were calculated for each study group."( The effects of intrathecal gabapentin on spinal morphine tolerance in the rat tail-flick and paw pressure tests.
Gilron, I; Hansen, C; Hong, M, 2004
)
0.79
"We examined the dose-response relationship of intrathecal clonidine at small doses (( Small-dose intrathecal clonidine and isobaric bupivacaine for orthopedic surgery: a dose-response study.
Aeschbach, A; Gurzeler, JA; Kindler, CH; Schneider, MC; Strebel, S, 2004
)
0.32
" In the present study, (B6 x 129)F2 hybrid mice were given daily morphine injections for four days using an escalating dosing schedule, and naloxone-precipitated withdrawal on day 5 was measured."( Mapping of a quantitative trait locus for morphine withdrawal severity.
Chesler, EJ; Juni, A; Kest, B; Mogil, JS; Palmese, CA, 2004
)
0.83
" Research efforts to find the most appropriate route and dosage of morphine for dyspnea, based on the patient's situation, remain worthwhile."( Morphine for dyspnea control in terminal cancer patients: is it appropriate in Taiwan?
Chen, CY; Cheng, SY; Chiu, TY; Hu, WY, 2004
)
2
" Withdrawal scores at the time of dosing were higher in the TOP patients (9."( Comparison of tincture of opium and methadone to control opioid withdrawal in a Thai treatment centre.
Ali, R; Bochner, F; Foster, DJ; Jittiwutikarn, J; Somogyi, AA; White, JM, 2004
)
0.32
" Patients were then crossed over for 7 days of treatment at an estimated equianalgesic dosage of oxymorphone ER."( Effectiveness and safety of oral extended-release oxymorphone for the treatment of cancer pain: a pilot study.
Ahdieh, H; Slatkin, N; Sloan, P, 2005
)
0.33
") dose of morphine significantly prolonged the time mice spent in drug-paired compartment compared with saline, but there was no dose-response relation."( [Establishment of computer-based video-tracking conditioned place preference experiment system in mice].
Chen, HH; Long, ZH; Zhou, LF; Zhu, YP, 2004
)
0.73
" First-line treatment was sustained-release morphine sulfate in a mean starting dosage of 55."( Tolerability of opioids in patients with acute pain due to nonmalignant musculoskeletal disease. A hospital-based observational study.
Cherasse, A; Maillefert, JF; Muller, G; Ornetti, P; Piroth, C; Tavernier, C, 2004
)
0.58
" Long-acting oral opioids supply satisfactory analgesia at more convenient dosing intervals."( Advances in opioid therapy and formulations.
Walsh, D, 2005
)
0.33
" Fluoxetine applied in 5 mg/kg dosage causes increased pain reaction 60 and 90 minutes (p=0."( Testing of analgesic effect of fluoxetine.
Becić, F; Begović, A; Zulić, I, 2004
)
0.32
" CCK in the RVM also acutely displaced the spinal morphine antinociceptive dose-response curve to the right."( Cholecystokinin in the rostral ventromedial medulla mediates opioid-induced hyperalgesia and antinociceptive tolerance.
Gardell, LR; Herman, DS; Lai, J; Ossipov, MH; Porreca, F; Stiller, CO; Vanderah, TW; Xie, JY, 2005
)
0.58
" Most patients (68%) chose once-daily dosing for continuing pain management (P=0."( Efficacy, safety, and steady-state pharmacokinetics of once-a-day controlled-release morphine (MS Contin XL) in cancer pain.
Darke, A; Eisenhoffer, J; Hagen, NA; Harsanyi, Z; Quigley, P; Thirlwell, M, 2005
)
0.55
" Morphine and R-PIA were administered to obtain the dose-response curve and the 50% effective dose (ED(50))."( Morphine can enhance the antiallodynic effect of intrathecal R-PIA in rats with nerve ligation injury.
Cho, SK; Han, SM; Hwang, GS; Hwang, JH, 2005
)
2.68
" In the second part, a 40:3 tramadol:morphine dosing ratio was used."( The median effective dose of tramadol and morphine for postoperative patients: a study of interactions.
Benhamou, D; Marcou, TA; Marque, S; Mazoit, JX, 2005
)
0.87
" Initial morphine dosing may be guided by age and weight, but clearance and distribution volume changes (and their variability) during prolonged ECMO suggests that morphine therapy should be subsequently guided by clinical monitoring."( Morphine pharmacokinetics during venoarterial extracorporeal membrane oxygenation in neonates.
Anderson, BJ; Peters, JW; Simons, SH; Tibboel, D; Uges, DR, 2005
)
2.19
" ICR mice were used to generate full antagonist dose-response curves for naloxone, naltrexone, nalbuphine, and 6beta-naltrexol in blocking acute antinociceptive effects of morphine and precipitating opioid withdrawal in models of physical dependence."( In vivo characterization of 6beta-naltrexol, an opioid ligand with less inverse agonist activity compared with naltrexone and naloxone in opioid-dependent mice.
Bhamidipati, CM; Bilsky, EJ; Blair, JR; Lowery, JJ; Paolino, RM; Raehal, KM; Sadée, W; Wang, D, 2005
)
0.52
" Tolerance developed to hyperalgesia following repeated (chronic) dosing with low dose morphine."( Characterization of morphine-induced hyperalgesia in male and female rats.
Holtman, JR; Wala, EP, 2005
)
0.87
" dosing contributes to the hastened development of analgesic tolerance seen in these animals."( Transcriptional and translational regulation of glial activation by morphine in a rodent model of neuropathic pain.
DeLeo, JA; LaCroix-Fralish, ML; Nutile-McMenemy, N; Tawfik, VL, 2005
)
0.56
" Week 2 dosage was increased, decreased, or maintained depending on response and side effects."( Double-blind treatment with oral morphine in treatment-resistant obsessive-compulsive disorder.
Aboujaoude, E; Bullock, KD; Elliott, M; Franz, B; Gamel, N; Koran, LM, 2005
)
0.61
" The 35- to 37-kDa isoforms of deltaFosB, also referred to as the chronic Fras, were measured in the nucleus accumbens, caudate putamen, and frontal cortex of male Sprague-Dawley rats after either an acute injection of morphine or an escalating dosing schedule of morphine for 10 days."( D1 dopamine receptors modulate deltaFosB induction in rat striatum after intermittent morphine administration.
Muller, DL; Unterwald, EM, 2005
)
0.74
" This was done by plotting a linear dose-response relationship to assess postoperative IV patient-controlled analgesia (PCA) fentanyl consumption for breakthrough pain for 48 h after surgery."( A comparison of Depodur, a novel, single-dose extended-release epidural morphine, with standard epidural morphine for pain relief after lower abdominal surgery.
Gambling, D; Horton, W; Hughes, T; Manvelian, G; Martin, G, 2005
)
0.56
" Visual analog scale pain scores at rest and with activity at 24 to 48 h after dosing were significantly better in the 10- and 15-mg single-dose EREM groups versus the standard morphine group."( Single-dose, sustained-release epidural morphine in the management of postoperative pain after elective cesarean delivery: results of a multicenter randomized controlled study.
Carvalho, B; Cohen, SE; Gambling, D; Huffnagle, HJ; Lihou, C; Manvelian, G; Muir, H; Palmer, C; Polley, L; Riley, E; Segal, S, 2005
)
0.79
" In conclusion, from the above results one may suggest that, in determination of the dose-response of at least some drugs, the study of the effects of doses much lower than two orders of magnitude of the minimum effective dose are warranted."( Effects of ultra-low doses of morphine, naloxone and ethanol on morphine state-dependent memory of passive avoidance in mice.
Djahanguiri, B; Tayebi Meybodi, K; Vakili Zarch, A; Zarrindast, MR, 2005
)
0.62
" Duration and intensity of uterine contractions also showed a positive dose-response relationship."( Dose minimization study of oxytocin in early labor in sows: uterine activity and fetal outcome.
Alonso-Spilsbury, YM; Martínez-Burnes, J; Mota-Rojas, D; Nava-Ocampo, AA; Ramírez-Necoechea, R; Trujillo, ME; Velázquez-Armenta, Y,
)
0.13
" Analgesia was assessed using a standard hot plate protocol and dose-response cumulative curves for morphine analgesia were obtained on days 1 and 11."( Environmental and intraperitoneal ethanol influences morphine antinociceptive effect in mice.
de la Parte, JF; Hernández, PZ; Peiró, AM; Peris, LC, 2005
)
0.79
" In addition, the dose-response effect of the morphine-induced rewarding effect was dramatically attenuated in cdk5 heterozygous (+/-) knockout mice."( Implication of cyclin-dependent kinase 5 in the development of psychological dependence on and behavioral sensitization to morphine.
Nagumo, Y; Narita, M; Shibasaki, M; Suzuki, T; Yajima, Y, 2005
)
0.79
" The effective dose that produced 50% antinociception (ED(50)) was calculated from the log dose-response curve of intrathecally administered fixed ratio combinations of morphine with each NSAID."( Spinal synergy between nonselective cyclooxygenase inhibitors and morphine antinociception in mice.
Miranda, HF; Pinardi, G; Prieto, JC, 2005
)
0.76
"7 mg/kg) rats, the morphine dose-response curve was shifted to the right in burn-injured rats (4."( A rat model of unilateral hindpaw burn injury: slowly developing rightwards shift of the morphine dose-response curve.
Jeevendra Martyn, JA; Lim, G; Mao, J; Sung, B; Wang, S; Yang, L; Zeng, Q, 2005
)
0.88
" The present studies examined whether systemic administration could be effective in attenuating morphine tolerance in non-injured rodents using a similar dosing paradigm."( Systemic administration of propentofylline does not attenuate morphine tolerance in non-injured rodents.
Forsayeth, JR; Johnson, KW; Samuels, I; Shumilla, JA, 2005
)
0.79
"Baseline (vehicle dosed animals) gastrointestinal transit was significantly greater in fasted versus fed rats."( Effects of fasting on evaluation of gastrointestinal transit with charcoal meal.
Hemenway, CL; Mittelstadt, SW; Spruell, RD,
)
0.13
" Dosing frequency was in accordance with prescribing information for 97."( Retrospective analysis of Kadian (morphine sulfate sustained-release capsules) in patients with chronic, nonmalignant pain.
Chao, J,
)
0.41
"Comparisons of spontaneous mutant C57BL/6-Mc1r(e/e) mice to C57BL/6 wildtype mice, followed by a gene dosage study of pain and morphine-6-glucuronide (M6G) analgesia in humans with MC1R variants."( Melanocortin-1 receptor gene variants affect pain and mu-opioid analgesia in mice and humans.
Bijl, H; Dahan, A; Fillingim, RB; Kaplan, L; Mogil, JS; Ritchie, J; Romberg, RR; Sarton, EY; Smith, SB; Strasburg, K; Wallace, MR, 2005
)
0.53
"When opioids are used for postoperative pain control, it is useful to define the dose-response relationship for analgesia and respiratory depression."( Preoperative "fentanyl challenge" as a tool to estimate postoperative opioid dosing in chronic opioid-consuming patients.
Davis, JJ; Dillon, JD; Egan, TD; Hall, RH; Johnson, KB; Niu, SY; Pace, NL; Swenson, JD, 2005
)
0.33
"6-fold shift in morphine's dose-response curve."( Attenuation of morphine tolerance by intrathecal gabapentin is associated with suppression of morphine-evoked excitatory amino acid release in the rat spinal cord.
Lee, MS; Lin, JA; Lin, SL; Wen, ZH; Wong, CS; Wu, CT; Yeh, CC, 2005
)
1.03
" In vivo MCL-145 produced a full dose-response curve in the 55 degrees C warm water tail-flick test and was equipotent to morphine."( Characterization of a novel bivalent morphinan possessing kappa agonist and micro agonist/antagonist properties.
Bidlack, JM; Mathews, JL; Negus, SS; Neumeyer, JL; Peng, X; Xiong, W; Zhang, A, 2005
)
0.54
" Antinociception dose-response curves were analyzed to obtain the ED50's of each drug."( Analgesic synergism between intrathecal morphine and cyclooxygenase-2 inhibitors in mice.
Miranda, HF; Pinardi, G; Prieto, JC, 2005
)
0.6
" As a consequence, there was no significant dosing time-dependent difference in the analgesic effect of morphine in CRH-deficient mice."( Glucocorticoid hormone regulates the circadian coordination of micro-opioid receptor expression in mouse brainstem.
Fujioka, T; Higuchi, S; Koyanagi, S; Matsuo, A; Ohdo, S; To, H; Yoshida, M, 2005
)
0.54
" Subjects were given intravenous morphine (4-6mg dosed by ideal body weight) and placebo in random order on separate visits, and completed serial pain ratings over three hours at each session."( The association between negative affect and opioid analgesia in patients with discogenic low back pain.
Davar, G; Jamison, R; Wasan, AD, 2005
)
0.61
" In subsequent testing, dose-response curves were determined for the individual drugs, for a wide range of dose combinations of the training drugs, and for two drugs to which the pigeons had not been exposed previously (pseudoephedrine and nicotine)."( Effects of amphetamine-CNS depressant combinations and of other CNS stimulants in four-choice drug discriminations.
Li, M; McMillan, DE; Wessinger, WD, 2005
)
0.33
" However, the frequency of postoperative opioid dosing can be minimized and may be a factor when contemplating supplementary use of epidural or intra-articular injections as part of a balanced analgesic approach."( Comparison of perioperative analgesic protocols for dogs undergoing tibial plateau leveling osteotomy.
Harvey, RC; Hoelzler, MG; Lidbetter, DA; Millis, DL,
)
0.13
" Further studies are required to determine whether a higher dosage of tenoxicam is beneficial to reduce uterine cramping pain in multiparous women."( Differential analgesic effect of tenoxicam on post-cesarean uterine cramping pain between primiparous and multiparous women.
Chen, SY; Lin, CJ; Sun, WZ; Yeh, HM; Yeh, YC, 2005
)
0.33
" Moreover, mice receiving morphine for 8 days demonstrated a significant rightward shift of the morphine antinociceptive dose-response curve, indicative of antinociceptive tolerance, whereas those that also received amlodipine along with morphine did not demonstrate tolerance."( Spinal L-type calcium channel blockade abolishes opioid-induced sensory hypersensitivity and antinociceptive tolerance.
Bilsky, EJ; Dogrul, A; Lai, J; Ossipov, MH; Porreca, F, 2005
)
0.63
" Increasing magnesium dosage did not offer any advantages, but induced haemodynamic consequences."( Effects of three different dose regimens of magnesium on propofol requirements, haemodynamic variables and postoperative pain relief in gynaecological surgery.
Akpir, K; Kayacan, S; Pembeci, K; Seyhan, TO; Sungur, MO; Telci, L; Tugrul, M, 2006
)
0.33
" Total narcotic dosage and pain scale scores were not statistically different."( Heating and humidifying of carbon dioxide during pneumoperitoneum is not indicated: a prospective randomized trial.
Barrett, MS; Davis, SS; Dundon, J; Fries, R; Goldblatt, MI; Larson, T; Melvin, WS; Mikami, DJ; Needleman, BJ; Newlin, M, 2006
)
0.33
" Dopamine-deficient mice have a rightward shift in the dose-response curve to morphine on the tail-flick test (a pain sensitivity assay), suggesting either a decreased sensitivity to the analgesic effects of morphine and/or basal hyperalgesia."( Morphine reward in dopamine-deficient mice.
Hnasko, TS; Palmiter, RD; Sotak, BN, 2005
)
2
" Intrathecal drug delivery systems can be highly effective in a variety of patient settings, including cases of refractory pain, diminished performance status, poor tolerability of oral medications, polyanalgesia for complex pain, and inadequate dosing due to addiction concerns."( Intrathecal drug delivery for the management of cancer pain: a multidisciplinary consensus of best clinical practices.
Boortz-Marx, R; Du Pen, S; Friehs, G; Gordon, M; Halyard, M; Herbst, L; Kiser, J; Stearns, L,
)
0.13
"5-5 mg/kg) produced a rightward shift of a heroin dose-response curve, while vigabatrin (75-300 mg/kg), baclofen (0."( Role of opioidergic mechanisms and GABA uptake inhibition in the heroin-induced discriminative stimulus effects in rats.
Filip, M; Krówka, T; Przewłocki, R; Solecki, W,
)
0.13
" Our findings suggest that a single preoperative dose of ketamine provided less analgesia compared with other dosing regimens that included intraoperative infusions or postoperative administration."( The influence of timing of systemic ketamine administration on postoperative morphine consumption.
Alev, T; Bilgin, H; Bilgin, T; Kerimoğlu, B; Osma, S; Ozcan, B; Toker, A; Uçkunkaya, N, 2005
)
0.56
" Drugs that may be useful in relieving suffering are described with dosing proposals."( [The dying patient].
Paulsen, Ø; Rosland, JH; von Hofacker, S, 2006
)
0.33
" It is important that akathisia is recognized and treated appropriately as an adverse reaction to drugs and a further increase in antipsychotic medication dosage may further exacerbate the condition."( [Three cases of drug-induced akathisia due to antiemetics during cancer palliative care].
Horikoshi, Y; Kitade, H; Kitanaka, N; Matsu-ura, T; Mikayama, H; Miyama, S; Mori, T; Ogura, T; Ohta, Y; Okuno, M; Sawaragi, S; Takada, H; Teramura, S; Tsuji, Y; Uemura, Y; Yamada, M; Yoneda, A, 2006
)
0.33
" In contrast, in the applied single dosage chronic morphine treatment did not influence either the APP and BACE protein levels or the APP mRNA production."( 3,4-Methylenedioxymethamphetamine (MDMA), but not morphine, alters APP processing in the rat brain.
Bjelik, A; Fürst, Z; Gyarmati, Z; Horváth, Z; Hugyecz, M; Janka, Z; Kálmán, J; Pákáski, M; Rakonczay, Z; Tímár, J; Zana, M, 2007
)
0.84
" Mice were then given morphine in a 4-day escalating morphine administration paradigm followed by reassessment of the morphine dose-response relationship."( Chronic pain and genetic background interact and influence opioid analgesia, tolerance, and physical dependence.
Clark, DJ; Guo, T; Kingery, WS; Liang, DY; Liao, G; Peltz, G, 2006
)
0.65
" In chronic studies, the morphine dosing regimen was adjusted in each strain/sex to produce comparable levels of tolerance."( Influence of low doses of naltrexone on morphine antinociception and morphine tolerance in male and female rats of four strains.
Barrett, AC; Lomas, LM; Negus, SS; Picker, MJ; Terner, JM, 2006
)
0.9
" In Group MNG, the dose-response curve shifted back to the right and the ED50 for inducing paraparesis was 11."( Intrathecal nicorandil and small-dose morphine can induce spastic paraparesis after a noninjurious interval of spinal cord ischemia in the rat.
Fuchigami, T; Kakinohana, M; Murata, K; Nakamura, S; Sugahara, K, 2006
)
0.6
" Dose-response curves were generated for each test drug."( Development of tolerance and sensitization to different opioid agonists in rats.
Bartzsch, K; Becker, A; Grecksch, G; Höllt, V; Koch, T; Widera, A, 2006
)
0.33
" These results indicate that the endogenous OFQ/N system is differentially involved in morphine tolerance development and establishment of opiate dependence, depending on the specific morphine dosage regimen."( Endogenous orphanin FQ/nociceptin is involved in the development of morphine tolerance.
Chung, S; Civelli, O; Pohl, S; Reinscheid, RK; Zeng, J, 2006
)
0.79
" This paper summarizes the current evidence for opioid dosing in newborns, reviews their side-effects and explains the use of population kinetics and non-linear mixed-effects modeling to analyze the data from clinical trials."( Pain control: opioid dosing, population kinetics and side-effects.
Anand, KJ; Simons, SH, 2006
)
0.33
" l-methadone, racemic methadone, and oxycodone had a similar dose-dependent antinociceptive effect, whereas the dose-response curve of morphine was shallower."( Morphine, oxycodone, methadone and its enantiomers in different models of nociception in the rat.
Kalso, E; Kontinen, VK; Kylänlahti, I; Lemberg, K; Viljakka, K; Yli-Kauhaluoma, J, 2006
)
1.98
" Patient-controlled analgesia was used for the first 3 postoperative days in all patients, and the cumulative dosage used was recorded."( Analgesic effect of electroacupuncture in postthoracotomy pain: a prospective randomized trial.
Chan, SK; Lee, TW; Liang, YM; Ng, CS; Sihoe, AD; Wan, IY; Wong, RH; Wong, WW; Yim, AP, 2006
)
0.33
" Acute administration of lithium, in a dose of 3 mmol/kg, 30 min prior to morphine dosing did not influence morphine-induced analgesia compared to all the clock-time test-matched morphine groups, except the 9 HALO (Hours After Lights On) one."( Temporal variation in drug interaction between lithium and morphine-induced analgesia.
Bora, N; Demirel, O; Karakucuk, EH; Yamanoglu, T; Zengil, H, 2006
)
0.81
" For pain patients who have reduced renal function such as those in palliative care, most opioids used for chronic pain treatment should be administered at reduced dosages, with increased dosage intervals, or not at all because of the risk of accumulation of the parent compound or its metabolites."( Renal impairment: a challenge for opioid treatment? The role of buprenorphine.
Böger, RH, 2006
)
0.33
" Moreover, dose-response curves of the agonists showed that mu and CB1 receptors mediating inhibition of [3H]glutamate release display a non-additive interaction, whereas these receptors synergistically interact regarding their inhibitory control of [3H]GABA release."( Interactions between CB1 cannabinoid and mu opioid receptors mediating inhibition of neurotransmitter release in rat nucleus accumbens core.
De Vries, TJ; Hogenboom, F; Schoffelmeer, AN; Wardeh, G, 2006
)
0.33
" Two dose-response functions (0."( Effects of morphine on circadian rhythms of motor activity and body temperature in pig-tailed macaques.
Hienz, RD; Weed, MR, 2006
)
0.72
"Patients were randomized to receive either P-ERMS once-daily (QD) dosing or CRO twice-daily (BID) dosing for a 24-week treatment period."( Randomized trial comparing polymer-coated extended-release morphine sulfate to controlled-release oxycodone HCl in moderate to severe nonmalignant pain.
Nicholson, B; Ross, E; Sasaki, J; Weil, A, 2006
)
0.58
" After 24 weeks, all patients on P-ERMS were dosing within the FDA-approved frequencies (65% QD, 35% BID); 56% of patients on CRO dosed BID, but 38% dosed TID and 6% dosed four times daily (QID)."( Randomized trial comparing polymer-coated extended-release morphine sulfate to controlled-release oxycodone HCl in moderate to severe nonmalignant pain.
Nicholson, B; Ross, E; Sasaki, J; Weil, A, 2006
)
0.58
"P-ERMS and CRO both relieved chronic nonmalignant pain in this community-based population; however, patients taking P-ERMS dosed in accordance with FDA-approved frequencies (QD/BID); 44% of those taking CRO dosed more frequently (TID/QID)."( Randomized trial comparing polymer-coated extended-release morphine sulfate to controlled-release oxycodone HCl in moderate to severe nonmalignant pain.
Nicholson, B; Ross, E; Sasaki, J; Weil, A, 2006
)
0.58
" In the future, identifying single nucleotide polymorphisms of patients may provide information to modulate the analgesic dosage of opioid for better pain control."( Human opioid receptor A118G polymorphism affects intravenous patient-controlled analgesia morphine consumption after total abdominal hysterectomy.
Chou, WY; Jawan, B; Liu, CC; Liu, PH; Tseng, CC; Wang, CH, 2006
)
0.55
" The median daily dose to achieve this was 15 mg (range: 5-30 mg) and the median time to first bowel movement after dosing was 11."( Sodium picosulfate in opioid-induced constipation: results of an open-label, prospective, dose-ranging study.
Jordan, C; Kamm, MA; McNamara, P; Schuijt, C; Twycross, RG, 2006
)
0.33
"Supplemental dosing of an opioid is the main treatment suggested to manage breakthrough pain in cancer patients."( Safety and effectiveness of intravenous morphine for episodic breakthrough pain in patients receiving transdermal buprenorphine.
Aielli, F; Casuccio, A; Ferrera, P; Mercadante, S; Porzio, G; Verna, L; Villari, P, 2006
)
0.6
" The present study was undertaken to determine: 1) whether different parenteral opioids are dosed equivalently; 2) which patient factors affect equianalgesic dose; and 3) which patient factors affect opioid choice."( Underdosing of morphine in comparison with other parenteral opioids in an acute hospital: a quality of care challenge.
Lang, VJ; O'Connor, AB; Quill, TE,
)
0.48
" Inadequate bolus dosing of morphine may be a barrier to appropriate patient analgesia."( Underdosing of morphine in comparison with other parenteral opioids in an acute hospital: a quality of care challenge.
Lang, VJ; O'Connor, AB; Quill, TE,
)
0.78
" The data were analysed for three dosage groups (<0."( Morphine-related apnoea in CPAP-treated preterm neonates.
Enders, J; Gebauer, C; Knüpfer, M; Pulzer, F; Robel-Tillig, E, 2006
)
1.78
" Morphine in a low dosage (( Morphine-related apnoea in CPAP-treated preterm neonates.
Enders, J; Gebauer, C; Knüpfer, M; Pulzer, F; Robel-Tillig, E, 2006
)
2.69
" Strategies to change physician attitudes and beliefs regarding morphine in CPM should focus on tolerance concepts, dosing schemes, safety, efficacy, lack of addictive risk, use of drug combinations, and the fact that cancer pain can be relieved."( Physician attitudes and beliefs about use of morphine for cancer pain.
Elliott, BA; Elliott, TE, 1992
)
0.78
" The objective of this manuscript is to develop a cumulative dose microinjection procedure so the hypothesized role of the PAG in morphine antinociceptive tolerance can be assessed using dose-response analysis."( Antinociceptive tolerance revealed by cumulative intracranial microinjections of morphine into the periaqueductal gray in the rat.
Fossum, EN; Ingram, SL; Levine, CS; Morgan, MM, 2006
)
0.76
" Therefore, opiate dosing in children with OSA must take into account a history of recurrent hypoxemia."( Recurrent hypoxemia in children is associated with increased analgesic sensitivity to opiates.
Brown, KA; Laferrière, A; Lakheeram, I; Moss, IR, 2006
)
0.33
" Total codeine dosage was also similar, except at 4 h postoperatively when it was higher in the block group."( A comparison between scalp nerve block and morphine for transitional analgesia after remifentanil-based anesthesia in neurosurgery.
Ayoub, C; Boudreault, D; Chouinard, P; Girard, F; Moumdjian, R; Ruel, M, 2006
)
0.6
"Little information is available about the incidence, prevalence, or severity of morphine side effects during repeated individualized dosing for chronic cancer pain, although it has been widely used in this way for more than 30 years."( The adverse effects of morphine: a prospective survey of common symptoms during repeated dosing for chronic cancer pain.
Glare, P; Sheehan, D; Walsh, D,
)
0.67
" In the writhing test, the intraperitoneal administration of dexketoprofen or ketoprofen resulted in parallel dose-response curves with equal efficacy, but higher relative potency for dexketoprofen."( Dexketoprofen-induced antinociception in animal models of acute pain: synergy with morphine and paracetamol.
Dursteler, C; Miranda, HF; Pinardi, G; Prieto, JC; Puig, MM, 2007
)
0.56
" In the presence of fixed doses of 1 or 10 microg CTAP, increasing doses of naltrexone produced dose-dependent shifts to the right in the morphine dose-response curve."( In vivo pharmacological resultant analysis reveals noncompetitive interactions between opioid antagonists in the rat tail-withdrawal assay.
Walker, EA, 2006
)
0.54
" METH1 evoked a transient threefold increase in DA overflow in only one-third of dosed rats."( Methamphetamine, morphine, and their combination: acute changes in striatal dopaminergic transmission evaluated by microdialysis in awake rats.
Ali, SF; Lourenço, E; Macedo, TR; Milhazes, N; Morgadinho, T; Pereira, FC; Ribeiro, CF, 2006
)
0.67
" Early efficacy data suggest that DepoCyt is fairly well tolerated, and its use allows reduced dosing frequency from twice a week to once every other week and may improve the outcome compared with frequent intrathecal injections of unencapsulated cytarabine."( Pharmacology of drugs formulated with DepoFoam: a sustained release drug delivery system for parenteral administration using multivesicular liposome technology.
Angst, MS; Drover, DR, 2006
)
0.33
" Ablation of NK-1 receptor expressing cells prevented (a) morphine-induced thermal and mechanical hypersensitivity, (b) increased touch-evoked spinal FOS expression, (c) upregulation of spinal dynorphin content and (d) the rightward displacement of the spinal morphine antinociceptive dose-response curve (i."( Spinal NK-1 receptor expressing neurons mediate opioid-induced hyperalgesia and antinociceptive tolerance via activation of descending pathways.
King, T; Lai, J; Ossipov, MH; Porreca, F; Vanderah, TW; Vera-Portocarrero, LP; Zhang, ET, 2007
)
0.58
" As previously reported, when a within-subjects design and cumulative dosing was employed, no tolerance was observed in the 129P3/J strain."( Morphine analgesic tolerance in 129P3/J and 129S6/SvEv mice.
Bryant, CD; Byun, JS; Evans, CJ; Fanselow, MS; Roberts, KW, 2006
)
1.78
" The MQS score accounted for variations in the types of analgesic medications, routes of administration, dosing schedules, and opioid dosing requirements."( Quantification of analgesic use in children with sickle cell disease.
Beyer, JE; Jacob, E; Miaskowski, C; Savedra, M; Styles, L; Treadwell, M, 2007
)
0.34
" Presently, the dose-response characteristics between maternal cocaine use and fetal exposure and adverse effects are unknown."( Cocaine detection in maternal and neonatal hair: implications to fetal toxicology.
Garcia-Bournissen, F; Karaskov, T; Koren, G; Rokach, B, 2007
)
0.34
" Thus, dextro-morphine pretreatment induces a U-shaped dose-response curve for attenuating the morphine-produced conditioned place preference."( dextro-Morphine attenuates the morphine-produced conditioned place preference via the sigma(1) receptor activation in the rat.
Schwasinger, ET; Terashvili, M; Tseng, LF; Wu, HE, 2007
)
1.16
"3-fold leftward shift of morphine's dose-response curve in morphine-tolerant rats, and this was associated with GLAST and GLT-1 trafficking onto the cell surface."( Amitriptyline preserves morphine's antinociceptive effect by regulating the glutamate transporter GLAST and GLT-1 trafficking and excitatory amino acids concentration in morphine-tolerant rats.
Liu, TM; Tai, YH; Tao, PL; Tsai, RY; Wang, JJ; Wang, YC; Wang, YH; Wong, CS, 2007
)
0.95
" The shift to the right of the dose-response curves was greater for morphine and oxycodone compared to etorphine and the highest dose of clocinnamox reduced the maximal effect of morphine and oxycodone, but not etorphine."( Opioid agonist efficacy predicts the magnitude of tolerance and the regulation of mu-opioid receptors and dynamin-2.
Kumar, P; Pawar, M; Sirohi, S; Sunkaraneni, S; Walker, EA; Yoburn, BC, 2007
)
0.58
" We hold that current evidence supports the administration of opioids to children with acute abdominal pain, and future trials will help determine safe and effective timing and dosing related to opioid administration."( Opioid administration for acute abdominal pain in the pediatric emergency department.
Goldman, RD; Klein-Kremer, A,
)
0.13
" In addition to standard solution analysis, this approach was successfully applied for quantitative determination of morphine in a typical pharmaceutical dosage form."( Kinetic determination of morphine by means of Bray-Liebhafsky oscillatory reaction system using analyte pulse perturbation technique.
Anić, SR; Blagojević, SM; Cirić, JS; Kolar-Anić, LZ; Marković, SD; Marković, ZS; Mijatović, MD; Pejić, ND; Vukojević, VB, 2007
)
0.85
" For caffeine and scopolamine, even the lowest dosage tested (5 mg/horse/day and 2 mg/horse/day respectively) induced detectable concentrations of the molecule in urine."( Urinary excretion of dietary contaminants in horses.
Bonnaire, Y; Julliand, V; Lallemand, A; Respondek, F, 2006
)
0.33
" Information on the pharmacokinetics of ketorolac in infants is sparse, making dosing difficult."( Postoperative ketorolac tromethamine use in infants aged 6-18 months: the effect on morphine usage, safety assessment, and stereo-specific pharmacokinetics.
Anderson, GD; Bradford, H; Chen, J; Ellenbogen, RG; Kantor, ED; Lynn, AM; Salinger, DH; Seng, KY; Vicini, P, 2007
)
0.56
" Dosing simulations, using population pharmacokinetic parameters, showed no accumulation of S(-) ketorolac but steady increases in R(+) ketorolac."( Postoperative ketorolac tromethamine use in infants aged 6-18 months: the effect on morphine usage, safety assessment, and stereo-specific pharmacokinetics.
Anderson, GD; Bradford, H; Chen, J; Ellenbogen, RG; Kantor, ED; Lynn, AM; Salinger, DH; Seng, KY; Vicini, P, 2007
)
0.56
" During this period, the side effects, the dosage of rescue analgesia required, and the range of knee flexion were recorded for each group."( Intra-synovial ropivacaine and morphine for pain relief after total knee arthroplasty: a prospective, randomized, double blind study.
Han, CD; Lee, DH; Yang, IH, 2007
)
0.63
" Morphine dose-response relationships were established both prior to and after chronic morphine treatment."( The beta2 adrenergic receptor regulates morphine tolerance and physical dependence.
Clark, JD; Li, J; Li, X; Liang, DY; Shi, X, 2007
)
1.52
" Both morphine and lidocaine retained topical activity following chronic sciatic nerve injury, but their analgesic dose-response curves were shifted to the right when compared to sham-operated mice."( Reorganization of dorsal root ganglion neurons following chronic sciatic nerve constriction injury: correlation with morphine and lidocaine analgesia.
El-Maarouf Abderrahman, A; El-Maarouf, A; Kolesnikov, Y; Pasternak, G; Rutinhauser, U; Rutishauser, U, 2007
)
1.03
"Among 68 men and 30 women, dosage of epidural morphine was not significantly different by gender."( [Sexual differences in effects and side effects of epidural morphine for VATS (video-associated thoracic surgery)].
Kawagoe, I; Sumida, T, 2007
)
0.84
" A leftward shift in the dose-response curve was observed following WIN55,212-2 relative to morphine treatment."( Activation of cannabinoid CB1 and CB2 receptors suppresses neuropathic nociception evoked by the chemotherapeutic agent vincristine in rats.
Hohmann, AG; Makriyannis, A; Rahn, EJ, 2007
)
0.56
" Linear regression analysis showed that morphine dosage and duration were significantly associated with the duration of mechanical ventilation."( Safety profile of morphine following surgery in neonates.
De Silva, N; El Sayed, MF; Fallah, S; Moore, AM; Taddio, A, 2007
)
0.94
"Thirty-six randomized, double-blind controlled clinical trials with 49 comparisons, including multiple dosage regimens and routes of administration were included."( A qualitative systematic review of morphine treatment in children with postoperative pain.
Duedahl, TH; Hansen, EH, 2007
)
0.62
" No relation between morphine dosage and analgesic efficacy was detected."( A qualitative systematic review of morphine treatment in children with postoperative pain.
Duedahl, TH; Hansen, EH, 2007
)
0.94
" Mean VAS was 16 mm for morning dosing and 14 mm for evening dosing (P=0."( A randomized, double-blind, multi-site, crossover, placebo-controlled equivalence study of morning versus evening once-daily sustained-release morphine sulfate in people with pain from advanced cancer.
Cooney, NJ; Currow, DC; Glare, PA; Gorman, D; Plummer, JL, 2007
)
0.54
" Furthermore, adequate dosing remains a problem since no objective measurement of pain severity exists and analgesia should be titrated upon the patient's reported pain."( Patient-controlled analgesia versus continuous infusion of morphine during vaso-occlusive crisis in sickle cell disease, a randomized controlled trial.
Biemond, BJ; Friederich, PW; Nieuwkerk, PT; van Beers, EJ; van Tuijn, CF; Vranken, JH, 2007
)
0.58
" The average wholesale price per dosing unit of each drug during each period studied was obtained from internal databases."( Prescribing patterns and purchasing costs of long-acting opioids over nine years at an academic oncology hospital.
Arbuckle, R; Bruera, E; Curry, EA; Hung, F; Palla, S, 2007
)
0.34
" SPILA granules were orally administered to beagle dogs to compare the pharmacokinetics with commercially available twice-a-day dosage form, MS Contin."( Pharmacokinetic and pharmacodynamic evaluations of novel oral morphine sustained release granules.
Akiyama, Y; Fuse, T; Nakamura, K; Nara, E, 2007
)
0.58
"Lacking enough knowledge of pediatric cancer pain and pediatric dosage form of analgesics, current treatment of pediatric cancer pain in China is unsatisfactory."( [Feasibility to treat pediatric cancer pain with analgesics for adults and their efficacy].
Lin, H; Ling, JY; Luo, WB; Sun, XF; Xia, Y; Zhen, ZJ; Zheng, L, 2007
)
0.34
"Basing on the components and the endurable dosage of each component for children, we formulated the appropriate dosage and usage of a few analgesics (including sustained release tablets of morphine, oxycodone and transdermal fantanyl) available in China, most of which were used in adults."( [Feasibility to treat pediatric cancer pain with analgesics for adults and their efficacy].
Lin, H; Ling, JY; Luo, WB; Sun, XF; Xia, Y; Zhen, ZJ; Zheng, L, 2007
)
0.53
"2-20 mg/kg/day), and spinal micro-opioid receptor density was examined, or morphine analgesia dose-response studies were conducted."( Mu-opioid receptor up-regulation and functional supersensitivity are independent of antagonist efficacy.
Kumar, P; Sirohi, S; Yoburn, BC, 2007
)
0.57
" The dose-response curves of butorphanol were studied using selective MOR and KOR antagonists."( Effects of butorphanol on morphine-induced itch and analgesia in primates.
Ko, MC; Lee, H; Naughton, NN; Woods, JH, 2007
)
0.64
" Out-of-hospital pain management using morphine depends on careful attention to dosage and the time interval between re-injections."( Compliance with a morphine protocol and effect on pain relief in out-of-hospital patients.
Adnet, F; Belpomme, V; Borron, S; Chollet, C; Devaud, ML; Mantz, J; Marty, J; Ricard-Hibon, A, 2008
)
0.95
" Modified release versions of morphine were effective for 12 or 24-hour dosing depending on the formulation."( Oral morphine for cancer pain.
McQuay, HJ; Wiffen, PJ, 2007
)
1.14
" Pain intensity, relative dosing ratios, discontinuation rates, and adverse events were assessed."( The safety and efficacy of fentanyl iontophoretic transdermal system compared with morphine intravenous patient-controlled analgesia for postoperative pain management: an analysis of pooled data from three randomized, active-controlled clinical studies.
Damaraju, CV; Hewitt, DJ; Kershaw, P; Siccardi, M; Viscusi, ER, 2007
)
0.56
" The aim of this study was to target patients who had painful mucositis at grade III-IV and treat their radiation-induced mucositis with gastrostomy administered morphine in an extended-release dosing form."( Administration of morphine sulfate extended-release capsules via gastrostomy: dissolution study and case reports.
Anderson, K; Ghalie, R; Homel, P; Loewen, G; Mori, M; Portenoy, R; Shaiova, L, 2007
)
0.87
" Opioid dosing intervals and supplemental opioid doses were most often adequate."( Pain management of opioid-treated cancer patients in hospital settings in Denmark.
Lundorff, L; Peuckmann, V; Sjøgren, P, 2008
)
0.35
" However, fentanyl concentration decreases quite rapidly and patients may need repeated dosing until analgesia is attained."( [Postoperative analgesia after remifentanil].
Kiyama, S, 2007
)
0.34
" The observed dose-dependent mechanism of morphine neuroexcitation underscores careful adjustment and individualized opioid dosing in the clinical setting."( Mechanisms of morphine enhancement of spontaneous seizure activity.
Brull, R; Carlen, PL; Derchansky, M; El Beheiry, H; Ismaili, M; Jahromi, SS; Saboory, E, 2007
)
0.96
" Dose-response and time course curves were done."( Role of nociceptin/orphanin FQ and the pseudopeptide [Phe1Psi(CH2NH)Gly2]-nociceptin(1-13)-NH2 and their interaction with classic opioids in the modulation of thermonociception in the land snail Helix aspersa.
Cruz, SL; León-Olea, M; Miller-Pérez, C; Pellicer, F; Rodríguez-Manzo, G; Sánchez-Islas, E, 2008
)
0.35
" Demerol requires a higher dosage than methadone, but produces less respiratory depression."( A comparison of certain actions of demerol and methadone.
BUCHANAN, OH; TAINTER, ML, 1949
)
0.23
"The aim of this study was to explore the potential association between a dose-response effect of morphine exposure and the development of ACS in children with SCD who presented with VOC."( Is morphine exposure associated with acute chest syndrome in children with vaso-occlusive crisis of sickle cell disease? A 6-year case-crossover study.
Blanchette, V; Finkelstein, Y; Garcia-Bournissen, F; Juurlink, DN; Kirby, M; Koren, G; Nurmohamed, L; Schechter, T, 2007
)
1.18
"Among these children with SCD who presented with VOC, the administration of morphine was not found to be associated with a dose-response effect on the risk for ACS."( Is morphine exposure associated with acute chest syndrome in children with vaso-occlusive crisis of sickle cell disease? A 6-year case-crossover study.
Blanchette, V; Finkelstein, Y; Garcia-Bournissen, F; Juurlink, DN; Kirby, M; Koren, G; Nurmohamed, L; Schechter, T, 2007
)
1.19
" Analysis of variance ratios of least-squares means for ln-transformed AUC(infinity) and C(max) satisfied the criteria (90% confidence intervals within 80%-125%) to declare no drug formulation interaction among the KADIAN regimens dosed with alcohol compared with KADIAN taken with water."( Effect of concomitant ingestion of alcohol on the in vivo pharmacokinetics of KADIAN (morphine sulfate extended-release) capsules.
Johnson, F; Stauffer, J; Sun, S; Wagner, G, 2008
)
0.57
" For the acute morphine studies, antinociceptive responses were assessed using cumulative morphine dosing (0."( Periadolescent male but not female rats have higher motor activity in response to morphine than do adult rats.
Holtzman, SG; Michaels, CC; White, DA, 2008
)
0.92
" However, few studies are so far available on how increases in daily opioid dosage affect driving ability."( [Influence of changes to daily dose of opioids on aspects of cognitive and psychomotor performance involved in driving].
Berghaus, G; Dagtekin, O; Elsner, F; Gaertner, J; Gerbershagen, HJ; Kolibay, F; Radbruch, L; Sabatowski, R; Theisohn, M, 2008
)
0.35
"74 times higher dosage than non-cancer pain patients (6110."( [Trend in opioids use for chronic pain treatment at Clalit Health Services (2000-2004)].
Brill, S; Freud, T; Sherf, M; Shvartzman, P; Singer, Y; Vardy, D, 2007
)
0.34
" The primary outcome was a dose-response assessment for total pain relief based upon visual analog scales."( Analgesic efficacy and safety of morphine-chitosan nasal solution in patients with moderate to severe pain following orthopedic surgery.
Carr, DB; Ernst, C; Gawarecki, D; Hamilton, D; McNicol, E; Mermelstein, F; Reber, KR; Stoker, DG; Waltzman, LS; Wright, C,
)
0.41
"5 mg and 15 mg dosage groups, respectively, and 130 minutes for IV morphine."( Analgesic efficacy and safety of morphine-chitosan nasal solution in patients with moderate to severe pain following orthopedic surgery.
Carr, DB; Ernst, C; Gawarecki, D; Hamilton, D; McNicol, E; Mermelstein, F; Reber, KR; Stoker, DG; Waltzman, LS; Wright, C,
)
0.65
" The cumulative morphine dose-response was assessed on postnatal days 20 and 49, and stress-induced analgesia was assessed on postnatal days 29 and 49."( Neonatal morphine enhances nociception and decreases analgesia in young rats.
Sweitzer, SM; Zhang, GH, 2008
)
1.11
"Morphine and buprenorphine had parallel dose-response curves in blocking FPS, with buprenorphine 40 times more potent than morphine."( Anxiolytic-like effects of morphine and buprenorphine in the rat model of fear-potentiated startle: tolerance, cross-tolerance, and blockade by naloxone.
Davis, M; Glover, EM, 2008
)
2.09
" In cases of minimal or absent spontaneous breathing the disconnection was realized in deep sedation, which required a moderate total dose of morphine sulfate (120 mg) but a high dosage rate (up to 300 mg/h)."( [Elective termination of respiratory therapy in amyotrophic lateral sclerosis].
Borisow, N; Dullinger, JS; Hempel, E; Keil, JP; Linke, P; Meyer, T; Münch, C; Rosseau, S, 2008
)
0.55
" A similar rightward shift in the morphine dose-response curve was caused by morphine tolerance."( Microinjection of the vehicle dimethyl sulfoxide (DMSO) into the periaqueductal gray modulates morphine antinociception.
Fossum, EN; Ingram, SL; Lisowski, MJ; Macey, TA; Morgan, MM, 2008
)
0.84
"Intrathecal morphine dosing remained constant during the titration phase."( Phase II, open-label, multicenter study of combined intrathecal morphine and ziconotide: addition of ziconotide in patients receiving intrathecal morphine for severe chronic pain.
Fisher, R; Kosek, PS; Leong, M; Schultz, DM; Staats, P; Wallace, MS, 2008
)
0.96
"Multicenter, open-label study with a 4-week morphine titration phase during which ziconotide was held constant and an extension phase during which dosing of either drug could vary."( Open-label, multicenter study of combined intrathecal morphine and ziconotide: addition of morphine in patients receiving ziconotide for severe chronic pain.
Charapata, S; Fakata, KL; Fisher, R; MineHart, M; Webster, LR, 2008
)
0.86
"Ziconotide dosing remained constant during the titration phase; intrathecal morphine titration was based on each patient's daily systemic opioid dose at the study's start."( Open-label, multicenter study of combined intrathecal morphine and ziconotide: addition of morphine in patients receiving ziconotide for severe chronic pain.
Charapata, S; Fakata, KL; Fisher, R; MineHart, M; Webster, LR, 2008
)
0.82
"5-fold right-shift in the morphine dose-response curve compared with a 65-fold right-shift in its absence) and this effect was inhibited by Ro106-9920 administration (48-fold right-shift)."( Amitriptyline induces nuclear transcription factor-kappaB-dependent glutamate transporter upregulation in chronic morphine-infused rats.
Cherng, CH; Liu, TM; Tai, YH; Tao, PL; Tsai, RY; Wang, YH; Wong, CS, 2008
)
0.86
" When dosed correctly, a life-shortening effect can be definitely excluded today."( [Does morphine have a life-shortening effect?].
Baust, G, 2008
)
0.83
" Thus, like given systemically, (+)-morphine given into the posterior nucleus accumbens shell also induces a U-shaped dose-response curve for attenuating the (-)-morphine-produced conditioned place preference."( (+)-Morphine attenuates the (-)-morphine-produced conditioned place preference and the mu-opioid receptor-mediated dopamine increase in the posterior nucleus accumbens of the rat.
Hong, JS; Hung, KC; Schwasinger, ET; Terashvili, M; Tseng, LF; Wu, HE, 2008
)
1.18
" The survey showed a wide variation in morphine and paracetamol dosing and the absence of a paracetamol loading dose in a fourth of the units."( Pain management in Swedish neonatal units--a national survey.
Eriksson, M; Gradin, M, 2008
)
0.62
"Morphine in dosage less than half of recommended dosage has a high analgetic and sedative potential."( Analgosedation with low-dose morphine for preterm infants with CPAP: risks and benefits.
Enders, J; Gebauer, C; Knüpfer, M; Pulzer, F; Robel-Tillig, E, 2008
)
2.08
"Ketamine decreases postoperative morphine consumption, but its optimal dosing and duration of administration remain unclear."( Postoperative ketamine administration decreases morphine consumption in major abdominal surgery: a prospective, randomized, double-blind, controlled study.
Beloucif, S; Dupont, H; Lorne, E; Montravers, P; Moubarak, M; Samarcq, D; Zakine, J, 2008
)
0.88
" The increased responding observed in the MW group compared with the control and MD groups resulted in an upward shift in the remifentanil dose-response curve, an effect that was expressed only after repeated exposure to the contingency, demonstrating that morphine withdrawal ultimately enhances the reinforcing effects of remifentanil."( Morphine deprivation increases self-administration of the fast- and short-acting mu-opioid receptor agonist remifentanil in the rat.
Cooper, ZD; Shi, YG; Truong, YN; Woods, JH, 2008
)
1.97
" Morphine sulfate extended-release capsules, the only opioid formulation indicated in the US for both once- and twice-daily (every 12 and every 24 h) dosing, is approved in eight dosage strengths and is effective against pain from diverse sources in a variety of patient types."( Morphine sulfate extended-release capsules for the treatment of chronic, moderate-to-severe pain.
Nicholson, B, 2008
)
2.7
" Nearly all patients taking morphine sulfate extended-release capsules for pain relief adhere to the recommended dosing frequency."( Morphine sulfate extended-release capsules for the treatment of chronic, moderate-to-severe pain.
Nicholson, B, 2008
)
2.08
" Immediately after surgery, there was less pain, higher satisfaction, and lower morphine use among patients on continuous FNB regardless of ropivacaine dosage used."( Continuous femoral nerve block in total knee arthroplasty: immediate and two-year outcomes.
Chong, HC; Lo, NN; Shum, CF; Yang, KY; Yeo, SJ; Yeo, SN, 2009
)
0.58
"6 mg/kg) and 24 h later fentanyl cumulative dose-response studies were conducted."( The analgesic efficacy of fentanyl: relationship to tolerance and mu-opioid receptor regulation.
Dighe, SV; Sirohi, S; Walker, EA; Yoburn, BC, 2008
)
0.35
" Interestingly, neonatally injured animals that did not receive morphine displayed a significant rightward shift in the morphine dose-response curve in the absence of peripheral inflammation."( Preemptive morphine analgesia attenuates the long-term consequences of neonatal inflammation in male and female rats.
Johns, ME; Laprairie, JL; Murphy, AZ, 2008
)
0.97
" Repeated injections of morphine caused a rightward shift in the morphine dose-response curve on Day 3 (i."( Repeated cannabinoid injections into the rat periaqueductal gray enhance subsequent morphine antinociception.
Maher, L; Morgan, MM; Wilson, AR, 2008
)
0.88
"Identify the dosing regimen of intrathecal morphine that safely and effectively provides postoperative analgesia with minimal complications in patients with idiopathic scoliosis undergoing posterior spinal fusion (PSF) and segmental spinal instrumentation (SSI)."( Intrathecal morphine for postoperative analgesia in patients with idiopathic scoliosis undergoing posterior spinal fusion.
Poe-Kochert, C; Potzman, J; Son-Hing, JP; Thompson, GH; Tripi, PA, 2008
)
0.99
"A physical morphine dependent model of rats was established by subcutaneous injection of morphine in gradually increasing dosage within 7 days."( [Effect of cedemex on cAMP and cGMP levels of different brain areas in morphine withdrawal rats].
Chen, TP; Fan, JM; Guo, SC; Huang, JC; Huang, RB; Jiang, WZ; Lai, S; Liang, YG; Nguyen, PK; Xie, HY, 2008
)
0.97
" Many exhibit methodologic problems with dosing regimes or study design."( Therapeutic effect of intrathecal morphine after posterior lumbar interbody fusion surgery: a prospective, double-blind, randomized study.
Bauer, C; Fritsch, E; Mencke, T; Müller, BI; Silomon, M; Soltesz, S; Ziegeler, S, 2008
)
0.63
" Dose-response relationships were determined for nonsedating doses of both drugs given alone and together in combination in causing antinociception in two nociception paradigms: carrageenan paw inflammation and streptozotocin-induced diabetic neuropathy."( Combination therapy with flupirtine and opioid: studies in rat pain models.
Cooke, I; Goodchild, CS; Kolosov, A; Tucker, AP, 2008
)
0.35
" While its efficacy has been well documented in randomized controlled trials, the safety and clinically appropriate dosing are less well defined."( Extended-release epidural morphine (DepoDur): review and safety analysis.
Hartrick, CT; Hartrick, KA, 2008
)
0.65
" In mice without inflammation, subplantar opioids did not induce antinociception, while during CFA-inflammation, all drugs generated dose-response curves with an order of potency of: U-50488H < DPDPE < morphine < buprenorphine < fentanyl << CRF."( Tolerance to the antinociceptive effects of peripherally administered opioids. Expression of beta-arrestins.
Almela, P; García-Nogales, P; Hernández, L; Laorden, ML; Puig, MM; Romero, A, 2009
)
0.54
"Forty-five opium-dependent Thai subjects were allocated to three dosing groups (6."( Flexible dosing of tincture of opium in the management of opioid withdrawal: pharmacokinetics and pharmacodynamics.
Abadi, RM; Ali, R; Jittiwutikarn, J; Larsen, M; Somogyi, AA; White, JM, 2008
)
0.35
"The management of opioid withdrawal can be achieved, with minimal adverse effects, by using flexible dosing of TOP."( Flexible dosing of tincture of opium in the management of opioid withdrawal: pharmacokinetics and pharmacodynamics.
Abadi, RM; Ali, R; Jittiwutikarn, J; Larsen, M; Somogyi, AA; White, JM, 2008
)
0.35
" Opiate dosage consumed was also recorded as a primary outcome during the first 24 h following surgery."( Post-operative pain relief following intrathecal injection of acetylcholine esterase inhibitor during lumbar disc surgery: a prospective double blind randomized study.
Hamidi, S; Khan, ZH; Majedi, H; Miri, M; Nourijelyani, K, 2008
)
0.35
" Quantification of benefit and harm and assessment of dose-response are needed."( Benefit and risk of intrathecal morphine without local anaesthetic in patients undergoing major surgery: meta-analysis of randomized trials.
Elia, N; Lysakowski, C; Meylan, N; Tramèr, MR, 2009
)
0.64
" The systems studied in this work are kollidon SR microparticles, a biodegradable polymer classically used as excipient in the design of solid dosage forms, as vehicles for morphine."( Kollidon SR colloidal particles as vehicles for oral morphine delivery in pain treatment.
Arias, JL; Delgado, AV; Gómez-Gallo, A; Ruiz, MA, 2009
)
0.8
" Dosing regimens varied widely."( Management of neonatal abstinence syndrome: a national survey and review of practice.
Hopewell, J; O'Grady, MJ; White, MJ, 2009
)
0.35
" Following treatment, morphine cumulative dose-response studies were conducted (tail flick)."( Continuous morphine produces more tolerance than intermittent or acute treatment.
Dighe, SV; Madia, PA; Sirohi, S; Yoburn, BC, 2009
)
1.06
" In this series of experiments, we have evaluated the prokinetic activity of novel, small-molecule ghrelin receptor (GhrR) agonists after parenteral and peroral dosing in mice and rats."( Enhanced gastrointestinal motility with orally active ghrelin receptor agonists.
Charoenthongtrakul, S; DiStefano, PS; Flynn, N; Gagne, S; Geddes, BJ; Giuliana, D; Gordon, DA; Govek, EK; Hernández, AS; Hixon, J; Li, J; Longo, KA; Morgan, K; Murphy, BJ; Nolan, A; Tino, JA, 2009
)
0.35
" The use of such mechanistic approaches improves understanding of paediatric pharmacokinetics; improving dosing predictions and allowing projection in exploratory drug development."( Mechanistic basis of using body size and maturation to predict clearance in humans.
Anderson, BJ; Holford, NH, 2009
)
0.35
" The specific oral morphine formulation used in this study produced sustained plasma morphine concentrations over 24 h compared with previous intravenous dosing and immediate-release oral morphine studies."( Pharmacokinetics of an immediate and extended release oral morphine formulation utilizing the spheroidal oral drug absorption system in dogs.
Aragon, CL; Barnhart, MD; Gaynor, JS; Papich, MG; Read, MR; Wilson, D, 2009
)
0.92
" To clarify contradictory findings, we simultaneously determined dose-response functions of the standard 5-HT(1A)-R-agonist 8-OH-DPAT and two different opioids for spontaneous ventilation and nociception."( The counteraction of opioid-induced ventilatory depression by the serotonin 1A-agonist 8-OH-DPAT does not antagonize antinociception in rats in situ and in vivo.
Dutschmann, M; Guenther, U; Hoeft, A; Manzke, T; Putensen, C; Wrigge, H; Zinserling, J, 2009
)
0.35
"(A) A dose-response relationship of 8-OH-DPAT, spontaneous phrenic nerve activity and a nociceptive C-fiber reflex (CFR) were established simultaneously in an in situ perfused, nonanesthetized, rat brainstem-spinal cord preparation."( The counteraction of opioid-induced ventilatory depression by the serotonin 1A-agonist 8-OH-DPAT does not antagonize antinociception in rats in situ and in vivo.
Dutschmann, M; Guenther, U; Hoeft, A; Manzke, T; Putensen, C; Wrigge, H; Zinserling, J, 2009
)
0.35
" Data were obtained from a supplemental analysis of the KRONUS-MSP trial, a community-based, open-label, 4-week study in which patients with chronic, nonmalignant pain (N = 1,428) were randomized to KADIAN q24h dosed either AM or PM."( Factors affecting dosing regimens of morphine sulfate extended-release (KADIAN) capsules.
Nicholson, B; Sasaki, J; Weil, AJ,
)
0.4
"8-fold right-shift of the morphine dose-response curve compared to a 77."( Amitriptyline suppresses neuroinflammation-dependent interleukin-10-p38 mitogen-activated protein kinase-heme oxygenase-1 signaling pathway in chronic morphine-infused rats.
Lin, SL; Tai, YH; Tao, PL; Tsai, RY; Wang, JJ; Wong, CS; Yeh, CC, 2009
)
0.85
"Early switching from morphine to methadone was a safe and efficient strategy for the reduction of side effects and improvement of analgesia, allowing for a comfortable dosing regimen."( Early switching from morphine to methadone is not improved by acetaminophen in the analgesia of oncologic patients: a prospective, randomized, double-blind, placebo-controlled study.
Cubero, DI; del Giglio, A, 2010
)
1
") enhanced the ascending (3 mgxkg(-1)) and descending (30 mgxkg(-1)) portions of buprenorphine's dose-response curve, but only spinal, not supraspinal, nociceptin (10 nmolxL(-1)) enhanced buprenorphine anti-nociception."( Identification of an additional supraspinal component to the analgesic mechanism of action of buprenorphine.
Ding, Z; Raffa, RB, 2009
)
0.35
" However, ovariectomized mice showed decreased CPP compared to gonadally intact mice with a right shift in their morphine dose-response curve."( Estrogen pretreatment modulates morphine-induced conditioned place preference in ovariectomized mice.
Dehpour, AR; Mirbaha, H; Shaterian-Mohammadi, H; Tabaeizadeh, M; Tahsili-Fahadan, P, 2009
)
0.85
" In the second experiment, using the same dosing regimen, sampling continued 3 h after morphine or saline in AV411- or vehicle-treated rats."( The glial activation inhibitor AV411 reduces morphine-induced nucleus accumbens dopamine release.
Bland, ST; Hutchinson, MR; Johnson, KW; Maier, SF; Watkins, LR, 2009
)
0.84
" Accordingly, there is growing interest in new approaches that would maintain opiate efficacy during repetitive dosing without engendering tolerance or unacceptable side-effects."( Targeting peroxynitrite driven nitroxidative stress with synzymes: A novel therapeutic approach in chronic pain management.
Neumann, W; Salvemini, D, 2010
)
0.36
"IN ketorolac was well tolerated and effective in treating moderate-to-severe postoperative pain in inpatients; the convenience of IN dosing suggests that its usefulness in the ambulatory care setting should be evaluated."( Intranasal ketorolac for postoperative pain: a phase 3, double-blind, randomized study.
Bisley, E; Brown, C; Bynum, L; Moodie, J, 2009
)
0.35
" In order to derive rational dosing schemes, the influence of aging on glucuronidation capacity in newborns, including preterms, infants and children under the age of 3 years was studied using morphine and its major metabolites as a model drug."( Morphine glucuronidation in preterm neonates, infants and children younger than 3 years.
Danhof, M; DeJongh, J; Jacqz-Aigrain, EM; Knibbe, CA; Krekels, EH; Santen, GW; Simons, SH; Tibboel, D; van den Anker, JN; van Dijk, M; van Lingen, RA, 2009
)
1.99
" Future pharmacodynamic investigations are needed to reveal target concentrations in this population, after which final dosing recommendations can be made."( Morphine glucuronidation in preterm neonates, infants and children younger than 3 years.
Danhof, M; DeJongh, J; Jacqz-Aigrain, EM; Knibbe, CA; Krekels, EH; Santen, GW; Simons, SH; Tibboel, D; van den Anker, JN; van Dijk, M; van Lingen, RA, 2009
)
1.8
" However, co-administration of these antagonists with morphine into the vPAG enhanced the acute antinociceptive effects of morphine as measured by a leftward shift in the morphine dose-response curves."( Glutamate modulation of antinociception, but not tolerance, produced by morphine microinjection into the periaqueductal gray of the rat.
Bobeck, EN; Ingram, SL; Morgan, MM, 2009
)
0.83
" Diagnosis is based on a steady increase in intrathecal morphine dosage after a relatively prolonged period of stability, on the gradual development of neurologic signs and symptoms suggesting radicular or spinal cord compression, and on magnetic resonance images."( [Spinal granuloma in a patient receiving a spinal infusion of morphine and clonidine].
Abejón, D; del Pozo, C; del Saz, JM; Ley, L; Sánchez, MR,
)
0.62
"In an open-label study, patients with advanced cancer pain were randomized to receive SR1 or SR2 every 12 hours around-the-clock (ATC) for 5 days, with immediate release (IR) liquid morphine for rescue dosing (RD)."( A comparative study of 2 sustained-release morphine preparations for pain in advanced cancer.
Bast, J; Homsi, J; Lasheen, W; LeGrand, SB; Nelson, KA; Rybicki, LA; Walsh, D, 2010
)
0.82
"05), RD dosage (P = ."( A comparative study of 2 sustained-release morphine preparations for pain in advanced cancer.
Bast, J; Homsi, J; Lasheen, W; LeGrand, SB; Nelson, KA; Rybicki, LA; Walsh, D, 2010
)
0.62
" Mean maximum plasma morphine concentration (C(max)) after SC dosing was 29% greater with rHuPH20 than without rHuPH20 (P=0."( The INFUSE-Morphine IIB study: use of recombinant human hyaluronidase (rHuPH20) to enhance the absorption of subcutaneous morphine in healthy volunteers.
Flament, J; Haller, MF; Thomas, JR; Yocum, RC, 2009
)
1.06
" Most studies did not control for the losses during food processing, so that the initial morphine dosage was overestimated."( Poppy seed foods and opiate drug testing--where are we today?
Lachenmeier, DW; Musshoff, F; Sproll, C, 2010
)
0.58
" The observations from this case series lend support to the practice of maintaining stable buprenorphine dosing for patients who require major surgery."( Effectiveness of full agonist opioids in patients stabilized on buprenorphine undergoing major surgery: a case series.
Kornfeld, H; Manfredi, L,
)
0.13
" Blood samples were withdrawn up to 12 h after dosing and plasma morphine concentrations were determined by HPLC with electrochemical detection."( In vivo evaluation of a new sustained-release formulation of morphine.
Araico, A; Peris, JE; Saadeddin, A; Torres-Molina, F, 2009
)
0.83
" The morphine-dependent model mice were established by injection on dosage increasing by degrees."( [Study on the detoxification of alcohol extracts from orientvine and its effective component on withdrawal syndromes of morphine].
Mo, ZX; Wang, CY; Zhang, GM, 2009
)
1.08
" Intrathecal opioid dosing is limited, however, by opioid-related side effects, most importantly respiratory depression."( Postoperative analgesia after radical prostatectomy with high-dose intrathecal morphine and intravenous naloxone: a retrospective review.
Andrykowski, M; Rebel, A; Sloan, P,
)
0.36
" The naive-participant study evaluated the effects of sleep deprivation alone, morphine alone and the combination; the tolerant-participant study compared day-to-day effects of alternate-daily-dosed buprenorphine and the combination of buprenorphine on the dosing day with sleep deprivation."( Utility of saccadic eye movement analysis as an objective biomarker to detect the sedative interaction between opioids and sleep deprivation in opioid-naive and opioid-tolerant populations.
Gentgall, M; Grace, PM; Rolan, PE; Stanford, T, 2010
)
0.59
"ICR mice were used to generate antagonist dose-response curves with intraperitoneal (i."( In vivo characterization of the opioid antagonist nalmefene in mice.
Bilsky, EJ; Giuvelis, D; Lowery, JJ; Osborn, MD; Skorput, AG, 2010
)
0.36
" Morphine at a dosage of 10 mg showed the best and most long-lasting analgesic efficiency."( Analgesic effects of intra-articular morphine in patients with temporomandibular joint disorders: a prospective, double-blind, placebo-controlled clinical trial.
Mühling, J; Wiechnik, J; Ziegler, CM, 2010
)
1.54
" To determine the dosing frequency of sustained-release opioids (morphine, oxycodone, and transdermal fentanyl) and the prevalence of end-of-dose failure in clinical practice, a patient-reported survey was performed."( The dosing frequency of sustained-release opioids and the prevalence of end-of-dose failure in cancer pain control: a Korean multicenter study.
Ahn, JS; Kim, DY; Kim, SY; Ryoo, BY; Shin, DB; Song, HS; Yim, CY, 2010
)
0.6
"8% of these patients took medication earlier than the prescribed dosing schedule."( The dosing frequency of sustained-release opioids and the prevalence of end-of-dose failure in cancer pain control: a Korean multicenter study.
Ahn, JS; Kim, DY; Kim, SY; Ryoo, BY; Shin, DB; Song, HS; Yim, CY, 2010
)
0.36
" End-of-dose failure is suggested to explain increased dosing frequency, and patients reported that adequate pain relief lasted for less time than was stated in the manufacturers' prescription recommendation."( The dosing frequency of sustained-release opioids and the prevalence of end-of-dose failure in cancer pain control: a Korean multicenter study.
Ahn, JS; Kim, DY; Kim, SY; Ryoo, BY; Shin, DB; Song, HS; Yim, CY, 2010
)
0.36
"Patient Controlled Analgesia is a useful technic to deliver morphine analgesia via a programmable pump: the patient himself choose to self-administer a bolus dose (usually morphine); the dosage is calculated and prescribed according to the level of pain, limits of dose and period of interdiction are planned."( [Patient controlled analgesia in children].
Fournier-Charrière, E; Tourniaire, B, 2010
)
0.6
" SO-3 co-administered with morphine left-shift the dose-response curve of morphine in mice acetic acid writhing test and significantly potentiated morphine analgesia in rat formalin test."( Spinal antinociception of synthetic omega-conotoxin SO-3, a selective N-type neuronal voltage-sensitive calcium channel blocker, and its effects on morphine analgesia in chemical stimulus tests in rodent.
Dong, HJ; Gong, ZH; Huang, PT; Liu, YL; Su, RB; Yan, LD; Zhang, L; Zhou, PL, 2010
)
0.86
") Moreover, the percentage of patients needing to increase the morphine dosage (40."( Long-term continuous subcutaneous infusion of ketoprofen combined with morphine: a safe and effective approach to cancer pain.
Cruto, M; Debernardi, F; Massucco, P; Moselli, NM; Savojardo, M, 2010
)
0.83
"Recently, a new oral prolonged-release formulation of morphine sulfate for once-daily dosing has been developed based on an injection-molded matrix (abuse-deterrent, prolonged-release erodible matrix [ADPREM])."( Clinical efficacy and safety of once-daily dosing of a novel, prolonged-release oral morphine tablet compared with twice-daily dosing of a standard controlled-release morphine tablet in patients with cancer pain: a randomized, double-blind, exploratory cr
Andersen, C; Burneckis, A; Jespersen, L; Ridgway, D; Sopata, M, 2010
)
0.83
" Steady-state trough concentrations of morphine and its metabolites in plasma before morning dosing were similar after either treatment period."( Clinical efficacy and safety of once-daily dosing of a novel, prolonged-release oral morphine tablet compared with twice-daily dosing of a standard controlled-release morphine tablet in patients with cancer pain: a randomized, double-blind, exploratory cr
Andersen, C; Burneckis, A; Jespersen, L; Ridgway, D; Sopata, M, 2010
)
0.85
"In this study, dosing with ADPREM at intervals of 24 hours was therapeutically equivalent to CRM dosed at intervals of 12 hours."( Clinical efficacy and safety of once-daily dosing of a novel, prolonged-release oral morphine tablet compared with twice-daily dosing of a standard controlled-release morphine tablet in patients with cancer pain: a randomized, double-blind, exploratory cr
Andersen, C; Burneckis, A; Jespersen, L; Ridgway, D; Sopata, M, 2010
)
0.58
" Acute injection of scopolamine shifted the morphine dose-response curved leftward and downward and acute injection of morphine shifted the scopolamine and nicotine dose-response curves leftward and downward."( Interactions between morphine, scopolamine and nicotine: schedule-controlled responding in rats.
France, CP; Li, JX; Li, X, 2010
)
0.94
" For this purpose, morphine hydrochloride injection is thought to be the best dosage form because it has advantages of: (1) quickness in varying the amount, (2) immediate rescue efficacy, and (3) usefulness in case of ingestion."( [Opioid rotation in the home medical care service].
Sugimoto, Y, 2009
)
0.68
" However, dose-response curves for morphine self-administration have not yet been examined and nor strain differences might be evident."( Strain differences in the dose-response relationship for morphine self-administration and impulsive choice between Lewis and Fischer 344 rats.
Ambrosio, E; Crespo, JA; García-Lecumberri, C; Higuera-Matas, A; Martín, S; Miguéns, M; Nicanor, C; Torres, I, 2011
)
0.89
" Over the following 6 months, the dosage was gradually titrated up to 4 mg/day with satisfactory pain control without significant side effects."( Respiratory failure following delayed intrathecal morphine pump refill: a valuable, but costly lesson.
Chiravuri, S; Couch, JP; Liu, H; Ruan, X; Shah, RV; Wang, F,
)
0.38
" Moreover, whereas plasma concentration of morphine markedly decreased up to 4h (C(4h)) after subchronic administration of the opioid, multiple dosing of the morphine+metamizol combination produced an accumulation of the drug in plasma (P<0."( Effect of metamizol on morphine pharmacokinetics and pharmacodynamics after acute and subchronic administration in arthritic rats.
Cortés-Arroyo, AR; Domínguez-Ramírez, AM; López, JR; López-Muñoz, FJ; Y de la Peña, MH, 2010
)
0.93
" Initiation of opioid therapy must consider gradual dose titration of the drug until the minimum effective and maximum tolerated dosage for each patient is found."( Effects of opioid rotation in chronic pain patients: ORTIBARN study.
Canneti, A; Gatti, A; Luzi, M; Mammucari, M; Mediati, RD; Reale, C; Sabato, AF; Vellucci, R, 2010
)
0.36
" Following start therapy with oral NR morphine at a dosage of 5 mg or 10 mg every 4 hours, rotation to an SR opioid of a different type from that previously administered was carried out."( Effects of opioid rotation in chronic pain patients: ORTIBARN study.
Canneti, A; Gatti, A; Luzi, M; Mammucari, M; Mediati, RD; Reale, C; Sabato, AF; Vellucci, R, 2010
)
0.63
" Patients with either cancer-related or non-cancer pain who experienced >2 intensive episodic pain breakouts per day were prescribed immediate-release (IR) morphine sulphate (10 mg to 20 mg as needed) every 4 hours (around-the-clock) and allowed one rescue dose of IR morphine (equal to one additional administration of the dosage taken at fixed times) for any episodic pain breakouts."( Time to pain relief after immediate-release morphine in episodic pain: the TIME study.
Lo Presti, C; Mammucari, M; Muriess, D; Roscetti, A, 2010
)
0.82
" Dependence was established using a noncontingent morphine dosing procedure that has been previously verified to maintain dependence while allowing for daily behavioral observation during a withdrawn state."( Reinforcer-dependent enhancement of operant responding in opioid-withdrawn rats.
Cooper, ZD; Shi, YG; Woods, JH, 2010
)
0.61
"Morphine withdrawal enhanced remifentanil self-administration, resulting in an upward and rightward shift of the descending limb of the dose-response curve, and increased operant responding for both food reinforcers."( Reinforcer-dependent enhancement of operant responding in opioid-withdrawn rats.
Cooper, ZD; Shi, YG; Woods, JH, 2010
)
1.8
" No differences were observed in the morphine dose-response curve in suppression of acute nociception (i."( Opioid-induced latent sensitization in a model of non-inflammatory viscerosomatic hypersensitivity.
King, T; Lian, B; Ossipov, MH; Porreca, F; Vera-Portocarrero, L, 2010
)
0.63
" A 7-day intrathecal treatment with morphine (15 μg/day) produced tolerance to its analgesic effects as well as a rightward shift in the dose-response curve to its antinociceptive effects."( Morphological evidence for the involvement of microglial p38 activation in CGRP-associated development of morphine antinociceptive tolerance.
Chabot, JG; Ma, W; Quirion, R; Wang, Z, 2010
)
0.85
" This study sought to (1) describe the variability in intravenous opioid dosing and (2) compare the outcomes that result from the most commonly prescribed opioid doses."( Intravenous opioid dosing and outcomes in emergency patients: a prospective cohort analysis.
Feng, C; Hays, DP; O'Connor, AB; Zwemer, FL, 2010
)
0.36
"We found marked opioid dosing variability and infrequent opioid dose titration."( Intravenous opioid dosing and outcomes in emergency patients: a prospective cohort analysis.
Feng, C; Hays, DP; O'Connor, AB; Zwemer, FL, 2010
)
0.36
" This can prevent the development of intractable PHN and attenuate morphine antinociceptive tolerance and further improve the efficacy of morphine and therefore reducing its dosage and side effects."( The combination of morphine and minocycline may be a good treatment for intractable post-herpetic neuralgia.
Chen, S; Hui, H; Xue, Y; Zhang, D, 2010
)
0.93
" In both (placebo and morphine pellets), dose-response curves for M, FEN and TRM, individually and combined were obtained, and the doses that produced 50% inhibition (ED(50)) were determined."( Antinociceptive effects of morphine, fentanyl, tramadol and their combination, in morphine-tolerant mice.
Miranda, HF; Puig, MM; Romero, A, 2010
)
0.97
" When subjects who vomited during the 12-hour dosing interval were excluded, the confidence interval for AUC0-t and AUCinf fell within the 80%-125% range, but the lower limit for Cmax was 76."( The relative bioavailability of morphine sulfate and naltrexone hydrochloride extended release capsules (EMBEDA®) and an extended release morphine sulfate capsule formulation (KADIAN®) in healthy adults under fasting conditions.
Boudriau, S; Ciric, S; Johnson, FK; Kisicki, JC; Stauffer, J, 2011
)
0.65
"5-fold leftward shift of the morphine dose-response curve in morphine-tolerant rats, and this was associated with reversal of the up-regulated NR1 and NR2B subunits in the synaptosome fraction."( Purinergic P2X receptor regulates N-methyl-D-aspartate receptor expression and synaptic excitatory amino acid concentration in morphine-tolerant rats.
Chen, YF; Cheng, PY; Tai, YH; Tsai, RY; Wong, CS, 2010
)
0.86
" Plasma samples were collected just before dosing through 72 hours postdose for pharmacokinetic analyses of morphine, and through 168 hours postdose for naltrexone and its major metabolite 6-β-naltrexol."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.84
"This prospective randomized double-blind dose-response study aimed to determine the ED₅₀ and ED₉₅ of intrathecal levobupivacaine combined with morphine and sufentanil for elective Caesarean delivery."( ED₅₀ and ED₉₅ of intrathecal levobupivacaine with opioids for Caesarean delivery.
Allaouchiche, B; Boselli, E; Bouvet, L; Chassard, D; Da-Col, X; Daléry, F; Dantony, E; Ruynat, L, 2011
)
0.57
"randomized, double-blind, placebo-controlled, ascending-dose cohort, dose-response study with flexible dosing."( A double-blind, placebo-controlled study of dual-opioid treatment with the combination of morphine plus oxycodone in patients with acute postoperative pain.
Kelen, R; Richards, P; Stern, W; Webster, L,
)
0.35
" Despite this growing trend, there is very little information available to guide practitioners with regard to patient selection as well as intrathecal drug dosing paradigms."( Patient selection and trialing techniques utilizing low-dose intrathecal morphine for chronic nonmalignant pain: a report of two cases.
Grider, JS; Harned, ME; Sloan, PA,
)
0.36
" More studies are needed to characterize the combined effects of multiple genes and demographic as well as clinical variables in predicting the correct morphine dosage and corresponding opioid-related side effects."( Combined catechol-O-methyltransferase and mu-opioid receptor gene polymorphisms affect morphine postoperative analgesia and central side effects.
Gabovits, B; Kolesnikov, Y; Levin, A; Veske, A; Voiko, E, 2011
)
0.79
"This casuistic reports on a 59-year-old pain patient taking normal dosage Tramadol as analgetic drug, who suffered from chronic dizziness leading to immobilisation for more than 9 months."( [Chronic dizziness in a pain patient--pharmacogenomic identification of tramadol as cause].
Barth, J; Eichhorn, A, 2010
)
0.36
"Model validation procedures are crucial when models are to be used to develop new dosing algorithms."( Predictive performance of a recently developed population pharmacokinetic model for morphine and its metabolites in new datasets of (preterm) neonates, infants and children.
Choonara, I; Danhof, M; DeJongh, J; Knibbe, CA; Krekels, EH; Lynn, AM; Tibboel, D; van der Marel, CD; van Lingen, RA, 2011
)
0.59
" It is herewith justified to undertake a proof-of-principle approach in the development of rational dosing recommendations - namely, performing a prospective clinical trial in which the model-based dosing algorithm is clinically evaluated."( Predictive performance of a recently developed population pharmacokinetic model for morphine and its metabolites in new datasets of (preterm) neonates, infants and children.
Choonara, I; Danhof, M; DeJongh, J; Knibbe, CA; Krekels, EH; Lynn, AM; Tibboel, D; van der Marel, CD; van Lingen, RA, 2011
)
0.59
"Blood conservation; the area of greatest clinical variability was seen in dosing regimes for Tranexamic acid."( Blood conservation and pain control in scoliosis corrective surgery: an online survey of UK practice.
Bird, S; McGill, N, 2011
)
0.37
" Lethal dose to cause 50 % death (LD50) was calculated from a dose-response curve (100-5000 mg/kg body wt."( Chemical composition, acute toxicity, and antinociceptive activity of the essential oil of a plant breeding cultivar of basil (Ocimum basilicum L.).
Alves, PB; Antoniolli, AR; Blank, AF; de Araujo, BS; Estevam, Cdos S; Lira, AF; Marchioro, M; Onofre, AS; Venâncio, AM, 2011
)
0.37
" Using an unbiased, three-chamber conditioned place preference (CPP) paradigm the dose-response function for nicotine CPP was tested in GAL-/- and GAL+/+ mice."( Mice lacking the galanin gene show decreased sensitivity to nicotine conditioned place preference.
Hales, CA; Henehan, RM; Neugebauer, NM; Picciotto, MR, 2011
)
0.37
"The overall impact of chronic pain on the response to opioids is ambiguous in the literature, and comparisons between human and animal studies are complicated by vast differences between the manner and dosage of opioids given to humans treated for pain in comparison to rodents as well as a lack of healthy participant studies examining the impact of chronic opioids."( Chronic inflammatory pain does not attenuate the development of tolerance to chronic morphine in adult male rats.
Boyette-Davis, JA; Fuchs, PN; Uhelski, ML, 2011
)
0.59
" The IC(50) value of SB-612111 estimated from dose-response curves is 87."( Quantitative study of the antagonistic effect of (-)-cis-1-Methyl-7-[[4-(2,6-dichlorophenyl)piperidin-1-yl]methyl]-6,7,8,9-tetrahydro-5H-benzocyclohepten-5-ol (SB-612111) on nociceptin/orphanin FQ-mediated potassium channel activation in rat periaqueducta
Chiou, LC; Jiang, F; Liao, YY, 2011
)
0.37
"To observe the effect of parecoxib on morphine dosage in patient-controlled analgesia (PCA) following thoracoscope-assisted thoracotomy."( [Effects of parecoxib on morphine dosage in postoperative patient-controlled analgesia following thoracoscope-assisted thoracotomy].
Gu, MN; Hou, XM; Liu, GW; Liu, XJ; Xiao, JF, 2011
)
0.94
"The application of parecoxib may reduce the dosage of morphine in PCA following thoracoscope-assisted thoracotomy and results in good analgesic effect without affecting the patients respiratory function and sputum elimination."( [Effects of parecoxib on morphine dosage in postoperative patient-controlled analgesia following thoracoscope-assisted thoracotomy].
Gu, MN; Hou, XM; Liu, GW; Liu, XJ; Xiao, JF, 2011
)
0.92
"The effectiveness of intrathecal opioids (ITOs) for postoperative analgesia has been limited by reduced opioid dosing because of opioid-related side effects, most importantly respiratory depression."( Retrospective analysis of high-dose intrathecal morphine for analgesia after pelvic surgery.
Andrykowski, M; Rebel, A; Sloan, P,
)
0.39
" In the switching study DDD indicated a reduction in analgesic dosing and OMEQ an increase when switching from WHO step II to III."( Choosing the unit of measurement counts: the use of oral morphine equivalents in studies of opioid consumption is a useful addition to defined daily doses.
Borchgrevink, P; Dale, O; Fredheim, O; Hamunen, K; Mellbye, A; Svendsen, K, 2011
)
0.61
"OMEQ reflects clinical dosing better than DDD, and can give additional insight into opioid consumption when combined with DDD."( Choosing the unit of measurement counts: the use of oral morphine equivalents in studies of opioid consumption is a useful addition to defined daily doses.
Borchgrevink, P; Dale, O; Fredheim, O; Hamunen, K; Mellbye, A; Svendsen, K, 2011
)
0.61
" According to a third of the respondents, the level of sedation was not related to the required level of symptom relief nor were changes in dosage based on the severity of symptoms."( Palliative sedation at home in the Netherlands: a nationwide survey among nurses.
Brinkkemper, T; Deliens, L; Eliel, M; Klinkenberg, M; Perez, RS; Rietjens, JA; Zuurmond, WW, 2011
)
0.37
" One patient with high morphine dosage (20 mg/d), interestingly, did not show any withdrawal symptoms."( Ziconotide: A rapid detoxification protocol for the conversion from intrathecal morphine--the Raffaeli Detoxification Model.
Balestri, M; Caminiti, A; Ferioli, I; Monterubbianesi, MC; Raffaeli, W; Righetti, D; Sarti, D,
)
0.67
" While, some anesthetics and synthetic narcotics used to reduce pain are reported to suppress immune activities depending on the kind of medication and the dosing strategy."( [A single administration of morphine suppresses the reduction of the systemic immune activity caused by acute inflammatory pain in rats].
Arai, K; Guo, SY; Hisamitsu, T; Nakamura, A; Okada, M; Saito, Y; Sakaue, S; Sunagawa, M; Tanigawa, H, 2011
)
0.66
" Additionally, systematic reviews of these placebo-controlled trials have failed to determine clinically meaningful dose-response effect."( Analgesic effectiveness of dipyrone (metamizol) for postoperative pain after herniorrhaphy: a randomized, double-blind, dose-response study.
Alvarez, HD; Chaparro, LE; Joaqui, W; Lezcano, W, 2012
)
0.38
"This trial shows a dose-response effect of 40 mg/kg over 15 mg/kg of intravenous dipyrone based on better movement-induced pain control, lower morphine consumption and fewer opioid-related side effects."( Analgesic effectiveness of dipyrone (metamizol) for postoperative pain after herniorrhaphy: a randomized, double-blind, dose-response study.
Alvarez, HD; Chaparro, LE; Joaqui, W; Lezcano, W, 2012
)
0.58
" Dosing strategies based on patient weight may not be necessary in this patient population."( Patient weight as a predictor of pain response to morphine in the emergency department.
Biggs, AD; Erstad, BL; Patanwala, AE, 2011
)
0.62
" Equal volumes of three plasma samples corresponding to each time point of three discretely dosed rats with different compounds were pooled (cassette analysis)."( High-throughput analysis of standardized pharmacokinetic studies in the rat using sample pooling and UPLC-MS/MS.
Betnér, I; Briem, S; Bueters, T; Dahlström, J; Kvalvågnaes, K, 2011
)
0.37
" Additionally, the use of the protocol described in this article suggests that the dose-response relationship following opioid cessation is in the 50-400 μg/d range for intrathecal morphine and that tolerance may be reversed during the 6 week opioid-free period."( Patient selection and outcomes using a low-dose intrathecal opioid trialing method for chronic nonmalignant pain.
Etscheidt, MA; Grider, JS; Harned, ME,
)
0.32
" Dose-response curves were generally quantal under the FR and graded under the FI schedules, but highly variable among subjects under the FI."( Drug discrimination in pigeons trained to discriminate among morphine, U50488, a combination of these drugs, and saline.
Li, M; McMillan, DE; Wessinger, WD, 2011
)
0.61
") increased locomotion along an inverted U-shaped dose-response curve in adolescent, late adolescent, and adult male C57BL/6J mice."( Morphine-induced motor stimulation, motor incoordination, and hypothermia in adolescent and adult mice.
France, CP; Javors, MA; Koek, W, 2012
)
1.82
"The purpose of this study was to examine the effects of a clinically relevant opioid on the production of augmented breaths (ABs) in unanesthetized animals breathing normal room air, using a dosage which does not depress breathing."( The "other" respiratory effect of opioids: suppression of spontaneous augmented ("sigh") breaths.
Azubike, E; Bell, HJ; Haouzi, P, 2011
)
0.37
" Dose-response studies show that neuraxial morphine appears to have an analgesic efficacy 'ceiling'."( Neuraxial morphine and respiratory depression: finding the right balance.
Carvalho, B; Gutierrez, MC; Sultan, P, 2011
)
1.03
"Opioid analgesics administered by patient-controlled analgesia (PCA)are frequently used for pain relief in children and adults with sickle cell disease (SCD) hospitalized for persistent vaso-occlusive pain, but optimum opioid dosing is not known."( Opioid patient controlled analgesia use during the initial experience with the IMPROVE PCA trial: a phase III analgesic trial for hospitalized sickle cell patients with painful episodes.
Bell, MC; Dampier, CD; Hsu, L; Keefer, J; Kim, HY; Krishnamurti, L; Mack, AK; McClish, D; McKinlay, SM; Miller, ST; Minniti, CP; Osunkwo, I; Seaman, P; Smith, WR; Telen, MJ; Wager, CG; Weiner, DL, 2011
)
0.37
" There were no significant differences between the extrapleural and epidural block groups with regard to VAS at rest and during movement assessed at 4, 12, 24, 36, and 48 hours after surgery, dosage of intravenous morphine (extrapleural: 12."( Comparison of the analgesic effects of continuous extrapleural block and continuous epidural block after video-assisted thoracoscopic surgery.
Endo, S; Endo, T; Hotta, K; Inoue, S; Sata, N; Seo, N; Taira, K; Takeuchi, M, 2011
)
0.56
" Using a Delphi study method, physicians were asked to rank preferences of drug and dosing schedule for first-line opioid, antiemetic, and laxative for the treatment of adults with chronic pain due to cancer and other life-threatening conditions."( Strategic pain management: the identification and development of the IAHPC opioid essential prescription package.
Bennett, MI; Bruera, E; De Lima, L; Nekolaichuk, C; Ripamonti, CI; Vignaroli, E; Wenk, R, 2012
)
0.38
" Tolerance to ULD-OIH develops with repeated dosing in rats."( Effect of prior treatment with ultra-low-dose morphine on opioid- and nerve injury-induced hyperalgesia in rats.
Holtman, JR; Sloan, PA; Wala, EP,
)
0.39
" Finally, analysis of ambulatory activity and body weight (BW) changes reveal that motivational and cognitive effects are totally independent of caloric and/or motor effects of opiate dosing and withdrawal."( Increased motivation to eat in opiate-withdrawn mice.
Contarino, A; Rouibi, K, 2012
)
0.38
" But in the absence of dose-response data for morphine, this suggestion seems imprudent."( The dose-response relation for the antinociceptive effect of morphine in a fish, rainbow trout.
Jones, SG; Kamunde, C; Lemke, K; Stevens, ED, 2012
)
0.88
"In order to reduce postoperative opioid requirement, extrapleural local anaesthetic infusion dosing recommendations and guidelines for extrapleural catheter insertion were developed in our institution for 'extubatable' neonates requiring short-gap neonatal tracheo-oesophageal fistula/oesophageal atresia repair (via thoracotomy) and audited prospectively."( Audit of extrapleural local anaesthetic infusion in neonates following repair of tracheo-oesophageal fistulae and oesophageal atresia via thoracotomy.
Chalkiadis, GA; Clarnette, TD; Dowden, SJ; McNally, CM; Palmer, GM; Penrose, S; Smith, KR; Thalayasingam, P; Tingay, DG, 2012
)
0.38
" These results suggest this dosing regimen of gabapentin is not efficacious in improving outcomes in patients undergoing shoulder arthroscopy under general anesthesia with an interscalene block."( Perioperative administration of gabapentin for shoulder arthroscopy: a prospective, randomized, double-blind, placebo-controlled study.
Bowen, K; Goff, J; Maye, J; Mohan, E; Osborne, L; Spence, D, 2011
)
0.37
"Although opioids are widely accepted as standard therapy for treating acute postoperative pain, the frequent occurrence of adverse events (AEs) and the substantial burden on the patient and the costs of care are a barrier to optimal dosing and adherence to prescribed treatment."( Efficacy and safety of dual-opioid therapy in acute pain.
Webster, L, 2012
)
0.38
" After bilaterally implantation of cannulae into the CA1 and/or VTA in adult male Wistar rats weighing 210-310 g, dose-response effects of different doses of intra-VTA morphine (0."( Role of D1/D2 dopamine receptors in the CA1 region of the rat hippocampus in the rewarding effects of morphine administered into the ventral tegmental area.
Esmaeili, MH; Haghparast, A; Kermani, M; Parvishan, A, 2012
)
0.79
" This may be because of wide variations in age, weight, dosing ranges, and off-label practices, but few studies exclusively devoted to examining pediatric 10-fold error have identified the circumstances and mechanisms that lead to such errors."( Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.
Doherty, C; Mc Donnell, C, 2012
)
0.38
" Morphine dosing based on patient weight alone is not necessary in adults in the ED."( Should morphine dosing be weight based for analgesia in the emergency department?
Amini, R; Desai, A; Edwards, CJ; Patanwala, AE; Stolz, L; Stolz, U,
)
1.5
" VAS and whole dosage of morphine were compared between two groups every 6 hours."( Analgesic effects of ketamine infusion on postoperative pain after fusion and instrumentation of the lumbar spine: a prospective randomized clinical trial.
Abrishamkar, S; Eshraghi, N; Feizi, A; Rafiei, A; Rahmani, P; Talakoub, R, 2012
)
0.68
"The objective was to assess the efficacy of patient-controlled analgesia (PCA) in the emergency department (ED) and to compare two PCA dosing regimens."( Efficacy of patient-controlled analgesia for patients with acute abdominal pain in the emergency department: a randomized trial.
Bijur, P; Birnbaum, A; Gallagher, EJ; Schechter, C; Touger, R; Tufaro, V, 2012
)
0.38
" When rats were co-infused with MOR and NAL, MOR-induced effects were not reversed by either dosage of NAL, and some measures of MOR-induced movement suppression were enhanced by NAL at the 1x dosage."( The role of mu-opioid receptor signaling in the dorsolateral periaqueductal gray on conditional and unconditional responding to threatening and aversive stimuli.
Blair, HT; Halladay, LR, 2012
)
0.38
"Our findings suggest a role for our rooming-in program in mitigating the relationship between maternal methadone dosage and the need to treat opiate withdrawal in the newborn."( A rooming-in program to mitigate the need to treat for opiate withdrawal in the newborn.
Abrahams, RR; Hodgson, ZG, 2012
)
0.38
" More importantly, subcutaneous co-administrations or even single dose of CBIO completely prevented or reversed morphine tolerance to analgesia (exhibited by a single dose or a dose-response curve of morphine) in both formalin-induced acute phase nociception and tonic phase pain."( Interactions of the potent D-amino acid oxidase inhibitor CBIO with morphine in pain and tolerance to analgesia.
Gong, N; Hashimoto, K; Ma, AN; Wang, HL; Wang, YC; Wang, YX, 2012
)
0.83
"The aims of this study were to investigate the dose-response relationship (n=7) and the potential absorption of topical morphine (n=5) across oral mucosa in children with oral mucositis."( Topical morphine for oral mucositis in children: dose finding and absorption.
Aagaard, G; Hansen, SH; Henneberg, SW; Nielsen, BN; Rømsing, J; Schmiegelow, K, 2012
)
1.02
"A decrease in oral pain score of ≥36% was achieved in six of seven patients in the dose-response part of the study."( Topical morphine for oral mucositis in children: dose finding and absorption.
Aagaard, G; Hansen, SH; Henneberg, SW; Nielsen, BN; Rømsing, J; Schmiegelow, K, 2012
)
0.81
"We investigated the safety and efficacy of the bilateral periarticular multimodal drug injection (PMDI) at a reduced dosage in patients undergoing simultaneous bilateral total knee arthroplasty (SBTKA)."( Use of reduced-dose periarticular injection for pain management in simultaneous bilateral total knee arthroplasty.
Chang, CB; Jeon, YT; Kang, YG; Kim, TK; Koh, IJ; Song, J, 2012
)
0.38
"The aim of the study was to evaluate the analgesic/antihyperalgesic efficacy and to establish the dose-response relationship of morphine immediate release (IR) and oxycodone IR in a human experimental algesimetric model."( Dose-response relationship after single oral dose administrations of morphine and oxycodone using laser-evoked potentials on UVB- and capsaicin-irritated skin in healthy male subjects.
Hoeben, E; Mangold, B; Reitmeir, P; Rusch, S; Schaffler, K; Smit, JW; Upmalis, D, 2012
)
0.82
" MOPr agonist efficacy was evaluated by microinjecting the irreversible opioid receptor antagonist β-funaltrexamine hydrochloride (β-FNA) into the vlPAG prior to a dose-response analysis of morphine and fentanyl antinociception."( Differential development of antinociceptive tolerance to morphine and fentanyl is not linked to efficacy in the ventrolateral periaqueductal gray of the rat.
Bobeck, EN; Haseman, RA; Hong, D; Ingram, SL; Morgan, MM, 2012
)
0.81
" An increase in dosing variability was observed with increasing age."( The relationship between age and morphine infusion rate in children.
Anderson, BJ; Liley, A; Taylor, J, 2013
)
0.67
" In part 1 of the study, patients were dosed every 5 minutes for the first 65 minutes (up to 13 doses) with study drug, provided that vital signs criteria were met."( Analgesic efficacy and tolerability of intravenous morphine versus combined intravenous morphine and oxycodone in a 2-center, randomized, double-blind, pilot trial of patients with moderate to severe pain after total hip replacement.
Bäthis, H; Böhmer, A; Joppich, R; Kelen, R; Lefering, R; Neugebauer, E; Otto, C; Petzke, F; Richards, P; Stern, W; Treptau, T; Zarghooni, K, 2012
)
0.63
" Two chronic pain patients with loss of pain control following dosage increase in levothyroxine supplementation are presented."( Loss of antinociceptive effectiveness of morphine and oxycodone following titration of levothyroxine: case reports and a brief review of published literature.
Herndon, CM; Kearney, TC; Lindsay, TJ; Matoushek, TA,
)
0.4
"Pain patients with implanted catheters and pumps (range: 127 to 2165 days), receiving a stable dosing (>1 week) of IT morphine by infusion, were entered into the study."( Characteristics of distribution of morphine and metabolites in cerebrospinal fluid and plasma with chronic intrathecal morphine infusion in humans.
Wallace, M; Yaksh, TL, 2012
)
0.86
" While morphine dosage increased before HBOT (median morphine dose 23 mg per day and 35."( Hyperbaric oxygen therapy for vaso-occlusive crises in nine patients with sickle-cell disease.
Aras, N; Borne, M; Brinquin, L; Fain, O; Letellier, E; Stirnemann, J, 2012
)
0.83
" Finally, in order to identify whether morphine sensitized pro-inflammatory cytokine release, spinal cord was isolated two days after morphine dosing for five days , and slices stimulated ex vivo with lipopolysaccharide."( Prior exposure to repeated morphine potentiates mechanical allodynia induced by peripheral inflammation and neuropathy.
Berkelhammer, D; Bowlin, M; Ellis, A; Grace, PM; Loram, LC; Maier, SF; Skarda, B; Strand, KA; Taylor, FR; Watkins, LR, 2012
)
0.95
"Intra-operative dosing of sufentanil significantly influenced post-operative morphine consumption, pain and hyperalgesia."( The impact of intra-operative sufentanil dosing on post-operative pain, hyperalgesia and morphine consumption after cardiac surgery.
Fechner, J; Ihmsen, H; Jeleazcov, C; Schüttler, J, 2013
)
0.84
" In March 2011, all dosage forms of Embeda® were recalled because the product failed to meet routine stability standards, and its return date to the market is currently unknown."( Will abuse-deterrent formulations of opioid analgesics be successful in achieving their purpose?
Bannwarth, B, 2012
)
0.38
" In the present study, a digoxin dose-response curve was conducted to observe the effects on naloxone-precipitated withdrawal and locomotor activity in mice."( A comparison of the effects of digoxin, ouabain and milrinone on naloxone-precipitated withdrawal syndrome in mice.
Bai, YL; Chen, YY; Chu, QJ; Li, J; Li, WJ; Zhang, Q, 2012
)
0.38
"The Tekscan(®) WB measurement system was used in MIA rats to examine the acute and chronic dosing effects of drugs that targeted different mechanisms."( Pharmacological validation of early and late phase of rat mono-iodoacetate model using the Tekscan system.
Elmes, SJ; McIntosh, F; Perkins, MN; Rashid, MH; Theberge, Y, 2013
)
0.39
" We tested SB 334867 in three doses (10, 20 and 30 mg/kg), TCS-OX2-29 in two doses (5 and 10 mg/kg) and morphine with highest effective dose based on our dose-response experiment (5 mg/kg)."( The differential effects of OX1R and OX2R selective antagonists on morphine conditioned place preference in naïve versus morphine-dependent mice.
Dehpour, AR; Esmaeili, B; Ghaffarpour, M; Javadi-Paydar, M; Mirbaha, H; Motiei-Langroudi, R; Tabaeizadeh, M; Tahsili-Fahadan, P, 2013
)
0.84
" Animals were analyzed for morphine dose-response using Hot Plate test."( Periaqueductal gray neuroplasticity following chronic morphine varies with age: role of oxidative stress.
Bajic, D; Berde, CB; Commons, KG, 2012
)
0.92
" However, the optimal dosing regimen remains unclear."( Closed-loop double-vasopressor automated system to treat hypotension during spinal anaesthesia for caesarean section: a preliminary study.
Sia, AT; Sng, BL; Tan, HS, 2012
)
0.38
" In the present study, unanesthetized rats were studied to: (1) determine the involvement of naloxone-sensitive receptor pathways, and (2) establish the dose-response relationship of this side effect."( Augmented breaths ('sighs') are suppressed by morphine in a dose-dependent fashion via naloxone-sensitive pathways in adult rats.
Bell, HJ; Pankuch, G, 2013
)
0.65
" Dose-response curves for morphine (0."( Flupirtine enhances the anti-hyperalgesic effects of morphine in a rat model of prostate bone metastasis.
Cooke, I; Goodchild, CS; Kolosov, A; Williams, ED, 2012
)
0.93
" The effective doses, for 20%, 50%, and 80% response (ED(20), ED(50), and ED(80), respectively), of each drug were calculated using least squares linear regression analysis, and then dose-response curves were compared."( Relative potency of pregabalin, gabapentin, and morphine in a mouse model of visceral pain.
Keyhanfar, F; Shamsi Meymandi, M, 2013
)
0.65
" No difference was observed between slopes of dose-response curves."( Relative potency of pregabalin, gabapentin, and morphine in a mouse model of visceral pain.
Keyhanfar, F; Shamsi Meymandi, M, 2013
)
0.65
"In this animal model of visceral pain, all three drugs exhibited parallel dose-response curves."( Relative potency of pregabalin, gabapentin, and morphine in a mouse model of visceral pain.
Keyhanfar, F; Shamsi Meymandi, M, 2013
)
0.65
" We also evaluated the postoperative effects of intraoperative analgesic dosage in patients after this surgery."( [Postoperative pain management by intravenous patient-controlled analgesia in patients undergoing upper abdominal gastrointestinal surgery].
Kajiyama, S; Kawamoto, M; Niihata, T; Sugimoto, Y, 2012
)
0.38
" Our results can be used to help guide intrathecal morphine dosing in cesarean delivery based on patient preference for analgesia versus side effects."( Intrathecal morphine 100 and 200 μg for post-cesarean delivery analgesia: a trade-off between analgesic efficacy and side effects.
Carvalho, B; Riley, ET; Wong, JY, 2013
)
1.02
"Bimodal dose-response relationships have been demonstrated in animals and humans following morphine administration."( Dual effect of morphine in long-term social memory in rat.
Bianchi, E; Ghelardini, C; Menicacci, C, 2013
)
0.96
"Acupuncture may be a safe and feasible treatment to assist mothers to reduce their dosage of methadone."( Auricular acupuncture for chemically dependent pregnant women: a randomized controlled trial of the NADA protocol.
Abrahams, R; Demorest, LC; Janssen, PA; Kelly, A; Thiessen, P, 2012
)
0.38
"Opioid choice was tightly linked with equianalgesic dose, with the median hydromorphone dosage more than 50 percent higher than the dosage of morphine."( Why do emergency providers choose one opioid over another? A prospective cohort analysis.
O'Connor, AB; Rao, A,
)
0.33
" Here, we used clinically relevant dosing to examine the effects of maternally administered sustained-release naltrexone on the rat brain by examining offspring at birth and in adulthood."( Maternally administered sustained-release naltrexone in rats affects offspring neurochemistry and behaviour in adulthood.
Dunlop, SA; Farid, WO; Hulse, GK; Krstew, EV; Lawrence, AJ; Tait, RJ, 2012
)
0.38
"The correct dosage of lactulose for the prevention of oral morphine-induced constipation is 60 ml/d."( [Clinical observation of prophylactic lactulose for prevention of oral morphine-induced constipation].
Gu, XQ; Jiao, XD; Lan, HF; Lou, C; Qian, JX; Wang, MM; Wang, Z; Xiao, M; Yuan, LY, 2012
)
0.86
" placebo in the first 30 minutes after dosing (FBT provided an 83% probability of superior pain relief, ODT 66%, and OTFC 73% vs."( Efficacy of rapid-onset oral fentanyl formulations vs. oral morphine for cancer-related breakthrough pain: a meta-analysis of comparative trials.
Bennett, MI; Fullarton, JR; Jandhyala, R, 2013
)
0.63
"Compounds were dosed in conscious rats and mice."( Pharmacological comparison of peristaltic effects in rats and mice.
Larson, KJ; Martin, RL; Polakowski, JS; Shaughnessy, TK,
)
0.13
" Pretreatment with gallein produced a dose-dependent potentiation of morphine-mediated antinociception, producing up to a 10-fold leftward shift in the morphine dose-response curve and extending the duration of antinociception induced by a single dose of morphine."( Inhibition of Gβγ-subunit signaling potentiates morphine-induced antinociception but not respiratory depression, constipation, locomotion, and reward.
Bidlack, JM; Carey, AN; Hoot, MR; McLaughlin, JP; Reilley, KJ; Sypek, EI, 2013
)
0.88
" Increasing the dosage of spinal morphine does not decrease postoperative meperidine consumption, but may lead to respiratory depression in rare cases."( Low-dose spinal morphine for post-thoracotomy pain: a prospective randomized study.
Lertpaitoonpan, W; Phanchaipetch, T; Pongpayuha, P; Sanansilp, V; Suksompong, S; von Bormann, B, 2013
)
1.02
" Therefore, treatment with opioids requires a careful individualization of dosage to achieve an appropriate balance of efficacy and adverse effects and, consequently, avoid toxicity, particularly respiratory depression, sedation and for some, cardiac ventricular fibrillations."( Pharmacogenetics of opiates in clinical practice: the visible tip of the iceberg.
Hajj, A; Khabbaz, L; Laplanche, JL; Peoc'h, K, 2013
)
0.39
" Dosing was higher in the compounded group."( Intrathecal administration of Infumorph® vs compounded morphine for treatment of intractable pain using the Prometra® programmable pump.
Barsa, J; Bromberg, TA; Creamer, M; Deer, T; Dunbar, E; Dwarakanath, G; Jaffe, T; Navalgund, Y; Padda, G; Rosen, SM; Yearwood, TL, 2013
)
0.64
"92 % was obtained when the dosage ratio of morphine to PLLA-PEG-PLLA reached 1:5, and the encapsulation efficiency can be as high as 87."( Preparation, characterization and in vitro release properties of morphine-loaded PLLA-PEG-PLLA microparticles via solution enhanced dispersion by supercritical fluids.
Chen, F; Chen, X; Gao, H; Gu, J; Huang, Z; Liao, X; Yang, Y; Yao, Y; Yin, G, 2013
)
0.89
" Data extracted were age, gender, type of operations, dosage of spinal morphine, and frequency, and severity of adverse effects (nausea, vomiting, and pruritus)."( Nausea, vomiting and pruritus induced by intrathecal morphine.
Chinachoti, T; Nilrat, P; Samarnpiboonphol, P, 2013
)
0.87
" Intravenous (IV) morphine was prescribed and dosed at the discretion of the treating physician; physicians were advised to target a 50% reduction in pain or per-patient request."( A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial.
Beaudoin, FL; Haran, JP; Liebmann, O, 2013
)
0.72
" The risk increased significantly as the morphine dosage increased to 170 mg/year of treatment."( Association of intensive morphine treatment and increased stroke incidence in prostate cancer patients: a population-based nested case–control study.
Kao, CH; Lee, CW; Liang, JA; Muo, CH; Sung, FC, 2013
)
0.96
" The first aim of this study was to pharmacologically compare the dose-response curves for scratching induced by intrathecally administered bombesin-related peptides versus morphine, which is known to elicit itch in humans."( Physiological function of gastrin-releasing peptide and neuromedin B receptors in regulating itch scratching behavior in the spinal cord of mice.
Ko, MC; Sukhtankar, DD, 2013
)
0.58
" Modified release versions of morphine were effective for 12- or 24-hour dosing depending on the formulation."( Oral morphine for cancer pain.
Moore, RA; Wee, B; Wiffen, PJ, 2013
)
1.19
" A dose-response curve was established for pregabalin at a fixed morphine dose and revealed that, at low doses, pregabalin dose-dependently enhanced the antinociceptive effects, while the opposite was true at high doses (17 and 25 mg/kg)."( Assessment of the antinociceptive effects of pregabalin alone or in combination with morphine during acetic acid-induced writhing in mice.
Keyhanfar, F; Shamsi Meymandi, M, 2013
)
0.85
" Dosage of analgesic medication consumption was retrieved from patients' charts."( Combined spinal and general anesthesia vs general anesthesia for robotic sacrocervicopexy: a randomized controlled trial.
Awad, N; Lowenstein, L; Mustafa, S; Nasir, H; Segal, D, 2014
)
0.4
"7, respectively) following dosing compared with MS (Emax 87."( Assessing the subjective and physiological effects of intranasally administered crushed extended-release morphine formulations with and without a sequestered naltrexone core in recreational opioid users.
Goli, V; Levy-Cooperman, N; Mills, C; Setnik, B; Shram, M; Smith, I,
)
0.35
") administration of the specific MrgC receptor agonist bovine adrenal medulla 8-22 (BAM8-22, 3 nmol) increased morphine-induced analgesia and shifted the morphine dose-response curve to the left in rats."( Activation of Mas oncogene-related gene (Mrg) C receptors enhances morphine-induced analgesia through modulation of coupling of μ-opioid receptor to Gi-protein in rat spinal dorsal horn.
Chen, T; Couture, R; Hong, Y; Wang, D; Zhou, X, 2013
)
0.84
") injections with the cannabinoid agonist WIN-55,212 (WIN) or its vehicle (VEH) for three consecutive days using a twice-daily, increasing dosage regimen (1 mg/kg day 1; 2 mg/kg day 2; 4 mg/kg day 3)."( Female adolescent exposure to cannabinoids causes transgenerational effects on morphine sensitization in female offspring in the absence of in utero exposure.
Byrnes, EM; Johnson, NL; Vassoler, FM, 2013
)
0.62
" Eighty per cent of patients were not asked about their ability to swallow solid, oral dosage forms by their physician."( Challenges of treating patients with chronic pain with dysphagia (CPD): physician and patient perspectives.
Carlson, DR; Kopecky, EA; Nalamachu, S; Pergolizzi, JV; Raffa, RB; Taylor, R; Varanasi, RK, 2014
)
0.4
"A proportion of patients with chronic pain have dysphagia and cannot swallow solid, oral dosage forms, which creates a serious treatment challenge for pain specialists and other healthcare providers."( Challenges of treating patients with chronic pain with dysphagia (CPD): physician and patient perspectives.
Carlson, DR; Kopecky, EA; Nalamachu, S; Pergolizzi, JV; Raffa, RB; Taylor, R; Varanasi, RK, 2014
)
0.4
" The PRC recommended revisions to the Maryland protocol that reflected recommendations in the EBG: weight-based dosing and repeat dosing of morphine."( The implementation and evaluation of an evidence-based statewide prehospital pain management protocol developed using the national prehospital evidence-based guideline model process for emergency medical services.
Alcorta, R; Brown, KM; Hirshon, JM; Ho, S; Lawner, B; Weik, TS; Wright, JL, 2014
)
0.6
"We demonstrated that the implementation of a revised statewide prehospital pain management protocol based on an EBG developed using the National Prehospital Evidence-based Guideline Model Process was associated with an increase in dosing of narcotic pain medication consistent with that recommended by the EBG."( The implementation and evaluation of an evidence-based statewide prehospital pain management protocol developed using the national prehospital evidence-based guideline model process for emergency medical services.
Alcorta, R; Brown, KM; Hirshon, JM; Ho, S; Lawner, B; Weik, TS; Wright, JL, 2014
)
0.4
" In contrast, repeated morphine injections into the vlPAG caused a rightward shift in the morphine dose-response curve in rats without hind paw inflammation, as would be expected with the development of tolerance."( Chronic inflammatory pain prevents tolerance to the antinociceptive effect of morphine microinjected into the ventrolateral periaqueductal gray of the rat.
Aicher, SA; Ingram, SL; Mehalick, ML; Morgan, MM, 2013
)
0.93
" This approach is intended to reduce the opioid subjective rewarding effects such as euphoria which are prominent following swallowing the dosage form without tampering."( Sequestered naltrexone in sustained release morphine or oxycodone - a way to inhibit illicit use?
Pergolizzi, JV; Raffa, RB; Taylor, R, 2014
)
0.66
" dosing significantly inhibited opioid withdrawal induced depression in mice."( Inhibitory effect of bacopasides on spontaneous morphine withdrawal induced depression in mice.
Abbas, G; Abbas, M; Ali, G; Ali, SM; Ashfaq, M; Rauf, K; Subhan, F, 2014
)
0.66
" We hypothesized that when used for pain, dronabinol has psychoactive effects in a dose-response relationship, whose peak effects are comparable with smoking marijuana."( The subjective psychoactive effects of oral dronabinol studied in a randomized, controlled crossover clinical trial for pain.
Edwards, RR; Issa, MA; Jamison, RN; Michna, E; Narang, S; Penetar, DM; Wasan, AD, 2014
)
0.4
" Methadone treatment was switched to SROM with flexible dosing and vice versa according to period and sequence of treatment."( Maintenance treatment for opioid dependence with slow-release oral morphine: a randomized cross-over, non-inferiority study versus methadone.
Backmund, M; Beck, T; Haasen, C; Reimer, J; Ruckes, C; Schuler, C; Verthein, U; Walcher, S, 2014
)
0.64
" This may result in sub-therapeutic dosing creating withdrawal symptoms leading to additional substance use."( Rates of fetal polydrug exposures in methadone-maintained pregnancies from a high-risk population.
Delano, K; Gareri, J; Koren, G, 2013
)
0.39
" This article presents an outline on performing a population PK/PD study and translating these results into rational dosing regimens, with the development and prospective evaluation of PK/PD derived evidence-based dosing regimen being discussed."( Towards evidence-based dosing regimens in children on the basis of population pharmacokinetic pharmacodynamic modelling.
Admiraal, R; Boelens, JJ; Bredius, RG; Knibbe, CA; Tibboel, D; van Kesteren, C, 2014
)
0.4
" Compared with traditional dosing, this model-derived dosing regimen yields significantly reduced doses in neonates aged <10 days."( Evidence-based morphine dosing for postoperative neonates and infants.
Ceelie, I; Dahan, A; Danhof, M; de Wildt, SN; Knibbe, CA; Krekels, EH; Tibboel, D; van Dijk, M, 2014
)
0.76
" The efficacy of this dosing algorithm was evaluated using morphine rescue medication and actual average infusion rates."( Evidence-based morphine dosing for postoperative neonates and infants.
Ceelie, I; Dahan, A; Danhof, M; de Wildt, SN; Knibbe, CA; Krekels, EH; Tibboel, D; van Dijk, M, 2014
)
1
"Morphine paediatric dosing algorithms corrected for pharmacokinetic differences alone yield effective doses that prevent over-dosing for neonates with a PNA <10 days."( Evidence-based morphine dosing for postoperative neonates and infants.
Ceelie, I; Dahan, A; Danhof, M; de Wildt, SN; Knibbe, CA; Krekels, EH; Tibboel, D; van Dijk, M, 2014
)
2.2
" Delay discounting of drug-free reward was examined prior to initiation of the dosing regimen."( Delay discounting of oral morphine and sweetened juice rewards in dependent and non-dependent rats.
Franklin, KB; Harvey-Lewis, C; Perdrizet, J, 2014
)
0.7
"0625% bupivacaine + 2 μg/ml fentanyl + 2 mg morphine in 15 mL saline were given to Group bupivacaine-fentanyl-morphine (Group BFM) with no test dosing from the needle."( Maternal and neonatal effects of adding morphine to low-dose bupivacaine for epidural labor analgesia.
Ahiskalioglu, A; Aksoy, M; Alici, HA; Celik, M; Dostbil, A; Erdem, AF,
)
0.66
" The risk of PE development increased with an increase in cumulative dosage and in the average dosage of morphine."( Pulmonary embolism is associated with current morphine treatment in patients with deep vein thrombosis.
Kao, CH; Lee, CW; Liang, JA; Muo, CH; Sung, FC; Yeh, JJ, 2015
)
0.89
" The risk of ACS increased significantly with increasing morphine dosage (to ≥65 mg/y)."( Modest increase in risk of acute coronary syndrome associated with morphine use in cancer patients: a population-based nested case-control study.
Kao, CH; Lee, CW; Liang, JA; Muo, CH; Sung, FC, 2014
)
0.88
" For constipation, M6G, fentanyl and buprenorphine were full agonists, oxycodone was a partial agonist, morphine produced a bell-shaped dose-response curve, whereas DPDPE and U69,593 were inactive."( In vivo profiling of seven common opioids for antinociception, constipation and respiratory depression: no two opioids have the same profile.
Kuo, A; Meutermans, W; Smith, MT; Wyse, BD, 2015
)
0.63
" For both experiments, cumulative morphine anti-nociceptive dose-response (ED50) was tested and hyperactive behaviors such as jumping and scratching were recorded."( Midazolam exacerbates morphine tolerance and morphine-induced hyperactive behaviors in young rats with burn injury.
Chen, L; Mao, J; Martyn, JA; Song, L; Wang, S; Zuo, Y, 2014
)
1
" The specific dosage of 100 nM produced additional marked reduction in activity for planaria exposed to either morphine or naloxone while only 1 pM of morphine produced this effect."( Comparisons of responses by planarian to micromolar to attomolar dosages of morphine or naloxone and/or weak pulsed magnetic fields: revealing receptor subtype affinities and non-specific effects.
Murugan, NJ; Persinger, MA, 2014
)
0.84
" The objective of this study was to observe whether the dosing time of 6 narcotic analgesics in mice affected their efficacy, pain tolerance and recovery of tolerance."( Chronopharmacology of analgesic effect and tolerance induced by six narcotic analgesics in mice.
Chang, MJ; Jin, JJ; Li, XP; Liu, D; Luo, L; Xu, YJ; Yu, ZQ; Zhang, CL, 2015
)
0.42
" In 82%, the dosage was not or only gradually increased during the last 3 days of life."( [Frequency and characteristics of use of morphine at the end of life: a cross-sectional study].
Geijteman, E; Onwuteaka-Philipsen, BD; van Delden, JJ; van der Heide, A; van der Maas, PM; van Zuylen, L, 2014
)
0.67
"We used the cheek model of itch and pain in rats to determine the dose-response relationships for intradermal injection of serotonin and α methylserotonin on scratching behavior."( Itch elicited by intradermal injection of serotonin, intracisternal injection of morphine, and their synergistic interactions in rats.
Giesler, GJ; Moser, HR, 2014
)
0.63
" Administration of pioglitazone also prevented morphine-induced 50 % effective dose (ED50) shift to the right in the dose-response curve and increased the global analgesic effect of morphine."( Pioglitazone prevents morphine antinociception tolerance and withdrawal symptoms in rats.
Azarfardian, A; Charkhpour, M; Ghasami, S; Ghavimi, H; Hassanzadeh, K; Maleki-Dizaji, N; Zolali, E, 2014
)
0.97
" During the dosing period, the individual plasma ETP concentrations decreased at every dose."( Pharmacokinetics and toxicity of repeated oral etoposide is altered by morphine coadministration in rats.
Iwanaga, K; Kakemi, M; Kawase, T; Kitamura, T; Miyazaki, M; Nishimura, C, 2015
)
0.65
" Our objective was to evaluate the impact of CPOE implementation on analgesic prescribing and dosing practices for renal colic presentations."( Computerized physician order entry and decision support improves ED analgesic ordering for renal colic.
Lang, E; Lonergan, K; McRae, A; Netherton, SJ; Wang, D, 2014
)
0.4
" Morphine was required by only two patients per group (no difference in dosage or frequency)."( Is single incision pediatric endoscopic surgery more painful than standard laparoscopy in children? Personal experience and review of the literature.
Ade-Ajayi, N; Cancelliere, LA; Desai, AP; Kemal, KI; Patel, S; Zani, A, 2015
)
1.33
" Increased dosing might result in a ceiling effect, and thus less analgesia than expected."( Nalbuphine for postoperative pain treatment in children.
Pogatzki-Zahn, E; Reichl, SU; Schnabel, A; Zahn, PK, 2014
)
0.4
" The objective of this study was to identify predictors of increased opioid dosage in the last week of a terminal cancer patient's life."( Dyspnea, relative youth and low daily doses of opioids predict increased opioid dosage in the last week of a terminal cancer patient's life.
Abe, K; Hasuo, H; Kinoshita, H; Matsumoto, Y; Miura, T; Motonaga, S, 2014
)
0.4
" We assigned the patients to increased group or decreased group according to changes in oral morphine equivalent dosage in their last 7 days."( Dyspnea, relative youth and low daily doses of opioids predict increased opioid dosage in the last week of a terminal cancer patient's life.
Abe, K; Hasuo, H; Kinoshita, H; Matsumoto, Y; Miura, T; Motonaga, S, 2014
)
0.62
" Independent predictors of increased oral morphine equivalent dosage included dyspnea (odds ratio: 11."( Dyspnea, relative youth and low daily doses of opioids predict increased opioid dosage in the last week of a terminal cancer patient's life.
Abe, K; Hasuo, H; Kinoshita, H; Matsumoto, Y; Miura, T; Motonaga, S, 2014
)
0.67
"Dyspnea, relative youth and oral morphine equivalent dosage <50 mg on Day 7 before death were predictive of increased oral morphine equivalent dosage in the last 7 days."( Dyspnea, relative youth and low daily doses of opioids predict increased opioid dosage in the last week of a terminal cancer patient's life.
Abe, K; Hasuo, H; Kinoshita, H; Matsumoto, Y; Miura, T; Motonaga, S, 2014
)
0.68
" This prospective observational study examined the predictability of the patients' survival by variations of daily opioid dosage during the last few days of life."( Prediction of patient survival by change in daily opioid dosage in advanced cancer patients: a prospective hospital-based epidemiologic study.
Chiang, JK; Kao, YH, 2014
)
0.4
" However, repeated or continuous use of morphine and other opioids are associated with a potential risk of analgesic tolerance, which requires an increase in dosage to maintain the same efficacy."( [Easing human pain: challenges to a novel therapeutic drug in neuropathic pain].
Takano, Y, 2014
)
0.67
" Repeated morphine injections alone led to a significant rightward shift in the morphine dose-response curve compared with that with A-317491."( Blockade and reversal of spinal morphine tolerance by P2X3 receptor antagonist.
Jiang, W; Ma, X; Xu, H; Xu, T, 2015
)
1.1
" However, clinicians have long appreciated the ability to manage cancer pain in patients for months on stable opioid doses, implying that extended dosing may eventually result in a steady state in which the degree of tolerance remains constant despite the continued administration of a fixed morphine dose."( Stabilization of morphine tolerance with long-term dosing: association with selective upregulation of mu-opioid receptor splice variant mRNAs.
Faskowitz, AJ; Lu, Z; Pan, YX; Pasternak, GW; Rossi, GC; Xu, J; Xu, M, 2015
)
0.93
"The purpose of this study was to evaluate the effects of a morphine-conjugate vaccine (M-KLH) on the acquisition, maintenance, and reinstatement of heroin self-administration (HSA) in rats, and on heroin and metabolite distribution during heroin administration that approximated the self-administered dosing rate."( Pharmacokinetic correlates of the effects of a heroin vaccine on heroin self-administration in rats.
LeSage, MG; Pentel, PR; Raleigh, MD, 2014
)
0.65
" Our study suggests that pharmacogenetics for personalized dosing might be most effectively advanced by studying the interplay between pharmacogenetics, population pharmacokinetics, and clinical pharmacokinetics."( CYP2D6 phenotype-specific codeine population pharmacokinetics.
Boston, RC; Daly Linares, AL; Fudin, J; Linares, OA; Schiesser, WE, 2015
)
0.42
" During the same period, narcotic analgesic dosage requirement was cut down by 20% in the study group (average of 29."( Scheduled intravenous acetaminophen reduces postoperative narcotic analgesic demand and requirement after laparoscopic Roux-en-Y gastric bypass.
Jose, P; Nau, P; Pedersen, M; Samuel, I; Saurabh, S; Smith, JK,
)
0.13
"To evaluate the association between opioid dosage and ongoing therapy with physical function and disability in patients with neuropathic pain (NeP)."( Physical Functioning and Opioid use in Patients with Neuropathic Pain.
Bostick, GP; Carr, EC; Clark, AJ; Gordon, A; Lynch, M; Morley-Forster, P; Moulin, DE; Nathan, H; Smyth, C; Stitt, LW; Toth, C; Ware, MA, 2015
)
0.42
"03), but was not significant until 120 min after dosing and did not correlate to the increase in tolerated muscle pressure (r = -0."( Objective markers of the analgesic response to morphine in experimental pain research.
Brokjær, A; Christrup, LL; Dahan, A; Drewes, AM; Gram, M; Graversen, C; Kreilgaard, M; Olesen, AE,
)
0.39
" Various dosage of Curcumin attenuated these effects by significantly lowering lipid peroxidation, GSSG level, Bax concentration, caspase-3 and caspase-9 activities, while increasing superoxide dismutase and glutathione peroxidase activity, GSH level and Bcl-2 concentration."( Protective effects of various dosage of Curcumin against morphine induced apoptosis and oxidative stress in rat isolated hippocampus.
Fatima, S; Karimian, M; Motaghinejad, M; Motaghinejad, O; Shabab, B; Yazdani, I, 2015
)
0.66
"Chromatographic purity profiling (CPP) is the common name of a group of analytical and chemometric applications for detection, identification and quantitative determination of related substances and other impurities in active pharmaceutical ingredients (APIs) and finished dosage forms (FDFs)."( Fingerprinting of morphine using chromatographic purity profiling and multivariate data analysis.
Acevska, J; Cho, J; Cvetkovikj, I; Dimitrovska, A; Kulevanova, S; Petkovska, R; Stefkov, G, 2015
)
0.75
" Brain exposure at microdosing agreed with pharmacological dosing conditions for the investigated drugs."( Large Variation in Brain Exposure of Reference CNS Drugs: a PET Study in Nonhuman Primates.
Amini, N; Farde, L; Finnema, SJ; Halldin, C; Lundquist, S; Nakao, R; Schou, M; Takano, A; Varnäs, K, 2015
)
0.42
" As long as morphine did not cause reduced participation due to sedation, subcutaneous morphine dosing reduced the effects of capsaicin (p<0."( A novel operant-based behavioral assay of mechanical allodynia in the orofacial region of rats.
Allen, KD; Caudle, RM; Jacobs, BY; Kloefkorn, HE; Lakes, EH; Neubert, JK; Rohrs, EL, 2015
)
0.8
" Thus, varying the dosage regimen of morphine can reduce the severity of morphine-induced dependency and neurodegeneration."( The effect of various morphine weaning regimens on the sequelae of opioid tolerance involving physical dependency, anxiety and hippocampus cell neurodegeneration in rats.
Asadighaleni, M; Fatima, S; Karimian, SM; Motaghinejad, M; Motaghinejad, O; Shabab, B, 2015
)
1
"Morphine is a widely used opioid for treatment of moderate to severe pain, but large interindividual variability in patient response and no clear guidance on how to optimise morphine dosage regimen complicates treatment strategy for clinicians."( A review of morphine and morphine-6-glucuronide's pharmacokinetic-pharmacodynamic relationships in experimental and clinical pain.
Christrup, LL; Drewes, AM; Kreilgaard, M; Lund, TM; Olesen, AE; Sverrisdóttir, E, 2015
)
2.24
", administration route, average dosage and number of consumers) contribute to depict a realistic representation of the phenomenon in the investigated area."( Data triangulation in the context of opioids monitoring via wastewater analyses.
Been, F; Benaglia, L; Delémont, O; Esseiva, P; Gervasoni, JP; Lucia, S, 2015
)
0.42
" To constitute morphine tolerance, we used a 3 day cumulative dosing regimen."( Attenuation of morphine antinociceptive tolerance by cannabinoid CB1 and CB2 receptor antagonists.
Altun, A; Bagcivan, I; Durmus, N; Gursoy, S; Ozdemir, E; Yildirim, K, 2015
)
1.12
" Mean daily morphine equivalent dosing decreased from 805."( Prospective Observational Study of Patient-Controlled Intrathecal Analgesia: Impact on Cancer-Associated Symptoms, Breakthrough Pain Control, and Patient Satisfaction.
Brogan, SE; Okifuji, A; Winter, NB,
)
0.51
" These findings support other clinical research failing to show dose-response relationships for growth and bone outcomes among intrauterine TFV-exposed infants."( Meconium Tenofovir Concentrations and Growth and Bone Outcomes in Prenatally Tenofovir Exposed HIV-Uninfected Children.
Hazra, R; Himes, SK; Huestis, MA; Jacobson, DL; Kacanek, D; Rich, KC; Siberry, GK; Tassiopoulos, K; Van Dyke, RB; Wu, JW, 2015
)
0.42
" Although guidelines and protocols relating to the dosage and administration of morphine exist, little data are available describing its use by South African paramedics."( Use of morphine sulphate by South African paramedics for prehospital pain management.
de Kock, JM; Vincent-Lambert, C,
)
0.81
" The administration of simvastatin also prevented the morphine-induced shift to the right of the 50% effective dose (ED50) in the dose-response curve."( Simvastatin prevents morphine antinociceptive tolerance and withdrawal symptoms in rats.
Ghasemi, F; Hassanzadeh, K; Izadpanah, E; Moloudi, MR; Moradi, A; Rahimmi, A, 2015
)
0.98
" Caverage, calculated within the first hour of dosing of acetaminophen (average concentration at 0-1 hour, C0-1havg), can be used as a key surrogate to distinguish the effects of gastric emptying on the absorption of acetaminophen."( Acetaminophen absorption kinetics in altered gastric emptying: establishing a relevant pharmacokinetic surrogate using published data.
Srinivas, NR, 2015
)
0.42
" dose-response relationships of the opioids on cardiovascular metameters in anaesthetised rats in the absence or presence of H1- and H2-receptor antagonism and the μ-opioid antagonist naloxone."( Contrasting cardiovascular properties of the µ-opioid agonists morphine and methadone in the rat.
Angus, JA; Tung, KH; Wright, CE, 2015
)
0.66
" Patient demographics and opioid dosing information were extracted from an electronic medical record."( Variable Patterns of Continuous Morphine Infusions at End of Life.
Atayee, RS; Ching, A; Edmonds, KP; Lin, KJ; Ma, JD; Revta, C; Roeland, EJ, 2015
)
0.7
" These findings will help clinicians to find the most adequate and safe analgesic dosing regimens for neonates and infants."( Long-Term Effects of Neonatal Morphine Infusion on Pain Sensitivity: Follow-Up of a Randomized Controlled Trial.
de Graaf, J; Groot Jebbink, LJ; Tibboel, D; Valkenburg, AJ; van den Bosch, GE; van Dijk, M; van Lingen, RA; van Rosmalen, J; Weisglas-Kuperus, N, 2015
)
0.71
" Morphine dosage was calculated as the cumulative dose administered during the neonatal intensive care unit period."( Intravenous Paracetamol Decreases Requirements of Morphine in Very Preterm Infants.
Aikio, O; Hallman, M; Härmä, A; Saarela, T, 2016
)
1.6
" Future pharmacodynamic investigations are needed to identify target concentrations in this population, after which final dosing recommendations can be made."( Morphine Glucuronidation and Elimination in Intensive Care Patients: A Comparison with Healthy Volunteers.
Ahlers, SJ; Dahan, A; Gulik, Lv; Knibbe, CA; Peeters, MY; Tibboel, D; Välitalo, PA; van Dongen, EP, 2015
)
1.86
" To constitute morphine analgesic tolerance, a 3-day cumulative dosing regimen was used."( The effects of endocannabinoid receptor agonist anandamide and antagonist rimonabant on opioid analgesia and tolerance in rats.
Altun, A; Bagcivan, I; Durmus, N; Gursoy, S; Ozdemir, E; Yildirim, K, 2015
)
0.77
" Further research is warranted to elucidate the optimal timing and dosing of IA ketamine and morphine for postoperative analgesic effects."( Effect of preemptive intra-articular morphine and ketamine on pain after arthroscopic rotator cuff repair: a prospective, double-blind, randomized controlled study.
Amar, E; Chechik, O; Dolkart, O; Khashan, M; Maman, E; Mozes, G; Sharfman, Z; Weinbroum, A, 2016
)
0.93
" The dosage of morphine was counted as defined daily dose and its effect was assessed by multivariable Cox proportional hazard regression controlling age, Charlson comorbidity index, outpatient department visits, antipsychotics, and breast cancer drugs."( Risk of type 2 diabetes mellitus in female breast cancer patients treated with morphine: A retrospective population-based time-dependent cohort study.
Chang, YJ; Lai, SW; Lee, CW; Morisky, DE; Muo, CH; Wang, IK; Yang, SP, 2015
)
1
" The results showed that a single injection of morphine could induce behavioral sensitization by a low challenge dosage of morphine after a 7-days drug free period."( The α1 adrenoceptors in ventrolateral orbital cortex contribute to the expression of morphine-induced behavioral sensitization in rats.
Gao, HY; Huo, FQ; Li, T; Liang, F; Wei, L; Yan, CX; Zhang, YX; Zhu, YM, 2016
)
0.92
" Predefined subgroup analyses and meta-regression did not detect significant differences across subgroups, including a dose-response relationship."( Ketamine added to morphine or hydromorphone patient-controlled analgesia for acute postoperative pain in adults: a systematic review and meta-analysis of randomized trials.
Cheng, D; Johnston, B; Kaushal, A; Martin, J; Wang, L; Zhu, F, 2016
)
0.77
" Female Sprague Dawley rats were administered morphine for 10 days during early adolescence (post-natal day 30-39) using an escalating dosing regimen."( Exposure to opiates in female adolescents alters mu opiate receptor expression and increases the rewarding effects of morphine in future offspring.
Byrnes, EM; Vassoler, FM; Wright, SJ, 2016
)
0.9
"Morphine dosing can be challenging in terminally ill adult patients due to the heterogeneous nature of the population and the difficulty of accurately assessing pain during sedation."( Pharmacokinetics of Morphine, Morphine-3-Glucuronide and Morphine-6-Glucuronide in Terminally Ill Adult Patients.
Baar, FP; de Winter, BC; Franken, LG; Koch, BC; Masman, AD; Mathot, RA; Tibboel, D; van Gelder, T, 2016
)
2.2
" Nociceptive behaviours and cumulative dose-response of morphine analgesia were assessed."( Contribution of adrenomedullin to the switch of G protein-coupled μ-opioid receptors from Gi to Gs in the spinal dorsal horn following chronic morphine exposure in rats.
Couture, R; Hong, Y; Huang, J; Li, Q; Wang, D; Zeng, J, 2016
)
0.88
"The protocols varied widely in terms of medication and dosing choices, as well as listed contraindications to treatments."( Chest Pain of Suspected Cardiac Origin: Current Evidence-based Recommendations for Prehospital Care.
Barger, JA; Brown, JF; Gilbert, GH; Koenig, KL; Rudnick, EM; Salvucci, AA; Savino, PB; Sporer, KA, 2015
)
0.42
" Opioids were not dosed in an equipotent manner."( The Changing Use of Intravenous Opioids in an Emergency Department.
Albertson, TE; Chenoweth, JA; Clarke, SO; Gutierrez, R; Roche, BM; Sutter, ME; Wintemute, GJ, 2015
)
0.42
" The JCAHO program likely was at least indirectly responsible for this change in relative dosing of the opioids."( The Changing Use of Intravenous Opioids in an Emergency Department.
Albertson, TE; Chenoweth, JA; Clarke, SO; Gutierrez, R; Roche, BM; Sutter, ME; Wintemute, GJ, 2015
)
0.42
" Subjects established on daily methadone OST (mean dose 60 mg/day) were switched to morphine slow-release capsules, dosed at 4× the previous total daily methadone dose, for 6 days, then given morphine syrup dosed q3h."( Switching Opioid-Dependent Patients From Methadone to Morphine: Safety, Tolerability, and Methadone Pharmacokinetics.
Cape, G; Devane, J; Friedhoff, L; Glue, P; Gray, A; Harland, S; Howes, J; Hung, CT; Hung, N; Lam, F; Lockhart, M; Tunnicliff, D; Weis, H, 2016
)
0.91
"This study developed a stability-indicating reversed-phase HPLC method for the simultaneous determination of morphine sulfate and naltrexone hydrochloride content in bulk, Solid dosage forms and in-vitro dissolution samples to support product development and quality control efforts."( A stability-indicating HPLC method for simultaneous determination of morphine and naltrexone.
Barzin, J; Jafari-Nodoushan, M; Mobedi, H, 2016
)
0.88
"Treating animals repeatedly with intermittent and increasing morphine doses has been suggested to allow some withdrawal during each dosing interval, which causes repeated stress."( Spontaneous withdrawal in intermittent morphine administration in rats and mice: effect of clonidine coadministration and sex-related differences.
Allahverdiyev, O; Enginar, N; Nurten, A; Sehirli, I; Türkmen, AZ, 2015
)
0.93
"Male and female rats and mice were administered with increasing doses of morphine twice daily at different dosing intervals."( Spontaneous withdrawal in intermittent morphine administration in rats and mice: effect of clonidine coadministration and sex-related differences.
Allahverdiyev, O; Enginar, N; Nurten, A; Sehirli, I; Türkmen, AZ, 2015
)
0.92
"Male rats and male and female rats displayed manifestations of morphine withdrawal at the end of 14-h and 24-h dosing intervals, respectively."( Spontaneous withdrawal in intermittent morphine administration in rats and mice: effect of clonidine coadministration and sex-related differences.
Allahverdiyev, O; Enginar, N; Nurten, A; Sehirli, I; Türkmen, AZ, 2015
)
0.93
" Median of morphine dosage was equal between two groups on postoperative 4 h, 1 d, 2 d, cumulative amount of morphine of cryoanalgesia group was higher than intravenous group, but the difference between the two groups was not statistically significant."( [Analgesic effect and safety of intercostal nerve cryoanalgesia after the video-assisted thoracoscopic surgery].
He, Y; Li, F; Li, W; Li, Y; Lin, H; Wang, J; Xu, M; Ye, S, 2015
)
0.81
"These findings may have important implications in patients with low-grade inflammation and imply the need to modify morphine dosing regimens to ensure optimal analgesia."( Effects of Low-Dose Escherichia coli Lipopolysaccharide-Induced Endotoxemia on Morphine Pharmacokinetics in an Animal Model.
Billert, H; Grabowski, T; Grześkowiak, E; Lisiecka, J; Michalak, M; Szkutnik-Fiedler, D; Urjasz, H, 2016
)
0.87
"First, a dose-response curve for analgesic efficacy was generated for each opioid agonist."( Evaluation of the effects of specific opioid receptor agonists in a rodent model of spinal cord injury.
Aceves, M; Hook, MA; Mathai, BB, 2016
)
0.43
" To improve the quality of life of these patients, more knowledge and more pharmacokinetic/pharmacodynamics studies in terminally ill patients are needed to develop individualised dosing guidelines."( Pharmacokinetic considerations and recommendations in palliative care, with focus on morphine, midazolam and haloperidol.
Baar, FP; de Winter, BC; Franken, LG; Koch, BC; Mathôt, RA; Tibboel, D; van Esch, HJ; van Gelder, T; van Zuylen, L, 2016
)
0.66
"We used the intestinal segregated flow model (SFM) versus the traditional model (TM), nested within physiologically based pharmacokinetic (PBPK) models, to describe the biliary and urinary excretion of morphine 3β-glucuronide (MG) after intravenous and intraduodenal dosing of morphine in rats in vivo."( Metabolite Kinetics: The Segregated Flow Model for Intestinal and Whole Body Physiologically Based Pharmacokinetic Modeling to Describe Intestinal and Hepatic Glucuronidation of Morphine in Rats In Vivo.
Chen, S; Fan, J; Liu, L; Pang, KS; Sun, H; Yang, QJ, 2016
)
0.81
" Modified release versions of morphine were effective for 12- or 24-hour dosing depending on the formulation."( Oral morphine for cancer pain.
Moore, RA; Wee, B; Wiffen, PJ, 2016
)
1.24
" Analysis was based on 748 Numerical Rating Scale (NRS) scores of pain intensity and 51 observed morphine and oxycodone dosing events."( A Model-Based Approach for Joint Analysis of Pain Intensity and Opioid Consumption in Postoperative Pain.
Christrup, LL; Drewes, AM; Juul, RV; Knøsgaard, KR; Kreilgaard, M; Lund, TM; Olesen, AE; Osther, PJ; Pedersen, KV, 2016
)
0.65
"Preoperatively, 95% of the patients received morphine versus 100% postoperatively, with a median dosage of 10."( Infants Operated on for Necrotizing Enterocolitis: Towards Evidence-Based Pain Guidelines.
Keyzer-Dekker, CM; Knibbe, CA; Meesters, NJ; Simons, SH; Tibboel, D; van Dijk, M, 2016
)
0.69
" However, pharmacokinetic data to support morphine dosing in this vulnerable population are lacking."( Decreased Morphine Clearance in Neonates With Hypoxic Ischemic Encephalopathy Receiving Hypothermia.
Bonifacio, SL; Drover, DR; Frymoyer, A; Su, F; Van Meurs, KP; Wustoff, CJ, 2017
)
1.12
" The injection dosage of dexmedetomidine and morphine hydrochloride, analgesia satisfaction rate, sedation satisfaction rate, the incidences of adverse reactions during treatment such as bradycardia and low blood pressure, mechanical ventilation time, ICU time, and hospitalization expense were observed and recorded in the two groups."( [Analgesic and Sedative Effect of Acupuncture Combined with Medicine on Patients Undergiong Cardiac Surgery].
Cao, WZ; Xu, SA; Xu, XQ; Yu, HJ, 2016
)
0.69
"The analgesia method of ACM could reduce the dosage of traditional analgesic drugs and the occurrence of partial adverse reactions."( [Analgesic and Sedative Effect of Acupuncture Combined with Medicine on Patients Undergiong Cardiac Surgery].
Cao, WZ; Xu, SA; Xu, XQ; Yu, HJ, 2016
)
0.43
" There was no difference in morphine dosage for both groups."( Effect of music intervention on burn patients' pain and anxiety during dressing changes.
Chen, LF; Hsiep, PH; Hsu, KC, 2016
)
0.73
"A low dosage of intrathecal morphine is safe and effective after minimally invasive lumbar fusion surgery."( Intrathecal Versus Intravenous Morphine in Minimally Invasive Posterior Lumbar Fusion: A Blinded Randomized Comparative Prospective Study.
Araimo Morselli, FSM; Caporlingua, A; Caporlingua, F; De Biase, L; Imperiale, C; Scarpa, I; Tordiglione, P; Zuccarini, F, 2017
)
1.04
"180 male rats were randomly divided into nine groups, 20 rats for each group: saline group (N), model group (M), NS treatment group and three different dosage of Corydalis yanhusuo and L-THP groups (low dose group,middle dose group and high dose group)."( [Effect of Corydalis yanhusuo and L-THP on Gastrointestinal Dopamine System in Morphine-Dependent Rats].
Bai, WF; Luo, SY; Qiu, CK; Tu, P; Xu, JY; Yu, SY, 2015
)
0.64
" Moreover, thalidomide prevented the morphine-induced shift to the right of the ED50 in the dose-response curve."( A new pharmacological role for thalidomide: Attenuation of morphine-induced tolerance in rats.
Amini, H; Hassanzadeh, K; Izadpanah, E; Khodadadi, B; Moloudi, MR; Rahmani, MR, 2016
)
0.95
" We have no evidence to adjust morphine dosing after cardiac surgery in children with Down syndrome."( Pharmacodynamics and Pharmacokinetics of Morphine After Cardiac Surgery in Children With and Without Down Syndrome.
Breatnach, CV; Calvier, EA; Casey, WF; Knibbe, CA; Krekels, EH; Mathôt, RA; O'Hare, BP; Tibboel, D; Valkenburg, AJ; van Dijk, M, 2016
)
0.99
" The aim of this study was to investigate the contribution of genetic variability in innate immune signalling pathways to variability in morphine dosage after elective caesarean section under spinal anaesthesia in 133 Indian, 230 Malay, and 598 Han Chinese women previously studied."( Ethnicity-dependent influence of innate immune genetic markers on morphine PCA requirements and adverse effects in postoperative pain.
Barratt, DT; Coller, JK; Hutchinson, MR; Sia, AT; Somogyi, AA; Tan, EC, 2016
)
0.87
" This study investigated the patterns of opioid prescribing and characterized the dosing and duration of opioid use in patients with noncancer and cancer pain."( Dose and Duration of Opioid Use in Patients with Cancer and Noncancer Pain at an Outpatient Hospital Setting in Malaysia.
Choy, LW; Ismail, CR; Rahman, NA; Zin, CS, 2017
)
0.46
"The dose-response relationship of intrathecal morphine for multimodal post-cesarean analgesia suggests that 50μg produces analgesia similar to that produced by either 100μg or 150μg."( Dose-response of intrathecal morphine when administered with intravenous ketorolac for post-cesarean analgesia: a two-center, prospective, randomized, blinded trial.
Alshaeri, T; Amdur, RL; Berger, JS; Gonzalez, A; Hopkins, A; Jeon, D; Smiley, R; Wang, S, 2016
)
0.98
" WT mice received several dosing regimens of morphine."( Effects of Obesity and Leptin Deficiency on Morphine Pharmacokinetics in a Mouse Model.
Arias, RS; Brown, RH; Dalesio, NM; Galinkin, J; Hendrix, CW; Lee, CK; Lynn, RR; McMichael, DH; Pho, H; Schwartz, AR; Thompson, CB; Yaster, M, 2016
)
0.96
" These results suggest that the reward-related behavioral effects of morphine are overall not robustly altered by the presence of paclitaxel treatment under the current dosing regimen, with the exception of maintaining a small yet significant higher baseline than saline treatment during the development of allodynia in male mice."( Effects of paclitaxel on mechanical sensitivity and morphine reward in male and female C57Bl6 mice.
Neelakantan, H; Walker, EA; Ward, SJ, 2016
)
0.92
"Findings implicate the presence of reward processing deficits among chronic pain patients with opioid-misusing behaviors, and opioid dosage was associated with deficient emotion regulation, suggesting the presence of compromised top-down cognitive control over bottom-up hedonic processes."( Deficits in autonomic indices of emotion regulation and reward processing associated with prescription opioid use and misuse.
Bryan, CJ; Froeliger, B; Garland, EL; Howard, MO; Nakamura, Y, 2017
)
0.46
" The median dosage of opioids was 13."( A Clinical Study on Administration of Opioid Antagonists in Terminal Cancer Patients: 7 Patients Receiving Opioid Antagonists Following Opioids among 2443 Terminal Cancer Patients Receiving Opioids.
Awa, H; Chihara, T; Futamura, A; Higashiguchi, T; Ito, A; Mori, N; Murai, M; Ohara, H; Uekuzu, Y, 2017
)
0.46
" Moreover, differences in morphine dose-response in the two components of pain have not been examined in male and female rats."( Dissociation of morphine analgesic effects in the sensory and affective components of formalin-induced spontaneous pain in male and female rats.
Armendariz, A; Harton, LR; Nazarian, A; Richardson, JR, 2017
)
1.1
"Burn victim patients are frequently prescribed opioids at doses that are significantly higher than standard analgesic dosing guidelines, and, even despite an escalation in opioid dosing, many continue to experience pain."( Burn injury decreases the antinociceptive effects of opioids.
Bates, MLS; Eitan, S; Emery, MA; Wellman, PJ, 2017
)
0.46
" With the dosing used in our study, analgesia from morphine lasted longer than hydromorphone via intrathecal and epidural routes; however, neuraxial hydromorphone remains a reasonable option for long-acting analgesia post cesarean delivery."( Neuraxial opioids for post-cesarean delivery analgesia: can hydromorphone replace morphine? A retrospective study.
Balofsky, A; Edwards, K; Feng, C; Iqbal, A; Jackson, M; Kanel, J; Marroquin, B; Newton, M; Rothstein, D; Wissler, R; Wong, E, 2017
)
0.93
"The addition of intradural morphine allows a reduction in the dosage of local anesthetic improves short-term postoperative analgesia and is associated with less motor blockade."( Intraspinal administration of morphine hydrochloride combined with low doses of bupivacaine in hemorrhoidectomy: a clinical randomized trial.
de Abajo Iglesias, FJ; Rodríguez-Miguel, A; Ruiz-Castro, M; San José Santos, M, 2017
)
1.04
" In this review, we provide an overview on dosing regimens of morphine currently reported to treat NAS, with the aim to stimulate discussion on the need for a standardized dosing through better study design."( Morphine treatment for neonatal abstinence syndrome: huge dosing variability underscores the need for a better clinical study design.
Allegaert, K; Mian, P; Tibboel, D; van den Anker, JN; Wildschut, ED, 2019
)
2.2
"A search strategy was performed in PubMed to identify studies that provide a dosing regimen used, or advised by a review or guideline for morphine to treat NAS."( Morphine treatment for neonatal abstinence syndrome: huge dosing variability underscores the need for a better clinical study design.
Allegaert, K; Mian, P; Tibboel, D; van den Anker, JN; Wildschut, ED, 2019
)
2.16
" Extensive variability was observed for dosing advice, threshold in the initiating phase, dosing advice and maximum dose in the escalating phase."( Morphine treatment for neonatal abstinence syndrome: huge dosing variability underscores the need for a better clinical study design.
Allegaert, K; Mian, P; Tibboel, D; van den Anker, JN; Wildschut, ED, 2019
)
1.96
"This review shows a large variability in dosing regimens of morphine used to treat NAS."( Morphine treatment for neonatal abstinence syndrome: huge dosing variability underscores the need for a better clinical study design.
Allegaert, K; Mian, P; Tibboel, D; van den Anker, JN; Wildschut, ED, 2019
)
2.2
" Especially lacking are in-depth studies about its mechanisms of action, receptor pharmacology, dose-response relationships and clinical dosing regimens."( [Piritramide : A critical review].
Bantel, C; Hinrichs, M; Weyland, A, 2017
)
0.46
" Morphine dosage administered, and severity of pain monitoring was accessed and recorded with a visual analogue scale (VAS)."( Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery.
Mahmoudvand, H; Moradkhani, MR; Nadri, S, 2018
)
1.69
" This literature review reveals that variants in ABCB1, OPRM1, and COMT have been replicated for opioid dosing and variants in ABCB1 have been replicated for both treatment response and adverse effects."( Pharmacogenomics and Patient Treatment Parameters to Opioid Treatment in Chronic Pain: A Focus on Morphine, Oxycodone, Tramadol, and Fentanyl.
Hall, C; Hotham, E; Lloyd, RA; Suppiah, V; Williams, M, 2017
)
0.67
" This is especially important in the case of pediatric patients, and dose-response relationships require studies using pharmacokinetic-pharmacodynamic modeling."( A highly sensitive method for the simultaneous UHPLC-MS/MS analysis of clonidine, morphine, midazolam and their metabolites in blood plasma using HFIP as the eluent additive.
Aro, R; Herodes, K; Kipper, K; Lutsar, I; Metsvaht, T; Standing, JF; Veigure, R, 2017
)
0.68
" Despite increased mechanistic understanding of morphine tolerance, little is known about the influence of dosing regimens in its development."( Morphine dosing strategy plays a key role in the generation and duration of the produced antinociceptive tolerance.
Dietis, N; Gueven, N; Paul, AK, 2017
)
2.15
"Improved intrathecal (IT) pump technology is increasing the accuracy of IT opioid bolus dosing and promising advances in pain therapy."( Reinstituting the Bolus - New Reasoning for an Existing Technique.
Apostol, C; McRoberts, PW; Pope, JE, 2017
)
0.46
" The aim of this study was to determine the effect of dosing time on the pharmacokinetics and brain distribution of morphine."( Diurnal variation in the pharmacokinetics and brain distribution of morphine and its major metabolite.
de Lange, ECM; Hartman, R; Kervezee, L; Meijer, JH; van den Berg, DJ, 2017
)
0.9
" Data were reviewed and compared between the two protocol groups to determine the impact that the dosage change had on length of hospital stay and morphine treatment duration."( Evaluation of the Effectiveness of Two Morphine Protocols to Treat Neonatal Abstinence Syndrome in a Level II Nursery in a Community Hospital.
Burton, A; DeAtley, HN; Fraley, MD; Haltom, J, 2017
)
0.92
" Furthermore, dose-response revealed that IRR rats were more sensitive at a lower dose."( Dentate gyrus neurogenesis ablation via cranial irradiation enhances morphine self-administration and locomotor sensitization.
Bulin, SE; Eisch, AJ; Mendoza, ML; Richardson, DR; Solberg, TD; Song, KH; Yun, S, 2018
)
0.72
" Pain was assessed with a visual analog scale (VAS), 48-h morphine consumption and 72-h local anesthetic dosage were recorded, motor blockade was assessed, maximum range of motion (ROM) was measured, and adverse effect profiles were recorded."( Comparison of 2 Analgesia Modalities in Total Knee Replacement Surgery: Is There an Effect on Knee Function Rehabilitation?
Gelmanas, A; Macas, A; Mockutė, L; Tamošiūnas, R; Vertelis, A; Zinkus, J, 2017
)
0.7
" However, opioid dosage did not affect overall survival."( Association of high-dose postoperative opioids with recurrence risk in esophageal squamous cell carcinoma: reinterpreting ERAS protocols for long-term oncologic surgery outcomes.
Eom, W; Jeon, JH; Kim, JH; Kim, MS; Kim, SE; Lee, JM; Lim, H; Oh, TK, 2017
)
0.46
" Dose-response curves were then obtained and analyzed after the co-administration of geraniin with morphine or diclofenac in fixed ratio (1:1) combinations based on specific fractions (1/2, 1/4, and 1/8) of their respective ED50 values for the formalin test."( An isobolographic analysis of the anti-nociceptive effect of geraniin in combination with morphine or diclofenac.
Abotsi, WKM; Agyare, C; Ameyaw, EO; Biney, RP; Boakye-Gyasi, E; Kasanga, EA; Woode, E, 2018
)
0.92
"Pain was not better controlled with the addition of continuous infusions of morphine and midazolam when compared with intermittent dosing only."( Intermittent Versus Continuous and Intermittent Medications for Pain and Sedation After Pediatric Cardiothoracic Surgery; A Randomized Controlled Trial.
Brady, CM; Lefaiver, CA; Penk, JS; Steffensen, CM; Wittmayer, K, 2018
)
0.71
" Confirmed by the cubic interpolation planes, the dose-response data revealed a cross-state-dependent learning between morphine and nicotine which may be mediated by the CeA endocannabinoid system via CB1 receptors."( Interactive effects of morphine and nicotine on memory function depend on the central amygdala cannabinoid CB1 receptor function in rats.
Alijanpour, S; Rezayof, A; Tirgar, F; Yazdanbakhsh, N, 2018
)
1
" The approved dosage strengths of morphine-ADER-IMT are bioequivalent to corresponding dosage strengths of morphine ER (MS Contin®; Purdue Pharma LP, Stamford, CT)."( Abuse-deterrent features of an extended-release morphine drug product developed using a novel injection-molding technology for oral drug delivery.
Dayno, JM; Elhauge, T; Lindhardt, K; Skak, N,
)
0.67
" Because these offspring are more sensitive to the analgesic effect of morphine, clinicians should consider this issue to manage the dosage of morphine for treating pain in children with an abstinent parent(s)."( Is the Nociception Mechanism Altered in Offspring of Morphine-Abstinent Rats?
Akbarabadi, A; Ashabi, G; Khalifeh, S; Kheiri, Z; Sadat-Shirazi, MS; Toolee, H; Vousooghi, N; Zarrindast, MR, 2018
)
0.96
"Drug dosing in infants frequently depends on body weight as a crude indicator for maturation."( Drug metabolism in early infancy: opioids as an illustration.
Allegaert, K; Mian, P; Tibboel, D; Van Den Anker, J; Van Donge, T, 2018
)
0.48
" However, the low number of studies and variation in dosing regimens limits the evidence for its use."( Preoperative intravenous glucocorticoids can decrease acute pain and postoperative nausea and vomiting after total hip arthroplasty: A PRISMA-compliant meta-analysis.
Li, A; Xin, W; Yang, Q; Zhang, Z, 2017
)
0.46
" A 6-day continuous dosing of morphine from osmotic minipumps was used to establish morphine tolerance in female rats."( Chronic morphine exposure potentiates p-glycoprotein trafficking from nuclear reservoirs in cortical rat brain microvessels.
Arkwright, NB; Davis, TP; Hunn, KC; Jacobs, LM; Jarvis, CK; Largent-Milnes, TM; Schaefer, CP; Tome, ME, 2018
)
1.2
" This model will allow optimization of dosing strategies in future clinical trials."( The Pharmacokinetics and Pharmacodynamics of Buprenorphine in Neonatal Abstinence Syndrome.
Adeniyi-Jones, SC; Ehrlich, ME; Fang, WB; Gastonguay, MR; Kraft, WK; Moody, DE; Moore, JN; Ng, CM, 2018
)
0.48
" Morphine bolus dosing was used as needed, and total dose was tracked."( Morphine Pharmacokinetics in Children With Down Syndrome Following Cardiac Surgery.
Bourne, DWA; Christians, U; da Cruz, EM; Galinkin, J; Goot, BH; Hickey, F; Kaufman, J; Pan, Z; Twite, M; Zuk, J, 2018
)
2.83
"In current clinical practice, morphine is dosed in older patients based on patient-weight, with different calculations for adjustment."( Age-dependent antinociception and behavioral inhibition by morphine.
Dietis, N; Gueven, N; Paul, AK, 2018
)
1.01
" Gabapentin dosing was 600 mg (<65 years) or 300 mg (>65 years)."( Does low-dose gapapentin reduce opioid use postoperatively?: A randomized controlled trial in women undergoing reconstructive pelvic surgery.
Alarab, M; Dawood, A; Lemos, N; Li, ALK; Lovatsis, D; McDermott, CD; Siddiqui, NT; Wadsworth, K, 2019
)
0.51
"The purpose of this systematic review is to describe the effect of preoperative intrathecal morphine (ITM) on postoperative intravenous (IV) morphine dosage during the first postoperative day."( Effects of preoperative intrathecal morphine on postoperative intravenous morphine dosage: a systematic review protocol.
Garbee, D; Pitre, L; Pitt, A; Schiavo, J; Tipton, J, 2018
)
0.98
" There are advantages and disadvantages in using these 2 opioids which are discussed, and potential dosing strategies are outlined."( What Parenteral Opioids to Use in Face of Shortages of Morphine, Hydromorphone, and Fentanyl.
Behm, B; Davis, MP; Fernandez, C; McPherson, ML; Mehta, Z, 2018
)
0.73
" The efficacy of miR-124 and miR-146a were comparable, and in both cases allodynia returned within hours to days of miRNA dosing conclusion."( MicroRNA-124 and microRNA-146a both attenuate persistent neuropathic pain induced by morphine in male rats.
Galer, EL; Grace, PM; Maier, SF; Strand, KA; Watkins, LR, 2018
)
0.7
" In total, 36,000 simulated human subjects (100 per modelled group of different ages and gender) received repeated simulated morphine dosing with modified-release or immediate-release formulations."( In silico (computed) modelling of doses and dosing regimens associated with morphine levels above international legal driving limits.
Berry, DJ; Boland, JW; Ferreira, D; Johnson, M, 2018
)
0.92
"Correlations between patient survival, initial opioid dose, final opioid dose, and the rate of increase of opioid dosage could provide useful information for clinicians treating unresectable pancreatic cancer patients."( Association Between Opioid Use and Survival Time in Patients With Unresectable Pancreatic Cancer: 10 Years of Clinical Experience.
Do, SH; Oh, TK; Song, IA; Yoon, YS, 2018
)
0.48
"5 hours before dosing and 12 hours after dosing, all subjects received a 50-mg oral naltrexone tablet to minimize opioid-related side effects."( Relative Oral Bioavailability of an Abuse-deterrent, Extended-release Formulation of Morphine Versus Extended-release Morphine: A 2-period, Single-dose, Randomized Crossover Study in Healthy Subjects.
Aigner, S; Kinzler, ER; Pantaleon, C, 2018
)
0.7
" We hypothesized that there would be (1) direct relationship between dosing and side effects, and (2) an inverse relationship between ITM dosing and 24-hour postoperative opioid requirement."( Safety and side-effect profile of intrathecal morphine in a diverse patient population undergoing total knee and hip arthroplasty.
Golladay, GJ; Hess, SR; Jiranek, WA; Lahaye, LA; Sima, AP; Waligora, AC, 2019
)
0.77
" For both morphine and ziconotide, the PACC guidelines recommend conservative initial dosing strategies."( Intrathecal Therapy for Chronic Pain: A Review of Morphine and Ziconotide as Firstline Options.
Deer, TR; Hanes, MC; McDowell, GC; Pope, JE, 2019
)
1.17
" All dosing data were converted to oral morphine equivalents (OMEs)."( Too much of a bad thing: Discharge opioid prescriptions in pediatric appendectomy patients.
Anderson, KT; Austin, MT; Bartz-Kurycki, MA; Ferguson, DM; Kao, LS; Kawaguchi, AL; Lally, KP; Tsao, K, 2018
)
0.75
" Dose-response curves for morphine, maraviroc (a CCR5 antagonist), and AMD3100 (a CXCR4 antagonist) alone were established."( Coadministration of Chemokine Receptor Antagonists with Morphine Potentiates Morphine's Analgesic Effect on Incisional Pain in Rats.
Adler, MW; Chen, X; Cowan, A; Doura, M; Eisenstein, TK; Geller, EB; Inan, S; Meissler, JJ; Rawls, SM; Tallarida, CS; Watson, MN, 2018
)
1.03
" Discharge prescription in morphine milligram equivalents (MMEs, a standardized dosing unit that allows for comparison across opioid types) was calculated."( Prescription Opioid Type and the Likelihood of Prolonged Opioid Use After Orthopaedic Surgery.
Basilico, M; Bhashyam, AR; Harris, MB; Heng, M, 2019
)
0.81
" TIRF use was mainly related to background opioid dosage and the patient's self-sufficiency in taking medication."( Breakthrough cancer pain tailored treatment: which factors influence the medication choice? An observational, prospective and cross-sectional study in patients with terminal cancer.
Calvieri, A; Casale, G; Dardeli, A; Eusepi, G; Giannarelli, D; Magnani, C; Mastroianni, C; Restuccia, MR, 2018
)
0.48
"The present study involved segmental testing of hair in two clinical cases with known dosage histories."( Segmental Hair Analysis-Interpretation of the Time of Drug Intake in Two Patients Undergoing Drug Treatment.
Johansen, SS; Linnet, K; Nielsen, MKK; Wang, X, 2019
)
0.51
" The current study investigated the safety and effectiveness of analgesia given at personalized dosage during the MWA procedure."( Pain control for patients with hepatocellular carcinoma undergoing CT-guided percutaneous microwave ablation.
Chen, SH; Cheng, J; Li, Y; Li, YM; Pan, J; Shi, DL; Sun, J; Wang, Y; Zhang, HZ; Zhou, K, 2018
)
0.48
" Patients in the Experimental group were given a personalized dosage of morphine during the procedure when the Visual Analogue Scale (VAS) was ≥4."( Pain control for patients with hepatocellular carcinoma undergoing CT-guided percutaneous microwave ablation.
Chen, SH; Cheng, J; Li, Y; Li, YM; Pan, J; Shi, DL; Sun, J; Wang, Y; Zhang, HZ; Zhou, K, 2018
)
0.71
"The administration of personalized dosage of morphine to HCC patients undergoing percutaneous MWA is an effective and safe procedure for pain control."( Pain control for patients with hepatocellular carcinoma undergoing CT-guided percutaneous microwave ablation.
Chen, SH; Cheng, J; Li, Y; Li, YM; Pan, J; Shi, DL; Sun, J; Wang, Y; Zhang, HZ; Zhou, K, 2018
)
0.74
" The secondary outcomes included visual analog scale scores, time to first and total dosage of rescue analgesia, Timed Up and Go test, range of motion, muscle strength test, hospital stay, and patient satisfaction."( Opioid-Sparing Analgesia and Enhanced Recovery After Total Knee Arthroplasty Using Combined Triple Nerve Blocks With Local Infiltration Analgesia.
Amarase, C; Kampitak, W; Ngarmukos, S; Tanavalee, A, 2019
)
0.51
" Because of its strong analgesic activity and dosage form, fentanyl has become one of the first choices for severe and moderate pain in clinical practice."( Comparison of the use of different analgesics in the course of anesthesia care based on pharmacoeconomics.
Jing, C; Ping, Y; Qing, J, 2018
)
0.48
" Pharmacokinetics and optimal dosing of morphine in this population are largely unknown."( Pharmacokinetics of morphine in encephalopathic neonates treated with therapeutic hypothermia.
Cools, F; de Haan, TR; Dijk, PH; Dijkman, KP; Dudink, J; Egberts, TCG; Favié, LMA; Groenendaal, F; Huitema, ADR; Nuytemans, DHGM; Rademaker, CMA; Rijken, M; van Bel, F; van den Broek, MPH; van der Lee, JH; van Heijst, A; van Straaten, HLM; Zecic, A; Zonnenberg, IA, 2019
)
1.1
" There was a significant trend of increasing daily dosage with increased age; 36."( Opioid Prescribing in the Pediatric Orthopaedic Trauma Population.
Beuhler, M; Bosse, MJ; Gerkin, E; Gibbs, M; Griggs, C; Hsu, JR; Jarrett, S; Leas, D; LeFlore, MH; Runyon, M; Saha, A; Scannell, BP; Schiro, S; Seymour, RB; Simril, RT; Wally, MK; Watling, B; Wyatt, S,
)
0.13
"Concentrations of morphine in PFS for N/PCA were identified that accommodated dosage variation across a 1-50 kg weight range."( Standardised concentrations of morphine infusions for nurse/patient-controlled analgesia use in children.
Davies, C; Forbes, B; Rashed, AN; Tomlin, S; Whittlesea, C, 2019
)
1.13
" Wilcoxon non-paired signed rank test was used to examine the change in fentanyl dosage and IV:IT conversion ratio."( Conversion of Intrathecal Opioids to Fentanyl in Chronic Pain Patients With Implantable Pain Pumps: A Retrospective Study.
Kim, DD; Patel, A; Sibai, N, 2019
)
0.51
" A decision analytic model based on the hospital's perspective was constructed to follow possible consequences of the initial dosing of analgesia, before potential titration."( Clinical and Economic Analysis of Morphine Versus Fentanyl in Managing Ventilated Neonates With Respiratory Distress Syndrome in the Intensive Care Setting.
AbouNahia, F; Abushanab, D; Al-Badriyeh, D; Alsoukhni, O, 2019
)
0.79
" It is a single-strength tablet housed in a single-dose applicator (which may minimize the likelihood of dosing errors) and is strictly for use in medically supervised/monitored settings."( Sufentanil 30 µg Sublingual Tablet: A Review in Acute Pain.
Deeks, ED, 2019
)
0.51
" Secondarily, dosing of opioids and benzodiazepines was examined."( The Effectiveness of α2 Agonists As Sedatives in Pediatric Critical Care: A Propensity Score-Matched Cohort Study.
Breatnach, CV; Cousins, G; Dawkins, I; Doherty, DR; Gallagher, PJ; Hayden, JC; Healy, M; Leacy, FP, 2019
)
0.51
" A strong consensus was achieved regarding which pharmacological treatment (transmucosal fentanyl) and dosing method (start low and go slow) are the most suitable for the older population."( Expert consensus on the management of breakthrough cancer pain in older patients. A Delphi study.
Alarcón, MDL; Cabezón-Gutiérrez, L; Estévez, FV; Jiménez-López, AJ; Martín-Arroyo, JMT; Padrós, MC; Rebollo, MA; Sanz-Yagüe, A, 2019
)
0.51
" The purpose of this study is to determine the efficacy of subanesthetic dosing of ketamine during TKA on postoperative pain and narcotic consumption."( Intraoperative Ketamine in Total Knee Arthroplasty Does Not Decrease Pain and Narcotic Consumption: A Prospective Randomized Controlled Trial.
Emper, WD; Freedman, KB; Good, RP; Levicoff, EA; Longenecker, AS; McComb, JJ; Rhee, JH; Shaner, JL; Tan, TL, 2019
)
0.51
"15 mg/kg) in ≤6 hours after morphine dosing on postoperative day 1 and were evaluated for 24 hours."( Analgesic Efficacy and Safety of Intravenous Meloxicam in Subjects With Moderate-to-Severe Pain After Open Abdominal Hysterectomy: A Phase 2 Randomized Clinical Trial.
Du, W; Freyer, A; Mack, RJ; McCallum, SW; Rechberger, T, 2019
)
0.81
" Once-daily administration of meloxicam IV produced analgesic effect within 6-8 minutes postdose that was maintained over a 24-hour dosing interval."( Analgesic Efficacy and Safety of Intravenous Meloxicam in Subjects With Moderate-to-Severe Pain After Open Abdominal Hysterectomy: A Phase 2 Randomized Clinical Trial.
Du, W; Freyer, A; Mack, RJ; McCallum, SW; Rechberger, T, 2019
)
0.51
" This study measured differences in cognitive behavior performance on the object recognition test (ORT) and social recognition test (SRT) and serum levels of corticosterone (CORT) between C57BL/6J and BALB/cJ mice after 14-day chronic exposure to either cocaine (5 mg/kg) or morphine (3 mg/kg) at a dosage of 10 ml/kg/day."( Differences in cocaine- and morphine-induced cognitive impairments and serum corticosterone between C57BL/6J and BALB/cJ mice.
Chao, R; Chen, L; Gong, D; Liang, Y; Yang, S; Yu, P; Zhao, H, 2019
)
0.99
" Multivariate binary regression analysis assessed these MME dosage categories."( Total Inpatient Morphine Milligram Equivalents Can Predict Long-term Opioid Use After Transforaminal Lumbar Interbody Fusion.
Buckland, AJ; Errico, TJ; Fischer, CR; Ge, DH; Hockley, A; Moawad, MA; Passias, PG; Protopsaltis, TS; Vasquez-Montes, D, 2019
)
0.86
"48 mL/day of saline or MS dosing (12 mg/day at 25 mg/mL) as boluses: x1 (q24hour), x2 (q12hour), x4 (q6hour), or x8 (q3hour) given at the rate of 1000 μL/hour, or as a continuous infusion (25 mg/mL/20 μL/hour)."( Characterization of Effect of Repeated Bolus or Continuous Intrathecal Infusion of Morphine on Spinal Mass Formation in the Dog.
Arjomand, S; Billstrom, TM; Eddinger, KA; Hildebrand, KR; Page, LM; Steinauer, JJ; Yaksh, TL, 2019
)
0.74
" A dose-response trend was observed for constipation but not for the other side effects."( Side effects from opioids used for acute pain after emergency department discharge.
Castonguay, V; Chauny, JM; Cournoyer, A; Daoust, R; Lessard, J; Morris, J; Paquet, J; Piette, É; Williamson, D, 2020
)
0.56
" The current study examines the impact of non-contingent acute, repeated, and withdrawal-inducing morphine dosing regimens on glutamate transmission in D1- or D2-MSNs in the nucleus accumbens shell (NAcSh) and core (NAcC) sub-regions in hopes of identifying excitatory plasticity that may contribute to unique facets of opioid addiction-related behavior."( Cell-type and region-specific nucleus accumbens AMPAR plasticity associated with morphine reward, reinstatement, and spontaneous withdrawal.
Anderson, EM; Gomez, D; Hearing, MC; Ingebretson, AE; Madayag, AC; Thomas, MJ, 2019
)
0.96
"The medical condition and baseline opioid requirements must all be carefully considered when dosing a fentanyl patch."( Consensus Perioperative Management Best Practices for Patients on Transdermal Fentanyl Patches Undergoing Surgery.
Cornett, EM; Ehrhardt, KP; Fox, CJ; Gennuso, SA; Kaye, AD; Menard, BL; Okereke, EC; Tirumala, SR, 2019
)
0.51
" Results showed that all subjects who consumed low dosage of poppy seeds either in single meal or multiple meals experiment were found negative."( Profiling of morphine and codeine in urine after the ingestion of curry containing poppy seed as an evidence for opiates defence in Malaysia.
Gan, CY; Isahak, M; Mahad, NH; Mohd Akir, F; Mohd Fazil, NF; Muhamad Noh, H; Nasir, R; Rahmat, R; Samad, HA; Zainuddin, Z, 2019
)
0.88
" Pupil constriction, confirming central nervous system μ-opioid receptor engagement, correlated with higher plasma TRV734 concentrations; the greatest reductions in pupil diameter occurring between 0 and 4 hours after dosing (-2."( A First-in-Human Clinical Study With TRV734, an Orally Bioavailable G-Protein-Biased Ligand at the μ-Opioid Receptor.
Fossler, MJ; James, IE; Ramos, KA; Ruff, D; Skobieranda, F; Soergel, DG, 2020
)
0.56
" Furthermore, enduring exacerbation of nociceptive hypersensitivity is also observed when the same dosing regimen for either morphine, fentanyl, or oxycodone begins 1 month after nerve injury."( Oxycodone, fentanyl, and morphine amplify established neuropathic pain in male rats.
Ball, JB; Fabisiak, T; Grace, PM; Green-Fulgham, SM; Kwilasz, AJ; Maier, SF; Watkins, LR, 2019
)
1.02
" This represents a potential 21% reduction in daily opioid dosage when compared with LA patients and 18."( Postoperative Opioid Consumption After Total Hip Arthroplasty: A Comparison of Three Surgical Approaches.
Quinn, M; Seah, S; Tirosh, O; Tran, P, 2019
)
0.51
" Optimal standardized dosing and drug combination for preoperative multimodal analgesia remains to be elucidated."( Preoperative multimodal analgesia decreases 24-hour postoperative narcotic consumption in elective spinal fusion patients.
Haffner, M; Hwang, J; Klineberg, E; Migdal, C; Nathe, R; Roberto, R; Saiz, AM, 2019
)
0.51
" Few data deal with the initial dosage of each drug."( Optimizing Initial Intrathecal Drug Ratio for Refractory Cancer-Related Pain for Early Pain Relief. A Retrospective Monocentric Study.
Bore, F; Carvajal, G; Delorme, T; Demelliez-Merceron, S; Dubois, PY; Dupoiron, D; Jubier-Hamon, S; Leblanc, D; Lebrec, N; Pechard, M; Robard, S; Seegers, V, 2019
)
0.51
"We found that overall and spine-related health care costs, and the use and dosage of opioids increased significantly with chronic pain impact levels."( Health Care Costs and Opioid Use Associated With High-impact Chronic Spinal Pain in the United States.
Broten, N; Coulter, ID; Herman, PM; Lavelle, TA; Sorbero, ME, 2019
)
0.51
"The benefits related to rescue dosing further inform the development of a standardized NAS treatment protocol."( Treating infants with neonatal abstinence syndrome: an examination of three protocols.
Hartgrove, MJ; King, TL; Meschke, LL; Saunders, C, 2019
)
0.51
"5, 5, and 10 mg/kg, respectively); (2) increasing morphine dosage (2."( Persistent Nociception Facilitates the Extinction of Morphine-Induced Conditioned Place Preference.
Chen, L; Ding, W; Doheny, JT; Lim, G; Mao, J; Miao, J; Shen, S; Yang, J; Yang, L; You, Z, 2019
)
1.02
" Morphine was used for pain management, provided by intravenous intermittent dosing (patient-controlled analgesia)."( [Opioid-induced adrenal insufficiency: Case report and synthesis of the literature].
Arlet, JB; Flamarion, E; Khellaf, M; Michon, A; Passeron, A; Pouchot, J; Ranque, B; Saada, N, 2019
)
1.42
"Oral morphine in a sufficient dosage given in combination with other medications was effective and well tolerated when used to control pain during upper-limb fracture reduction."( Evaluation of an oral analgesia protocol for upper-limb fracture reduction in the paediatric emergency department: Prospective study of 101 patients.
Chasle, V; de Giorgis, T; Desgranges, M; Farges, C; Guitteny, MA; Herve, T; Longuet, R; Metreau, Z; Ryckewaert, A; Violas, P, 2019
)
1.03
" Opioid dosage and cancer pain score were recorded daily for 2 consecutive weeks before and 2 weeks after the ACT infusions."( Adoptive immunotherapy with autologous T-cell infusions reduces opioid requirements in advanced cancer patients.
Hobeika, A; Lyerly, HK; Morse, MA; Qiao, G; Ren, J; Wang, S; Wang, X; Yuan, Y; Zhou, X; Zhu, S, 2020
)
0.56
" Inadequate pain control in neonates can cause long-term adverse consequences; however, providing appropriate individualized morphine dosing is particularly challenging due to the interplay of rapid natural physiological changes and multiple life-sustaining procedures in patients who cannot describe their symptoms."( Electronic Health Record-Embedded Decision Support Platform for Morphine Precision Dosing in Neonates.
Butler, D; Cortezzo, DE; Dietrich, T; Dufendach, KR; Duggan, TJ; Euteneuer, JC; Keefer, R; Kiger, S; Kirkendall, E; Menke, F; Mizuno, T; Punt, NC; Setchell, KDR; Spencer, P; Vinks, AA; Zhao, J, 2020
)
1
" Primary care clinicians and surgeons should monitor the duration and dosage of perioperative opioid use."( Opioid use prior to elective surgery is strongly associated with persistent use following surgery: an analysis of 14 354 Medicare patients.
Barrington, MJ; Catchpool, M; Choong, PFM; Clarke, P; Dowsey, MM; Knight, J; Young, JT, 2019
)
0.51
" The spinal cord was removed for the lipoperoxidation dosing of the membranes."( Recombinant peptide derived from the venom the Phoneutria nigriventer spider relieves nociception by nerve deafferentation.
Angelo, SG; Antunes, FTT; Dallegrave, E; de Souza, AH; Ferraz, AG; Gomez, MV; Marroni, NP; Picada, JN; Schemitt, E, 2020
)
0.56
" Blockade of peripheral nociceptive inputs prevented chronic morphine-induced increases in spinal SP, NR1, and TRPV1 and a rightward shift of the morphine dose-response curve in the CCI model."( Blockade of peripheral nociceptive signal input relieves the formation of spinal central sensitization and retains morphine efficacy in a neuropathic pain rat model.
Jiang, W; Kim, DK; Ma, X; Wang, A; Xing, Y; Xu, T; Zhong, W, 2020
)
1.01
" Kinetic analyses of MLK infusions in cattle are necessary to establish optimal dosing protocols."( Pharmacokinetics of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
0.8
" Kinetic analyses of MLK infusions in cattle are necessary to establish optimal dosing protocols and withdrawal intervals."( Analgesic efficacy of an intravenous constant rate infusion of a morphine-lidocaine-ketamine combination in Holstein calves undergoing umbilical herniorrhaphy.
Coetzee, JF; Hartnack, AK; Kleinhenz, MD; Lakritz, J; Niehaus, AJ, 2020
)
0.8
" In this work, we present a sequential decision making framework for opioid dosing based on deep reinforcement learning."( Deep Reinforcement Learning for Optimal Critical Care Pain Management with Morphine using Dueling Double-Deep Q Networks.
Eschenfeldt, P; Hur, C; Ingram, M; Lopez-Martinez, D; Ostvar, S; Picard, R, 2019
)
0.74
" As to date species-specific pharmacokinetics data are not available for epidural morphine, the dosing regimen is usually established on the basis of clinical reports and personal experience."( Morphine plasmatic concentration in a pregnant mare and its foal after long term epidural administration.
Birras, J; Diez Bernal, S; Mirra, A; Spadavecchia, C, 2020
)
2.23
" Repetitive dosing to induce anti-nociceptive tolerance increases blood-borne MPs by 8-fold, and by 10-fold in deep cervical lymph nodes draining brain glymphatics."( Blood-borne and brain-derived microparticles in morphine-induced anti-nociceptive tolerance.
Bhopale, VM; Greenblatt, A; Ruhela, D; Thom, SR; Weintraub, E; Yang, M; Yu, K, 2020
)
0.81
" When a stable dose of opioids is established, people still experience episodic breakthrough pain for which dosing of an immediate release opioid is usually a proportion of the total daily dose."( A randomized, double-blind, crossover, dose ranging study to determine the optimal dose of oral opioid to treat breakthrough pain for patients with advanced cancer already established on regular opioids.
Clark, K; Currow, DC; Fazekas, B; Greene, A; Louw, S; Sanderson, CR, 2020
)
0.56
" For infants receiving morphine, the cumulative morphine dosage was calculated."( Morphine affects brain activity and volumes in preterms: An observational multi-center study.
Benders, MJNL; Claessens, NHP; de Vries, LS; Fellman, V; Groenendaal, F; Gui, L; Hellström-Westas, L; Huppi, P; Sävman, K; Schuurmans, J; Tataranno, ML; Toet, M, 2020
)
2.31
" This study looks to establish a safe and efficacious fixed bupivacaine dosing algorithm in intrathecal pumps for cancer patients."( Evaluation of Fixed Intrathecal Bupivacaine Infusion Doses in the Oncologic Population.
Baig, E; Chen, GH; Clement, K; Gulati, A; Laufer, I; Magram, YC; Spiegel, MA, 2020
)
0.56
"A bupivacaine dosing algorithm was developed using data from 120 previous patients who underwent IDDS placement at Memorial Sloan Kettering Cancer Center."( Evaluation of Fixed Intrathecal Bupivacaine Infusion Doses in the Oncologic Population.
Baig, E; Chen, GH; Clement, K; Gulati, A; Laufer, I; Magram, YC; Spiegel, MA, 2020
)
0.56
" Although the current literature provides dosing guidelines for the average infant, it fails to control for the large unexplained variability in morphine clearance and response in individual patients."( Model-Informed Bayesian Estimation Improves the Prediction of Morphine Exposure in Neonates and Infants.
Euteneuer, JC; Fukuda, T; Mizuno, T; Muglia, LJ; Setchell, KDR; Vinks, AA; Zhao, J, 2020
)
1
" A further study is warranted to elucidate the predictive covariates and precision dosing strategies that use morphine concentration and pain scores as feedbacks."( Model-Informed Bayesian Estimation Improves the Prediction of Morphine Exposure in Neonates and Infants.
Euteneuer, JC; Fukuda, T; Mizuno, T; Muglia, LJ; Setchell, KDR; Vinks, AA; Zhao, J, 2020
)
1.01
"To investigate the correlations of analgesic dosage of morphine with solute carrier family 6 member 4 (SLC6A4) gene polymorphisms in patients with lung cancer."( Correlations of analgesic dosage of morphine with SLC6A4 gene polymorphisms in patients with lung cancer.
Guo, H; Han, X; Song, HJ; Xin, XF; Zhu, XL, 2020
)
1.08
" Visual Analogue Scale (VAS) was applied to grade the pain, the patients in cancer pain group were treated with morphine, and the dosage of morphine within 24 h was recorded."( Correlations of analgesic dosage of morphine with SLC6A4 gene polymorphisms in patients with lung cancer.
Guo, H; Han, X; Song, HJ; Xin, XF; Zhu, XL, 2020
)
1.04
" The analgesic dosage of morphine for the lung cancer patients was prominently correlated with the genotypes of SLC6A4 gene rs1042173 in cancer pain group."( Correlations of analgesic dosage of morphine with SLC6A4 gene polymorphisms in patients with lung cancer.
Guo, H; Han, X; Song, HJ; Xin, XF; Zhu, XL, 2020
)
1.14
"The morphine dosage for analgesia has significant correlations with SLC6A4 gene polymorphisms in patients with lung cancer."( Correlations of analgesic dosage of morphine with SLC6A4 gene polymorphisms in patients with lung cancer.
Guo, H; Han, X; Song, HJ; Xin, XF; Zhu, XL, 2020
)
1.39
" However, their use is restricted by such factors as tolerance and opioid-induced hyperalgesia (OIH), so it is critical to find ways to reduce the dosage of opioids to avoid the side effects."( A20 enhances mu-opioid receptor function by inhibiting beta-arrestin2 recruitment.
Li, Y; Shao, S; Su, R; Sun, Y; Tan, B; Tian, X; Zhang, Y, 2020
)
0.56
"The present series of studies examine the impact of systemically administered therapeutics on peripheral nerve injury (males; unilateral sciatic chronic constriction injury [CCI])-induced suppression of voluntary wheel running, across weeks after dosing cessation."( Suppression of active phase voluntary wheel running in male rats by unilateral chronic constriction injury: Enduring therapeutic effects of a brief treatment of morphine combined with TLR4 or P2X7 antagonists.
Ball, JB; Grace, PM; Green-Fulgham, SM; Maier, SF; Rice, KC; Watkins, LR, 2022
)
0.92
" In this exploratory analysis, we report dosing interruption (DI) and average cumulative duration of DI (CDDI) for both oliceridine and morphine."( Evaluating the Incidence of Opioid-Induced Respiratory Depression Associated with Oliceridine and Morphine as Measured by the Frequency and Average Cumulative Duration of Dosing Interruption in Patients Treated for Acute Postoperative Pain.
Ayad, S; Burt, DA; Demitrack, MA; Fossler, MJ; Khanna, AK; Michalsky, C; Wase, L, 2020
)
0.98
" Secondary endpoints include pain intensity as assessed with the numerical rating scale (NRS) for pain, time to return of intestinal function (defined as the time to first flatus and the time to the first postoperative intake of solid food), time to first mobilization, the incidence of postoperative nausea and vomiting during the first 24 h, length of stay on the post anesthesia care unit (PACU) and in the hospital, the extent of sensory block at two time points (admission to and discharge from the PACU), the doses of morphine IV as requested by the patient from the PCA pump, the total dosage of morphine administered IV, the need for and dose of rescue analgesics (ketamine, clonidine), free plasma ropivacaine levels after induction and at discharge from the PACU, and the incidence of adverse events during treatment (in particular, signs of local anesthetic systemic toxicity (LAST))."( Transmuscular quadratus lumborum (TQL) block for laparoscopic colorectal surgery: study protocol for a double-blind, prospective randomized placebo-controlled trial.
Coppens, S; D'Hoore, A; Dewinter, G; Fieuws, S; Neyrinck, A; Rex, S, 2020
)
0.72
" On the fourteenth day of SROM treatment patients switched from racemic methadone took an average dosage of 922."( Switching opioid-dependent patients in substitution treatment from racemic methadone, levomethadone and buprenorphine to slow-release oral morphine: Analysis of the switching process in routine care.
Baschirotto, C; Kuhn, S; Lehmann, K; Reimer, J; Verthein, U, 2020
)
0.76
" Inhibition of HCN2 also showed a partial preventive effect on morphine-induced tolerance, hypothermia tolerance and also the right-shift of the dose-response curve."( Chronic morphine induces cyclic adenosine monophosphate formation and hyperpolarization-activated cyclic nucleotide-gated channel expression in the spinal cord of mice.
Chen, D; Chen, J; Luo, L; Ma, X; Shi, H; Wang, W; Xu, T; Yu, K; Yuan, L, 2020
)
1.23
" We believe lower morphine dosage using PCA protocol according to the rapidly changing pain levels of the patients will provide effective analgesia."( Patient-controlled analgesia and morphine consumption in sickle cell anemia painful crises: A new protocol.
Bakır, M; Rumeli Atıcı, Ş; Tiftik, EN; Ünal, S; Yıldırım, HU, 2020
)
1.17
" Secondary outcomes included postoperative pain score, time to first and total dosage of rescue morphine in postoperative 48 hours, early and late postoperative period (from postoperative day 0-3 months follow-up) performance-based test (Timed-Up and Go test, and quadriceps strength)."( The efficacy and safety of the infiltration of the interspace between the popliteal artery and the capsule of the knee block in total knee arthroplasty: A prospective randomized trial protocol.
Cong, Z; Ma, F; Zhang, L, 2020
)
0.78
" This paper provides a review of the pharmacokinetics (PK) of the IV tramadol dosing regimen being developed in the United States, its abuse potential as documented in the literature, and its safety record in clinical practice, and discusses how IV tramadol may become a useful option for patients in the United States with acute pain."( IV tramadol: A novel option for US patients with acute pain-A review of its pharmacokinetics, abuse potential and clinical safety record.
Harnett, M; Lu, L; Reines, SA,
)
0.13
"To compare the analgesic efficacy of two techniques of morphine titration (intermittent intravenous bolus vs infusion) by calculating rescue dosage in a day at 1 week after analgesic titration."( Comparison of two techniques (intermittent intravenous bolus morphine vs. morphine infusion) for analgesic titration in patients who had advanced cancer with severe pain: a prospective randomised study.
Bharti, SJ; Bhatnagar, S; Garg, R; Gupta, N; Kumar, V; Mishra, S; Sirohiya, P; Velpandian, T, 2023
)
1.4
"A number of recent studies have investigated the optimal dosage and timing of dexamethasone in total hip arthroplasty (THA) but have inconsistent findings."( What is the optimal regimen for intravenous dexamethasone administration in primary total hip arthroplasty?: A protocol of randomized controlled trial.
Liang, D; Liu, W; Wang, Y; Xue, C, 2020
)
0.56
"Low concentrations of morphine are required for safe dosing for intrathecal injections."( Measurement of drug concentration and bacterial contamination after diluting morphine for intrathecal administration: an experimental study.
de Bruijn, B; Koning, MV; Koopman, SA; Liefers, WJ; Ruijgrok, EJ; Teunissen, AJW, 2020
)
1.1
" A dose-response association was detected; each doubling of exposure increased the odds of ADHD by 10% (OR, 1."( Association of Prenatal Acetaminophen Exposure Measured in Meconium With Risk of Attention-Deficit/Hyperactivity Disorder Mediated by Frontoparietal Network Brain Connectivity.
Aw, N; Baccarelli, AA; Baker, BH; Bellenger, JP; Boivin, A; Gillet, V; Laue, HE; Lepage, JF; Lugo-Candelas, C; Posner, J; Rahman, T; Takser, L; Whittingstall, K; Wu, H, 2020
)
0.56
" Morphine consumption during operation, postoperatively in the first 24 hours and total dosage until discharge and its side effects were also observed."( Does Ultrasound-Guided Transversus Abdominis Plane Block Reduce Donor Site Pain After Harvesting Anterior Iliac Crest Bone Grafts.
Sowapark, J; Sumphaongern, T, 2021
)
1.53
" Currently, the morphine dosing strategies are empiric, not optimal and associated with longer hospital stay."( Model-Based Approach to Improve Clinical Outcomes in Neonates With Opioid Withdrawal Syndrome Using Real-World Data.
Aduroja, O; Biggs, JM; El-Metwally, D; Gopalakrishnan, M; Wijekoon, N, 2021
)
0.97
"Gene polymorphism is an important factor affecting the efficacy and dosage of opioids."( Resistin Gene Polymorphism Is an Influencing Factor of Postoperative Pain for Chinese Patients.
Chen, Z; Fan, Q; Ge, W; Li, D; Ma, Z; Shu, Q; Xie, H, 2020
)
0.56
"Using county-level quarterly data from 2012 to 2017, we estimated the absolute change associated with the implementation of these two PDMP features in seven prescribing indicators in California versus a control group comprising counties in Florida and Washington: opioid prescription rate per 1000 residents; patients' mean daily opioid dosage in milligrams of morphine equivalents[MME]; prescribers' mean daily MME prescribed; prescribers' mean number of opioid prescriptions per day; percentage of patients getting >90 MME/day; percentage of days with overlapping prescriptions for opioids and benzodiazepines; multiple opioid provider episodes per 100,000 residents."( Changes in opioid prescribing after implementation of mandatory registration and proactive reports within California's prescription drug monitoring program.
Castillo-Carniglia, A; Cerdá, M; Delcher, C; González-Santa Cruz, A; Henry, SG; Shev, AB; Wintemute, GJ, 2021
)
0.79
" Herein we evaluate the effects of acute and repeated dosing of SR-17018, oxycodone and morphine in additional models of pain-related behaviors."( Comparison of morphine, oxycodone and the biased MOR agonist SR-17018 for tolerance and efficacy in mouse models of pain.
Acevedo-Canabal, A; Bannister, TD; Bohn, LM; Cameron, MD; Grim, TW; Kennedy, NM; Pantouli, F; Schmid, CL, 2021
)
1.2
" This review discusses the utility of pharmacometric techniques for enhancing precision dosing in infants requiring opioid treatment for NOWS."( Opioid Treatment for Neonatal Opioid Withdrawal Syndrome: Current Challenges and Future Approaches.
Akinbi, H; Butler, D; Emoto, C; Fukuda, T; McPhail, BT; Vinks, AA, 2021
)
0.62
" In the second experiment, rats received six repeated morphine injections with different interdose intervals (two per day, one per day, every other day, every fourth day), and morphine effects were re-determined 1 day after the last dose to determine dosing frequencies sufficient to produce enhanced opioid reward."( Temporal parameters of enhanced opioid reward after initial opioid exposure in rats.
Moerke, MJ; Negus, SS, 2021
)
0.87
" The second experiment indicated that all dosing frequencies tested were sufficient to produce enhanced reward."( Temporal parameters of enhanced opioid reward after initial opioid exposure in rats.
Moerke, MJ; Negus, SS, 2021
)
0.62
"Taken together, these results suggest that enhancement of opioid reward after initial opioid exposure is relatively transient but can be produced by a range of different dosing frequencies."( Temporal parameters of enhanced opioid reward after initial opioid exposure in rats.
Moerke, MJ; Negus, SS, 2021
)
0.62
" Also, it may be associated with a lower incidence of adverse events at dosing regimens associated with comparable analgesia."( Oliceridine for the Management of Acute Postoperative Pain.
Hu, Q; Liu, Y; Yang, J, 2021
)
0.62
"Compared with a conservative dosing approach, this individualized protocol may improve analgesia without a significant increase in respiratory adverse events."( Effects of an individualized analgesia protocol on the need for medical interventions after adenotonsillectomy in children: a randomized controlled trial.
Guo, J; Liu, K; Wan, Y; Wang, X; Zhuang, P, 2021
)
0.62
" We also examined the effect of ECS on the dose-response curve of %MPE to morphine-antinociception."( Enhancement of morphine-induced antinociception after electroconvulsive shock in mice.
Doi, N; Ikeda, K; Iwata, K; Takamatsu, Y,
)
0.72
"Mother-baby nurses can have an impact on the practice of anesthesia providers by advocating for evidence-based dosing of intrathecal morphine to reduce the incidence of pruritis while maintaining effective analgesia for women after cesarean birth."( Prevention of Pruritis following Spinal Morphine for Scheduled Cesarean Birth.
Curtis, B; Dan, D; Dunston, S; Hefley, J; Moore, C; Payne, C,
)
0.6
"To assess the efficacy and safety of intrathecal morphine (ITM) for postoperative analgesia in primary total joint arthroplasty (TJA) under spinal anesthesia and to explore the dose-response relationship for analgesic efficacy or risk of side effects."( The Role of Intrathecal Morphine for Postoperative Analgesia in Primary Total Joint Arthroplasty under Spinal Anesthesia: A Systematic Review and Meta-Analysis.
Wang, GL; Wang, LM; Yao, RZ; Zhang, Z, 2021
)
1.18
" Meta-regression was used to explore the dose-response relationship."( The Role of Intrathecal Morphine for Postoperative Analgesia in Primary Total Joint Arthroplasty under Spinal Anesthesia: A Systematic Review and Meta-Analysis.
Wang, GL; Wang, LM; Yao, RZ; Zhang, Z, 2021
)
0.93
" Furthermore, meta-regression showed a linear dose-response relationship for the postoperative 24-h morphine consumption but no linear dose-response relationship for the risk of side effects."( The Role of Intrathecal Morphine for Postoperative Analgesia in Primary Total Joint Arthroplasty under Spinal Anesthesia: A Systematic Review and Meta-Analysis.
Wang, GL; Wang, LM; Yao, RZ; Zhang, Z, 2021
)
1.14
" Although we found a linear dose-response relationship for the postoperative 24-h morphine consumption, the optimal dose of ITM remains to be further explored in high-quality RCTs with a large sample size."( The Role of Intrathecal Morphine for Postoperative Analgesia in Primary Total Joint Arthroplasty under Spinal Anesthesia: A Systematic Review and Meta-Analysis.
Wang, GL; Wang, LM; Yao, RZ; Zhang, Z, 2021
)
1.15
" We included any duration of drug treatment and any dosage given continuously or as bolus; we excluded studies that gave opioids to ventilated infants for procedures."( Opioids for newborn infants receiving mechanical ventilation.
Bellù, R; Bruschettini, M; de Waal, KA; Nava, C; Romantsik, O; Zanini, R, 2021
)
0.62
" Opioid prescribing was characterized in terms of morphine equivalent daily dosing (MEDD), total morphine equivalent dosing (TMED), and total number of opioid prescriptions."( Opioid Prescribing Patterns and Patient Satisfaction with Care.
Bockelman, CK; Elsenbeck, CMJ; Foster, MJN; Lanham, MNS; McCriskin, LBJ; Robinson, MPSH; Rumley, MRJCL, 2021
)
0.87
" Dexmedetomidine, as an alternative to morphine, has several appealing characteristics, including neuroprotective effects in animal models; robust pharmacokinetic studies in neonates with NE treated with TH are required to ensure a safe and effective standard dosing approach."( Management of comfort and sedation in neonates with neonatal encephalopathy treated with therapeutic hypothermia.
Frymoyer, A; Groenendaal, F; McPherson, C; Miller, SP; Ortinau, CM, 2021
)
0.89
" The aim of this retrospective, longitudinal study from 2012 to 2016 was to assess how intraoperative opioid dosing varies by patient and clinical care factors and across multiple institutions over time."( Practice Patterns and Variability in Intraoperative Opioid Utilization: A Report From the Multicenter Perioperative Outcomes Group.
Brummett, CM; Domino, KB; Durieux, ME; Kheterpal, S; Kuck, K; Naik, BI; Pace, NL; Posner, KL; Saager, L; Sinha, A; Stuart, A; Vaughn, MT, 2022
)
0.72
" While many studies focused on analgesic tolerance, the effect of morphine dosing on non-analgesic effects has been overlooked."( Profiling the Effects of Repetitive Morphine Administration on Motor Behavior in Rats.
Dietis, N; Gueven, N; Paul, AK, 2021
)
1.13
" Acetaminophen plasma levels were measured at 2 timepoints to evaluate safety and determine plasma levels attained by each dosing regimen."( Comparison of Oral Loading Dose to Intravenous Acetaminophen in Children for Analgesia After Tonsillectomy and Adenoidectomy: A Randomized Clinical Trial.
Aizenberg, DA; Applegate, RL; Funamura, JL; Hall, B; Kriss, RS; Lammers, CR; Nittur, V; Schwinghammer, AJ; Senders, CW, 2021
)
0.62
"Many people with chronic pain escalate their opioid dosage to counteract tolerance effects."( Escalating morphine dosage fails to elicit conditioned analgesia in a preclinical chronic neuropathic pain model.
Boorman, DC; Keay, KA, 2021
)
1.01
"The objective of this work was to develop a risk prediction model for opioid overdose and opioid use disorder for patients at first opioid prescription and compare the predictive accuracy of morphine equivalent total dosage with the predictive accuracy of daily dosage ."( Morphine Equivalent Total Dosage as Predictor of Adverse Outcomes in Opioid Prescribing.
Bonifonte, A; Deppen, K; Merchant, R, 2021
)
2.25
" Morphine equivalent total dosage of opioid prescriptions was identified as a stronger predictor of adverse outcomes (C = 0."( Morphine Equivalent Total Dosage as Predictor of Adverse Outcomes in Opioid Prescribing.
Bonifonte, A; Deppen, K; Merchant, R, 2021
)
2.97
"These findings demonstrate the value of including morphine equivalent total dosage as a predictor of adverse opioid outcomes and suggest that total dosage may be more strongly correlated with increased risk than daily dosage."( Morphine Equivalent Total Dosage as Predictor of Adverse Outcomes in Opioid Prescribing.
Bonifonte, A; Deppen, K; Merchant, R, 2021
)
2.32
" We report on our experience using a 100:1 oral-to-intrathecal morphine conversion ratio for initial dosing and factors predictive of early dose escalation."( Initial Intrathecal Dose Titration and Predictors of Early Dose Escalation in Patients With Cancer Using a 100:1 Oral to Intrathecal Morphine Conversion Ratio.
Brogan, SE; Odell, DW; Presson, AP; Sindt, JE; Tariq, R; Zhang, C, 2021
)
1.06
" The median oral-to-intrathecal morphine conversion ratio for initial IDD dosing was 105."( Initial Intrathecal Dose Titration and Predictors of Early Dose Escalation in Patients With Cancer Using a 100:1 Oral to Intrathecal Morphine Conversion Ratio.
Brogan, SE; Odell, DW; Presson, AP; Sindt, JE; Tariq, R; Zhang, C, 2021
)
1.11
" These findings support a dosing regimen previously suggested by Krekels et al, which would put >95% of patients within this morphine target concentration range at steady state."( Quantifying the Pharmacodynamics of Morphine in the Treatment of Postoperative Pain in Preverbal Children.
Ceelie, I; de Kluis, T; de Wildt, SN; Goulooze, SC; Knibbe, CAJ; Krekels, EHJ; Tibboel, D; van Dijk, M, 2022
)
1.2
" Low dosed opioids have been investigated for refractory dyspnea in COPD and other life-limiting conditions, and some positive effects were demonstrated."( Opioids in patients with COPD and refractory dyspnea: literature review and design of a multicenter double blind study of low dosed morphine and fentanyl (MoreFoRCOPD).
de Hosson, SM; Heller-Baan, R; Kerstjens, HAM; Lam-Wong, WY; Mooren, KJM; Peters, L; Pool, K; van Beurden-Moeskops, WJC; van den Berg, JK; van Dijk, M, 2021
)
0.83
" Post hoc analyses were employed to compare PONV among patients based on MEQ dosage and antiemetic prophylaxis regimes."( A Comprehensive Single-Center Analysis of Postoperative Nausea and Vomiting Following Orthognathic Surgery.
Allam, O; Chandler, L; Dinis, J; Lopez, J; Maniskas, S; Park, KE; Peck, CJ; Pourtaheri, N; Smetona, J; Steinbacher, DM; Wilson, A; Yang, J,
)
0.13
" SCH221510 (3 mg/kg, sc) attenuated but SB612111 (10 mg/kg, sc) enhanced morphine-induced antinociception, with rightward and leftward shift of morphine dose-response curves, respectively."( Involvement of the nociceptin opioid peptide receptor in morphine-induced antinociception, tolerance and physical dependence in female mice.
Chen, JM; Hao, XQ; Li, J; Wang, ZY; Wu, N, 2021
)
1.1
" It is metabolised by the liver and appropriate administration and dosage is in question in in patients undergoing hepatectomy."( The efficacy and safety of acetaminophen use following liver resection: a systematic review.
Koea, J; Murphy, V; Srinivasa, S, 2022
)
0.72
"Use of acetaminophen for adult patients undergoing liver resection surgery as post-operative analgesia at a standard dosage is safe for baseline analgesia."( The efficacy and safety of acetaminophen use following liver resection: a systematic review.
Koea, J; Murphy, V; Srinivasa, S, 2022
)
0.72
"A multidisciplinary committee created a sedation guideline that included standardized dexmedetomidine dosing escalation and weaning."( Reducing Benzodiazepine Exposure by Instituting a Guideline for Dexmedetomidine Usage in the NICU.
Hansen, A; Labrecque, M; Leeman, K; Moline, M; Morton, SU, 2021
)
0.62
"This study was conducted to investigate the influence of μ-opioid receptor gene (OPRM1) A118G polymorphism on dosage of morphine in advanced liver cancer patients."( The Influence of OPRM1 A118G Polymorphism on the Dosage of Morphine in Patients with Advanced Liver Cancer.
Cheng, H; Chu, X; Yi, S, 2021
)
1.07
" Application of maraviroc with morphine can reduce effective dosage of morphine 2,3 fold."( [Potential application of maraviroc in the therapy of neuropathic pain].
Olakowska, E; Sojka, P; Właszczuk, A, 2021
)
0.91
" The former group had opioid prescriptions issued at regular intervals for stable, scheduled doses of opioids; the latter group had opioid prescriptions issued irregularly or for changed daily dosing regimen, for as-needed use, or had changes in the dosing regimen or inactive prescriptions mislabeled as active."( Using electronic health record's data to assess daily dose of opioids prescribed for outpatients with chronic non-cancer pain.
Sehgal, N; Tuan, WJ; Zgierska, AE, 2021
)
0.62
" A secondary measure of opioid prescriptions (morphine milligram Eq [MME] dosage per patient) was tracked over time."( Opioid Reduction Through Postoperative Pain Management in Pediatric Orthopedic Surgery.
Bigham, MT; Engler, L; Farid, I; Fonte, E; Jones, K, 2021
)
0.88
" Mice were treated with a 7-day escalating dosing scheme of morphine (20-100 mg/kg; IP) or saline and underwent a spontaneous withdrawal."( Weight-gain propensity and morphine withdrawal alters locomotor behavior and regional norepinephrine-related gene expression in male and female mice.
Bello, NT; Kshatriya, D; Li, X, 2022
)
1.26
" Time-concentration profiles of diamorphine and its metabolites reflected disposition changes with age and were used to describe intravenous and intranasal dosing regimens."( Pharmacokinetic modeling and simulation to understand diamorphine dose-response in neonates, children, and adolescents.
Anderson, BJ; Gastine, S; Morse, JD; Standing, JF; Wong, ICK, 2022
)
1.24
"Strict adherence to pharmacological dosage regimens is a prerequisite to the success of most treatments, particularly for patients in drug abuse programs."( Urinalysis based assessment of compliance and drug use patterns in patients prescribed tramadol: A cross-sectional study from a tertiary care centre.
Ghosh, S; Jain, R; Saifi, N; Sarkar, S, 2022
)
0.72
" The dosage over time did not change in patients older than 64; in younger patients, there was a non-significant increasing trend."( [Cannabinoids reduce opioid use in older patients with pain : Retrospective three-year analysis of data from a general practice].
Böhm, R; Gastmeier, A; Gastmeier, K; Herdegen, T; Rottmann, F, 2023
)
0.91
" There were no significant differences in NOWS hospital outcomes between groups in adjusted models: transition to scheduled dosing (methadone 31."( Neonatal Opioid Withdrawal Syndrome: A Comparison of As-Needed Pharmacotherapy.
Gupta, M; MacMillan, KDL; Melvin, P; Morrison, TM; Murzycki, J; O'Shea, TF; Rothstein, R; Schiff, DM; Singh, R; Van Vleet, MW; Wachman, EM, 2022
)
0.72
" The combination of additives and dosage are various and controversial."( Efficacy of Periarticular Multimodal Analgesic Injection Containing High-Dose Ketorolac versus Triamcinolone in Early Postoperative Total Knee Arthroplasty: A Randomized Controlled Trial.
Apinyankul, R; Goodman, SB; Lilakhunakon, K; Vechvitvarakul, M; Witayakom, W, 2022
)
0.72
" Intensive care unit patients are especially at risk and pharmacokinetic modeling of drug concentrations is an approach to develop precision dosing strategies."( Simultaneous detection of a panel of nine sedatives and metabolites in plasma from critically ill pediatric patients via UPLC-MS/MS.
Bell, MJ; Birabaharan, J; Empey, PE; Nolin, TD; Traube, C; West, RE, 2022
)
0.72
"Medication errors include the indirect dosing of drugs."( Accuracy of Spinal Anesthesia Drug Concentrations in Mixtures Prepared by Anesthetists.
Heesen, M; Schwappach, D; Steuer, C; Wiedemeier, P, 2022
)
0.72
" In the long term, we observed an improvement on delay discounting correlated with the duration and dosage of SROM."( Does slow release oral morphine have impact on craving and impulsivity in heroin dependent individuals?
Calzada, G; Colombo, L; Giustiniani, J; Penzenstadler, L; Rothen, S; Thorens, G; Zullino, D, 2023
)
1.22
" Greater intrathecal diamorphine dosing was positively associated with higher number of cases per month (rho=0."( Intrathecal diamorphine for perioperative analgesia during colorectal surgery: a cross-sectional survey of current UK practice.
Alderman, J; Gao-Smith, F; Morgese, C; Patel, J; Sharma, A, 2022
)
1.38
" Therefore, high-quality randomised dose-response trials are needed to investigate the relationship between doses of intrathecal diamorphine and patient outcomes."( Intrathecal diamorphine for perioperative analgesia during colorectal surgery: a cross-sectional survey of current UK practice.
Alderman, J; Gao-Smith, F; Morgese, C; Patel, J; Sharma, A, 2022
)
1.28
"Horses were treated with a single intravenous dosage of saline, morphine (0."( Characterization of the pharmacokinetics, behavioral effects and effects on thermal nociception of morphine 6-glucuronide and morphine 3-glucuronide in horses.
Fang, Y; Kanarr, K; Kass, PH; Knych, HK; McKemie, DS, 2022
)
1.18
" West Palm Beach VA Healthcare System (WPBVAHCS) has been an outlier for the percentage of Veterans with chronic non-cancer pain receiving ≥90 mg Morphine Equivalent Daily Dosing (MEDD) in Veterans Integrated Service Networks (VISN) 8 since the 2016 fiscal year."( Impact of Clinical Pharmacist Practitioner-Driven High Opioid Dose Reevaluation in Veterans with Chronic Non-Cancer Pain.
Brooks, A; DiScala, SL; Faley, B; Vartan, CM, 2022
)
0.92
" Three days of cumulative dosing were administered to establish morphine tolerance in rats."( Metformin prevents morphine-induced apoptosis in rats with diabetic neuropathy: a possible mechanism for attenuating morphine tolerance.
Avci, O; Gursoy, S; Inan, ZDS; Ozdemir, E; Taskiran, AS, 2022
)
1.29
"Patients with persistent severe cancer pain (≥7 at rest on the 11-point numeric rating scale [NRS]) were randomly assigned to 1 of 3 treatment arms: (A1) IPCA hydromorphone with bolus-only dose where dosage was 10% to 20% of the total equianalgesic over the previous 24 hours (TEOP24H) administered as needed, (A2) IPCA hydromorphone with continuous infusion where dose per hour was the TEOP24H divided by 24 and bolus dosage for breakthrough pain was 10% to 20% of the TEOP24H, and (B) oral extended-release morphine based on TEOP24H/2 × 75% (because of incomplete cross-tolerance) every 12 hours plus normal-release morphine based on TEOP24H × 10% to 20% for breakthrough pain."( Intravenous Patient-Controlled Analgesia Versus Oral Opioid to Maintain Analgesia for Severe Cancer Pain: A Randomized Phase II Trial.
Chen, H; Huang, C; Li, X; Lin, R; Lin, S; Liu, J; Lu, M; Luo, Y; Lv, X; Su, L; Wu, M; Zhang, Z; Zhao, S; Zhou, M; Zhu, J; Zou, H, 2022
)
0.88
" Future studies should investigate the appropriate dosage and route of administration of ketamine to be used while managing pain among children with acute and severe pain in the emergency department."( The Effectiveness of Ketamine Compared to Opioid Analgesics for management of acute pain in Children in The Emergency Department: systematic Review.
Alanazi, E, 2022
)
0.72
" The aim of this project is to conduct a budget impact analysis to estimate the costs or savings associated with the changes in ziconotide dosage in addition to its use in combination with morphine for the management of cancer pain."( Ziconotide for the Management of Cancer Pain: A Budget Impact Analysis.
Black, S; Copley, S; Duarte, R; Dupoiron, D; Eldabe, R; Eldabe, S; Kansal, A; Lambe, T, 2023
)
1.1
"3 mg/kg) produced the same degree of rightward shift in the dose-response curves for heroin- and THC-induced antinociception, respectively."( Functional consequences of short-term exposure to opioids versus cannabinoids in nonhuman primates.
Ding, H; Kiguchi, N; Kishioka, S; Ko, MC; Mabry, KM, 2023
)
0.91
" The daily average preoperative opioid dosage 90 days before fusion was determined as morphine equivalent dose and further categorized into high dose (morphine equivalent dose >100 mg/day) and low dose (1-100 mg/day)."( Does Preoperative Opiate Choice Increase Risk of Postoperative Infection and Subsequent Surgery?
Anandan, M; Corso, K; DeSimone, C; Franco, D; Gonzalez, GA; Harrop, J; Heller, JE; Hines, K; Jallo, J; Mahtabfar, A; Miao, J; O'Leary, M; Polanco, D; Porto, G; Qasba, R; Rajappan, SK; Sharan, A; Smit, R; Thalheimer, S; Wainwright, J, 2023
)
1.13
" Regular, low-dose, extended-release morphine may relieve breathlessness, but evidence about its efficacy and dosing is needed."( Effect of Regular, Low-Dose, Extended-release Morphine on Chronic Breathlessness in Chronic Obstructive Pulmonary Disease: The BEAMS Randomized Clinical Trial.
Agar, MR; Chang, S; Clark, KJ; Currow, DC; Eckert, DJ; Ekström, M; Fazekas, B; Ferreira, D; Johnson, MJ; Louw, S, 2022
)
1.25
" Dosing is often adjusted for adequate pain relief."( Pharmacological data science perspective on fatal incidents of morphine treatment.
Dudziak, R; Kringel, D; Lötsch, J; Noufal, Y; Toennes, SW, 2023
)
1.15
" By exploring the dose-response relationship between postoperative opioid consumption and opioid-related adverse effects, we aim to approximate the minimal important difference in opioid consumption anchored to opioid-related adverse effects."( Minimal important difference in opioid consumption based on adverse event reduction-A study protocol.
Gasbjerg, KS; Geisler, A; Hägi-Pedersen, D; Jakobsen, JC; Karlsen, APH; Laigaard, J; Lunn, TH; Mathiesen, O; Pedersen, C; Thybo, KH, 2023
)
0.91
" Subjects were randomized to initial dosing to a T4 dermatome surgical anesthetic level with either 3% CP or 2% lidocaine with 1:200,000 epinephrine and sodium bicarbonate (LEB)."( Postcesarean Analgesia With Epidural Morphine After Epidural 2-Chloroprocaine: A Randomized Noninferiority Trial.
Lee, LO; Lu, M; Ramirez-Chapman, AL; Suresh, MS; White, DL; Zhang, X, 2023
)
1.18
"While designed as an exploratory study, initial epidural dosing with 3% CP and beginning subsequent redosing with LEB within 30 minutes of the initial CP bolus provided noninferior postcesarean analgesia with epidural morphine compared to initial epidural dosing and redosing with LEB."( Postcesarean Analgesia With Epidural Morphine After Epidural 2-Chloroprocaine: A Randomized Noninferiority Trial.
Lee, LO; Lu, M; Ramirez-Chapman, AL; Suresh, MS; White, DL; Zhang, X, 2023
)
1.37
"The new "cocktail" LIA with Diprospan can effectively reduce the early postoperative pain of THA, reduce the dosage of opioids, shorten the length of hospital stay, and is conducive to the early functional rehabilitation of patients."( [Analgesic effect of a new "cocktail" of local infiltration analgesia after total hip arthroplasty-A prospective randomized controlled study].
Luo, Z; Wang, H; Xiao, Q; Yang, Q; Zhou, Z, 2022
)
0.72
" The average concentration of cocaine detected in cardiac cases (900 ng/mL) was considerably lower than that detected in cases where acute (19,100 ng/mL) or chronic/binge (6,200 ng/mL) dosing was evident."( From Bumps to Binges: Overview of Deaths Associated with Cocaine in England, Wales and Northern Ireland (2000-2019).
Copeland, C; Rock, K; Rooney, B; Sobiecka, P, 2023
)
0.91
" "High-risk" prescriptions were characterized by: days supplied >7, daily dosage ≥50 oral morphine equivalents (OMEs), opioid-benzodiazepine overlap, and extended-release/long-acting opioid."( Safety and Distribution of Opioid Prescribing by U.S. Surgeons.
Bicket, MC; Brummett, CM; Chua, KP; Gunaseelan, V; Waljee, JF, 2023
)
1.13
" Male and female national institute of health (NIH) Swiss mice were made dependent upon morphine using an escalating dosing schedule."( Modeling spontaneous opioid withdrawal in male and female outbred mice using traditional endpoints and hyperalgesia.
Blokker, A; Brewer, AL; Burkland, JA; Eggerman, L; Johnsen, M; Lewis, CC; Quock, RM, 2023
)
1.13
" ITS analyses showed that immediately postrescheduling, quarterly hydrocodone dispensing decreased by 177M dosage units while codeine, oxycodone, and morphine dispensing increased by 49M, 62M, and 4M dosage units, respectively."( The impact of hydrocodone rescheduling on utilization, abuse, misuse, and overdose deaths.
Ajao, A; Chai, GP; Ding, Y; Gill, R; Karami, S; Major, JM; McAninch, J; Meyer, T; Secora, A; Wong, J; Zhang, D; Zhao, Y, 2023
)
1.11
" Oral and injectable naltrexone administration is the most widely used, presenting some inconveniences: poor patient adherence to the oral daily dosing schedule, cases of hepatitis and clinically significant liver dysfunction."( Promising biomedical subcutaneous delivery system in opioid disaccustom process: In vitro/in vivo evaluation of naloxone microparticles on antagonist effect of morphine.
Benéitez García, MC; Colmena Crespo, I; Díez-Orejas, RM; Gil-Alegre, ME; Girón Moreno, R; Goicoechea García, C; Martín Fontelles, MI; Sánchez-Robles, EM, 2023
)
1.11
"Based on reimbursed bills, we calculated the dosage (morphine equivalent dose, MED) and the episode length (acute: <90 days; subacute: ≥90 to <120 days or <10 claims; chronic: ≥90 days and ≥10 claims or ≥120 days)."( Opioid prescriptions after knee replacement: a retrospective study of pathways and prognostic factors in the Swiss healthcare setting.
Bähler, C; Blozik, E; Boes, S; Huber, CA; Näpflin, M; Wirth, K, 2023
)
1.16
"Individual dose-response curves (DRCs) of PEA, MOR and GBP were evaluated in female mice in which intraplantar nociception was induced with 2% formalin."( N-palmitoylethanolamide synergizes the antinociception of morphine and gabapentin in the formalin test in mice.
Aguilera-Martínez, ME; Déciga-Campos, M; Espinosa-Juárez, JV; Jaramillo-Morales, OA; López-Muñoz, FJ; Ventura-Martínez, R, 2023
)
1.15
" The first dosage of study medicines was given intravenously 30 minutes (min) before surgery ended, followed by six hours (h) intervals for a total of eight doses following surgery."( Analgesic Efficacy of Intravenous Ibuprofen in the Treatment of Postoperative Acute Pain: A Phase III Multicenter Randomized Placebo-ControlledDouble-Blind Clinical Trial.
Li, TT; Liu, F; Pi, Y; Wang, TH; Xiong, LL; Zhou, HS, 2023
)
0.91
" After the addition of magnesium sulfate, the analgesic effect was dramatically prolonged, leading to a reduction in morphine dosage within 24 h and the total morphine dosage postoperatively."( Effects of magnesium sulfate on periarticular infiltration analgesia in total knee arthroplasty: a prospective, double-blind, randomized controlled trial.
Chen, L; Kang, P; Wang, L; Wang, Q; Zhao, C, 2023
)
1.12
" The dosage of the capsule, the temperature of the dissolving water and the type of filter used have been identified as the parameters most likely to influence the final quantity of morphine in solution before intravenous injection."( Intravenous misuse of slow-release oral morphine capsules: how much morphine is injected?
Authier, N; Bertin, C; Ferrer, F; Lauwerie, L; Montigne, E; Richard, D; Teixeira, S, 2023
)
1.37
"Different morphine syringes were prepared by varying the dosage of the capsule (100 or 200 mg), the temperature of the dissolving water before adding morphine, ambient (≈ 22 °C) or heat (≈ 80 °C) and four filtration devices: risk reduction Steribox® cotton, risk reduction filter "Sterifilt®", "Wheel" filter and cigarette filter."( Intravenous misuse of slow-release oral morphine capsules: how much morphine is injected?
Authier, N; Bertin, C; Ferrer, F; Lauwerie, L; Montigne, E; Richard, D; Teixeira, S, 2023
)
1.58
" Offering an injectable substitution to persons who inject morphine would make it possible to reduce the risks and damage, particularly overdoses, associated with variations in dosage due to preparation methods."( Intravenous misuse of slow-release oral morphine capsules: how much morphine is injected?
Authier, N; Bertin, C; Ferrer, F; Lauwerie, L; Montigne, E; Richard, D; Teixeira, S, 2023
)
1.42
"Participants were randomly assigned (2:1) to daily dosing with ASP8062 25 mg or placebo on days 1-10."( A phase 1 randomized, placebo-controlled study to investigate potential interactions between ASP8062, a positive allosteric modulator of the GABA
Alsharif, MN; Blahunka, P; Blauwet, MB; Erdman, J; Heo, N; Ito, M; Kelsh, D; Marek, GJ; Spence, A; Walzer, M, 2023
)
0.91
", i) the analgesic agent is identical to the OAT medication, and ii) the opioid agent is dosed above 1/6th morphine equivalent dose of the OAT medication."( Rescue Analgesia for Opioid-Dependent Individuals on Opioid Agonist Treatment during Hospitalization: Adherence to Guideline Treatment.
Arnet, I; Dürsteler, KM; Grossmann, F; Hersberger, KE; Jaiteh, C, 2023
)
1.12
" This quality improvement project describes an EHR intervention to reduce daily dosing in opioid prescriptions in 11 emergency departments (ED) across the largest safety net health system in the US."( Reducing daily dosing in opioid prescriptions in 11 safety net emergency departments.
Alaiev, D; Alarcon, P; Chandra, K; Cho, HJ; Garcia, M; Krouss, M; Shin, D; Talledo, J; Tsega, S; Zaurova, M, 2023
)
0.91
"In this prospective cohort study with comparisons to a historical control group, 24 patients were prospectively enrolled to receive an intraosseous infusion of morphine and ketorolac dosed according to age-based protocols while undergoing total knee arthroplasty."( A multimodal intraosseous infusion of morphine and ketorolac decreases early postoperative pain and opioid consumption following total knee arthroplasty.
Clyburn, TA; Incavo, SJ; Lambert, BS; Laurita, J; McNamara, CA; Park, KJ; Sullivan, TC, 2023
)
1.38
"Our multimodal intraosseous infusion of morphine and ketorolac dosed according to age-based protocols improved immediate postoperative pain levels and reduced opioid consumption in the immediate postoperative period for patients undergoing total knee arthroplasty."( A multimodal intraosseous infusion of morphine and ketorolac decreases early postoperative pain and opioid consumption following total knee arthroplasty.
Clyburn, TA; Incavo, SJ; Lambert, BS; Laurita, J; McNamara, CA; Park, KJ; Sullivan, TC, 2023
)
1.45
"Previous evaluations of medication dosing variance for children in the prehospital setting have been limited regionally or to specific conditions."( Deviation From National Dosing Recommendations for Children Having Out-of-Hospital Emergencies.
Martin-Gill, C; Ramgopal, S, 2023
)
0.91
" We investigated dosing deviations (defined as being ≥20% of the weight-appropriate dose from national guidelines) for the following: lorazepam, diazepam, and midazolam for seizures; fentanyl, hydromorphone, morphine, and ketorolac; intramuscular epinephrine and diphenhydramine for children with allergy or anaphylaxis; intravenous epinephrine; and methylprednisolone."( Deviation From National Dosing Recommendations for Children Having Out-of-Hospital Emergencies.
Martin-Gill, C; Ramgopal, S, 2023
)
1.1
" Appropriate dosing was most common with methylprednisolone (75."( Deviation From National Dosing Recommendations for Children Having Out-of-Hospital Emergencies.
Martin-Gill, C; Ramgopal, S, 2023
)
0.91
"We identified variance in weight-based dosing from national guidelines for common pediatric medications in the prehospital setting, which may be attributable to protocol differences or dosing errors."( Deviation From National Dosing Recommendations for Children Having Out-of-Hospital Emergencies.
Martin-Gill, C; Ramgopal, S, 2023
)
0.91
" Although sub-hypnotic doses of propofol appear to have an antipruritic effect, replication of this finding and further investigation of optimal dosing are warranted."( Pharmacological agents for prevention of pruritus in women undergoing Caesarean delivery with neuraxial morphine: a systematic review and Bayesian network meta-analysis.
Blake, L; Carvalho, B; Monks, DT; O'Carroll, J; Singh, NP; Singh, PM; Sultan, P, 2023
)
1.12
" Additionally, both systemic and intra-insular administration of nicotine produces a rightward shift in the dose-response function in both morphine-induced conditioned place preference and taste avoidance paradigms, particularly at higher doses (5-20 mg/kg)."( Nicotine limits avoidance conditioning with opioids without interfering with the ability to discriminate an opioid-interoceptive state.
Ezenwa, KB; Gilles-Thomas, EA; Honeycutt, SC; Loney, GC; McSain, SL; Mukherjee, A; Paladino, MS; Sontate, KV, 2023
)
1.11
"Optimal intrathecal dosing regimens for hydromorphone are not well established for analgesia after abdominal surgery."( Retrospective Review of Intrathecal Hydromorphone Dose Range and Complications.
Charnin, JE; Nuttall, GA; Portner, ER; Schroeder, DR; Sviggum, HP; Weingarten, TN, 2023
)
0.91
"We reviewed intrathecal hydromorphone doses and complications because dosing variability has been observed among anesthesiologists."( Retrospective Review of Intrathecal Hydromorphone Dose Range and Complications.
Charnin, JE; Nuttall, GA; Portner, ER; Schroeder, DR; Sviggum, HP; Weingarten, TN, 2023
)
0.91
" Patients were categorized into 3 hydromorphone dosing groups: low-dose (50-100 µg), middle-dose (101-199 µg), and high-dose (200-300 µg)."( Retrospective Review of Intrathecal Hydromorphone Dose Range and Complications.
Charnin, JE; Nuttall, GA; Portner, ER; Schroeder, DR; Sviggum, HP; Weingarten, TN, 2023
)
0.91
" Higher rates of severe opioid-related events were detected for patients receiving high-dose hydromorphone in the PACU, but all other safety outcomes were similar between dosing regimens."( Retrospective Review of Intrathecal Hydromorphone Dose Range and Complications.
Charnin, JE; Nuttall, GA; Portner, ER; Schroeder, DR; Sviggum, HP; Weingarten, TN, 2023
)
0.91
" The intraoperative remifentanil dosage was significantly greater in groups M and C than in group B (P<0."( Comparison of intrathecal low-dose bupivacaine and morphine with intravenous patient control analgesia for postoperative analgesia for video-assisted thoracoscopic surgery.
Guo, M; Liu, F; Tang, S; Wang, L; Wang, Y; Yang, D; Zhang, J, 2023
)
1.16
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (9)

RoleDescription
opioid analgesicA narcotic or opioid substance, synthetic or semisynthetic agent producing profound analgesia, drowsiness, and changes in mood.
mu-opioid receptor agonistA compound that exhibits agonist activity at the mu-opioid receptor.
plant metaboliteAny eukaryotic metabolite produced during a metabolic reaction in plants, the kingdom that include flowering plants, conifers and other gymnosperms.
environmental contaminantAny minor or unwanted substance introduced into the environment that can have undesired effects.
xenobioticA xenobiotic (Greek, xenos "foreign"; bios "life") is a compound that is foreign to a living organism. Principal xenobiotics include: drugs, carcinogens and various compounds that have been introduced into the environment by artificial means.
vasodilator agentA drug used to cause dilation of the blood vessels.
anaestheticSubstance which produces loss of feeling or sensation.
drug allergenAny drug which causes the onset of an allergic reaction.
geroprotectorAny compound that supports healthy aging, slows the biological aging process, or extends lifespan.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (3)

ClassDescription
morphinane alkaloidAn isoquinoline alkaloid based on a morphinan skeleton and its substituted derivatives.
organic heteropentacyclic compound
tertiary amino compoundA compound formally derived from ammonia by replacing three hydrogen atoms by organyl groups.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (7)

PathwayProteinsCompounds
Codeine Action Pathway3420
Morphine Action Pathway4716
Codeine Metabolism Pathway411
Morphine Metabolism Pathway176
Heroin Metabolism Pathway45
Codeine and morphine metabolism07
Heroin metabolism03

Protein Targets (40)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Opioid receptor, delta 1b Danio rerio (zebrafish)Ki1.42700.04500.47591.4270AID1432897
Solute carrier family 22 member 1 Homo sapiens (human)IC50 (µMol)49.89500.21005.553710.0000AID1526751; AID386625
AcetylcholinesteraseElectrophorus electricus (electric eel)Ki109.00000.00121.25638.9000AID514203
Opioid receptor homologueDanio rerio (zebrafish)Ki0.22300.07300.28730.5658AID1432896
Bile salt export pumpHomo sapiens (human)IC50 (µMol)135.00000.11007.190310.0000AID1443980
ATP-dependent translocase ABCB1Mus musculus (house mouse)IC50 (µMol)50.00000.06404.012610.0000AID150754; AID681128
Acyl-CoA desaturase 1Rattus norvegicus (Norway rat)Ki0.29900.00350.15120.2990AID647796
ATP-dependent translocase ABCB1Homo sapiens (human)IC50 (µMol)50.00000.00022.318510.0000AID150752; AID150755; AID681122
Muscarinic acetylcholine receptor M1Rattus norvegicus (Norway rat)Ki0.03200.00010.579710.0000AID141512; AID141657
Muscarinic acetylcholine receptor M3Rattus norvegicus (Norway rat)Ki0.03200.00011.48339.1400AID141512; AID141657
Muscarinic acetylcholine receptor M4Rattus norvegicus (Norway rat)Ki0.03200.00010.68688.2600AID141512; AID141657
Cytochrome P450 3A4Homo sapiens (human)IC50 (µMol)50.00000.00011.753610.0000AID54923
Muscarinic acetylcholine receptor M5Rattus norvegicus (Norway rat)Ki0.03200.00010.66618.2600AID141512; AID141657
Muscarinic acetylcholine receptor M2Rattus norvegicus (Norway rat)Ki0.03200.00010.58908.2600AID141512; AID141657
ATP-dependent translocase ABCB1Mus musculus (house mouse)IC50 (µMol)50.00000.20004.713010.0000AID150753; AID681119
Proteinase-activated receptor 1Homo sapiens (human)Ki0.00220.00110.02870.1600AID669684
Sodium-dependent serotonin transporterRattus norvegicus (Norway rat)Ki0.00180.00000.705610.0000AID238659
Delta-type opioid receptorMus musculus (house mouse)IC50 (µMol)0.36450.00010.729810.0000AID148653; AID150235; AID150244; AID226063; AID383162; AID411135
Delta-type opioid receptorRattus norvegicus (Norway rat)IC50 (µMol)0.22780.00030.38877.0000AID1146187; AID1146188; AID145936; AID145939; AID149505; AID149520; AID150260; AID150396; AID150397; AID226060; AID479371
Delta-type opioid receptorRattus norvegicus (Norway rat)Ki0.16930.00000.60689.2330AID149667; AID149669; AID149784; AID149787; AID149816; AID149928; AID1587336; AID1587571; AID1781406; AID239360; AID239441; AID452020; AID729036
Kappa-type opioid receptorMus musculus (house mouse)IC50 (µMol)0.08280.00131.538010.0000AID150235; AID150244
Kappa-type opioid receptorMus musculus (house mouse)Ki0.92520.00030.35942.7500AID148288; AID148318
Mu-type opioid receptorRattus norvegicus (Norway rat)IC50 (µMol)0.03850.00010.887410.0000AID1146187; AID1146188; AID145936; AID145939; AID150260; AID150396; AID150397; AID151303; AID151440; AID226060; AID479370
Mu-type opioid receptorRattus norvegicus (Norway rat)Ki0.01120.00000.38458.6000AID141657; AID151590; AID151606; AID151608; AID151621; AID151742; AID151750; AID151769; AID151890; AID1587332; AID1781405; AID224586; AID239089; AID239182; AID452019; AID729035
Kappa-type opioid receptorRattus norvegicus (Norway rat)IC50 (µMol)0.05450.00050.36987.0000AID1146187; AID1146188; AID145936; AID145939; AID150260; AID150396; AID150397; AID226060
Kappa-type opioid receptorRattus norvegicus (Norway rat)Ki0.11300.00000.18683.9500AID148461; AID239148
Mu-type opioid receptorHomo sapiens (human)IC50 (µMol)0.12200.00010.813310.0000AID1055367; AID1277622; AID150234; AID150235; AID150822; AID1591426; AID1611181; AID1630481; AID707251
Mu-type opioid receptorHomo sapiens (human)Ki0.00410.00000.419710.0000AID1185657; AID1197351; AID1202692; AID1282207; AID1358127; AID148328; AID150851; AID150992; AID151000; AID152069; AID152074; AID1583477; AID1609322; AID1749821; AID1872031; AID259394; AID269569; AID298631; AID327878; AID330420; AID440049; AID603169; AID603170; AID603171; AID607794; AID612049; AID647794; AID669684; AID670110; AID695711; AID749692; AID765827
Delta-type opioid receptorHomo sapiens (human)IC50 (µMol)0.11990.00020.75218.0140AID148090; AID149633; AID150234; AID150235; AID226060
Delta-type opioid receptorHomo sapiens (human)Ki0.27000.00000.59789.9300AID1197353; AID1358128; AID147910; AID147914; AID147944; AID148228; AID148252; AID148367; AID149189; AID149194; AID149480; AID149481; AID149769; AID149782; AID149896; AID150030; AID150090; AID1583478; AID259395; AID269569; AID269571; AID298633; AID330421; AID647795; AID670113; AID695712; AID749691; AID765826
Kappa-type opioid receptorCavia porcellus (domestic guinea pig)IC50 (µMol)0.93080.00030.71237.0700AID147956; AID147959; AID148565; AID148678; AID148680
Kappa-type opioid receptorCavia porcellus (domestic guinea pig)Ki4.65700.00000.20186.4240AID147944; AID147976; AID147982; AID148260; AID149130; AID149131; AID149135; AID149256; AID149261; AID149262; AID149264; AID149268; AID149425; AID149816; AID1587332; AID239358; AID269571; AID410725; AID514203; AID754487
Kappa-type opioid receptorHomo sapiens (human)IC50 (µMol)0.65500.00001.201110.0000AID147865; AID150234; AID150235
Kappa-type opioid receptorHomo sapiens (human)Ki0.10980.00000.362410.0000AID1197354; AID1282208; AID147998; AID148021; AID148023; AID148146; AID148252; AID148710; AID148712; AID148747; AID149978; AID1583479; AID1587339; AID1781407; AID259396; AID269573; AID298632; AID330422; AID452018; AID488649; AID647796; AID670111; AID695713; AID729034; AID749690; AID765825
Mu-type opioid receptorMus musculus (house mouse)IC50 (µMol)0.33050.00081.699210.0000AID150235; AID150244; AID151137; AID1872058; AID383161; AID411134; AID479370
Mu-type opioid receptorMus musculus (house mouse)Ki0.08010.00000.12281.3000AID149131; AID149135; AID1506419; AID238659
Nociceptin receptorCavia porcellus (domestic guinea pig)Ki0.00250.00110.17650.6920AID268677
5-hydroxytryptamine receptor 7Cavia porcellus (domestic guinea pig)IC50 (µMol)28.00002.03005.53139.9000AID386625
Mu-type opioid receptorBos taurus (cattle)Ki0.00130.00050.00130.0025AID149447; AID149449; AID152210
Mu-type opioid receptorCavia porcellus (domestic guinea pig)IC50 (µMol)0.20200.00020.660310.0000AID150234; AID1872057; AID224723; AID226063
Mu-type opioid receptorCavia porcellus (domestic guinea pig)Ki0.04130.00000.27869.0000AID141512; AID147902; AID147910; AID147914; AID148021; AID148028; AID148030; AID149009; AID149014; AID149131; AID149135; AID1901077; AID268677; AID410723; AID754489
Potassium voltage-gated channel subfamily H member 2Homo sapiens (human)IC50 (µMol)1,000.00000.00091.901410.0000AID243151
Beta-2 adrenergic receptorCavia porcellus (domestic guinea pig)IC50 (µMol)0.25000.00040.16800.9772AID1146188
Mu-type opioid receptorDanio rerio (zebrafish)Ki0.18720.18700.52891.3170AID1243870; AID1432895
Sigma non-opioid intracellular receptor 1Homo sapiens (human)Ki100.00000.00000.490110.0000AID204005
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Cytochrome P450 3A4Homo sapiens (human)EC50 (µMol)0.37900.00010.23283.2000AID1386864
Alpha-2A adrenergic receptorHomo sapiens (human)EC50 (µMol)0.00300.00080.37336.7100AID507157
Translocator proteinRattus norvegicus (Norway rat)EC50 (µMol)0.01560.00000.00350.0156AID298634
Histidine decarboxylaseRattus norvegicus (Norway rat)EC50 (µMol)0.00300.00050.00150.0030AID1133438
Proteinase-activated receptor 1Homo sapiens (human)EC50 (µMol)0.00370.00370.52341.3000AID669685
Delta-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00300.00050.36496.9000AID1133438
Kappa-type opioid receptorMus musculus (house mouse)EC50 (µMol)0.40000.00080.80564.8860AID765837
Mu-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.11180.00000.06470.9320AID1133438; AID1528091; AID1587344; AID1781410; AID224581; AID452021; AID729038
Kappa-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00300.00040.00390.0180AID1133438
Mu-type opioid receptorHomo sapiens (human)EC50 (µMol)0.13020.00000.32639.4000AID1186503; AID1386861; AID1386864; AID1583482; AID1685500; AID1685506; AID1714467; AID1714470; AID1725718; AID1812974; AID1823678; AID1823680; AID1823683; AID269575; AID298634; AID298636; AID327872; AID327873; AID327877; AID395302; AID507157; AID577265; AID669685; AID765841; AID779594; AID779596
Delta-type opioid receptorHomo sapiens (human)EC50 (µMol)0.37140.00000.43328.3000AID1583483; AID1714469; AID1725717; AID269577; AID395303; AID577264; AID765842
Kappa-type opioid receptorHomo sapiens (human)EC50 (µMol)0.44430.00000.22448.9900AID1714468; AID269579; AID298635; AID395304; AID577266; AID765840
Mu-type opioid receptorMus musculus (house mouse)EC50 (µMol)0.07500.00020.03930.2030AID1194124; AID765836
Mas-related G-protein coupled receptor member X2Homo sapiens (human)EC50 (µMol)6.40000.14003.73818.9000AID1802708; AID1802709
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Delta-type opioid receptorMus musculus (house mouse)Ke0.00740.00010.14726.1080AID389661
Delta-type opioid receptorRattus norvegicus (Norway rat)Activity0.61150.00000.11931.2200AID1135268; AID149372
Kappa-type opioid receptorMus musculus (house mouse)Ke0.02890.00000.32251.5510AID224414; AID389676
Mu-type opioid receptorRattus norvegicus (Norway rat)Activity0.00300.00300.00300.0030AID1135268
Mu-type opioid receptorRattus norvegicus (Norway rat)KiH0.00250.00250.00250.0025AID349684
Mu-type opioid receptorRattus norvegicus (Norway rat)KiL0.11300.11300.11300.1130AID349684
Kappa-type opioid receptorRattus norvegicus (Norway rat)Activity0.00300.00300.03310.0632AID1135268
Mu-type opioid receptorHomo sapiens (human)ED500.03700.03400.03900.0420AID296734; AID443807
UDP-glucuronosyltransferase 1A3Homo sapiens (human)Km3,280.00007.34007.34007.3400AID624632
Delta-type opioid receptorHomo sapiens (human)ED500.31600.02601.33371.9800AID443811
Kappa-type opioid receptorHomo sapiens (human)ED501.14000.00071.45698.9400AID443804
Mu-type opioid receptorMus musculus (house mouse)Activity0.00100.00100.00100.0010AID1194130
Mu-type opioid receptorMus musculus (house mouse)Ke0.00330.00020.02330.0554AID389677
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (245)

Processvia Protein(s)Taxonomy
xenobiotic metabolic processSolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin transportSolute carrier family 22 member 1 Homo sapiens (human)
establishment or maintenance of transmembrane electrochemical gradientSolute carrier family 22 member 1 Homo sapiens (human)
organic cation transportSolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transportSolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transportSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transportSolute carrier family 22 member 1 Homo sapiens (human)
putrescine transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transportSolute carrier family 22 member 1 Homo sapiens (human)
acetylcholine transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine transportSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transportSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transportSolute carrier family 22 member 1 Homo sapiens (human)
epinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin uptakeSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
metanephric proximal tubule developmentSolute carrier family 22 member 1 Homo sapiens (human)
purine-containing compound transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
monoatomic cation transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
acyl carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
cellular detoxificationSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
G2/M transition of mitotic cell cycleATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic metabolic processATP-dependent translocase ABCB1Homo sapiens (human)
response to xenobiotic stimulusATP-dependent translocase ABCB1Homo sapiens (human)
phospholipid translocationATP-dependent translocase ABCB1Homo sapiens (human)
terpenoid transportATP-dependent translocase ABCB1Homo sapiens (human)
regulation of response to osmotic stressATP-dependent translocase ABCB1Homo sapiens (human)
transmembrane transportATP-dependent translocase ABCB1Homo sapiens (human)
transepithelial transportATP-dependent translocase ABCB1Homo sapiens (human)
stem cell proliferationATP-dependent translocase ABCB1Homo sapiens (human)
ceramide translocationATP-dependent translocase ABCB1Homo sapiens (human)
export across plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
transport across blood-brain barrierATP-dependent translocase ABCB1Homo sapiens (human)
positive regulation of anion channel activityATP-dependent translocase ABCB1Homo sapiens (human)
carboxylic acid transmembrane transportATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic detoxification by transmembrane export across the plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic transport across blood-brain barrierATP-dependent translocase ABCB1Homo sapiens (human)
regulation of chloride transportATP-dependent translocase ABCB1Homo sapiens (human)
lipid hydroxylationCytochrome P450 3A4Homo sapiens (human)
lipid metabolic processCytochrome P450 3A4Homo sapiens (human)
steroid catabolic processCytochrome P450 3A4Homo sapiens (human)
xenobiotic metabolic processCytochrome P450 3A4Homo sapiens (human)
steroid metabolic processCytochrome P450 3A4Homo sapiens (human)
cholesterol metabolic processCytochrome P450 3A4Homo sapiens (human)
androgen metabolic processCytochrome P450 3A4Homo sapiens (human)
estrogen metabolic processCytochrome P450 3A4Homo sapiens (human)
alkaloid catabolic processCytochrome P450 3A4Homo sapiens (human)
monoterpenoid metabolic processCytochrome P450 3A4Homo sapiens (human)
calcitriol biosynthetic process from calciolCytochrome P450 3A4Homo sapiens (human)
xenobiotic catabolic processCytochrome P450 3A4Homo sapiens (human)
vitamin D metabolic processCytochrome P450 3A4Homo sapiens (human)
vitamin D catabolic processCytochrome P450 3A4Homo sapiens (human)
retinol metabolic processCytochrome P450 3A4Homo sapiens (human)
retinoic acid metabolic processCytochrome P450 3A4Homo sapiens (human)
long-chain fatty acid biosynthetic processCytochrome P450 3A4Homo sapiens (human)
aflatoxin metabolic processCytochrome P450 3A4Homo sapiens (human)
oxidative demethylationCytochrome P450 3A4Homo sapiens (human)
positive regulation of cytokine productionAlpha-2A adrenergic receptorHomo sapiens (human)
DNA replicationAlpha-2A adrenergic receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
Ras protein signal transductionAlpha-2A adrenergic receptorHomo sapiens (human)
Rho protein signal transductionAlpha-2A adrenergic receptorHomo sapiens (human)
female pregnancyAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of cell population proliferationAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of norepinephrine secretionAlpha-2A adrenergic receptorHomo sapiens (human)
regulation of vasoconstrictionAlpha-2A adrenergic receptorHomo sapiens (human)
actin cytoskeleton organizationAlpha-2A adrenergic receptorHomo sapiens (human)
platelet activationAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of cell migrationAlpha-2A adrenergic receptorHomo sapiens (human)
activation of protein kinase activityAlpha-2A adrenergic receptorHomo sapiens (human)
activation of protein kinase B activityAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of epinephrine secretionAlpha-2A adrenergic receptorHomo sapiens (human)
cellular response to hormone stimulusAlpha-2A adrenergic receptorHomo sapiens (human)
receptor transactivationAlpha-2A adrenergic receptorHomo sapiens (human)
vasodilationAlpha-2A adrenergic receptorHomo sapiens (human)
glucose homeostasisAlpha-2A adrenergic receptorHomo sapiens (human)
fear responseAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of potassium ion transportAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of MAP kinase activityAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of MAPK cascadeAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of epidermal growth factor receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of calcium ion-dependent exocytosisAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of insulin secretionAlpha-2A adrenergic receptorHomo sapiens (human)
intestinal absorptionAlpha-2A adrenergic receptorHomo sapiens (human)
thermoceptionAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of lipid catabolic processAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of membrane protein ectodomain proteolysisAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of calcium ion transportAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of insulin secretion involved in cellular response to glucose stimulusAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of uterine smooth muscle contractionAlpha-2A adrenergic receptorHomo sapiens (human)
adrenergic receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
adenylate cyclase-activating adrenergic receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
adenylate cyclase-inhibiting adrenergic receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
phospholipase C-activating adrenergic receptor signaling pathwayAlpha-2A adrenergic receptorHomo sapiens (human)
positive regulation of wound healingAlpha-2A adrenergic receptorHomo sapiens (human)
presynaptic modulation of chemical synaptic transmissionAlpha-2A adrenergic receptorHomo sapiens (human)
negative regulation of calcium ion transmembrane transporter activityAlpha-2A adrenergic receptorHomo sapiens (human)
connective tissue replacement involved in inflammatory response wound healingProteinase-activated receptor 1Homo sapiens (human)
negative regulation of glomerular filtrationProteinase-activated receptor 1Homo sapiens (human)
activation of cysteine-type endopeptidase activity involved in apoptotic processProteinase-activated receptor 1Homo sapiens (human)
inflammatory responseProteinase-activated receptor 1Homo sapiens (human)
G protein-coupled receptor signaling pathwayProteinase-activated receptor 1Homo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayProteinase-activated receptor 1Homo sapiens (human)
positive regulation of cytosolic calcium ion concentrationProteinase-activated receptor 1Homo sapiens (human)
protein kinase C-activating G protein-coupled receptor signaling pathwayProteinase-activated receptor 1Homo sapiens (human)
establishment of synaptic specificity at neuromuscular junctionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of cell population proliferationProteinase-activated receptor 1Homo sapiens (human)
negative regulation of cell population proliferationProteinase-activated receptor 1Homo sapiens (human)
response to woundingProteinase-activated receptor 1Homo sapiens (human)
anatomical structure morphogenesisProteinase-activated receptor 1Homo sapiens (human)
platelet activationProteinase-activated receptor 1Homo sapiens (human)
regulation of blood coagulationProteinase-activated receptor 1Homo sapiens (human)
positive regulation of blood coagulationProteinase-activated receptor 1Homo sapiens (human)
positive regulation of cell migrationProteinase-activated receptor 1Homo sapiens (human)
response to lipopolysaccharideProteinase-activated receptor 1Homo sapiens (human)
regulation of interleukin-1 beta productionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of interleukin-6 productionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of interleukin-8 productionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of collagen biosynthetic processProteinase-activated receptor 1Homo sapiens (human)
positive regulation of Rho protein signal transductionProteinase-activated receptor 1Homo sapiens (human)
dendritic cell homeostasisProteinase-activated receptor 1Homo sapiens (human)
positive regulation of canonical NF-kappaB signal transductionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of cysteine-type endopeptidase activity involved in apoptotic processProteinase-activated receptor 1Homo sapiens (human)
positive regulation of MAPK cascadeProteinase-activated receptor 1Homo sapiens (human)
negative regulation of neuron apoptotic processProteinase-activated receptor 1Homo sapiens (human)
positive regulation of GTPase activityProteinase-activated receptor 1Homo sapiens (human)
cell-cell junction maintenanceProteinase-activated receptor 1Homo sapiens (human)
positive regulation of DNA-templated transcriptionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of vasoconstrictionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of smooth muscle contractionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of receptor signaling pathway via JAK-STATProteinase-activated receptor 1Homo sapiens (human)
regulation of synaptic plasticityProteinase-activated receptor 1Homo sapiens (human)
homeostasis of number of cells within a tissueProteinase-activated receptor 1Homo sapiens (human)
release of sequestered calcium ion into cytosolProteinase-activated receptor 1Homo sapiens (human)
positive regulation of release of sequestered calcium ion into cytosolProteinase-activated receptor 1Homo sapiens (human)
positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transductionProteinase-activated receptor 1Homo sapiens (human)
positive regulation of calcium ion transportProteinase-activated receptor 1Homo sapiens (human)
regulation of sensory perception of painProteinase-activated receptor 1Homo sapiens (human)
platelet dense granule organizationProteinase-activated receptor 1Homo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeProteinase-activated receptor 1Homo sapiens (human)
thrombin-activated receptor signaling pathwayProteinase-activated receptor 1Homo sapiens (human)
trans-synaptic signaling by endocannabinoid, modulating synaptic transmissionProteinase-activated receptor 1Homo sapiens (human)
negative regulation of renin secretion into blood streamProteinase-activated receptor 1Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerMu-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled acetylcholine receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
sensory perceptionMu-type opioid receptorHomo sapiens (human)
negative regulation of cell population proliferationMu-type opioid receptorHomo sapiens (human)
sensory perception of painMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
behavioral response to ethanolMu-type opioid receptorHomo sapiens (human)
positive regulation of neurogenesisMu-type opioid receptorHomo sapiens (human)
negative regulation of Wnt protein secretionMu-type opioid receptorHomo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeMu-type opioid receptorHomo sapiens (human)
calcium ion transmembrane transportMu-type opioid receptorHomo sapiens (human)
cellular response to morphineMu-type opioid receptorHomo sapiens (human)
regulation of cellular response to stressMu-type opioid receptorHomo sapiens (human)
regulation of NMDA receptor activityMu-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayMu-type opioid receptorHomo sapiens (human)
xenobiotic metabolic processUDP-glucuronosyltransferase 1A3Homo sapiens (human)
estrogen metabolic processUDP-glucuronosyltransferase 1A3Homo sapiens (human)
bile acid secretionUDP-glucuronosyltransferase 1A3Homo sapiens (human)
retinoic acid metabolic processUDP-glucuronosyltransferase 1A3Homo sapiens (human)
cellular glucuronidationUDP-glucuronosyltransferase 1A3Homo sapiens (human)
flavonoid glucuronidationUDP-glucuronosyltransferase 1A3Homo sapiens (human)
xenobiotic glucuronidationUDP-glucuronosyltransferase 1A3Homo sapiens (human)
vitamin D3 metabolic processUDP-glucuronosyltransferase 1A3Homo sapiens (human)
immune responseDelta-type opioid receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerDelta-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
adult locomotory behaviorDelta-type opioid receptorHomo sapiens (human)
negative regulation of gene expressionDelta-type opioid receptorHomo sapiens (human)
negative regulation of protein-containing complex assemblyDelta-type opioid receptorHomo sapiens (human)
positive regulation of CREB transcription factor activityDelta-type opioid receptorHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylationDelta-type opioid receptorHomo sapiens (human)
response to nicotineDelta-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
eating behaviorDelta-type opioid receptorHomo sapiens (human)
regulation of mitochondrial membrane potentialDelta-type opioid receptorHomo sapiens (human)
regulation of calcium ion transportDelta-type opioid receptorHomo sapiens (human)
cellular response to growth factor stimulusDelta-type opioid receptorHomo sapiens (human)
cellular response to hypoxiaDelta-type opioid receptorHomo sapiens (human)
cellular response to toxic substanceDelta-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayDelta-type opioid receptorHomo sapiens (human)
immune responseKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
chemical synaptic transmissionKappa-type opioid receptorHomo sapiens (human)
sensory perceptionKappa-type opioid receptorHomo sapiens (human)
locomotory behaviorKappa-type opioid receptorHomo sapiens (human)
sensory perception of painKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
response to insulinKappa-type opioid receptorHomo sapiens (human)
positive regulation of dopamine secretionKappa-type opioid receptorHomo sapiens (human)
negative regulation of luteinizing hormone secretionKappa-type opioid receptorHomo sapiens (human)
response to nicotineKappa-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
maternal behaviorKappa-type opioid receptorHomo sapiens (human)
eating behaviorKappa-type opioid receptorHomo sapiens (human)
response to estrogenKappa-type opioid receptorHomo sapiens (human)
estrous cycleKappa-type opioid receptorHomo sapiens (human)
response to ethanolKappa-type opioid receptorHomo sapiens (human)
regulation of saliva secretionKappa-type opioid receptorHomo sapiens (human)
behavioral response to cocaineKappa-type opioid receptorHomo sapiens (human)
sensory perception of temperature stimulusKappa-type opioid receptorHomo sapiens (human)
defense response to virusKappa-type opioid receptorHomo sapiens (human)
cellular response to lipopolysaccharideKappa-type opioid receptorHomo sapiens (human)
cellular response to glucose stimulusKappa-type opioid receptorHomo sapiens (human)
positive regulation of p38MAPK cascadeKappa-type opioid receptorHomo sapiens (human)
positive regulation of potassium ion transmembrane transportKappa-type opioid receptorHomo sapiens (human)
response to acrylamideKappa-type opioid receptorHomo sapiens (human)
positive regulation of eating behaviorKappa-type opioid receptorHomo sapiens (human)
conditioned place preferenceKappa-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled acetylcholine receptor signaling pathwayMu-type opioid receptorBos taurus (cattle)
phospholipase C-activating G protein-coupled receptor signaling pathwayMu-type opioid receptorBos taurus (cattle)
sensory perception of painMu-type opioid receptorBos taurus (cattle)
G protein-coupled opioid receptor signaling pathwayMu-type opioid receptorBos taurus (cattle)
negative regulation of cAMP-mediated signalingMu-type opioid receptorBos taurus (cattle)
negative regulation of nitric oxide biosynthetic processMu-type opioid receptorBos taurus (cattle)
positive regulation of neurogenesisMu-type opioid receptorBos taurus (cattle)
negative regulation of cytosolic calcium ion concentrationMu-type opioid receptorBos taurus (cattle)
negative regulation of Wnt protein secretionMu-type opioid receptorBos taurus (cattle)
positive regulation of ERK1 and ERK2 cascadeMu-type opioid receptorBos taurus (cattle)
calcium ion transmembrane transportMu-type opioid receptorBos taurus (cattle)
cellular response to morphineMu-type opioid receptorBos taurus (cattle)
regulation of NMDA receptor activityMu-type opioid receptorBos taurus (cattle)
regulation of heart rate by cardiac conductionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of heart rate by hormonePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of membrane potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
positive regulation of DNA-templated transcriptionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion homeostasisPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
cardiac muscle contractionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of membrane repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of ventricular cardiac muscle cell membrane repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
cellular response to xenobiotic stimulusPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
ventricular cardiac muscle cell action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane depolarization during action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarization during action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarization during cardiac muscle cell action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of heart rate by cardiac conductionPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion export across plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membrane repolarization during ventricular cardiac muscle cell action potentialPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
regulation of potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
negative regulation of potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
positive regulation of potassium ion transmembrane transportPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
negative regulation of potassium ion export across plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
potassium ion import across plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
sensory perception of painMas-related G-protein coupled receptor member X2Homo sapiens (human)
sleepMas-related G-protein coupled receptor member X2Homo sapiens (human)
positive regulation of cytokinesisMas-related G-protein coupled receptor member X2Homo sapiens (human)
mast cell degranulationMas-related G-protein coupled receptor member X2Homo sapiens (human)
mast cell activationMas-related G-protein coupled receptor member X2Homo sapiens (human)
G protein-coupled receptor signaling pathwayMas-related G-protein coupled receptor member X2Homo sapiens (human)
lipid transportSigma non-opioid intracellular receptor 1Homo sapiens (human)
nervous system developmentSigma non-opioid intracellular receptor 1Homo sapiens (human)
G protein-coupled opioid receptor signaling pathwaySigma non-opioid intracellular receptor 1Homo sapiens (human)
regulation of neuron apoptotic processSigma non-opioid intracellular receptor 1Homo sapiens (human)
protein homotrimerizationSigma non-opioid intracellular receptor 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (92)

Processvia Protein(s)Taxonomy
acetylcholine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
dopamine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
secondary active organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic anion transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
pyrimidine nucleoside transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
putrescine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
toxin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
identical protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
protein bindingATP-dependent translocase ABCB1Homo sapiens (human)
ATP bindingATP-dependent translocase ABCB1Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
efflux transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
ATP hydrolysis activityATP-dependent translocase ABCB1Homo sapiens (human)
transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
ubiquitin protein ligase bindingATP-dependent translocase ABCB1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
carboxylic acid transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
phosphatidylcholine floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
phosphatidylethanolamine flippase activityATP-dependent translocase ABCB1Homo sapiens (human)
ceramide floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
monooxygenase activityCytochrome P450 3A4Homo sapiens (human)
steroid bindingCytochrome P450 3A4Homo sapiens (human)
iron ion bindingCytochrome P450 3A4Homo sapiens (human)
protein bindingCytochrome P450 3A4Homo sapiens (human)
steroid hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
retinoic acid 4-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
oxidoreductase activityCytochrome P450 3A4Homo sapiens (human)
oxygen bindingCytochrome P450 3A4Homo sapiens (human)
enzyme bindingCytochrome P450 3A4Homo sapiens (human)
heme bindingCytochrome P450 3A4Homo sapiens (human)
vitamin D3 25-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
caffeine oxidase activityCytochrome P450 3A4Homo sapiens (human)
quinine 3-monooxygenase activityCytochrome P450 3A4Homo sapiens (human)
testosterone 6-beta-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
1-alpha,25-dihydroxyvitamin D3 23-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
anandamide 8,9 epoxidase activityCytochrome P450 3A4Homo sapiens (human)
anandamide 11,12 epoxidase activityCytochrome P450 3A4Homo sapiens (human)
anandamide 14,15 epoxidase activityCytochrome P450 3A4Homo sapiens (human)
aromatase activityCytochrome P450 3A4Homo sapiens (human)
vitamin D 24-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
estrogen 16-alpha-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
estrogen 2-hydroxylase activityCytochrome P450 3A4Homo sapiens (human)
1,8-cineole 2-exo-monooxygenase activityCytochrome P450 3A4Homo sapiens (human)
alpha2-adrenergic receptor activityAlpha-2A adrenergic receptorHomo sapiens (human)
protein bindingAlpha-2A adrenergic receptorHomo sapiens (human)
protein kinase bindingAlpha-2A adrenergic receptorHomo sapiens (human)
alpha-1B adrenergic receptor bindingAlpha-2A adrenergic receptorHomo sapiens (human)
alpha-2C adrenergic receptor bindingAlpha-2A adrenergic receptorHomo sapiens (human)
thioesterase bindingAlpha-2A adrenergic receptorHomo sapiens (human)
heterotrimeric G-protein bindingAlpha-2A adrenergic receptorHomo sapiens (human)
protein homodimerization activityAlpha-2A adrenergic receptorHomo sapiens (human)
protein heterodimerization activityAlpha-2A adrenergic receptorHomo sapiens (human)
epinephrine bindingAlpha-2A adrenergic receptorHomo sapiens (human)
norepinephrine bindingAlpha-2A adrenergic receptorHomo sapiens (human)
guanyl-nucleotide exchange factor activityAlpha-2A adrenergic receptorHomo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-dependent translocase ABCB1Mus musculus (house mouse)
G-protein alpha-subunit bindingProteinase-activated receptor 1Homo sapiens (human)
G protein-coupled receptor activityProteinase-activated receptor 1Homo sapiens (human)
signaling receptor bindingProteinase-activated receptor 1Homo sapiens (human)
protein bindingProteinase-activated receptor 1Homo sapiens (human)
thrombin-activated receptor activityProteinase-activated receptor 1Homo sapiens (human)
G-protein beta-subunit bindingProteinase-activated receptor 1Homo sapiens (human)
G-protein alpha-subunit bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled receptor activityMu-type opioid receptorHomo sapiens (human)
beta-endorphin receptor activityMu-type opioid receptorHomo sapiens (human)
voltage-gated calcium channel activityMu-type opioid receptorHomo sapiens (human)
protein bindingMu-type opioid receptorHomo sapiens (human)
morphine receptor activityMu-type opioid receptorHomo sapiens (human)
G-protein beta-subunit bindingMu-type opioid receptorHomo sapiens (human)
neuropeptide bindingMu-type opioid receptorHomo sapiens (human)
retinoic acid bindingUDP-glucuronosyltransferase 1A3Homo sapiens (human)
glucuronosyltransferase activityUDP-glucuronosyltransferase 1A3Homo sapiens (human)
enzyme bindingUDP-glucuronosyltransferase 1A3Homo sapiens (human)
protein homodimerization activityUDP-glucuronosyltransferase 1A3Homo sapiens (human)
protein heterodimerization activityUDP-glucuronosyltransferase 1A3Homo sapiens (human)
G protein-coupled opioid receptor activityDelta-type opioid receptorHomo sapiens (human)
protein bindingDelta-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingDelta-type opioid receptorHomo sapiens (human)
G protein-coupled enkephalin receptor activityDelta-type opioid receptorHomo sapiens (human)
neuropeptide bindingDelta-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor activityKappa-type opioid receptorHomo sapiens (human)
protein bindingKappa-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingKappa-type opioid receptorHomo sapiens (human)
dynorphin receptor activityKappa-type opioid receptorHomo sapiens (human)
neuropeptide bindingKappa-type opioid receptorHomo sapiens (human)
G-protein alpha-subunit bindingMu-type opioid receptorBos taurus (cattle)
G protein-coupled receptor activityMu-type opioid receptorBos taurus (cattle)
voltage-gated calcium channel activityMu-type opioid receptorBos taurus (cattle)
morphine receptor activityMu-type opioid receptorBos taurus (cattle)
transcription cis-regulatory region bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
inward rectifier potassium channel activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
delayed rectifier potassium channel activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
protein bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
ubiquitin protein ligase bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
identical protein bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
protein homodimerization activityPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
C3HC4-type RING finger domain bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel activity involved in cardiac muscle cell action potential repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
scaffold protein bindingPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel activity involved in ventricular cardiac muscle cell action potential repolarizationPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
G protein-coupled receptor activityMas-related G-protein coupled receptor member X2Homo sapiens (human)
neuropeptide bindingMas-related G-protein coupled receptor member X2Homo sapiens (human)
mast cell secretagogue receptor activityMas-related G-protein coupled receptor member X2Homo sapiens (human)
G protein-coupled opioid receptor activitySigma non-opioid intracellular receptor 1Homo sapiens (human)
protein bindingSigma non-opioid intracellular receptor 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (62)

Processvia Protein(s)Taxonomy
plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
basal plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
membraneSolute carrier family 22 member 1 Homo sapiens (human)
basolateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
apical plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
lateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
presynapseSolute carrier family 22 member 1 Homo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
cytoplasmATP-dependent translocase ABCB1Homo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
cell surfaceATP-dependent translocase ABCB1Homo sapiens (human)
membraneATP-dependent translocase ABCB1Homo sapiens (human)
apical plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
extracellular exosomeATP-dependent translocase ABCB1Homo sapiens (human)
external side of apical plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
cytoplasmCytochrome P450 3A4Homo sapiens (human)
endoplasmic reticulum membraneCytochrome P450 3A4Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 3A4Homo sapiens (human)
cytoplasmAlpha-2A adrenergic receptorHomo sapiens (human)
plasma membraneAlpha-2A adrenergic receptorHomo sapiens (human)
basolateral plasma membraneAlpha-2A adrenergic receptorHomo sapiens (human)
neuronal cell bodyAlpha-2A adrenergic receptorHomo sapiens (human)
axon terminusAlpha-2A adrenergic receptorHomo sapiens (human)
presynaptic active zone membraneAlpha-2A adrenergic receptorHomo sapiens (human)
dopaminergic synapseAlpha-2A adrenergic receptorHomo sapiens (human)
postsynaptic density membraneAlpha-2A adrenergic receptorHomo sapiens (human)
glutamatergic synapseAlpha-2A adrenergic receptorHomo sapiens (human)
GABA-ergic synapseAlpha-2A adrenergic receptorHomo sapiens (human)
receptor complexAlpha-2A adrenergic receptorHomo sapiens (human)
plasma membraneAlpha-2A adrenergic receptorHomo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Mus musculus (house mouse)
plasma membraneProteinase-activated receptor 1Homo sapiens (human)
extracellular regionProteinase-activated receptor 1Homo sapiens (human)
early endosomeProteinase-activated receptor 1Homo sapiens (human)
late endosomeProteinase-activated receptor 1Homo sapiens (human)
Golgi apparatusProteinase-activated receptor 1Homo sapiens (human)
plasma membraneProteinase-activated receptor 1Homo sapiens (human)
caveolaProteinase-activated receptor 1Homo sapiens (human)
cell surfaceProteinase-activated receptor 1Homo sapiens (human)
platelet dense tubular networkProteinase-activated receptor 1Homo sapiens (human)
neuromuscular junctionProteinase-activated receptor 1Homo sapiens (human)
postsynaptic membraneProteinase-activated receptor 1Homo sapiens (human)
plasma membraneKappa-type opioid receptorMus musculus (house mouse)
endosomeMu-type opioid receptorHomo sapiens (human)
endoplasmic reticulumMu-type opioid receptorHomo sapiens (human)
Golgi apparatusMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
axonMu-type opioid receptorHomo sapiens (human)
dendriteMu-type opioid receptorHomo sapiens (human)
perikaryonMu-type opioid receptorHomo sapiens (human)
synapseMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
neuron projectionMu-type opioid receptorHomo sapiens (human)
endoplasmic reticulumUDP-glucuronosyltransferase 1A3Homo sapiens (human)
endoplasmic reticulum membraneUDP-glucuronosyltransferase 1A3Homo sapiens (human)
endoplasmic reticulumUDP-glucuronosyltransferase 1A3Homo sapiens (human)
plasma membraneDelta-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneDelta-type opioid receptorHomo sapiens (human)
dendrite membraneDelta-type opioid receptorHomo sapiens (human)
presynaptic membraneDelta-type opioid receptorHomo sapiens (human)
axon terminusDelta-type opioid receptorHomo sapiens (human)
spine apparatusDelta-type opioid receptorHomo sapiens (human)
postsynaptic density membraneDelta-type opioid receptorHomo sapiens (human)
neuronal dense core vesicleDelta-type opioid receptorHomo sapiens (human)
plasma membraneDelta-type opioid receptorHomo sapiens (human)
neuron projectionDelta-type opioid receptorHomo sapiens (human)
nucleoplasmKappa-type opioid receptorHomo sapiens (human)
mitochondrionKappa-type opioid receptorHomo sapiens (human)
cytosolKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
membraneKappa-type opioid receptorHomo sapiens (human)
sarcoplasmic reticulumKappa-type opioid receptorHomo sapiens (human)
T-tubuleKappa-type opioid receptorHomo sapiens (human)
dendriteKappa-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneKappa-type opioid receptorHomo sapiens (human)
presynaptic membraneKappa-type opioid receptorHomo sapiens (human)
perikaryonKappa-type opioid receptorHomo sapiens (human)
axon terminusKappa-type opioid receptorHomo sapiens (human)
postsynaptic membraneKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
neuron projectionKappa-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorMus musculus (house mouse)
endosomeMu-type opioid receptorBos taurus (cattle)
plasma membraneMu-type opioid receptorBos taurus (cattle)
axonMu-type opioid receptorBos taurus (cattle)
dendriteMu-type opioid receptorBos taurus (cattle)
perikaryonMu-type opioid receptorBos taurus (cattle)
synapseMu-type opioid receptorBos taurus (cattle)
plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
cell surfacePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
perinuclear region of cytoplasmPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
voltage-gated potassium channel complexPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
inward rectifier potassium channel complexPotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
plasma membranePotassium voltage-gated channel subfamily H member 2Homo sapiens (human)
membraneMas-related G-protein coupled receptor member X2Homo sapiens (human)
plasma membraneMas-related G-protein coupled receptor member X2Homo sapiens (human)
nuclear envelopeSigma non-opioid intracellular receptor 1Homo sapiens (human)
nuclear inner membraneSigma non-opioid intracellular receptor 1Homo sapiens (human)
nuclear outer membraneSigma non-opioid intracellular receptor 1Homo sapiens (human)
endoplasmic reticulumSigma non-opioid intracellular receptor 1Homo sapiens (human)
endoplasmic reticulum membraneSigma non-opioid intracellular receptor 1Homo sapiens (human)
lipid dropletSigma non-opioid intracellular receptor 1Homo sapiens (human)
cytosolSigma non-opioid intracellular receptor 1Homo sapiens (human)
postsynaptic densitySigma non-opioid intracellular receptor 1Homo sapiens (human)
membraneSigma non-opioid intracellular receptor 1Homo sapiens (human)
growth coneSigma non-opioid intracellular receptor 1Homo sapiens (human)
cytoplasmic vesicleSigma non-opioid intracellular receptor 1Homo sapiens (human)
anchoring junctionSigma non-opioid intracellular receptor 1Homo sapiens (human)
postsynaptic density membraneSigma non-opioid intracellular receptor 1Homo sapiens (human)
endoplasmic reticulumSigma non-opioid intracellular receptor 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (1504)

Assay IDTitleYearJournalArticle
AID1346411Rat kappa receptor (Opioid receptors)1993Proceedings of the National Academy of Sciences of the United States of America, Nov-01, Volume: 90, Issue:21
Cloning and pharmacological characterization of a rat kappa opioid receptor.
AID1346364Human mu receptor (Opioid receptors)1989Molecular pharmacology, Aug, Volume: 36, Issue:2
Multiple opioid receptors: ligand selectivity profiles and binding site signatures.
AID1346361Human delta receptor (Opioid receptors)1998NIDA research monograph, Mar, Volume: 178Standard binding and functional assays related to medications development division testing for potential cocaine and opiate narcotic treatment medications.
AID1346411Rat kappa receptor (Opioid receptors)1993The Biochemical journal, Nov-01, Volume: 295 ( Pt 3)Molecular cloning of a rat kappa opioid receptor reveals sequence similarities to the mu and delta opioid receptors.
AID1346329Human kappa receptor (Opioid receptors)1998NIDA research monograph, Mar, Volume: 178Standard binding and functional assays related to medications development division testing for potential cocaine and opiate narcotic treatment medications.
AID1346364Human mu receptor (Opioid receptors)1998NIDA research monograph, Mar, Volume: 178Standard binding and functional assays related to medications development division testing for potential cocaine and opiate narcotic treatment medications.
AID1346400Rat mu receptor (Opioid receptors)1994Molecular pharmacology, Feb, Volume: 45, Issue:2
Pharmacological characterization of the cloned kappa-, delta-, and mu-opioid receptors.
AID381216Antinociceptive activity against formalin-induced pain in ip dosed ddY mouse assessed as reduction of paw licking response during inflammatory phase pretreated for 10 mins before formalin challenge1999Journal of natural products, Sep, Volume: 62, Issue:9
Strong antinociceptive effect of incarvillateine, a novel monoterpene alkaloid from Incarvillea sinensis.
AID225862Minimal nontoxic dose in the mouse hot plate method by subcutaneous administration2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID1233270Ratio of ED50 for antinociceptive effect in C57BL/6 mouse by 55 degC Warm water tail withdrawal assay to ED50 for analgesic activity in C57BL/6 mouse by acetic acid writhing assay2015Journal of medicinal chemistry, Jun-25, Volume: 58, Issue:12
Parallel Synthesis of Hexahydrodiimidazodiazepines Heterocyclic Peptidomimetics and Their in Vitro and in Vivo Activities at μ (MOR), δ (DOR), and κ (KOR) Opioid Receptors.
AID1146236Narcotic antagonist activity in sc dosed rat by tail-flick test1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Synthesis and pharmacological activity of some N-alkyl-substituted 9alpha-ethyl-2'-hydroxy-5-methyl-6,7-benzomorphans.
AID239231Inhibition of [3H]U-69593 binding to Opioid receptor kappa 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID147956Binding affinity against opioid receptor kappa, in guinea pig brain membrane, using [3H]bremazocine as the radioligand.1991Journal of medicinal chemistry, Nov, Volume: 34, Issue:11
Structure/activity studies related to 2-(3,4-dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]acetamides: a novel series of potent and selective kappa-opioid agonists.
AID1731248Antinociceptive activity in Sprague-Dawley rat model assessed as effective dose administered subcutaneously and measured every 10 mins for 60 mins by radiant heat tail-flick test
AID507154Binding affinity to MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells coexpressing Gi protein assessed as inhibition of norepinephrine-induced Gi protein FRET signal2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID259397Selectivity for human kappa opioid receptor over mu opioid receptor2006Journal of medicinal chemistry, Jan-12, Volume: 49, Issue:1
Synthesis and preliminary in vitro investigation of bivalent ligands containing homo- and heterodimeric pharmacophores at mu, delta, and kappa opioid receptors.
AID1302033Antiallodynic activity in albino Swiss CD1 IGS mouse model of chronic constriction injury-induced neuropathic pain assessed as increase in mechanical threshold for paw withdrawal at 10 ug, it administered on day 7 to 16 after CCI surgery measured 30 mins 2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID224723Evaluated for the inhibition of [3H]DAGO binding to mu-receptor of guinea pig brain1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID1700438Antinociceptive activity in C57BL6 mouse model of thermal-induced nociception administered subcutaneously by warm water tail-flick assay2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Synthesis and Pharmacology of a Novel μ-δ Opioid Receptor Heteromer-Selective Agonist Based on the Carfentanyl Template.
AID150755Inhibition of P-glycoprotein using calcein-AM assay transfected in porcine PBCEC2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID730853Antinociceptive activity in Kunming mouse assessed as tail withdrawal latency at 2 mg/kg, iv after 15 to 20 mins by hot water tail-flick test relative to control2013Journal of medicinal chemistry, Apr-11, Volume: 56, Issue:7
Design, synthesis, and pharmacological characterization of novel endomorphin-1 analogues as extremely potent μ-opioid agonists.
AID1583478Displacement of [3H]diprenorphine from human DOR expressed in CHO cell membranes incubated for 1 hr by liquid scintillation counting assay2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID149784Binding affinity towards Opioid receptor delta 1 using [3H]DADLE as radioligand.1995Journal of medicinal chemistry, Apr-28, Volume: 38, Issue:9
Enantiomers of diastereomeric cis-N-[1-(2-hydroxy-2-phenylethyl)- 3-methyl-4-piperidyl]-N-phenylpropanamides: synthesis, X-ray analysis, and biological activities.
AID149480Activity was evaluated by inhibition of the binding of 1 nM [3H]DPDPE at Opioid receptor delta 1 binding site1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Asymmetric syntheses, opioid receptor affinities, and antinociceptive effects of 8-amino-5,9-methanobenzocyclooctenes, a new class of structural analogues of the morphine alkaloids.
AID1256155Antinociceptive activity in i.t dosed complete Freund's adjuvant-induced ICR-CD1 mouse mechanical hyperalgesia model by von Frey test2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID132774In vivo antinociceptive activity was determined upon subcutaneous administration in the mouse tail-flick test2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID320415Antinociceptive activity in sc dosed mouse by tail flick method2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1714476Antinociceptive activity in male B6-SJL mouse at 10 mg/kg, ip measured after 30 mins by warm water tail-flick assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID114390Tested for analgesic activity using writhing test in mice at 20 mg/kg upon subcutaneous administration1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
14-(Arylhydroxyamino)codeinones and derivatives as analgetics and antagonists.
AID1134079Induction of tolerance development in rat assessed as median foot shock required to elicit flinch-jump1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
Analgesic and tranquilizing activity of 5,8-disubstituted 1-tetralone Mannich bases.
AID330422Displacement of [3H]diprenorphine from recombinant kappa opioid receptor expressed in CHO cells2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID1456654Effect on human sperm motility at 10'-7 mol/L measured at 60 mins post dose by Makler counting chamber method (Rvb = 64.8 +/- 6.6%)
AID765833Activation of human MOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay relative to DAMGO2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID1123823Analgesic activity in mouse by hot plate test1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Aminotetralins as narcotic antagonists. Synthesis and opiate-related activity of 1-phenyl-2-aminotetralin derivatives.
AID169978Compound was evaluated for analgesic activity in Sprague-Dawley rats by tail-flick method relative to morphine.1984Journal of medicinal chemistry, Apr, Volume: 27, Issue:4
Analgesics of the orvinol type. 19-Deoxy and 6,20-epoxy derivatives.
AID462849Analgesic activity in ICR mouse assessed as increase in pain threshold variation at 20 umol/kg, ip administered as single dose measured after 30 mins by tail flick test2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
A class of novel Schiff's bases: Synthesis, therapeutic action for chronic pain, anti-inflammation and 3D QSAR analysis.
AID28938Liphophilic induce(log ki) value was measured in octanol-water system at PH 71991Journal of medicinal chemistry, Apr, Volume: 34, Issue:4
Morphine 6-glucuronide and morphine 3-glucuronide as molecular chameleons with unexpected lipophilicity.
AID1731273Toxicity in Sprague-Dawley rat model assessed as induction of respiratory depression at 10 mg/kg, sc
AID112329Evaluated for activity in hot plate method1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Some spiro analogues of the potent analgesic ketobemidone.
AID492605Analgesic activity in Sprague-Dawley rat assessed as tiem at which maximal effect was maintained at 5 mg/kg, ip by hot plate assay2010Journal of medicinal chemistry, Jun-24, Volume: 53, Issue:12
Identification and functional characterization of a stable, centrally active derivative of the neurotensin (8-13) fragment as a potential first-in-class analgesic.
AID476929Human intestinal absorption in po dosed human2010European journal of medicinal chemistry, Mar, Volume: 45, Issue:3
Neural computational prediction of oral drug absorption based on CODES 2D descriptors.
AID1809509Toxicity in C57BL/6 mouse model assessed as charcoal distance travel at 10 mg/kg, sc measured after 3 hrs by gastrointestinal transit assay (Rvb = 29.5 +/- 1 cm)2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID1057806Displacement of [3H]DADLE from delta opioid receptor in CHO cells at 10 uM after 120 mins relative to control2013Bioorganic & medicinal chemistry, Dec-15, Volume: 21, Issue:24
Pivaloylcodeine, a new codeine derivative, for the inhibition of morphine glucuronidation. An in vitro study in the rat.
AID129469Comparison of the antinociceptive agonist/antagonist profile of activity by hot plate test.(sc administration)1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
3-Alkyl ethers of clocinnamox: delayed long-term mu-antagonists with variable mu efficacy.
AID746228Antinociceptive activity in BALB/c mouse at 2 mg/kg, iv measured 30 mins post dose by tail flick test relative to vehicle-treated control2013European journal of medicinal chemistry, May, Volume: 63Synthesis, biological activity and resistance to proteolytic digestion of new cyclic dermorphin/deltorphin analogues.
AID114748Tested in vivo for the analgesic activity by measuring the inhibition of phenyl-p-quinone- induced writhing (PQW) in mice upon subcutaneous administration; 0.65-0.721980Journal of medicinal chemistry, Jul, Volume: 23, Issue:7
Synthesis and analgesic activity of some 5-(4-hydroxyphenyl)-2-azabicyclo[3.2.1]octanes.
AID150992In vitro potency was measured against human Opioid receptor mu 11998Journal of medicinal chemistry, Jul-02, Volume: 41, Issue:14
Synthesis and biological activity of a novel methylamine-bridged enkephalin analogue (MABE): a new route to cyclic peptides and peptidomimetics.
AID1700439Antinociceptive activity in Long Evans rat model of thermal-induced nociception assessed as increase in paw withdrawal latency administered intravenously by plantar test2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Synthesis and Pharmacology of a Novel μ-δ Opioid Receptor Heteromer-Selective Agonist Based on the Carfentanyl Template.
AID1149030Analgesic activity in sc dosed white mouse by hot plate method1976Journal of medicinal chemistry, Feb, Volume: 19, Issue:2
Synthesis and pharmacology of 2,9alpha-dimethyl-2'-hydroxy-6,7-benzomorphan.
AID150056Binding affinity using guinea pig brain membrane preparations, towards Opioid receptor delta 1 using [3H]DPDPE as radioligand2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID25850Phenolic pKa of compound1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID540218Clearance in monkey after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID678833TP_TRANSPORTER: transepithelial transport (basal to apical) in mdr1a-expressing LLC-PK1 cell1995The Journal of clinical investigation, Oct, Volume: 96, Issue:4
Absence of the mdr1a P-Glycoprotein in mice affects tissue distribution and pharmacokinetics of dexamethasone, digoxin, and cyclosporin A.
AID25848Amine pKa of compound with 0.15 M NaCl1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID1714380Antinociceptive activity in mouse model of CFA-induced chronic inflammatory pain assessed as reduction in tactile hyperalgesia at 3 nmol, icv after 15 to 90 mins2016Journal of medicinal chemistry, 11-23, Volume: 59, Issue:22
Structure-Based Optimization of Multifunctional Agonists for Opioid and Neuropeptide FF Receptors with Potent Nontolerance Forming Analgesic Activities.
AID240437Maximum efficacy for [35S]GTP-gamma-S, binding to Opioid receptor kappa 1; no data2004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID114398Tested for antagonistic activity using Straub tail test in mice at 20 mg/kg upon subcutaneous administration; Inactive1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
14-(Arylhydroxyamino)codeinones and derivatives as analgetics and antagonists.
AID149012Displacement of [3H]DAGO from mu opioid receptors in guinea pig brain (minus cerebellum).1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
(2S)-1-(arylacetyl)-2-(aminomethyl)piperidine derivatives: novel, highly selective kappa opioid analgesics.
AID189705Compound was evaluated for relative analgesic potency in Sprague-Dawley rat1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Analgesics of the 6,14-ethenomorphinan type. 6-deoxy-7 alpha-orvinols and 6-deoxy-8 alpha-orvinols.
AID1587569Displacement of [3H]DAMGO from mu opioid receptor in guinea pig brain membranes after 120 mins by scintillation counting analysis
AID147959Compound was evaluated for the opioid receptor kappa affinity using guinea pig brain membranes.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
2-(3,4-Dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]-acetamides: the use of conformational analysis in the development of a novel series of potent opioid kappa agonists.
AID1526732Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.1 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID150234Inhibition of Opioid receptors with [3H]naloxone binding in the absence of NaCl1980Journal of medicinal chemistry, Sep, Volume: 23, Issue:9
Synthesis and biological activity of fluoroalkylamine derivatives of narcotic analgesics.
AID1629784Antinociceptive activity in CD-1 mouse assessed as increase in reaction time at 0.75 ug, icv administered on day 6 after MOR1-exon1 antisense oligodeoxynucleotide injection on day 1, 3 and 5 by radiant heat tail flick assay2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID125446Antinociceptive activity determined in vivo in tail flick assay in male Swiss mice with 0.2 mg/kg Naloxone1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID224085Antinociceptive effect expressed as licking latency determined at 8 mg/kg after 60 minutes of subcutaneous administration in the mouse hotplate test2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID108682Area under the antinociceptive effect time curve after 4 mg/kg administration in mice.2003Bioorganic & medicinal chemistry letters, Mar-24, Volume: 13, Issue:6
Structure-activity relationships of some opiate glycosides.
AID1574664Displacement of [3H]DAMGO from MOR in guinea pig brain membranes after 120 mins by scintillation counting method2019Journal of medicinal chemistry, 01-24, Volume: 62, Issue:2
Development of Novel Quinoxaline-Based κ-Opioid Receptor Agonists for the Treatment of Neuroinflammation.
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID1714468Agonist activity at human kappa opiod receptor expressed in CHO-K1 cells assessed as increase in forskolin induced cAMP production measured after 30 mins by HitHunter luminescence based assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID624654Inhibition of codeine glucuronidation by human UGT enzymes from liver microsomes2005Pharmacology & therapeutics, Apr, Volume: 106, Issue:1
UDP-glucuronosyltransferases and clinical drug-drug interactions.
AID1149608Analgesic activity in sc dosed mouse assessed as inhibition of phenylquinone-induced writhing1977Journal of medicinal chemistry, Mar, Volume: 20, Issue:3
Narcotic antagonists. Synthesis and evaluation of some subsituted 1,2,3,4,5,6-hexahydro-1,4:2,6-dimethano-3-benzazocines.
AID1358128Displacement of [3H]diprenorphine from human DOR expressed in African green monkey COS1 cell membranes incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID1386864Agonist activity at human mu opioid receptor expressed in human USOS-beta-arrestin-hMOR-PathHunter cells incubated for 90 mins by beta-arrestin-2 enzyme fragment complementation assay2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID1700436Antinociceptive activity in CD-1 mouse model of thermal-induced nociception administered subcutaneously by warm water tail-flick assay2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Synthesis and Pharmacology of a Novel μ-δ Opioid Receptor Heteromer-Selective Agonist Based on the Carfentanyl Template.
AID148367Inhibition of binding of [3H]diprenorphine to cloned human Opioid receptor delta 1 expressed in CHO cell membrane;Range is between (63-360)2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID28939Liphophilic induce(log ki) value was measured in octanol-water system at PH 81991Journal of medicinal chemistry, Apr, Volume: 34, Issue:4
Morphine 6-glucuronide and morphine 3-glucuronide as molecular chameleons with unexpected lipophilicity.
AID150751Inhibition of P-glycoprotein using ATPase in MDR1 membranes2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID729037Agonist activity at human KOR expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding after 1 hr by liquid scintillation counting analysis2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID1781407Displacement of [3H]U69,593 from human kappa opioid receptor expressed in CHO cell membrane measured after 30 mins by liquid scintillation counting method2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID410726Ratio of Ki for mu opioid receptor to Ki for kappa opioid receptor in guinea pig brain2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID496818Antimicrobial activity against Trypanosoma brucei brucei2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1581747Antinociceptive activity in Sprague-Dawley rat dosed intravenously using cumulative dosing every 5 mins until rat maxed-out on hot plate co-treated with 0.1 mg/kg naltrexone by hot plate test2020Journal of medicinal chemistry, 01-09, Volume: 63, Issue:1
Investigation of the Adrenergic and Opioid Binding Affinities, Metabolic Stability, Plasma Protein Binding Properties, and Functional Effects of Selected Indole-Based Kratom Alkaloids.
AID148190Relative affinity evaluated for Opioid receptor mu 12002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID603514Selectivity ratio of Ki for kappa opioid receptor in guinea pig cerebellum homogenates to Ki for mu opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID443811Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Synthesis and opioid activity of enantiomeric N-substituted 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolines.
AID136966In vivo analgesic potency in mice compared to morphine after s.c. administration.1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID225351Antinociceptive activity determined in mouse tail flick assay 30 min after sc injection (peak effect)1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID1138784Toxicity in ICR mouse assessed as increase in global effect at 10 mg/kg, sc administered every 2 days for 6 days measured 24 hrs post last dose during conditioning training2014Bioorganic & medicinal chemistry, Apr-15, Volume: 22, Issue:8
Designing bifunctional NOP receptor-mu opioid receptor ligands from NOP-receptor selective scaffolds. Part II.
AID25846Amine pKa of compound1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID514204Displacement of [3H]DAMGO from mu opioid receptor in rat brain membrane2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Morphinans and isoquinolines: acetylcholinesterase inhibition, pharmacophore modeling, and interaction with opioid receptors.
AID1809512Toxicity in C57BL/6 mouse model assessed as respiratory depression at 30 mg/kg, sc2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID149864Inhibitory potency against Opioid receptor mu 1 in longitudinal muscle preparation of guinea pig ileum1981Journal of medicinal chemistry, Oct, Volume: 24, Issue:10
Evidence of the preferential involvement of mu receptors in analgesia using enkephalins highly selective for peripheral mu or delta receptors.
AID148653Inhibitory potency against delta Opioid receptor delta 1 in longitudinal muscle preparation of mouse vas deferens1981Journal of medicinal chemistry, Oct, Volume: 24, Issue:10
Evidence of the preferential involvement of mu receptors in analgesia using enkephalins highly selective for peripheral mu or delta receptors.
AID695715Selectivity ratio of Ki for kappa-opioid receptor to Ki for mu-opioid receptor2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID357084Antinociceptive effect in sc dosed sickle cell anemic NY1DD transgenic mouse after 60 mins by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID1487517Antinociceptive activity in formalin-induced Sprague-Dawley rat assessed as reduction in flinching at 3 mg/kg, sc pretreated for 30 mins followed by formalin addition measured for 60 mins relative to control2017Bioorganic & medicinal chemistry letters, 08-15, Volume: 27, Issue:16
Discovery of a biarylamide series of potent, state-dependent Na
AID443807Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Synthesis and opioid activity of enantiomeric N-substituted 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolines.
AID410723Displacement of [3H]DAMGO form mu opioid receptor in guinea pig brain2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID765836Agonist activity at mouse MOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID149189Affinity for opioid receptor delta sites1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
(1S)-1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinoline and heterocycle-condensed tetrahydropyridine derivatives: members of a novel class of very potent kappa opioid analgesics.
AID28934Liphophilic induce(log ki) value was measured in octanol-water system at PH 31991Journal of medicinal chemistry, Apr, Volume: 34, Issue:4
Morphine 6-glucuronide and morphine 3-glucuronide as molecular chameleons with unexpected lipophilicity.
AID577089Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as potentiation of U69593-induced [35S]GTPgammaS binding after 60 mins2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID114491Compound was administered subcutaneously and was evaluated for opioid agonist activity by antinociceptive hotplate (HP) assay in mice,1984Journal of medicinal chemistry, Apr, Volume: 27, Issue:4
Racemic and optically active 2,9-dimethyl-5-(m-hydroxyphenyl)morphans and pharmacological comparison with the 9-demethyl homologues.
AID112916Analgesic activity in mice after oral administration in writhing assay; 1.40-4.451985Journal of medicinal chemistry, Sep, Volume: 28, Issue:9
Acylmorphinans. A novel class of potent analgesic agents.
AID148021In vitro binding affinity at opioid receptor kappa 1 was determined in human CHO cells using [3H]U-695932003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID695711Displacement of [3H]DAMGO from mu-opioid receptor expressed in CHOK1 cells after overnight incubation by scintillation proximity assay2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1286264Antinociceptive activity in Wistar rat model of chronic constriction injury-induced neuropathic pain assessed as reduction in hyperalgesia at 3.5 nmol dosed on day7 after tolerance development with compound12 dosed at 0.8 nmol, it QD for 6 days by cold pl2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID1136764Analgetic activity against CF-1 mouse assessed as increase in reaction time at 16 mg/kg, po by heat stimulus induced tail flick response assay1979Journal of medicinal chemistry, May, Volume: 22, Issue:5
Syntheses, analgetic activity, and physical dependence capacity of 5-phenyl-6,7-benzomorphan derivatives.
AID577078Displacement of [3H][Ile5,6]deltorphin 2 from delta opioid receptor in Sprague-Dawley rat brain membrane by liquid scintillation counting2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID187630The compound was tested for relative analgesic potency with respect to the potency of morphine1987Journal of medicinal chemistry, Nov, Volume: 30, Issue:11
Nitrogen-bridged conformationally constrained etorphine analogues. Synthesis and biological evaluation.
AID624609Specific activity of expressed human recombinant UGT1A62000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID228952Molar potency (1/IC50) in the guinea pig ileum divided by its potency in the mouse vas deferens.1982Journal of medicinal chemistry, Jun, Volume: 25, Issue:6
Synthesis, X-ray crystallographic determination, and opioid activity of erythro-5-methylmethadone enantiomers. Evidence which suggests that mu and delta opioid receptors possess different stereochemical requirements.
AID298637Antinociceptive activity in mouse by tail flick assay2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID444097Antinociceptive activity against acetic acid-induced writhing response in iv dosed CD1 mouse after 20 mins2009Bioorganic & medicinal chemistry letters, Nov-01, Volume: 19, Issue:21
N,N-Diethyl-4-[(3-hydroxyphenyl)(piperidin-4-yl)amino] benzamide derivatives: the development of diaryl amino piperidines as potent delta opioid receptor agonists with in vivo anti-nociceptive activity in rodent models.
AID193075Duration to produce analgesic activity was measured in rats by tail withdrawal reflex test (TWR), administered by intravenous at peak time 30 min (2 X MED50 dose)1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID238336Binding affinity for rat brain opioid receptor delta 12005Bioorganic & medicinal chemistry letters, Feb-01, Volume: 15, Issue:3
Studies on the structure-activity relationship of 2',6'-dimethyl-l-tyrosine (Dmt) derivatives: bioactivity profile of H-Dmt-NH-CH(3).
AID1145240Analgesic activity in po dosed Charles River rat by tail flick test1976Journal of medicinal chemistry, Apr, Volume: 19, Issue:4
Analgesic agents. 3. New bridged aminotetralins.
AID76238Opioid agonist activity was measured by Anti-Straub tail (AST) test after subcutaneous administration in guinea pig ilium1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID1196098Antiallodynic effect in Wistar rat chronic constriction injury model assessed as cross tolerance developement pretreated with H-Dmt-D-Arg-Aba-beta-Ala-NMe-Bn at 1 nmol, it qd for 6 days administered from 7 days post CCI challenge to day 13 measured 30 min2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID1536329Antiallodynic activity in carrageenan-induced Kunming mouse model of mechanical hyperalgesia administered as intrathecal injection after 10 to 90 mins by Von Frey filament assay
AID327877Activation of human mu opioid receptor expressed in HEK293a cells co-expressing YFP-labelled alphai1 and CFP-labelled beta1gamma2 Gi subunits assessed as Gi protein activation by fluorescence resonance energy transfer2007The Journal of biological chemistry, Sep-14, Volume: 282, Issue:37
Live cell monitoring of mu-opioid receptor-mediated G-protein activation reveals strong biological activity of close morphine biosynthetic precursors.
AID129464Comparison of the antinociceptive agonist/antagonist profile of activity by Phenylquinone-abdominal stretch test.(sc administration)1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
3-Alkyl ethers of clocinnamox: delayed long-term mu-antagonists with variable mu efficacy.
AID1276156Antinociceptive activity in ip dosed Kunming mouse model of acute pain assessed as inhibition of acetic acid-induced writhes administered 30 mins prior to acetic acid challenge measured for 30 mins2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Antinociceptive Grayanoids from the Roots of Rhododendron molle.
AID132770In vivo antinociceptive activity in mice by using hot plate test after subcutaneous administration1992Journal of medicinal chemistry, Feb-21, Volume: 35, Issue:4
Systemic analgesic activity and delta-opioid selectivity in [2,6-dimethyl-Tyr1,D-Pen2,D-Pen5]enkephalin.
AID1233292Antinociceptive effect in po dosed C57BL/6 mouse assessed as tail withdrawal latency measured up to 2 hrs by 55 degC Warm water tail withdrawal assay2015Journal of medicinal chemistry, Jun-25, Volume: 58, Issue:12
Parallel Synthesis of Hexahydrodiimidazodiazepines Heterocyclic Peptidomimetics and Their in Vitro and in Vivo Activities at μ (MOR), δ (DOR), and κ (KOR) Opioid Receptors.
AID299510Analgesic activity against formalin-induced inflammatory pain in iv dosed mouse2007Bioorganic & medicinal chemistry letters, Jul-15, Volume: 17, Issue:14
2-Arylimino-5,6-dihydro-4H-1,3-thiazines as a new class of cannabinoid receptor agonists. Part 2: orally bioavailable compounds.
AID416544Analgesic activity in NMRI mouse assessed as reaction time taken to lick fore paw at 8 mg/kg, ip after 15 mins of administration by hot plate test2009Bioorganic & medicinal chemistry, Mar-15, Volume: 17, Issue:6
Novel antagonists of serotonin-4 receptors: synthesis and biological evaluation of pyrrolothienopyrazines.
AID134210Antinociceptive activity determined in vivo in tail flick assay in male Swiss mice with saline1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID330418Effect on human recombinant Pgp-mediated ATP consumption assessed as increase in ATPase activity at 200 uM by Pgp-Glo assay2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID111670The compound was evaluated for the morphine-like behavioral effects. '+' indicates increase in the locomotor activity.1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID1543166Analgesic activity in Kunming mouse model of acetic-acid-induced writhing assessed as inhibition of writhing numbers at 0.04 mg/kg measured for 30 mins relative to control
AID132843Irreversible antagonistic potency in mouse vas deferens (MVD)1983Journal of medicinal chemistry, Sep, Volume: 26, Issue:9
Importance of C-6 chirality in conferring irreversible opioid antagonism to naltrexone-derived affinity labels.
AID296733Agonist activity at human mu opioid receptor expressed in CHO cells by [35S]GTP-gamma-S assay relative to DAMGO2007Journal of medicinal chemistry, Aug-09, Volume: 50, Issue:16
Probes for narcotic receptor mediated phenomena. 34. Synthesis and structure-activity relationships of a potent mu-agonist delta-antagonist and an exceedingly potent antinociceptive in the enantiomeric C9-substituted 5-(3-hydroxyphenyl)-N-phenylethylmorph
AID1714467Agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as increase in forskolin induced cAMP production measured after 30 mins by HitHunter luminescence based assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID241773In vitro agonistic activity against opioid receptor delta of mouse vas deferens2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID131725Effective dose for the inhibition of acetylcholine induced mouse abdominal contriction was determined in vivo1992Journal of medicinal chemistry, Jan, Volume: 35, Issue:1
Synthesis, antinociceptive activity, and opioid receptor profiles of substituted trans-3-(decahydro- and octahydro-4a-isoquinolinyl)phenols.
AID151137Compound was tested for irreversible antagonist activity at Opioid receptor mu 1 by determining by MVD response1984Journal of medicinal chemistry, Oct, Volume: 27, Issue:10
Design and synthesis of naltrexone-derived affinity labels with nonequilibrium opioid agonist and antagonist activities. Evidence for the existence of different mu receptor subtypes in different tissues.
AID149367Evaluation for the ability of delta opioid to protect the [3H]-DAMGO binding site from alkylation1994Journal of medicinal chemistry, May-27, Volume: 37, Issue:11
14 alpha,14' beta-[Dithiobis[(2-oxo-2,1-ethanediyl)imino]]bis (7,8-dihydromorphinone) and 14 alpha,14' beta-[dithiobis[(2-oxo-2,1- ethanediyl)imino]]bis[7,8-dihydro-N-(cyclopropylmethyl)normorphinone]: chemistry and opioid binding properties.
AID148712Binding affinity for Opioid receptor kappa 1 was determined.2002Bioorganic & medicinal chemistry letters, Nov-04, Volume: 12, Issue:21
Synthesis and structure--activity relationship of novel aminotetralin derivatives with high micro selective opioid affinity.
AID149481Binding affinity towards Opioid receptor delta 11992Journal of medicinal chemistry, May-01, Volume: 35, Issue:9
Phenylmorphans and analogues: opioid receptor subtype selectivity and effect of conformation on activity.
AID443808Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to 1 uM DAMGO2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Synthesis and opioid activity of enantiomeric N-substituted 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolines.
AID129472Comparison of the antinociceptive agonist/antagonist profile of activity by tail flick test.(sc administration)1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
3-Alkyl ethers of clocinnamox: delayed long-term mu-antagonists with variable mu efficacy.
AID19243Partition coefficient of anion (logD)1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID754479Inhibition of gastrointestinal transit of charcoal meal in rat at 55.2 mg/kg, po2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID1820184Analgesic activity in NPFF induced C57BL/6N mouse model of analgesia at 1.5 nmol, icv2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Identification of an
AID1812978Agonist activity at DOR (unknown origin) expressed in HEK293-A cells assessed as inhibition of forskolin-induced cAMP accumulation preincubated for 30 mins in presence of 3-isobutyl-1-methylxanthine followed by forskolin and compound addition by competiti2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID507147Activation of alpha2A adrenergic receptor-FLASH/CFP expressed in HEK293 cells assessed as FRET signal at 50 uM in presence of norepinephrine2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID19262Aqueous solubility2000Bioorganic & medicinal chemistry letters, Jun-05, Volume: 10, Issue:11
Prediction of drug solubility from Monte Carlo simulations.
AID1146188Displacement of [3H]-naloxone from rat opioid receptor after 30 mins by liquid scintillation counting analysis in presence of NaCl1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Analgesics. 1. Synthesis and analgesic properties of N-sec-alkyl- and N-tert-alkylnormorphines.
AID467613Volume of distribution at steady state in human2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Prediction of volume of distribution values in human using immobilized artificial membrane partitioning coefficients, the fraction of compound ionized and plasma protein binding data.
AID1813065Antinociceptive activity against Kunming mouse model of thermal-induced nociception assessed as prolongation of tail-flick latency period at 264 umol/kg, po measured up to 240 mins by tail-flick test2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID1188143Displacement of [3H]DAMGO from mu opioid receptor in rat brain membranes2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID25847Amine pKa of compound with 0.001 M NaCl1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID224966Compound was tested for inhibition of Freund's adjuvant-induced polyarthritis in rats2000Bioorganic & medicinal chemistry letters, Apr-17, Volume: 10, Issue:8
Novel 3-(4-piperidinylthio)-1H-indoles as potent nonopioid orally active central analgesics.
AID149667Binding affinity of compound evaluated for Opioid receptor delta 1 isolated from rat brain2003Journal of medicinal chemistry, Feb-13, Volume: 46, Issue:4
3-(alphaR)-alpha-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3-hydroxybenzyl)-N-alkyl-N-arylbenzamides: potent, non-peptidic agonists of both the micro and delta opioid receptors.
AID603513Displacement of [3H]-U69593 from kappa opioid receptor in guinea pig cerebellum homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID131044Compound was tested in vivo by a mouse tail-flick assay after intracerebroventricular (icv) injection1997Journal of medicinal chemistry, Aug-29, Volume: 40, Issue:18
Synthesis and pharmacological activity of deltorphin and dermorphin-related glycopeptides.
AID132772In vivo antinociceptive activity was determined upon subcutaneous administration in the mouse paraphenylquinone writhing test2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID107611Compound was tested in vivo for narcotic antagonist activity (dose in sc, mg/kg) in mice using tail flick antagonism assay; I =inactive at 1, 10, 30 mg/kg1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparison of (-)-eseroline with (+)-eseroline and dihydroseco analogues in antinociceptive assays: confirmation of rubreserine structure by X-ray analysis.
AID1433426Antinociceptive activity in CD-1 mouse mechanical stimulus-induced nociception model assessed as struggle response latency at 8 mg/kg, sc administered 30 mins prior to test in presence of centrally penetrant opioid antagonist Nx by paw pressure test
AID240113Stimulation of [35S]GTP-gamma-S, binding at Opioid receptor delta 1; no data2004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID695713Displacement of [3H]diprenorphine from kappa-opioid receptor expressed in CHOK1 cells after overnight incubation by scintillation proximity assay2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID147865In vitro binding affinity against cloned human Opioid receptor kappa 1 expressed in HEK 293S cells2003Journal of medicinal chemistry, Jan-02, Volume: 46, Issue:1
The power of visual imagery in drug design. Isopavines as a new class of morphinomimetics and their human opioid receptor binding activity.
AID113188In vivo antinociceptive potency determined in tail-flick test in mice2003Journal of medicinal chemistry, Sep-11, Volume: 46, Issue:19
Synthesis and biological evaluation of 14-alkoxymorphinans. 20. 14-phenylpropoxymetopon: an extremely powerful analgesic.
AID133448Percent MPE was evaluated in mouse tail withdrawal assay1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
3-Alkyl ethers of clocinnamox: delayed long-term mu-antagonists with variable mu efficacy.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID137101Relative potency was determined for the compound with respect to morphine activity (1) after subcutaneous administration1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID148625Evaluated the ability to protect against the irreversible antagonism of morphines effects by beta-FNA in guinea pig ileal longitudinal muscle.1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID507150Binding affinity to MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells assessed as inhibition of 50 uM norepinephrine-induced alpha2 receptor activation by confermational change2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID425653Renal clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID246131Inhibition of isolated guinea pig ileum contraction induced by electrical stimulation2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Morphiceptin analogues containing a dipeptide mimetic structure: an investigation on the bioactive topology at the mu-receptor.
AID178675Antinociceptive activity of compound was assessed by employing the haffner tail-clip in rats test after sc administration1981Journal of medicinal chemistry, Jan, Volume: 24, Issue:1
Synthesis and stereochemistry of 7-phenyl-2-propionanilidobenzo[a]quinolizidine derivatives. Structural probes of fentanyl analgesics.
AID779591Analgesic effect in mouse at 6 mg/kg, sc after 30 mins by hot plate assay2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
Structure-activity relationships and discovery of a G protein biased μ opioid receptor ligand, [(3-methoxythiophen-2-yl)methyl]({2-[(9R)-9-(pyridin-2-yl)-6-oxaspiro-[4.5]decan-9-yl]ethyl})amine (TRV130), for the treatment of acute severe pain.
AID181597Analgesic effect on rats after 30 mins of 5 mg/kg administration; value ranges from 60-70%2004Bioorganic & medicinal chemistry letters, Feb-23, Volume: 14, Issue:4
A highly toxic morphine-3-glucuronide derivative.
AID320413Antinociceptive activity in sc dosed mouse by hot plate method2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1302055Antiallodynic activity in albino Swiss CD1 IGS mouse model of chronic constriction injury-induced neuropathic pain assessed as increase in mechanical threshold for paw withdrawal at >10 ug, it administered on day 7 to 16 after CCI surgery measured 30 mins2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID225536In vivo antinociceptive activity was determined using mouse hot plate test following subcutaneous administration1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1488864Antinociceptive activity in rat assessed as reduction in response to heat administered ip measured 60 mins post dose by tail-flick test
AID131903Effective dose in mice by tail pinch test2000Bioorganic & medicinal chemistry letters, Apr-17, Volume: 10, Issue:8
Novel 3-(4-piperidinylthio)-1H-indoles as potent nonopioid orally active central analgesics.
AID1808016Toxicity in Kunming mouse model assessed as conditioned place preference time at 10 micromol/kg, sc2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID132837Inhibitory effect was measured on mouse vas deferens1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Pseudopeptide analogues of substance P and leucine enkephalinamide containing the psi (CH2O) modification: synthesis and biological activity.
AID298649Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding relative to DAMGO2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID232583Ratio of ED50 value administered subcutaneously to that of perorally.2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Synthesis and structure-activity relationships of an orally available and long-acting analgesic peptide, N(alpha)-amidino-Tyr-D-Arg-Phe-MebetaAla-OH (ADAMB).
AID300420Analgesic activity in mouse assessed as inhibition of hind paw lick at 10 mg/kg, ip by hot plate test2007Bioorganic & medicinal chemistry, Sep-01, Volume: 15, Issue:17
1-Acylthiosemicarbazides, 1,2,4-triazole-5(4H)-thiones, 1,3,4-thiadiazoles and hydrazones containing 5-methyl-2-benzoxazolinones: synthesis, analgesic-anti-inflammatory and antimicrobial activities.
AID232587Ratio of ED50 with/without Naloxone (0.2 mg/kg) after simultaneous injection of drug1985Journal of medicinal chemistry, Nov, Volume: 28, Issue:11
Novel nonnarcotic analgesics with an improved therapeutic ratio. Structure-activity relationships of 8-(methylthio)- and 8-(acylthio)-1,2,3,4,5,6-hexahydro-2,6-methano-3-benzazocines.
AID1138787Antinociceptive activity in ICR mouse assessed as thermal-stimulus induced tail flick latency at 3 to 10 mg/kg, sc measured up to 4 hrs relative to control2014Bioorganic & medicinal chemistry, Apr-15, Volume: 22, Issue:8
Designing bifunctional NOP receptor-mu opioid receptor ligands from NOP-receptor selective scaffolds. Part II.
AID128023Compound was tested for analgesia in mouse writhing assay by subcutaneous administration1980Journal of medicinal chemistry, Dec, Volume: 23, Issue:12
Analgesic narcotic antagonists. 4. 7-Methyl-N-(cycloalkylmethyl)-3-hydroxymorphinan-6-ones and -isomorphinan-6-ones.
AID441185Antinociceptive activity against thermal nociception in po dosed CD1 mouse assessed as increase in latency period to elicit jumping or hind paw licking measured after 15 to 90 mins postdose by hot plate method2009Journal of medicinal chemistry, Dec-10, Volume: 52, Issue:23
Further studies on arylpiperazinyl alkyl pyridazinones: discovery of an exceptionally potent, orally active, antinociceptive agent in thermally induced pain.
AID1714472Selectivity ratio of EC50 for agonist activity at human kappa opiod receptor expressed in CHO-K1 cells to EC50 for agonist activity at human mu opiod receptor expressed in CHO-K1 cells2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID389665Antinociceptive activity in sc dosed mouse assessed as inhibition of acetic acid-induced writhing administered 15 mins before acetic acid challenge2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID1432901Antinociceptive activity in C57BL6/J mouse assessed as analgesia at 5 mg/kg, ip measured after 120 mins by tail flick test (Rvb = -8%)2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID222752activity evaluated by its ability to inhibit the electrically induced twitch contraction in guinea pig ileum, which is reversed by naloxone (300 nM)2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID147902Binding affinities against Opioid receptor mu 1 of guinea pig brain membrane using [3H]DAGO as the radioligand using competition binding assays.1990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID1685508Bias factor, ratio of biased agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as stimulation of beta-arrestin2 EFC recruitment to biased agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as inhibi2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID107606Compound was tested in vivo for narcotic agonist activity (dose in sc, mg/kg) in mice using tail flick assay1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparison of (-)-eseroline with (+)-eseroline and dihydroseco analogues in antinociceptive assays: confirmation of rubreserine structure by X-ray analysis.
AID149837Relative affinity evaluated for Opioid receptor kappa 12002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID80149Potency to inhibit electrically induced contraction of guinea pig ileum(GPI) relative to [Leu5]-enkephalin.1992Journal of medicinal chemistry, Oct-30, Volume: 35, Issue:22
Synthesis and conformational properties of the lanthionine-bridged opioid peptide [D-AlaL2,AlaL5]enkephalin as determined by NMR and computer simulations.
AID496820Antimicrobial activity against Trypanosoma brucei2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID296752Antinociceptive activity in mouse assessed after 30 to 40 mins at 1 mg/kg by warm water tail flick test2007Journal of medicinal chemistry, Aug-09, Volume: 50, Issue:16
Probes for narcotic receptor mediated phenomena. 34. Synthesis and structure-activity relationships of a potent mu-agonist delta-antagonist and an exceedingly potent antinociceptive in the enantiomeric C9-substituted 5-(3-hydroxyphenyl)-N-phenylethylmorph
AID147979Displacement of [3H]U-69593 from kappa opioid receptors in guine pig brain (minus cerebellum).1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
(2S)-1-(arylacetyl)-2-(aminomethyl)piperidine derivatives: novel, highly selective kappa opioid analgesics.
AID467611Dissociation constant, pKa of the compound2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Prediction of volume of distribution values in human using immobilized artificial membrane partitioning coefficients, the fraction of compound ionized and plasma protein binding data.
AID180157Effective dose was measured by using rat tail flick assay after subcutaneous administration1980Journal of medicinal chemistry, Feb, Volume: 23, Issue:2
Analgesic narcotic antagonists. 2. 8-Alkymorphinan-6-ones.
AID114308Antinociceptive activity in mice was determined using PBQ assay.2002Bioorganic & medicinal chemistry letters, Nov-04, Volume: 12, Issue:21
Synthesis and structure--activity relationship of novel aminotetralin derivatives with high micro selective opioid affinity.
AID604023Ratio of total drug level in brain to plasma in Sprague-Dawley rat administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID349685Toxicity in Sprague-Dawley rat assessed as depression of mean arterial blood pressure at 1 mg/kg, iv administered for 60 secs measured for 30 mins2009Journal of medicinal chemistry, May-14, Volume: 52, Issue:9
Synthesis, conformation, and biological characterization of a sugar derivative of morphine that is a potent, long-lasting, and nontolerant antinociceptive.
AID327878Displacement of [3H]naloxone from human mu poioid receptor expressed in HEK293 cells2007The Journal of biological chemistry, Sep-14, Volume: 282, Issue:37
Live cell monitoring of mu-opioid receptor-mediated G-protein activation reveals strong biological activity of close morphine biosynthetic precursors.
AID754485Selectivity ratio of Ki for mu opioid receptor in Dunkin-Hartley guinea pig brain over Ki for kappa opioid receptor in Dunkin-Hartley guinea pig brain2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID129468Comparison of the antinociceptive agonist/antagonist profile of activity by Tail Flick vs morphine test.(sc administration) inactive up to 30 mg/kg1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
3-Alkyl ethers of clocinnamox: delayed long-term mu-antagonists with variable mu efficacy.
AID706567Antinociceptive effect in rat assessed as reduction in paw licking during first phase (0 to 10 mins) at 3 mg/kg, po administered 30 mins before formalin challenge by formalin test2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Discovery and pharmacological profile of new 1H-indazole-3-carboxamide and 2H-pyrrolo[3,4-c]quinoline derivatives as selective serotonin 4 receptor ligands.
AID1655296Antihyperalgesic activity in sc dosed PGE2-induced CD1 mouse model of thermal hyperalgesia assessed as increase in paw withdrawl latency pretreated with compound for 20 mins before PGE2 stimulation for 10 mins by radiant heat tail-flick method
AID1526806Unbound maximal portal vein concentration of in human at 10 mg, po dosed as immediate release formulation2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID357082Antinociceptive effect in icv dosed sickle cell anemic NY1DD transgenic mouse after 10 mins by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID679084TP_TRANSPORTER: transepithelial transport of Morphine at a concentration of 1 uM in MDR1-expressing MDCK cells2003Pharmaceutical research, Aug, Volume: 20, Issue:8
Novel experimental parameters to quantify the modulation of absorptive and secretory transport of compounds by P-glycoprotein in cell culture models of intestinal epithelium.
AID1233290Antinociceptive effect in icv dosed C57BL/6 mouse assessed as tail withdrawal latency measured up to 2 hrs by 55 degC Warm water tail withdrawal assay2015Journal of medicinal chemistry, Jun-25, Volume: 58, Issue:12
Parallel Synthesis of Hexahydrodiimidazodiazepines Heterocyclic Peptidomimetics and Their in Vitro and in Vivo Activities at μ (MOR), δ (DOR), and κ (KOR) Opioid Receptors.
AID669684Displacement of [3H]DAMGO from human mu opioid receptor expressed in HEK-293 cells by scintillation counting2012ACS medicinal chemistry letters, Mar-08, Volume: 3, Issue:3
NOpiates: Novel Dual Action Neuronal Nitric Oxide Synthase Inhibitors with μ-Opioid Agonist Activity.
AID327868Activation of human mu opioid receptor expressed in HEK293a cells coexpressing YFP-labelled alphai1 and CFP-labelled beta1gamma2 Gi subunits assessed as decrease in fluorescence resonance energy transfer signal at 10 uM2007The Journal of biological chemistry, Sep-14, Volume: 282, Issue:37
Live cell monitoring of mu-opioid receptor-mediated G-protein activation reveals strong biological activity of close morphine biosynthetic precursors.
AID730852Antinociceptive activity in Kunming mouse assessed as tail withdrawal latency at 2 mg/kg, iv by hot water tail-flick test in presence of naloxone2013Journal of medicinal chemistry, Apr-11, Volume: 56, Issue:7
Design, synthesis, and pharmacological characterization of novel endomorphin-1 analogues as extremely potent μ-opioid agonists.
AID624608Specific activity of expressed human recombinant UGT1A42000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1146191Analgesic activity in Swiss-Webster mouse assessed as reduction of phenylquinine-induced writhing1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Analgesics. 1. Synthesis and analgesic properties of N-sec-alkyl- and N-tert-alkylnormorphines.
AID492311Analgesic activity in Swiss mouse assessed as increase in latency of paw licking at 15 umol/kg, ip after 120 mins measured for 60 seconds by hot plate test (Rvb = 5.6 +/- 0.5 seconds)2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Synthesis and pharmacological evaluation of pyrazine N-acylhydrazone derivatives designed as novel analgesic and anti-inflammatory drug candidates.
AID151769In vitro binding affinity at opioid receptor mu 1 was determined in C6 rat glioma cells using [3H]DAMGO2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID449918Analgesic activity in ICR mouse assessed as pain threshold variation at 20 umol/kg, ip administered as single dose measured after 180 mins by tail flick test relative to control2009Bioorganic & medicinal chemistry, Sep-01, Volume: 17, Issue:17
N-[2-chloro-9H-purin-6-yl]-N-cyclopropylglycylamino acids and derivatives: synthesis, evaluation as a class of novel analgesics, and 3D QSAR analysis.
AID604025Unbound CSF to plasma concentration ratio in Sprague-Dawley rat administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID239148Displacement of [3H]U-69593 from kappa opioid receptor of rat brain membranes2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID603729Displacement of [3H]NTI from delta opioid receptor in guinea pig forebrain homogenate by scintillation counting2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID17665Compound was evaluated for equilibrium constant, Ke1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID151750Inhibition of [3H]DAMGO binding to rat brain homogenat Opioid receptor mu 12000Journal of medicinal chemistry, Jun-01, Volume: 43, Issue:11
Synthesis, molecular modeling, and opioid receptor affinity of 9, 10-diazatricyclo[4.2.1.1(2,5)]decanes and 2,7-diazatricyclo[4.4.0. 0(3,8)]decanes structurally related to 3,8-diazabicyclo[3.2. 1]octanes.
AID1526798Ratio of unbound maximal portal vein concentration in human at 10 mg, iv to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1196095Antiallodynic effect in Wistar rat chronic constriction injury model assessed as cross tolerance developement pretreated with H-Dmt-D-Arg-Aba-beta-Ala-NMe-Bn at 1 nmol, it qd for 6 days administered from 7 days post CCI challenge to day 13 measured 30 min2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID1808015Toxicity in Kunming mouse model assessed as conditioned place preference time at 20 nmol, icv2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID240114Stimulation of [35S]GTP-gamma-S, binding at Opioid receptor kappa 1; no data2004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID507152Binding affinity to MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells coexpressing Gi protein assessed as Gi protein activation at 100 nM2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID28235Unbound fraction (plasma)2002Journal of medicinal chemistry, Jun-20, Volume: 45, Issue:13
Prediction of volume of distribution values in humans for neutral and basic drugs using physicochemical measurements and plasma protein binding data.
AID1587572Displacement of [3H]U69,593 from kappa opioid receptor in guinea pig brain membrane after 120 mins by scintillation counting analysis
AID1809507Toxicity in C57BL/6 mouse model assessed as conditioned place aversion at 10 mg/kg, IP2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID779589Toxicity in mouse glass bead model assessed as retention time of colonic motility at 6 mg/kg, sc2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
Structure-activity relationships and discovery of a G protein biased μ opioid receptor ligand, [(3-methoxythiophen-2-yl)methyl]({2-[(9R)-9-(pyridin-2-yl)-6-oxaspiro-[4.5]decan-9-yl]ethyl})amine (TRV130), for the treatment of acute severe pain.
AID137098Relative potency to that of [D-Ala2, Leu5]-enkaphalinamide in mouse vas deferens1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Pseudopeptide analogues of substance P and leucine enkephalinamide containing the psi (CH2O) modification: synthesis and biological activity.
AID226065Ability to inhibit electrically evoked contractions of isolated muscle preparations of guinea pig ileum (GPI, mu receptor)2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID605102Antiallodynic activity against von Frey hair mechanically stimulated neuropathic pain in mouse Chung model of neuropathic pain assessed as attenuation of tactile allodynia at 30 mg/kg, po bid for 4 days2010Journal of medicinal chemistry, Nov-11, Volume: 53, Issue:21
Discovery of dual inducible/neuronal nitric oxide synthase (iNOS/nNOS) inhibitor development candidate 4-((2-cyclobutyl-1H-imidazo[4,5-b]pyrazin-1-yl)methyl)-7,8-difluoroquinolin-2(1H)-one (KD7332) part 2: identification of a novel, potent, and selective
AID1135667Analgesic activity in sc dosed mouse by hot-plate method1978Journal of medicinal chemistry, Jul, Volume: 21, Issue:7
Aromatic esters of nonquaternary carbon-4 piperidinols as analgesics.
AID707736Antinociceptive activity in mouse assessed as tail withdrawal latency at 100 mg/kg by 55 degC warm water test2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Fumaroylamino-4,5-epoxymorphinans and related opioids with irreversible μ opioid receptor antagonist effects.
AID151005Selectivity of Opioid receptor mu 1 IC50 to that of Opioid receptor delta 1 IC50 was calculated2003Journal of medicinal chemistry, Jan-02, Volume: 46, Issue:1
The power of visual imagery in drug design. Isopavines as a new class of morphinomimetics and their human opioid receptor binding activity.
AID269577Stimulation of [35S]GTP-gamma-S binding to human recombinant DOR2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID624616Specific activity of expressed human recombinant UGT2B152000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID123283Antinociceptive action was evaluated by mouse tail flick assay at a dose of 10 nmol on 5 mice1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Asymmetric syntheses, opioid receptor affinities, and antinociceptive effects of 8-amino-5,9-methanobenzocyclooctenes, a new class of structural analogues of the morphine alkaloids.
AID149769Binding affinities against Opioid receptor delta 1 of guinea pig brain membrane using [3H]DPDPE as the radioligand using competition binding assays.1990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID149897Binding affinity towards Opioid receptor delta 1 of guinea pig brain membranes using radioligand 0.2 nM [3H]Naltrindole2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
3-Carboxamido analogues of morphine and naltrexone. synthesis and opioid receptor binding properties.
AID1456645Effect on human sperm motility at 10'-7 mol/L measured immediately post dose by Makler counting chamber method (Rvb = 70 +/- 4.2%)
AID1714473Agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as stimulation of beta-arrestin recruitment measured after 90 mins by beta-galactosidase based PathHunter assay relative to DAMGO2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID18980Log D of compound; LogD at pH 7.41996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID224426Molar potency ratio relative to the standard agonist EKC assayed in mouse vas deferens.1991Journal of medicinal chemistry, Nov, Volume: 34, Issue:11
Structure/activity studies related to 2-(3,4-dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]acetamides: a novel series of potent and selective kappa-opioid agonists.
AID706573Antinociceptive effect in rat assessed as latency time for nocifensive response at 6 mg/kg, po measured 1 hr post dose by hot plate test (Rvb = 3.3 +/- 0.15 secs)2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Discovery and pharmacological profile of new 1H-indazole-3-carboxamide and 2H-pyrrolo[3,4-c]quinoline derivatives as selective serotonin 4 receptor ligands.
AID383163Displacement of [3H]U69593 from kappa opioid receptor in guinea pig cerebellum2008Bioorganic & medicinal chemistry, Apr-15, Volume: 16, Issue:8
Syntheses of 4,6'-epoxymorphinan derivatives and their pharmacologies.
AID1134078Analgesic activity in mouse assessed as tail-flick latency period at 10 mg/kg, ip after 2 hrs by by tail flick test1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
Analgesic and tranquilizing activity of 5,8-disubstituted 1-tetralone Mannich bases.
AID139797Narcotic antagonistic potency evaluated in morphine-induced Straub tail phenomenon in mice1981Journal of medicinal chemistry, Jul, Volume: 24, Issue:7
Allylprodine analogues as receptor probes. Evidence that phenolic and nonphenolic ligands interact with different subsites on identical opioid receptors.
AID114738Delay in response to noxious heat stimuli in mice by tail flick method after subcutaneous administration1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Tricyclics with analgesic and antidepressant activity. 1. [[(Alkylamino)ethyl]thio]dibenz[b,f]oxepins and 10,11-dihydro derivatives.
AID409950Inhibition of human brain MAOA2008Journal of medicinal chemistry, Nov-13, Volume: 51, Issue:21
Quantitative structure-activity relationship and complex network approach to monoamine oxidase A and B inhibitors.
AID149726Ability to induce 50% of maximal effect in guinea pig ileum expressing Opioid receptor mu 11983Journal of medicinal chemistry, Nov, Volume: 26, Issue:11
Synthesis and pharmacological characterization of (+/-)-5,9 alpha-dimethyl-2-[2-(4-fluorophenyl)ethyl]-2'-hydroxy-6,7-benzomorphan (fluorophen), a ligand suitable for visualization of opiate receptors in vivo.
AID1133439Narcotic agonist activity in rat by writhing test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID1826728Gastroprokinetic activity in Swiss Webster mouse assessed as stimulation of gastrointestinal motility by measuring time required to defecation of red fecal pellet at 10 mg/kg, sc incubated for 20 mins by carmine red dye assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Rational Design, Chemical Syntheses, and Biological Evaluations of Peripherally Selective Mu Opioid Receptor Ligands as Potential Opioid Induced Constipation Treatment.
AID1188148Agonist activity at mu opioid receptor in guinea pig ileum assessed as inhibition of electrically-stimulated muscle contraction2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID150052Relative potency with respect to morphine was evaluated for Opioid receptor delta 1 of guinea pig brain1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID150754Inhibition of P-glycoprotein, mouse L-mdr1b expressed in LLC-PK1 epithelial cells using calcein-AM polarisation assay2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID1808017Toxicity in Kunming mouse assessed as effect on motor coordination at 20 nmol, icv by rotarod test2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID239360Displacement of [3H[Ile5,6]-deltorphin II from delta opioid receptor of rat brain membranes2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID243022Ratio of binding affinity against mu to that of delta opioid receptor2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Parallel methods for the preparation and SAR exploration of N-ethyl-4-[(8-alkyl-8-aza-bicyclo[3.2.1]oct-3-ylidene)-aryl-methyl]-benzamides, powerful mu and delta opioid agonists.
AID151744Binding affinity to Opioid receptor mu 1 in rat brain using [3H]-NAL as radioligand1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Synthesis and analgesic properties of N-substituted trans-4a-aryldecahydroisoquinolines.
AID229261Ratio of IC50 evaluated in GPI to MVD1981Journal of medicinal chemistry, Oct, Volume: 24, Issue:10
Evidence of the preferential involvement of mu receptors in analgesia using enkephalins highly selective for peripheral mu or delta receptors.
AID1386861Agonist activity at human mu opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by scintillation counting method2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID1685504Agonist activity at human DOR expressed in CHOK1 cells assessed as inhibition of forskolin-stimulated cAMP accumulation incubated for 30 mins by luminescence assay2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID131166Compound was tested in vivo by a mouse tail-flick assay after subcutaneous (sc) injection1997Journal of medicinal chemistry, Aug-29, Volume: 40, Issue:18
Synthesis and pharmacological activity of deltorphin and dermorphin-related glycopeptides.
AID708678Antinociceptive activity in ICR mouse assessed as warm-water tail-withdrawal latency at 0.1 to 100 nmol, icv bid for 3 days relative to naive control2012Journal of medicinal chemistry, Oct-11, Volume: 55, Issue:19
14-Alkoxy- and 14-acyloxypyridomorphinans: μ agonist/δ antagonist opioid analgesics with diminished tolerance and dependence side effects.
AID229800Ratio of Ki at mu-opioid receptor to Ki at kappa oioid receptor1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Highly selective kappa opioid analgesics. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide and N-[(2-aminocyclohexyl)aryloxy]acetamide derivatives.
AID229644Selectivity ratio was determined2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID1823680Agonist activity at human mu opioid receptor expressed in HEK293T cells assessed as Galphai2 activation preincubated for 5 mins with coelenterazine followed by compound addition and measured after 10 mins by BRET assay
AID149135Binding affinity determined against Opioid receptor kappa 1 from a native receptor in guinea pig2003Journal of medicinal chemistry, Aug-28, Volume: 46, Issue:18
Synthesis, biological evaluation, and receptor docking simulations of 2-[(acylamino)ethyl]-1,4-benzodiazepines as kappa-opioid receptor agonists endowed with antinociceptive and antiamnesic activity.
AID1256142Selectivity ratio of ED50 for antinociceptive activity in i.c.v dosed ICR-CD1 mouse to ED50 for i.t dosed ICR-CD1 mouse2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID320419Displacement of 3.0 nM [3H]etorphine from opioid receptor in rat cerebrum2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1133765Analgesic activity iv dosed ICR mouse assessed as 50% inhibition of heat stimulus-induced tail flick response measured for 60 to 90 mins1977Journal of medicinal chemistry, Mar, Volume: 20, Issue:3
Synthesis and analgesic activity of human beta-endorphin.
AID127831Narcotic agonist activity using acetic acid induced writhing in the mouse upon subcutaneous administration1983Journal of medicinal chemistry, Jul, Volume: 26, Issue:7
Analgesic narcotic antagonists. 15. Potent narcotic agonist 7 beta-(arylalkyl)-4,5 alpha-epoxymorphinans.
AID624647Inhibition of AZT glucuronidation by human UGT enzymes from liver microsomes2005Pharmacology & therapeutics, Apr, Volume: 106, Issue:1
UDP-glucuronosyltransferases and clinical drug-drug interactions.
AID1682130Antinociceptive activity in naloxone treated mouse assessed as induction of Straub-tail response2020Bioorganic & medicinal chemistry, 12-15, Volume: 28, Issue:24
Pyridine alkaloids with activity in the central nervous system.
AID269569Displacement of [3H]DAMGO from human recombinant MOR expressed in CHO cells2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID1386875Drug level in brain of C57BL6/J mouse at 6 mg/kg, ip after 1 hr by LC-MS method2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID411136Displacement of [3H]U69,593 from kappa opioid receptor in guinea pig cerebellum2008Bioorganic & medicinal chemistry letters, Dec-15, Volume: 18, Issue:24
Synthesis of a novel 6,14-epoxymorphinan derivative and its pharmacology.
AID1233291Antinociceptive effect in ip dosed C57BL/6 mouse assessed as tail withdrawal latency measured up to 2 hrs by 55 degC Warm water tail withdrawal assay2015Journal of medicinal chemistry, Jun-25, Volume: 58, Issue:12
Parallel Synthesis of Hexahydrodiimidazodiazepines Heterocyclic Peptidomimetics and Their in Vitro and in Vivo Activities at μ (MOR), δ (DOR), and κ (KOR) Opioid Receptors.
AID1133761Analgesic activity in icv dosed ICR mouse assessed as 50% inhibition of acetic acid-induced writhing response administered 5 mins prior to acetic acid challenge measured for 60 to 90 mins1977Journal of medicinal chemistry, Mar, Volume: 20, Issue:3
Synthesis and analgesic activity of human beta-endorphin.
AID132767In vivo antinociceptive activity in mice by using PBQ writing test after subcutaneous administration1992Journal of medicinal chemistry, Feb-21, Volume: 35, Issue:4
Systemic analgesic activity and delta-opioid selectivity in [2,6-dimethyl-Tyr1,D-Pen2,D-Pen5]enkephalin.
AID1194124Stimulation of mouse MOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID299509Analgesic activity against formalin-induced acute pain in iv dosed mouse2007Bioorganic & medicinal chemistry letters, Jul-15, Volume: 17, Issue:14
2-Arylimino-5,6-dihydro-4H-1,3-thiazines as a new class of cannabinoid receptor agonists. Part 2: orally bioavailable compounds.
AID540220Clearance in human after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID601419Analgesic activity in sc dosed rat post-operative pain model2011Bioorganic & medicinal chemistry letters, Jun-01, Volume: 21, Issue:11
Potent mGluR5 antagonists: pyridyl and thiazolyl-ethynyl-3,5-disubstituted-phenyl series.
AID448139Toxicity in mouse hind paw incision model assessed as behavioral effects at 3 mg/kg, ip2009Bioorganic & medicinal chemistry letters, Sep-01, Volume: 19, Issue:17
Discovery of N-(3-(morpholinomethyl)-phenyl)-amides as potent and selective CB2 agonists.
AID78857Agonist activity in guinea pig ileum preparation1984Journal of medicinal chemistry, Oct, Volume: 27, Issue:10
Activities of morphinone and N-(cyclopropylmethyl)normorphinone at opioid receptors.
AID1194127Antinociceptive activity in sc dosed Swiss-Webster mouse after 20 mins by warm water tail-flick test relative to control2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID148888In vitro relative potency in mouse vas deferens was determined1982Journal of medicinal chemistry, Jun, Volume: 25, Issue:6
Synthesis, X-ray crystallographic determination, and opioid activity of erythro-5-methylmethadone enantiomers. Evidence which suggests that mu and delta opioid receptors possess different stereochemical requirements.
AID1731271Toxicity in Sprague-Dawley rat model assessed as induction of drowsiness at 10 mg/kg, sc
AID1872057Antagonist activity at guinea pig ileum MOP2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1872063Antinociceptive activity in mouse administered sc by tail pressure test2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1354600Antinociceptive activity in Kunming mouse assessed as inhibition of acetic acid-induced writhes at 0.8 mg/kg, ip pretreated for 15 mins followed by acetic acid challenge measured for 30 mins relative to control2018Journal of natural products, 05-25, Volume: 81, Issue:5
Antinociceptive Diterpenoids from the Leaves and Twigs of Rhododendron decorum.
AID239182Inhibition of [3H]DAMGO binding to opioid receptor mu from rat brain membranes2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1714479Antinociceptive activity in male B6-SJL mouse administered subcutaneously daily measured on day 1 by warm water tail-flick assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID174612Duration of action in minutes, 2 times of the ED50 using rat hot flick1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID1714482Neurotoxicity in B6-SJL mouse assessed as induction of sedation at 10 mg/kg, ip observed for 15 mins by rotarod test2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID177754Analgesic Potency of compound in Comparison with Morphine evaluated by rat tail flick test1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
The opioid mu agonist/delta antagonist DIPP-NH(2)[Psi] produces a potent analgesic effect, no physical dependence, and less tolerance than morphine in rats.
AID1256153Selectivity ratio of ED50 for antinociceptive activity in i.c.v dosed LPS-induced ICR-CD1 mouse thermal hyperalgesia model to ED50 for i.t dosed LPS-induced ICR-CD1 mouse thermal hyperalgesia model2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID1629771Antinociceptive activity in sc dosed CD-1 mouse assessed as increase in reaction time measured 30 mins post dose by radiant heat tail flick assay2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID320417Displacement of [3H]etorphine from opioid receptor in rat cerebrum2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1274760Analgesic activity in sc dosed rat by tail flick test2016European journal of medicinal chemistry, Jan-27, Volume: 108Multitarget opioid ligands in pain relief: New players in an old game.
AID765828Activation of mouse KOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay relative to U695932013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID112911Analgesic activity in mice after oral administration in tail-flicking assay; 26.30-35.731985Journal of medicinal chemistry, Sep, Volume: 28, Issue:9
Acylmorphinans. A novel class of potent analgesic agents.
AID269573Displacement of [3H]U-69593 from human recombinant KOR expressed in CHO cells2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID603731Selectivity ratio of Ki for mu opioid receptor in guinea pig forebrain homogenate to Ki for kappa opioid receptor in guinea pig cerebellum homogenate2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID749690Displacement of [3H]U69,593 from human recombinant kappa opioid receptor expressed in CHO cell membranes after 2 hrs by liquid scintillation counting analysis2013Bioorganic & medicinal chemistry, Jun-01, Volume: 21, Issue:11
Probes for narcotic receptor mediated phenomena. 47. Novel C4a- and N-substituted-1,2,3,4,4a,9a-hexahydrobenzofuro[2,3-c]pyridin-6-ols.
AID1197354Displacement of [3H]U69,593 from human recombinant opioid kappa receptor expressed in CHO cell membranes after 2 hrs by liquid scintillation counting method2015European journal of medicinal chemistry, Mar-06, Volume: 92Probes for narcotic receptor mediated phenomena 49. N-substituted rac-cis-4a-arylalkyl-1,2,3,4,4a,9a-hexahydrobenzofuro[2,3-c]pyridin-6-ols.
AID132281The compound was evaluated for the analgesic activity by tail-flick test after icv administration of compound in mouse; value ranges from 2550-42001987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID298650Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to U695932007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID7783Unbound fraction (plasma)2004Journal of medicinal chemistry, Feb-26, Volume: 47, Issue:5
Prediction of human volume of distribution values for neutral and basic drugs. 2. Extended data set and leave-class-out statistics.
AID181510Ability to displace 50% of (-)-naloxone (1.0) in mouse brain homogenate1983Journal of medicinal chemistry, Nov, Volume: 26, Issue:11
Synthesis and pharmacological characterization of (+/-)-5,9 alpha-dimethyl-2-[2-(4-fluorophenyl)ethyl]-2'-hydroxy-6,7-benzomorphan (fluorophen), a ligand suitable for visualization of opiate receptors in vivo.
AID29337Ionisation constant (pKa)2002Journal of medicinal chemistry, Jun-20, Volume: 45, Issue:13
Prediction of volume of distribution values in humans for neutral and basic drugs using physicochemical measurements and plasma protein binding data.
AID1197353Displacement of [3H]DADLE from human recombinant opioid delta receptor expressed in CHO cell membranes after 2 hrs by liquid scintillation counting method2015European journal of medicinal chemistry, Mar-06, Volume: 92Probes for narcotic receptor mediated phenomena 49. N-substituted rac-cis-4a-arylalkyl-1,2,3,4,4a,9a-hexahydrobenzofuro[2,3-c]pyridin-6-ols.
AID670111Displacement of [3H]-U69,593 from human kappa opioid receptor expressed in CHO cells after 60 mins by scintillation counting2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID1146574Narcotic analgesic activity in sc dosed rat assessed as inhibition of phenazocine-induced effect by D'Amour-Smith tail flick test1978Journal of medicinal chemistry, Dec, Volume: 21, Issue:12
(2-exo-3-endo)-2-Aryltropane-3-carboxylic esters, a new class of narcotic antagonists.
AID1583477Displacement of [3H]diprenorphine from human MOR expressed in CHO cell membranes incubated for 1 hr by liquid scintillation counting assay2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID176221Effective dose was measured using in vivo rat hot plate test after intrathecal injection1992Journal of medicinal chemistry, Oct-30, Volume: 35, Issue:22
Synthesis and conformational properties of the lanthionine-bridged opioid peptide [D-AlaL2,AlaL5]enkephalin as determined by NMR and computer simulations.
AID1528091Agonist activity at rat MOR expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by liquid scintillation counting
AID603515Selectivity ratio of Ki for delta opioid receptor in guinea pig forebrain homogenates to Ki for mu opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID349686Toxicity in Sprague-Dawley rat assessed as depression of mean arterial blood pressure at 5 mg/kg, iv administered for 60 secs measured for 30 mins2009Journal of medicinal chemistry, May-14, Volume: 52, Issue:9
Synthesis, conformation, and biological characterization of a sugar derivative of morphine that is a potent, long-lasting, and nontolerant antinociceptive.
AID577081Selectivity ratio of Ki for kappa opioid receptor in guinea pig brain membrane to Ki for mu opioid receptor in Sprague-Dawley rat brain membrane2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID249430Ratios of colonic bead expulsion to that of antinociceptive potencie by hotplate test in mice2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID349684Displacement of [3H]diprenorphine from N-terminal HA epitope-tagged rat mu opioid receptor expressed in HEK293 cells by scintillation counting2009Journal of medicinal chemistry, May-14, Volume: 52, Issue:9
Synthesis, conformation, and biological characterization of a sugar derivative of morphine that is a potent, long-lasting, and nontolerant antinociceptive.
AID329614Agonist activity at delta opioid receptor in mouse vas deferens2008Journal of medicinal chemistry, Apr-24, Volume: 51, Issue:8
Blood-brain barrier penetration by two dermorphin tetrapeptide analogues: role of lipophilicity vs structural flexibility.
AID128214Narcotic agonistic activity in acetic acid mouse writhing assay after subcutaneous administration of the drug1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 8. 7 alpha-Alkyl-4,5 alpha-epoxymorphinan-6-ones.
AID1335125Analgesic activity in Wistar rat assessed as increase in thermal stimulus-induced tail-flick latency at 12 nmol/kg administered intrathecally measured up to 60 mins2017ACS medicinal chemistry letters, Jan-12, Volume: 8, Issue:1
Hydrazone Linker as a Useful Tool for Preparing Chimeric Peptide/Nonpeptide Bifunctional Compounds.
AID647796Displacement of [3H]-U69593 from human kappa opioid receptor expressed in CHO cells membrane after 2 hrs by liquid scintillation counting2012European journal of medicinal chemistry, Apr, Volume: 50Probes for narcotic receptor mediated phenomena. 44. Synthesis of an N-substituted 4-hydroxy-5-(3-hydroxyphenyl)morphan with high affinity and selective μ-antagonist activity.
AID441179Antinociceptive activity against radiant heat-induced nociception in icv dosed CD1 mouse assessed as increase in tail withdrawal latency measured after 15 to 120 mins postdose by tail flick test2009Journal of medicinal chemistry, Dec-10, Volume: 52, Issue:23
Further studies on arylpiperazinyl alkyl pyridazinones: discovery of an exceptionally potent, orally active, antinociceptive agent in thermally induced pain.
AID176847Tested for in vivo antinociceptive activity in rat abdominal constriction assay1994Journal of medicinal chemistry, Oct-14, Volume: 37, Issue:21
Selective kappa-opioid agonists: synthesis and structure-activity relationships of piperidines incorporating on oxo-containing acyl group.
AID298777Antinociceptive effect in ip dosed mouse assessed as reduction of licking time in late phase administered before 30 mins of formalin administration2007Bioorganic & medicinal chemistry letters, Mar-01, Volume: 17, Issue:5
Chiral tetrahydroquinoline derivatives as potent anti-hyperalgesic agents in animal models of sustained inflammation and chronic neuropathic pain.
AID1196491Ratio of ED50 for antinociceptive activity in icv dosed C57BL/6J mouse administered first dose for 8 hrs followed by second dose to ED50 for antinociceptive activity in icv dosed C57BL/6J mouse2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluations of novel endomorphin analogues containing α-hydroxy-β-phenylalanine (AHPBA) displaying mixed μ/δ opioid receptor agonist and δ opioid receptor antagonist activities.
AID395304Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID151915Inhibition of [3H]naloxone binding to Opioid receptor mu 1 of rat brain membrane1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID149194Receptor binding affinity towards opioid receptor delta1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID729034Displacement of [3H]diprenorphine from human KOR expressed in CHO cells after 1 hr by liquid scintillation counting analysis2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID729038Agonist activity at rat MOR expressed in rat C6 cells assessed as stimulation of [35S]GTPgammaS binding after 1 hr by liquid scintillation counting analysis2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID1243870Displacement of [3H]-diprenorphine from zebrafish mu opioid receptor expressed in HEK293 cells after 1 hr by liquid scintillation counting2015European journal of medicinal chemistry, Aug-28, Volume: 101Design, synthesis, pharmacological evaluation and molecular dynamics of β-amino acids morphan-derivatives as novel ligands for opioid receptors.
AID1137221Analgesic activity in mouse by Eddy hot-plate method1978Journal of medicinal chemistry, Feb, Volume: 21, Issue:2
Synthesis and analgetic activity of 1,2,3,4,5,6-hexahydro-1,6-methano-3-benzozocines.
AID1335118Analgesic activity in C57BL6 mouse assessed as increase in thermal stimulus-induced paw withdrawal latency at 48 umol/kg, iv measured after 30 mins by plantar test2017ACS medicinal chemistry letters, Jan-12, Volume: 8, Issue:1
Hydrazone Linker as a Useful Tool for Preparing Chimeric Peptide/Nonpeptide Bifunctional Compounds.
AID116104MNTD:Maximal nontoxic dose of the compound, done on mouse; sc1998Journal of medicinal chemistry, Feb-26, Volume: 41, Issue:5
Mono- and disubstituted-3,8-diazabicyclo[3.2.1]octane derivatives as analgesics structurally related to epibatidine: synthesis, activity, and modeling.
AID706566Antinociceptive effect in rat assessed as reduction in paw licking during second phase (10 to 40 mins) at 3 mg/kg, po administered 30 mins before formalin challenge by formalin test2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Discovery and pharmacological profile of new 1H-indazole-3-carboxamide and 2H-pyrrolo[3,4-c]quinoline derivatives as selective serotonin 4 receptor ligands.
AID1587345Agonist activity at rat Mu-type opioid receptor expressed in rat C6 cell membranes assessed as stimulation of [35S]GTPgammaS binding at 10 uM incubated for 1 hr by liquid scintillation counting method relative to DAMGO2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID8002Observed volume of distribution2004Journal of medicinal chemistry, Feb-26, Volume: 47, Issue:5
Prediction of human volume of distribution values for neutral and basic drugs. 2. Extended data set and leave-class-out statistics.
AID781325pKa (acid-base dissociation constant) as determined by Liao ref: J Chem Info Model 20092014Pharmaceutical research, Apr, Volume: 31, Issue:4
Comparison of the accuracy of experimental and predicted pKa values of basic and acidic compounds.
AID496823Antimicrobial activity against Trichomonas vaginalis2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1338770Analgesic activity in CD-1 mouse assessed as reduction in acetic acid-induced abdominal constrictions preincubated for 15 mins followed by acetic acid challenge measured for 30 mins by writhing test2016Journal of medicinal chemistry, 12-08, Volume: 59, Issue:23
Design, Synthesis, and Pharmacological Characterization of 2-(2-Furanyl)thiazolo[5,4-d]pyrimidine-5,7-diamine Derivatives: New Highly Potent A
AID681119TP_TRANSPORTER: inhibition of Calcein-AM efflux in Mdr1a-expressing LLC-PK1 cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID1731272Toxicity in Sprague-Dawley rat model assessed as induction of constipation at 10 mg/kg, sc
AID1528105Antinociceptive activity in ip dosed Kunming mouse assessed as reduction in nociceptive response after 2 hrs by hot plate test
AID354315Antinociceptive activity in Sprague-Dawley rat at 1 mg/kg, ip after 30 mins by tail flick test2009Journal of medicinal chemistry, May-14, Volume: 52, Issue:9
Synthesis, conformation, and biological characterization of a sugar derivative of morphine that is a potent, long-lasting, and nontolerant antinociceptive.
AID765842Agonist activity at human DOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID695728Antinociceptive activity in Sprague-Dawley rat chronic constriction model assessed as reduction in Von Frey filament-induced mechanical allodynia in contralateral hind paw at 2 umol/kg, iv administered as bolus injection2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1196078Antiallodynic effect in Wistar rat chronic constriction injury model at 0.35 to 35 nmol, it measured 7 days post CCI challenge by Von Frey test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID695735Effect on gastrointestinal motility in fasted Sprague-Dawley rat assessed as gastrointestinal propulsion of charcoal meal at 8 umol/kg, po administered prior to charcoal meal measured after 1 hr ( Rvb = 66.5 3.8% )2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID138330Inhibition of the electrically induced muscle contractions was determined using the mouse vas deferens2003Journal of medicinal chemistry, Feb-13, Volume: 46, Issue:4
3-(alphaR)-alpha-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3-hydroxybenzyl)-N-alkyl-N-arylbenzamides: potent, non-peptidic agonists of both the micro and delta opioid receptors.
AID1591426Displacement of [3H]-diprenorphine from MOR (unknown origin)2019Bioorganic & medicinal chemistry letters, 08-01, Volume: 29, Issue:15
Discovery of conolidine derivative DS39201083 as a potent novel analgesic without mu opioid agonist activity.
AID149896Binding affinity to displace radioligand [3H]naltrindole on Opioid receptor delta 1 in guinea pig membranes.2000Journal of medicinal chemistry, Sep-21, Volume: 43, Issue:19
Selective protection and functionalization of morphine: synthesis and opioid receptor binding properties of 3-amino-3-desoxymorphine derivatives.
AID128206Compound was tested for narcotic agonist activity (effective dose) by mouse hotplate procedure1981Journal of medicinal chemistry, Jul, Volume: 24, Issue:7
Allylprodine analogues as receptor probes. Evidence that phenolic and nonphenolic ligands interact with different subsites on identical opioid receptors.
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID132344Compound was evaluated for the inhibition of twitches in mouse vas deferens1981Journal of medicinal chemistry, May, Volume: 24, Issue:5
New analgesic drugs derived from phencyclidine.
AID622104Antinociceptive activity in sc dosed mouse assessed as inhibition of acetic acid-induced writhing administered 15 mins before acetic acid challenge measured after 10 mins relative to control2011Bioorganic & medicinal chemistry letters, Oct-15, Volume: 21, Issue:20
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. Part 2: Synthesis of novel triplet drugs with the epoxymethano structure (capped homotriplet).
AID577265Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding after 60 mins2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID269571Displacement of [3H]Cl-DPDPE from human recombinant DOR expressed in CHO cells2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID1133438Binding affinity to rat brain opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID148288Binding affinities against Opioid receptor kappa 1 of guinea pig brain membrane using [3H]U69,593 as the radioligand using competition binding assays.1990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID128505Analgesic activity was determined by tail flick assay after subcutaneous administration in mice1982Journal of medicinal chemistry, Oct, Volume: 25, Issue:10
Synthesis and pharmacology of metabolically stable tert-butyl ethers of morphine and levorphanol.
AID1872066Antinociceptive activity in rat administered iv2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID148747Binding affinity towards opioid receptor kappa 21992Journal of medicinal chemistry, May-01, Volume: 35, Issue:9
Phenylmorphans and analogues: opioid receptor subtype selectivity and effect of conformation on activity.
AID479371Displacement of [3H]deltorphin-2 from delta opioid receptor from Wistar rat brain by liquid scintillation counting2010Bioorganic & medicinal chemistry, May-15, Volume: 18, Issue:10
Synthesis and opioid activity of novel 6-substituted-6-demethoxy-ethenomorphinans.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID148710Binding affinity towards Opioid receptor kappa 1 was determined1989Journal of medicinal chemistry, Jul, Volume: 32, Issue:7
Highly selective kappa-opioid analgesics. 2. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide derivatives.
AID107485Compound was tested in vivo for narcotic agonist activity (dose in sc, mg/kg) in mice using phenylquinone assay1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparison of (-)-eseroline with (+)-eseroline and dihydroseco analogues in antinociceptive assays: confirmation of rubreserine structure by X-ray analysis.
AID177755Analgesic activity using tail-flick test with Sprague-Dawley rat1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Analgesics of the 6,14-ethenomorphinan type. 6-deoxy-7 alpha-orvinols and 6-deoxy-8 alpha-orvinols.
AID114294Antinociceptive activity in mice after subcutaneous injection in the first phase of formalin test2003Bioorganic & medicinal chemistry letters, Apr-07, Volume: 13, Issue:7
Dermorphin tetrapeptide analogues with 2',6'-dimethylphenylalanine (Dmp) substituted for aromatic amino acids have high mu opioid receptor binding and biological activities.
AID26438Half-life was determined1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID1587349Agonist activity at human kappa-type opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding at 10 uM incubated for 1 hr by liquid scintillation counting method relative to U695932019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID312062Agonist activity at human mu opioid receptor expressed in CHO cells assessed as maximal stimulation of [35S]GTP-gamma-S binding2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID411135Displacement of [3H]DPDPE from delta opioid receptor in mouse whole brain without cerebellum2008Bioorganic & medicinal chemistry letters, Dec-15, Volume: 18, Issue:24
Synthesis of a novel 6,14-epoxymorphinan derivative and its pharmacology.
AID1667831Antinociceptive activity in kunming mouse models assessed as maximum possible effect at 3 mg/kg, iv measured after 5 to 60 mins by warm water tail-flick assay2020Bioorganic & medicinal chemistry, 05-01, Volume: 28, Issue:9
Design, synthesis, and biological activity of new endomorphin analogs with multi-site modifications.
AID259395Displacement of [3H]naltrindole from human delta opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Jan-12, Volume: 49, Issue:1
Synthesis and preliminary in vitro investigation of bivalent ligands containing homo- and heterodimeric pharmacophores at mu, delta, and kappa opioid receptors.
AID479370Displacement of [3H]DAMGO from mu opioid receptor from Wistar rat brain by liquid scintillation counting2010Bioorganic & medicinal chemistry, May-15, Volume: 18, Issue:10
Synthesis and opioid activity of novel 6-substituted-6-demethoxy-ethenomorphinans.
AID224586Binding affinity for mu opioid receptor was evaluated by displacing [3H]- diprenorphine1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID78284Evaluated for the inhibition concentration in the guinea pig ileal longitudinal muscle preparation (GPI)1984Journal of medicinal chemistry, Oct, Volume: 27, Issue:10
Design and synthesis of naltrexone-derived affinity labels with nonequilibrium opioid agonist and antagonist activities. Evidence for the existence of different mu receptor subtypes in different tissues.
AID708681Antinociceptive activity in ICR mouse assessed as warm-water tail-withdrawal latency at 10 nmol, icv by tail flick assay2012Journal of medicinal chemistry, Oct-11, Volume: 55, Issue:19
14-Alkoxy- and 14-acyloxypyridomorphinans: μ agonist/δ antagonist opioid analgesics with diminished tolerance and dependence side effects.
AID327872Activation of human mu opioid receptor expressed in HEK293a cells coexpressing YFP-labelled alphai1 and CFP-labelled beta-1-gamma-2 Gi subunits assessed as decrease in fluorescence resonance energy transfer signal at 10 uM2007The Journal of biological chemistry, Sep-14, Volume: 282, Issue:37
Live cell monitoring of mu-opioid receptor-mediated G-protein activation reveals strong biological activity of close morphine biosynthetic precursors.
AID141504Binding affinity against mu opioid receptor was determined in brain membrane preparations from male Hartley guinea-pigs1998Bioorganic & medicinal chemistry letters, Jul-21, Volume: 8, Issue:14
C-alkylated spiro[benzofuran-3(2H),4'-1'-methyl-piperidine-7-ols] as potent opioids: a conformation-activity study.
AID296734Agonist activity at human mu opioid receptor expressed in CHO cells by [35S]GTP-gamma-S assay2007Journal of medicinal chemistry, Aug-09, Volume: 50, Issue:16
Probes for narcotic receptor mediated phenomena. 34. Synthesis and structure-activity relationships of a potent mu-agonist delta-antagonist and an exceedingly potent antinociceptive in the enantiomeric C9-substituted 5-(3-hydroxyphenyl)-N-phenylethylmorph
AID1286250Antinociceptive activity in naive Wistar rat at 35 nmol, it after 2 hrs by tail flick test analysis2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID234636Selectivity is the ratio of Ki against kappa receptor to that of delta receptor2000Journal of medicinal chemistry, Sep-21, Volume: 43, Issue:19
Selective protection and functionalization of morphine: synthesis and opioid receptor binding properties of 3-amino-3-desoxymorphine derivatives.
AID1137105Analgesic activity in sc dosed mouse by hot plate method1977Journal of medicinal chemistry, Aug, Volume: 20, Issue:8
Pyrrole esters of tropanols and related structures as analgesics.
AID601353Analgesic activity in ICR mouse assessed as increase in pain threshold at 0.15 mmol/kg, ip after 90 mins by tail flick method (Rvb = 7.53 +/- 11.54 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Novel β-carboline-tripeptide conjugates attenuate mesenteric ischemia/reperfusion injury in the rat.
AID449917Analgesic activity in ICR mouse assessed as pain threshold variation at 20 umol/kg, ip administered as single dose measured after 150 mins by tail flick test relative to control2009Bioorganic & medicinal chemistry, Sep-01, Volume: 17, Issue:17
N-[2-chloro-9H-purin-6-yl]-N-cyclopropylglycylamino acids and derivatives: synthesis, evaluation as a class of novel analgesics, and 3D QSAR analysis.
AID604026Unbound CSF to plasma concentration ratio in human2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID1456647Effect on human sperm motility at 10'-6 mol/L measured at 10 mins post dose by Makler counting chamber method (Rvb = 69 +/- 4.7%)
AID1685500Agonist activity at human MOR expressed in CHOK1 cells assessed as inhibition of forskolin-stimulated cAMP accumulation incubated for 30 mins by luminescence assay2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID645784Toxicity in rat chronic constriction injury-induced neuropathic pain model assessed as tolerance at 40 mg/kg/day, sc after 5 to 8 days2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
5-sulfonyl-benzimidazoles as selective CB2 agonists-part 2.
AID185351Analgesic activity was determined by rat tail clamp assay(RTC), 2 hour postdose.1984Journal of medicinal chemistry, Jan, Volume: 27, Issue:1
A cannabinoid derived prototypical analgesic.
AID148228Binding affinity determined against Opioid receptor delta 1 from human cloned receptor2003Journal of medicinal chemistry, Aug-28, Volume: 46, Issue:18
Synthesis, biological evaluation, and receptor docking simulations of 2-[(acylamino)ethyl]-1,4-benzodiazepines as kappa-opioid receptor agonists endowed with antinociceptive and antiamnesic activity.
AID1826739Gastroprokinetic activity in Swiss Webster mouse assessed as stimulation of gastrointestinal motility by measuring time required to defecation of red fecal pellet at 5 mg/kg, po incubated for 20 mins by carmine red dye assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Rational Design, Chemical Syntheses, and Biological Evaluations of Peripherally Selective Mu Opioid Receptor Ligands as Potential Opioid Induced Constipation Treatment.
AID1146192In vivo inhibition of morphine-induced straub-tail response in sc dosed Swiss-Webster mouse measured for 30 mins1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Analgesics. 1. Synthesis and analgesic properties of N-sec-alkyl- and N-tert-alkylnormorphines.
AID1583482Agonist activity at human MOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding incubated for 1 hr by by liquid scintillation counting assay2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID647795Displacement of [3H]-DADLE from human delta opioid receptor expressed in CHO cells membrane after 2 hrs by liquid scintillation counting2012European journal of medicinal chemistry, Apr, Volume: 50Probes for narcotic receptor mediated phenomena. 44. Synthesis of an N-substituted 4-hydroxy-5-(3-hydroxyphenyl)morphan with high affinity and selective μ-antagonist activity.
AID1426533Antinociceptive activity in CD1 mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 3 mg/kg, sc measured after 30 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID148433Evaluated for inhibitory activity against Opioid receptor kappa 1 of rabbit vas deferens (RVD); Inactive1990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID389661Equilibrium constant, ratio of IC50 for delta opioid receptor in ddy mouse vas deferens in presence of 10 nM Naltrindole to IC50 for delta opioid receptor in ddy mouse vas deferens2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID1256145Antinociceptive activity in i.t dosed LPS-induced ICR-CD1 mouse thermal hyperalgesia model assessed as withdrawal latency for radiant heat by tail flick assay2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID1682128Displacement of [3H] dihydromorphine from guinea pig brain opioid receptor2020Bioorganic & medicinal chemistry, 12-15, Volume: 28, Issue:24
Pyridine alkaloids with activity in the central nervous system.
AID1812979Agonist activity at DOR (unknown origin) expressed in HEK293-A cells assessed as inhibition of forskolin-induced cAMP accumulation preincubated for 30 mins in presence of 3-isobutyl-1-methylxanthine followed by forskolin and compound addition by competiti2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID540216Clearance in dog after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID1134068Analgesic activity in rat assessed as median foot shock required to elicit flinch-jump at 17.8 mg/kg, po after 2 hrs1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
Analgesic and tranquilizing activity of 5,8-disubstituted 1-tetralone Mannich bases.
AID28937Liphophilic induce(log ki) value was measured in octanol-water system at PH 61991Journal of medicinal chemistry, Apr, Volume: 34, Issue:4
Morphine 6-glucuronide and morphine 3-glucuronide as molecular chameleons with unexpected lipophilicity.
AID540217Volume of distribution at steady state in dog after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID114295Antinociceptive activity in mice after subcutaneous injection in the second phase of formalin test2003Bioorganic & medicinal chemistry letters, Apr-07, Volume: 13, Issue:7
Dermorphin tetrapeptide analogues with 2',6'-dimethylphenylalanine (Dmp) substituted for aromatic amino acids have high mu opioid receptor binding and biological activities.
AID147910Binding affinity for the Opioid receptor mu 11988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Highly selective kappa opioid analgesics. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide and N-[(2-aminocyclohexyl)aryloxy]acetamide derivatives.
AID1781410Agonist activity at rat mu opioid receptor expressed in CHO cell membrane incubated for 1 hr by [35S]GTPgammaS binding based liquid scintillation counting method2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID269575Stimulation of [35S]GTPgammaS binding to human recombinant MOR2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID54923Inhibition of human cytochrome P450 3A42003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID603727Selectivity ratio of Ki for delta opioid receptor in guinea pig forebrain homogenate to Ki for kappa opioid receptor in guinea pig cerebellum homogenate2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID1256146Antinociceptive activity in i.c.v dosed LPS-induced ICR-CD1 mouse thermal hyperalgesia model assessed as withdrawal latency for radiant heat by tail flick assay2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID150395Tested for In vitro binding constant for Opioid receptors by measuring the inhibition of stereospecific binding of [3H]naloxone in rat brain homogenates1980Journal of medicinal chemistry, Jul, Volume: 23, Issue:7
Synthesis and analgesic activity of some 5-(4-hydroxyphenyl)-2-azabicyclo[3.2.1]octanes.
AID132805In vivo analgesic activity in the mouse tail-flick assay following s.c. administration.1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID136973In vivo opioid activity was evaluated by determining analgesia in the mouse by the tail-flick test. Relative potency with respect to morphine when administered through subcutaneous route1986Journal of medicinal chemistry, Jun, Volume: 29, Issue:6
Synthesis and opioid activity of dermorphin tetrapeptides bearing D-methionine S-oxide at position 2.
AID132775In vivo antinociceptive activity in mouse tail flick test following p.o. administration.1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
(1S)-1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinoline and heterocycle-condensed tetrahydropyridine derivatives: members of a novel class of very potent kappa opioid analgesics.
AID1171128Antinociceptive activity in Swiss Webster mouse assessed as inhibition of formalin-induced early phase pain response at 5 mg/kg, ip dosed 40 mins before formalin injection2014Journal of natural products, Nov-26, Volume: 77, Issue:11
Antinociceptive properties of physalins from Physalis angulata.
AID148626In vitro inhibitory activity against opioid receptor in Guinea pig ileum1992Journal of medicinal chemistry, Jan, Volume: 35, Issue:1
Synthesis, antinociceptive activity, and opioid receptor profiles of substituted trans-3-(decahydro- and octahydro-4a-isoquinolinyl)phenols.
AID25827Partition coefficient at 37 degree centigrades1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID1872058Antagonist activity at mouse vas deferns MOP2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1629791Toxicity in CD-1 mouse assessed as time for drug tolerance at 5 mg/kg, sc bid at dosing intervals of 12 hrs2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID695274Antiinflammatory activity in po dosed rat persistent inflammatory pain model assessed as inhibition of carrageenan-induced mechanical hyperalgesia2012Bioorganic & medicinal chemistry letters, Apr-01, Volume: 22, Issue:7
Synthesis and pharmacological evaluation of carbamic acid 1-phenyl-3-(4-phenyl-piperazine-1-yl)-propyl ester derivatives as new analgesic agents.
AID695706Half life in human plasma at 1 mg/ml by RP-HPLC analysis2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1587343Selectivity ratio of Ki for displacement of [3H]-diprenorphine from human kappa-type opioid receptor expressed in CHO cell membranes to Ki for displacement of [3H]-diprenorphine from rat mu-type opioid receptor expressed in rat C6 cell membranes2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID148462Inhibition of [3H]naloxone binding to opiate receptor from rat neural membranes after incubation at 20 nM concentration at 37 degree C1983Journal of medicinal chemistry, Dec, Volume: 26, Issue:12
14 beta-(2-bromoacetamido)morphine and 14 beta-(2-bromoacetamido)morphinone.
AID244109Ratio of Ki for Opioid receptors delta 1 and mu 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID178325Compound was tested for antinociceptive activity in heat stimulus rat tail flick assay after subcutaneous administration of the drug1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 8. 7 alpha-Alkyl-4,5 alpha-epoxymorphinan-6-ones.
AID386623Inhibition of 4-(4-(dimethylamino)styryl)-N-methylpyridinium uptake at human OCT1 expressed in HEK293 cells at 100 uM by confocal microscopy2008Journal of medicinal chemistry, Oct-09, Volume: 51, Issue:19
Structural requirements for drug inhibition of the liver specific human organic cation transport protein 1.
AID1123082Displacement of radiolabeled dihydromorphine from opioid receptor in rat brain homogenates1979Journal of medicinal chemistry, Jul, Volume: 22, Issue:7
N-(2-Cyanoethyl) derivatives of meperidine, ketobemidone, and a potent 6,7-benzomorphan.
AID1197351Displacement of [3H]DAMGO from human recombinant opioid mu receptor expressed in CHO cell membranes after 2 hrs by liquid scintillation counting method2015European journal of medicinal chemistry, Mar-06, Volume: 92Probes for narcotic receptor mediated phenomena 49. N-substituted rac-cis-4a-arylalkyl-1,2,3,4,4a,9a-hexahydrobenzofuro[2,3-c]pyridin-6-ols.
AID148090In vitro binding affinity against cloned human Opioid receptor delta 1 expressed in HEK 293S cells2003Journal of medicinal chemistry, Jan-02, Volume: 46, Issue:1
The power of visual imagery in drug design. Isopavines as a new class of morphinomimetics and their human opioid receptor binding activity.
AID320414Antinociceptive activity in sc dosed mouse by phenylquinone antiwrithing assay2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID132841Inhibition of electrically evoked contraction of guinea pig ileum (myenteric plexus;longitudinal muscle)[agonist action at mu 1 opioid receptors) and inhibition of electrically evoked contraction of mouse vas deferens (agonist action at delta 1 opioid rec1988Journal of medicinal chemistry, Feb, Volume: 31, Issue:2
Investigation of the structural parameters involved in the mu and delta opioid receptor discrimination of linear enkephalin-related peptides.
AID224724Relative potency with respect to morphine was evaluated for mu-receptor of guinea pig brain1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1349515Analgesic activity in Sprague-Dawley rat MIA-induced osteoarthritic pain model assessed as increase in paw withdrawal threshold at 3 mg/kg, ip by von Frey filaments assay2017ACS medicinal chemistry letters, Dec-14, Volume: 8, Issue:12
Discovery of APD371: Identification of a Highly Potent and Selective CB
AID151606Inhibition of [3H]DAMGO binding to mu opioid receptor of rat brain membranes2003Journal of medicinal chemistry, Feb-13, Volume: 46, Issue:4
3-(alphaR)-alpha-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3-hydroxybenzyl)-N-alkyl-N-arylbenzamides: potent, non-peptidic agonists of both the micro and delta opioid receptors.
AID1812992Antinociceptive activity against Kunming mouse model of thermal-induced nociception assessed as maximum possible effect at 264201 nmol/kg, po measured after 60 min by tail flick test relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID386625Inhibition of 4-(4-(dimethylamino)styryl)-N-methylpyridinium uptake at human OCT1 expressed in HEK293 cells by confocal microscopy2008Journal of medicinal chemistry, Oct-09, Volume: 51, Issue:19
Structural requirements for drug inhibition of the liver specific human organic cation transport protein 1.
AID1276159Antinociceptive activity in Kunming mouse model of acute pain assessed as inhibition of acetic acid-induced writhes at 0.8 mg/kg, ip administered 30 mins prior to acetic acid challenge measured for 30 mins in presence of nonselective opioid antagonist nal2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Antinociceptive Grayanoids from the Roots of Rhododendron molle.
AID327875Activation of human mu opioid receptor expressed in HEK293a cells co-expressing YFP-labelled alphai1 and CFP-labelled beta1gamma2 Gi subunits assessed as decrease in fluorescence resonance energy transfer signal at 100 uM relative to morphine2007The Journal of biological chemistry, Sep-14, Volume: 282, Issue:37
Live cell monitoring of mu-opioid receptor-mediated G-protein activation reveals strong biological activity of close morphine biosynthetic precursors.
AID1587332Displacement of [3H]-diprenorphine from rat mu-type opioid receptor expressed in rat C6 cell membranes incubated for 1 hr by liquid scintillation counting method2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID1872101Toxicity in rat assessed as antinociceptive activity tolerance at 2.5 to 5 mg/kg with 17.6 nmol/h icv infusion2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID479373Agonist activity at mu opioid receptor in Swiss albino mouse ileum assessed as inhibition of electrically-stimulated muscle contraction2010Bioorganic & medicinal chemistry, May-15, Volume: 18, Issue:10
Synthesis and opioid activity of novel 6-substituted-6-demethoxy-ethenomorphinans.
AID149447Activity was evaluated by inhibition of the binding of 0.8 nM [3H]- DAMGO at Opioid receptor mu 1 binding site1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Asymmetric syntheses, opioid receptor affinities, and antinociceptive effects of 8-amino-5,9-methanobenzocyclooctenes, a new class of structural analogues of the morphine alkaloids.
AID1808013Toxicity in icv dosed Kunming mouse assessed as inhibition of gastrointestinal transit by measuring charcoal distance travel by charcoal meal test2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID246957In vivo analgesic effect (sc) assessed as antinociceptive potency by hot plate test in mice2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID349688Toxicity in Sprague-Dawley rat assessed as depression of heart rate at 5 mg/kg, iv administered for 60 secs measured for 30 mins2009Journal of medicinal chemistry, May-14, Volume: 52, Issue:9
Synthesis, conformation, and biological characterization of a sugar derivative of morphine that is a potent, long-lasting, and nontolerant antinociceptive.
AID205269Inhibition of binding of Batrachotoxinin [3H]BTX-B to high-affinity sites on voltage-dependent sodium channels in a vesicular preparation from guinea pig cerebral cortex at 100 uM1985Journal of medicinal chemistry, Mar, Volume: 28, Issue:3
[3H]Batrachotoxinin A 20 alpha-benzoate binding to voltage-sensitive sodium channels: a rapid and quantitative assay for local anesthetic activity in a variety of drugs.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID133450Analgesic activity was determined by mouse hot plate (HP), 1 hour postdose.1984Journal of medicinal chemistry, Jan, Volume: 27, Issue:1
A cannabinoid derived prototypical analgesic.
AID1823681Agonist activity at human mu opioid receptor expressed in HEK293T cells assessed as Galphai2 activation preincubated for 5 mins with coelenterazine followed by compound addition and measured after 10 mins by BRET assay relative to control
AID650482Analgesic activity in CD1 mouse assessed as latency in radiant heat-induced tail flick at 5 mg/kg, sc after 30 mins2012Bioorganic & medicinal chemistry, Apr-01, Volume: 20, Issue:7
Favourable involvement of α2A-adrenoreceptor antagonism in the I₂-imidazoline binding sites-mediated morphine analgesia enhancement.
AID1358126Displacement of [3H]diprenorphine from human KOR expressed in African green monkey COS1 cell membranes at 10 uM incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID540221Volume of distribution at steady state in human after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID225151Compound was tested for inhibition of kaolin induced arthritis in rats2000Bioorganic & medicinal chemistry letters, Apr-17, Volume: 10, Issue:8
Novel 3-(4-piperidinylthio)-1H-indoles as potent nonopioid orally active central analgesics.
AID130723In vivo opioid activity was evaluated by determining analgesia in the mouse by the tail-flick test when administered through intra cerebro ventricular route1986Journal of medicinal chemistry, Jun, Volume: 29, Issue:6
Synthesis and opioid activity of dermorphin tetrapeptides bearing D-methionine S-oxide at position 2.
AID1456644Effect on human sperm motility at 10'-6 mol/L measured immediately post dose by Makler counting chamber method (Rvb = 70 +/- 4.2%)
AID496828Antimicrobial activity against Leishmania donovani2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID452019Displacement of [3H]diprenorphine from rat mu receptor expressed in CHO cells by scintillation counting2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Highly selective and potent mu opioid ligands by unexpected substituent on morphine skeleton.
AID670110Displacement of [3H]-DAMGO from human mu opioid receptor expressed in CHO cells after 60 mins by scintillation counting2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID492313Analgesic activity in Swiss mouse assessed as increase in latency of paw licking at 15 umol/kg, ip after 150 mins measured for 60 seconds by hot plate test (Rvb = 5.1 +/- 0.4 seconds)2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Synthesis and pharmacological evaluation of pyrazine N-acylhydrazone derivatives designed as novel analgesic and anti-inflammatory drug candidates.
AID492307Analgesic activity in Swiss mouse assessed as increase in latency of paw licking at 15 umol/kg, ip after 60 mins measured for 60 seconds by hot plate test (Rvb = 4.9 +/- 0.5 seconds)2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Synthesis and pharmacological evaluation of pyrazine N-acylhydrazone derivatives designed as novel analgesic and anti-inflammatory drug candidates.
AID1358122Displacement of [3H]diprenorphine from human MOR expressed in African green monkey COS1 cell membranes at 10 uM incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID151742Binding affinity by inhibition of [3H]DAMGO binding to Opioid receptor mu 1 from rat brain membranes2000Bioorganic & medicinal chemistry letters, May-15, Volume: 10, Issue:10
Synthesis and binding affinities of 4-diarylaminotropanes, a new class of delta opioid agonists.
AID141769Selectivity against mu receptor in the presence of 0.5 nmol icv SIOM1993Journal of medicinal chemistry, Aug-20, Volume: 36, Issue:17
A selective delta 1 opioid receptor agonist derived from oxymorphone. Evidence for separate recognition sites for delta 1 opioid receptor agonists and antagonists.
AID149290Displacement of [3H]- DAGO from opioid receptor mu in rat brain membrane1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Synthesis and structure-activity relationships of deltorphin analogues.
AID150030In vivo binding affinity against delta Opioid receptor was measured by using labeled ligand [3H]DADLE (1 nM) with 4 nM sufentanil1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID149787Inhibition of [3H]DPDPE radioligand binding to rat opioid receptor delta 1 site from rat brain membranes2000Bioorganic & medicinal chemistry letters, May-15, Volume: 10, Issue:10
Synthesis and binding affinities of 4-diarylaminotropanes, a new class of delta opioid agonists.
AID131768Tested for in vivo antinociceptive activity in mouse tail-flick assay1994Journal of medicinal chemistry, Oct-14, Volume: 37, Issue:21
Selective kappa-opioid agonists: synthesis and structure-activity relationships of piperidines incorporating on oxo-containing acyl group.
AID320416Antinociceptive activity in sc dosed mouse assessed as inhibition of morphin response by tail flick assay2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID624621Specific activity of expressed human recombinant UGT2B7Y2000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID224082Antinociceptive effect expressed as licking latency determined at 8 mg/kg after 15 minutes of subcutaneous administration in the mouse hotplate test2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID329912Agonist activity at mu opioid receptor expressed in HEK293 cells overexpressing GRK2 assessed as induction of yellow fluorescent protein internalization at 10 uM after 24 hrs2008Journal of medicinal chemistry, Apr-24, Volume: 51, Issue:8
Herkinorin analogues with differential beta-arrestin-2 interactions.
AID1276161Antinociceptive activity in Kunming mouse model of formalin-induced pain assessed as reduction of time spent in licking in phase 1 at 2 mg/kg, ip administered 30 mins before formalin injection measured for 5 mins2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Antinociceptive Grayanoids from the Roots of Rhododendron molle.
AID1255661Intrinsic activity at kappa opioid receptor in human HEK293 cells at 1 uM after 30 mins by [35S]GTPgammaS binding assay relative to U-695932015Bioorganic & medicinal chemistry letters, Nov-15, Volume: 25, Issue:22
Conformationally restricted κ-opioid receptor agonists: Synthesis and pharmacological evaluation of diastereoisomeric and enantiomeric decahydroquinoxalines.
AID298651Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to DPDPE2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID239089Displacement of [3H]DAMGO from mu opioid receptor of rat brain membranes2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID1823684Agonist activity at human mu opioid receptor expressed in HEK293T cells assessed as arrestin-3 recruitment preincubated for 5 mins with coelenterazine followed by compound addition and measured after 10 mins by BRET assay relative to control
AID149633Evaluated for the inhibition of [3H]DADLE binding to Opioid receptor delta 1 of guinea pig brain1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID135326BBB penetration classification2000Journal of medicinal chemistry, Jun-01, Volume: 43, Issue:11
Predicting blood-brain barrier permeation from three-dimensional molecular structure.
AID381215Antinociceptive activity against formalin-induced pain in ip dosed ddY mouse assessed as reduction of paw licking response during neurogenic phase pretreated for 10 mins before formalin challenge1999Journal of natural products, Sep, Volume: 62, Issue:9
Strong antinociceptive effect of incarvillateine, a novel monoterpene alkaloid from Incarvillea sinensis.
AID222591% inhibition of twitch contraction in electrically stimulated guinea pig ileum preparation2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID131416Phenyl-p-benzoquinone-induced abdominal constriction after subcutaneous administration in mouse (in vivo)1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
(1S)-1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinoline and heterocycle-condensed tetrahydropyridine derivatives: members of a novel class of very potent kappa opioid analgesics.
AID389679Selectivity ratio of Ke for delta opioid receptor in ddy mouse vas deferens to Ke for kappa opioid receptor in ddy mouse vas deferens2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID130360In vivo analgesic activity in the mouse tail-flick assay following i.c.v. administration.1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID708682Antinociceptive activity in icv dosed ICR mouse assessed as warm-water tail-withdrawal latency by tail flick assay2012Journal of medicinal chemistry, Oct-11, Volume: 55, Issue:19
14-Alkoxy- and 14-acyloxypyridomorphinans: μ agonist/δ antagonist opioid analgesics with diminished tolerance and dependence side effects.
AID746235Antinociceptive activity in BALB/c mouse assessed as increase in paw withdrawal latency at 1 mg/kg, iv measured 30 mins post dose by hot plate test2013European journal of medicinal chemistry, May, Volume: 63Synthesis, biological activity and resistance to proteolytic digestion of new cyclic dermorphin/deltorphin analogues.
AID149928Inhibition of binding of [3H]-DPDPE to opioid receptor delta 1 from rat brain membrane.2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
Piperazinyl benzamidines: synthesis and affinity for the delta opioid receptor.
AID79355Relative potency to that of [D-Ala2,Leu5]enkephalinamide in guinea pig ileum1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Pseudopeptide analogues of substance P and leucine enkephalinamide containing the psi (CH2O) modification: synthesis and biological activity.
AID114412Antidepressant activity to prevent tetrabenazine induced ptosis (TBZ) in mice after intraperitoneal administration1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Tricyclics with analgesic and antidepressant activity. 1. [[(Alkylamino)ethyl]thio]dibenz[b,f]oxepins and 10,11-dihydro derivatives.
AID1146189Ratio of IC50 for rat opioid receptor in presence of NaCl to IC50 for rat opioid receptor in absence of NaCl1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Analgesics. 1. Synthesis and analgesic properties of N-sec-alkyl- and N-tert-alkylnormorphines.
AID134604Lethal dose when administered through subcutaneous route1981Journal of medicinal chemistry, May, Volume: 24, Issue:5
New analgesic drugs derived from phencyclidine.
AID114201Effective dose required to produce analgesic action in mice after peroral administration1985Journal of medicinal chemistry, Nov, Volume: 28, Issue:11
Novel nonnarcotic analgesics with an improved therapeutic ratio. Structure-activity relationships of 8-(methylthio)- and 8-(acylthio)-1,2,3,4,5,6-hexahydro-2,6-methano-3-benzazocines.
AID592538Antinociceptive activity in Sprague-Dawley rat assessed as time required to maximum activity on reduction in infrared heat-induced paw withdrawal latency at 10 ug administered intrathecally2011Journal of medicinal chemistry, Apr-14, Volume: 54, Issue:7
Discovery of a potent and efficacious peptide derivative for δ/μ opioid agonist/neurokinin 1 antagonist activity with a 2',6'-dimethyl-L-tyrosine: in vitro, in vivo, and NMR-based structural studies.
AID151584Binding constant for the agonist state was measured for its ability to displace [3H]naloxone from opioid mu 1 receptor buffered homogenate of rat brain membranes1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Structure-activity relationships for drugs binding to the agonist and antagonist states of the primary morphine receptor.
AID707251Agonist activity at human MOR expressed in HEK293 cells assessed as inhibition of forskolin-induced cAMP accumulation after 15 mins by cAMP EIA2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Opioid activity profiles of oversimplified peptides lacking in the protonable N-terminus.
AID496819Antimicrobial activity against Plasmodium falciparum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID140433Potency to inhibit electrically induced contraction of mouse vas deferens(MVD) relative to [Leu5]-enkephalin.1992Journal of medicinal chemistry, Oct-30, Volume: 35, Issue:22
Synthesis and conformational properties of the lanthionine-bridged opioid peptide [D-AlaL2,AlaL5]enkephalin as determined by NMR and computer simulations.
AID1135268Binding affinity to rat brain opiate receptor after 3 mins1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
N-(2,4,5-Trihydroxyphenehtyl)normetazocine, a potential irreversible inhibitor of the narcotic receptor.
AID399187Displacement of [3H]naloxone from opioid receptor in Sprague-Dawley rat striatal membrane by scintillation spectrophotometry2004Journal of natural products, Jan, Volume: 67, Issue:1
New geranyl stilbenes from Dalea purpurea with in vitro opioid receptor affinity.
AID1808018Toxicity in Kunming mouse assessed as effect on motor coordination at 10 micromol/kg, sc by rotarod test2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID670116Selectivity index, ratio of inhibition of human kappa opioid receptor to inhibition of human mu opioid receptor2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID226003In vivo antinociceptive activity expressed as % Maximum possible effect administered subcutaneously at a dose of 1 mg/kg in mice; Not determined2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Synthesis and structure-activity relationships of an orally available and long-acting analgesic peptide, N(alpha)-amidino-Tyr-D-Arg-Phe-MebetaAla-OH (ADAMB).
AID1809501Antinociceptive activity in sc dosed C57BL/6 mouse model assessed as increase in tail withdrawal latency measured at 20 mins by radiant heat withdrawal assay2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID298632Displacement of [3H]U-69593 from human cloned kappa opioid receptor2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID1456652Effect on human sperm motility at 10'-5 mol/L measured at 60 mins post dose by Makler counting chamber method (Rvb = 64.8 +/- 6.6%)
AID781328pKa (acid-base dissociation constant) as determined by Luan ref: Pharm. Res. 20052014Pharmaceutical research, Apr, Volume: 31, Issue:4
Comparison of the accuracy of experimental and predicted pKa values of basic and acidic compounds.
AID150236Ratio of IC50 values for incubations in the presence of 100 mM NaCl to those incubations in its absence1980Journal of medicinal chemistry, Sep, Volume: 23, Issue:9
Synthesis and biological activity of fluoroalkylamine derivatives of narcotic analgesics.
AID1587342Selectivity ratio of Ki for displacement of [3H]-diprenorphine from rat delta-type opioid receptor expressed in rat C6 cell membranes to Ki for displacement of [3H]-diprenorphine from rat mu-type opioid receptor expressed in rat C6 cell membranes2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID233963Ratio of binding affinity against mu opioid receptor to that of kappa opioid receptor1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID601796Displacement of [3H]DAMGO from mu opioid receptor in guinea pig brain membranes2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 7,9-diazabicyclo[4.2.2]decanes as conformationally restricted κ receptor agonists: fine tuning of the dihedral angle of the ethylenediamine pharmacophore.
AID1302032Antihyperalgesic activity in intrathecally dosed albino Swiss CD1 IGS mouse model of chronic constriction injury-induced neuropathic pain assessed as increase in paw withdrawal latency administered on day 7 to 16 after CCI surgery measured 30 mins post do2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID624632Drug glucuronidation reaction catalyzed by human recombinant UGT1A32005Pharmacology & therapeutics, Apr, Volume: 106, Issue:1
UDP-glucuronosyltransferases and clinical drug-drug interactions.
AID729035Displacement of [3H]diprenorphine from rat MOR expressed in rat C6 cells after 1 hr by liquid scintillation counting analysis2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID241046In vitro agonistic activity against opioid receptor mu of guinea pig ileum2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID185355Dose required to produce 50% of the maximum possible analgesic effect by using rat paw pressure analgesia assay1989Journal of medicinal chemistry, Jul, Volume: 32, Issue:7
Highly selective kappa-opioid analgesics. 2. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide derivatives.
AID765830Activation of mouse MOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay relative to DAMGO2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID128307Agonistic activity by mouse acetic acid writhing test.1982Journal of medicinal chemistry, Aug, Volume: 25, Issue:8
Novel opiates and antagonists. 4. 7-Alkanoylhydromorphones.
AID28936Liphophilic induce(log ki) value was measured in octanol-water system at PH 51991Journal of medicinal chemistry, Apr, Volume: 34, Issue:4
Morphine 6-glucuronide and morphine 3-glucuronide as molecular chameleons with unexpected lipophilicity.
AID132410Evaluated for analgesic effect using mouse tail-pinch test after intravenous administration; 0.84-4.091990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID77501Inhibition of electrically evoked twitches in guinea pig ileum relative to morphine.1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Structure-activity studies of dermorphin. Synthesis and some pharmacological data of dermorphin and its 1-substituted analogues.
AID1202694Ratio of drug uptake in brain to plasma in rat2015Journal of medicinal chemistry, Mar-26, Volume: 58, Issue:6
CNS drug design: balancing physicochemical properties for optimal brain exposure.
AID226063Ability to inhibit electrically evoked contractions of isolated muscle preparations of mouse vas deference (MVD, delta receptor)2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID496821Antimicrobial activity against Leishmania2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID169263Amount of the drug required to produce 50% antinociception when administered subcutaneously; value ranges from 10.2-17.02000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID1630481Agonist activity at human MOR expressed in HEK293 cells assessed as inhibition of forskolin-induced cAMP accumulation by EIA method2016Journal of medicinal chemistry, 10-13, Volume: 59, Issue:19
Versatile Picklocks To Access All Opioid Receptors: Tuning the Selectivity and Functional Profile of the Cyclotetrapeptide c[Phe-d-Pro-Phe-Trp] (CJ-15,208).
AID122494Compound was tested for hyperalgesia in mice induced by formalin expressed as time of licking at initial phase(up to 5 min) at dose 10 mg/kg1998Bioorganic & medicinal chemistry letters, Nov-03, Volume: 8, Issue:21
New phthalimide derivatives with potent analgesic activity: II.
AID268679Displacement of radiolabeled U69593 from kappa1 opioid receptor in Hartley guinea pig brain2006Bioorganic & medicinal chemistry letters, Aug-15, Volume: 16, Issue:16
Opiate receptor binding properties of morphine-, dihydromorphine-, and codeine 6-O-sulfate ester congeners.
AID1456648Effect on human sperm motility at 10'-7 mol/L measured at 10 mins post dose by Makler counting chamber method (Rvb = 69 +/- 4.7%)
AID79203Opioid receptor antagonist activity as inhibiting binding of normorphine to guinea pig ileum1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Some 14 beta-substituted analogues of N-(cyclopropylmethyl)normorphine.
AID765838Selectivity ratio of EC50 for human KOR to EC50 for human DOR2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID507148Binding affinity to MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells assessed as FRET signal2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID249898Analgesic activity was evaluated in mouse hotplate test; expressed as licking latency after 15 min of treatment at a dose of 10 ug intracerebroventricularly2004Journal of medicinal chemistry, Nov-18, Volume: 47, Issue:24
Design, synthesis, and preliminary pharmacological evaluation of 4-aminopiperidine derivatives as N-type calcium channel blockers active on pain and neuropathic pain.
AID329613Agonist activity at mu opioid receptor in guinea pig ileum2008Journal of medicinal chemistry, Apr-24, Volume: 51, Issue:8
Blood-brain barrier penetration by two dermorphin tetrapeptide analogues: role of lipophilicity vs structural flexibility.
AID624619Specific activity of expressed human recombinant UGT2B72000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1146231Narcotic analgesic activity in sc dosed mouse by hot-plate test1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Synthesis and pharmacological activity of some N-alkyl-substituted 9alpha-ethyl-2'-hydroxy-5-methyl-6,7-benzomorphans.
AID1655298Toxicity in PGE2-induced CD1 mouse model of thermal hyperalgesia assessed as effect on gastrointestinal transit at 1 mg/kg, sc dosed 30 mins before charcoal suspension administration and measured after 30 mins
AID462860Analgesic activity in ICR mouse assessed as increase in pain threshold variation at 20 umol/kg, ip administered as single dose measured after 150 mins by tail flick test2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
A class of novel Schiff's bases: Synthesis, therapeutic action for chronic pain, anti-inflammation and 3D QSAR analysis.
AID238718Binding affinity against delta opioid receptor in mouse hot plate test2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Parallel methods for the preparation and SAR exploration of N-ethyl-4-[(8-alkyl-8-aza-bicyclo[3.2.1]oct-3-ylidene)-aryl-methyl]-benzamides, powerful mu and delta opioid agonists.
AID431711Antihyperalgesic effect in Freund's complete adjuvant-induced rat inflammatory pain model assessed as reversal of hyperalgesia at 3 mg/kg, sc2009Journal of medicinal chemistry, Sep-24, Volume: 52, Issue:18
Spirocyclic delta opioid receptor agonists for the treatment of pain: discovery of N,N-diethyl-3-hydroxy-4-(spiro[chromene-2,4'-piperidine]-4-yl) benzamide (ADL5747).
AID1426525In vivo activation of TREK1 in C57Bl/6J mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 60 mg/kg, sc measured after 45 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID132447The compound was evaluated for the analgesic activity by tail-flick test after subcutaneous administration of compound in mouse; value ranges from 7.95-14.51987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID1823679Agonist activity at human mu opioid receptor expressed in HEK293T cells assessed as Nb33 recruitment preincubated for 5 mins with coelenterazine followed by compound addition and measured after 10 mins by BRET assay relative to control
AID29811Oral bioavailability in human2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1536334Antinociceptive activity in Kunming mouse model of thermal-induced nociception assessed as increase in latency to tail withdrawal at 2 to 4 nmol, icv administered once daily for 5 days measured daily at 30 mins post dose by tail flick test
AID185350Analgesic activity was determined by rat flinch jump (FJ), 2 hour postdose.1984Journal of medicinal chemistry, Jan, Volume: 27, Issue:1
A cannabinoid derived prototypical analgesic.
AID229954Relative affinity mu and delta opioid receptors of rat brain1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Probes for narcotic receptor-mediated phenomena. 21. Novel derivatives of 3-(1,2,3,4,5,11-hexahydro-3-methyl-2,6-methano-6H-azocino[4,5-b]indol- 6-yl)-phenols with improved delta opioid receptor selectivity.
AID624611Specific activity of expressed human recombinant UGT1A82000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1196477Antinociceptive activity in icv dosed C57BL/6J mouse assessed as latency to withdrawal tail after 30 mins by 55 degC warm-water tail withdrawal assay2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluations of novel endomorphin analogues containing α-hydroxy-β-phenylalanine (AHPBA) displaying mixed μ/δ opioid receptor agonist and δ opioid receptor antagonist activities.
AID1823678Agonist activity at human mu opioid receptor expressed in HEK293T cells assessed as Nb33 recruitment preincubated for 5 mins with coelenterazine followed by compound addition and measured after 10 mins by BRET assay
AID269576Stimulation of [35S]GTP-gamma-S binding to human recombinant MOR relative to DAMGO2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID129479Compound tested for in vivo writhing antinociceptive assay in mouse after subcutaneous administration1996Journal of medicinal chemistry, Dec-06, Volume: 39, Issue:25
Analogues of capsaicin with agonist activity as novel analgesic agents: structure-activity studies. 4. Potent, orally active analgesics.
AID347316Induction of antinociception in sc dosed Swiss Webster mouse after 20 mins by warm water tail immersion test2009Journal of medicinal chemistry, Mar-12, Volume: 52, Issue:5
Design, synthesis, and biological evaluation of 6alpha- and 6beta-N-heterocyclic substituted naltrexamine derivatives as mu opioid receptor selective antagonists.
AID540215Volume of distribution at steady state in rat after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID151440Inhibition of [3H]DAMGO radioligand binding to rat brain opioid receptor mu 1.1995Journal of medicinal chemistry, Apr-28, Volume: 38, Issue:9
Probes for narcotic receptor-mediated phenomena. 20. Alteration of opioid receptor subtype selectivity of the 5-(3-hydroxyphenyl)morphans by application of the message-address concept: preparation of delta-opioid receptor ligands.
AID1135668Analgesic activity in sc dosed mouse by Nilsen method1978Journal of medicinal chemistry, Jul, Volume: 21, Issue:7
Aromatic esters of nonquaternary carbon-4 piperidinols as analgesics.
AID28236Unbound fraction (tissues)2002Journal of medicinal chemistry, Jun-20, Volume: 45, Issue:13
Prediction of volume of distribution values in humans for neutral and basic drugs using physicochemical measurements and plasma protein binding data.
AID149659Binding affinity at opioid receptor delta 1 by displacement of [3H]DADLE in rat brain membrane2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID170058Opioid agonist activity by measuring the analgesia produced after 5 mg/kg administration in rats; value ranges from 60-70%2004Bioorganic & medicinal chemistry letters, Feb-23, Volume: 14, Issue:4
A highly toxic morphine-3-glucuronide derivative.
AID243120Relative agonistic activity against opioid receptor delta in mouse vas deferens and opioid receptor mu in guinea pig ileum2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID601352Analgesic activity in ICR mouse assessed as increase in pain threshold at 0.15 mmol/kg, ip after 60 mins by tail flick method (Rvb = 7.45 +/- 8.03 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Novel β-carboline-tripeptide conjugates attenuate mesenteric ischemia/reperfusion injury in the rat.
AID711125Antinociceptive activity in Swiss-Webster mouse assessed as thermal-stimulus induced tail flick latency at 10 mg/kg2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Design, synthesis, and biological evaluation of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6β-[(4'-pyridyl)carboxamido]morphinan derivatives as peripheral selective μ opioid receptor Agents.
AID231884Compound was tested for ability to protect against the irreversible antagonism of morphine''s effects by beta-FNA in guinea pig ileum at 1 uM concentration1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID603728Displacement of [3H]U69593 from kappa opioid receptor in guinea pig cerebellum homogenate by scintillation counting2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID1146235Narcotic analgesic activity in sc dosed mouse assessed as suppression of phenylquinone-induced writhing1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Synthesis and pharmacological activity of some N-alkyl-substituted 9alpha-ethyl-2'-hydroxy-5-methyl-6,7-benzomorphans.
AID1132923Analgesic activity in sc dosed CD-1 mouse assessed as inhibition of phenylquinone-induced writhing administered 15 to 90 mins prior challenge measured 5 mins post challenge1978Journal of medicinal chemistry, Aug, Volume: 21, Issue:8
Synthesis and analgetic activity of some 5-aryl-2azabicyclo[3.2.1]octanes.
AID149978Inhibition of [3H]U-69593 binding to Opioid receptor kappa 1 of Chinese hamster ovary membrane2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
2-aminothiazole-derived opioids. Bioisosteric replacement of phenols.
AID232684Selectivity ratio of IC50 of mu receptor to IC50 of delta receptor1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID193074Duration to produce analgesic activity was measured in rats by tail withdrawal reflex test (TWR), administered by intravenous at peak time 30 min (16 X MED50 dose)1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID148509Effective dose required for antagonist activity against dOpioid receptor delta 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Naltrindole 5'-isothiocyanate: a nonequilibrium, highly selective delta opioid receptor antagonist.
AID601795Displacement of [3H]U69593 from kappa opioid receptor in guinea pig brain membranes after 150 mins by scintillation counting2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 7,9-diazabicyclo[4.2.2]decanes as conformationally restricted κ receptor agonists: fine tuning of the dihedral angle of the ethylenediamine pharmacophore.
AID131735Tested for analgesic activity using mouse hot plate technique (values in parentheses indicates 95% confidence limits)1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID1132925Analgesic activity in sc dosed CD-1 mouse assessed as delay in response to noxious heat stimuli measured after 15 to 60 mins post dosing by D'Amour-Smith tail-flick method1978Journal of medicinal chemistry, Aug, Volume: 21, Issue:8
Synthesis and analgetic activity of some 5-aryl-2azabicyclo[3.2.1]octanes.
AID1426534Antinociceptive activity in CD1 mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 3 mg/kg, sc measured after 45 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID1456646Effect on human sperm motility at 10'-5 mol/L measured at 10 mins post dose by Makler counting chamber method (Rvb = 69 +/- 4.7%)
AID1476825Antinociceptive activity in sc dosed ICR mouse assessed as increase in latency in response to heat stimulus measured at 30 mins post dose by hot plate assay2017Journal of medicinal chemistry, 11-22, Volume: 60, Issue:22
Synthesis, Pharmacology, and Molecular Docking Studies on 6-Desoxo-N-methylmorphinans as Potent μ-Opioid Receptor Agonists.
AID496826Antimicrobial activity against Entamoeba histolytica2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID678712Inhibition of human CYP1A2 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using ethoxyresorufin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1251035Analgesic activity in rat by tail flick test2015Journal of medicinal chemistry, Oct-08, Volume: 58, Issue:19
Synthesis and Characterization in Vitro and in Vivo of (l)-(Trimethylsilyl)alanine Containing Neurotensin Analogues.
AID1150403Antinociceptive activity in naloxone hydrochloride-pretreated albino CD-1 mouse at 0.1 to 10 mg/kg, ip after 60 mins by tail-flick method1976Journal of medicinal chemistry, Jan, Volume: 19, Issue:1
Aporphines. 14 Dopaminergic and antinociceptive activity of aporphine derivatives. Synthesis of 10-hydroxyaporphines and 10-hydroxy-N-n-propylnoraporphine.
AID395305Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to DAMGO2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID1358124Displacement of [3H]diprenorphine from human DOR expressed in African green monkey COS1 cell membranes at 10 uM incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID251162Efficacy against isolated guinea pig ileum contraction induced by electrical stimulation2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Morphiceptin analogues containing a dipeptide mimetic structure: an investigation on the bioactive topology at the mu-receptor.
AID128498Analgesic activity in mice by the tail-flick method1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Structure-activity studies on narcotic antagonists. 2. N-substituted ethyl 3-(m- or p-hydroxyphenyl) nipecotates.
AID475899Biodistribution in human U87 cell xenografted rat brain assessed as blood-brain transfer coefficient2010Journal of medicinal chemistry, Apr-08, Volume: 53, Issue:7
New Angiopep-modified doxorubicin (ANG1007) and etoposide (ANG1009) chemotherapeutics with increased brain penetration.
AID134208Antagonist Ke values of approximately 15 nM which are indicative of k receptor antagonism on field-stimulated mouse vas deferens.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
2-(3,4-Dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]-acetamides: the use of conformational analysis in the development of a novel series of potent opioid kappa agonists.
AID128335Analgesic activity using PQW test, oral administration1983Journal of medicinal chemistry, Jan, Volume: 26, Issue:1
Synthesis and pharmacological studies of 4,4-disubstituted piperidines: a new class of compounds with potent analgesic properties.
AID604020Unbound drug concentration in Sprague-Dawley rat plasma administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID330425Antinociceptive activity in sc dosed mouse by tail flick assay2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID443805Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to 500 nM (-)-U504882010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Synthesis and opioid activity of enantiomeric N-substituted 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolines.
AID1536331Antiallodynic activity in carrageenan-induced Kunming mouse model of mechanical hyperalgesia administered as intrathecal injection after 10 to 90 mins in presence of opioid receptor antagonist naloxone by Von Frey filament assay
AID177312In vivo efficacy was measured using thermal escape assay1998Journal of medicinal chemistry, Jul-02, Volume: 41, Issue:14
Synthesis and biological activity of a novel methylamine-bridged enkephalin analogue (MABE): a new route to cyclic peptides and peptidomimetics.
AID1149253Analgesic activity in ip dosed Charles River rat by tail flick test1976Journal of medicinal chemistry, Apr, Volume: 19, Issue:4
Bridged aminotetralins. 4. Resolution of potent analgesics of the bridged aminotetralin type.
AID1432898Antinociceptive activity in C57BL6/J mouse assessed as analgesia at 5 mg/kg, ip measured after 30 mins by tail flick test (Rvb = -7%)2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID132524Concentration inhibiting electrically induced contraction of mouse vas deferens(MVD) at an ED50 of 5.6(ug/kg).1992Journal of medicinal chemistry, Oct-30, Volume: 35, Issue:22
Synthesis and conformational properties of the lanthionine-bridged opioid peptide [D-AlaL2,AlaL5]enkephalin as determined by NMR and computer simulations.
AID1506431Antinociceptive activity in CD1 mouse at 30 mg/kg, sc after 3 hrs by radiant heat tail flick method2017MedChemComm, Jan-01, Volume: 8, Issue:1
Synthesis and pharmacological evaluation of novel selective MOR agonist 6β-pyridinyl amidomorphines exhibiting long-lasting antinociception.
AID1196088Antiallodynic effect in it dosed Wistar rat measured 7 days post CCI challenge by Von Frey test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID681122TP_TRANSPORTER: inhibition of Calcein-AM efflux in MDR1-expressing LLC-PK1 cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID706570Antinociceptive effect in rat assessed as increase in latency time for nocifensive response at 6 mg/kg, po measured 1 hr post dose by hot plate test relative to untreated control2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Discovery and pharmacological profile of new 1H-indazole-3-carboxamide and 2H-pyrrolo[3,4-c]quinoline derivatives as selective serotonin 4 receptor ligands.
AID78310In vitro inhibition of contractions in the electrically stimulated guinea pig ileum.1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID1135094Analgesic activity in sc dosed rat assessed as estimated dose to elevate pain reaction threshold to pressure applied to hind paw of to 50 mmHg1977Journal of medicinal chemistry, Jan, Volume: 20, Issue:1
5,11-dimethyl-2,9-bis(phenylacetyl)-5,11-diazatetracyclo[6.2.2.0(2,7).0(4,9)]dodecane, a potent, novel analgesic.
AID79215Mu opioid receptor agonist activity was determined by inhibition of electrically stimulated myenteric plexus in guinea pig ileum1982Journal of medicinal chemistry, Dec, Volume: 25, Issue:12
Synthesis and biological evaluation of a metazocine-containing enkephalinamide. Evidence for nonidentical roles of the tyramine moiety in opiates and opioid peptides.
AID148252In vitro potency was measured against human Opioid receptor delta 11998Journal of medicinal chemistry, Jul-02, Volume: 41, Issue:14
Synthesis and biological activity of a novel methylamine-bridged enkephalin analogue (MABE): a new route to cyclic peptides and peptidomimetics.
AID389676Equilibrium constant, ratio of IC50 for kappa opioid receptor in ddy mouse vas deferens in presence of 100 nM nor-BNI to IC50 for kappa opioid receptor in ddy mouse vas deferens2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID1353369Antinociceptive activity in formalin-induced Swiss mouse model of hyperalgesia assessed as time spent licking the injected paw in early phase at 39 mM/kg, po pretreated for 1 hr followed by formalin injection and measured up to 5 mins (Rvb = 74 +/- 7.7 se2018European journal of medicinal chemistry, Mar-10, Volume: 147Design, synthesis and pharmacological evaluation of N-benzyl-piperidinyl-aryl-acylhydrazone derivatives as donepezil hybrids: Discovery of novel multi-target anti-alzheimer prototype drug candidates.
AID540214Clearance in rat after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID19468Partition coefficient (logP)2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1171146Antinociceptive activity in Swiss Webster mouse assessed as increase in reaction time at 5 mg/kg, ip measured after 3 hrs by tail flick test2014Journal of natural products, Nov-26, Volume: 77, Issue:11
Antinociceptive properties of physalins from Physalis angulata.
AID28935Liphophilic induce(log ki) value was measured in octanol-water system at PH 41991Journal of medicinal chemistry, Apr, Volume: 34, Issue:4
Morphine 6-glucuronide and morphine 3-glucuronide as molecular chameleons with unexpected lipophilicity.
AID132611In vivo analgesic activity was measured by using Antiphenyl quinone Writhing(PQW) test after subcutaneous administration1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID19240Partition coefficient of Zwitterion (logD)1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID1223490Apparent permeability across human differentiated Caco2 cells2012Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 40, Issue:2
Predicting phenolic acid absorption in Caco-2 cells: a theoretical permeability model and mechanistic study.
AID678717Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-benzyloxyquinoline as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID698720Toxicity in mouse assessed as inhibition of gastrointestinal transit lowering by measuring distance traveled by charcoal at 5 mg/kg, sc dosed before charcoal meal measured after 30 mins2012Journal of medicinal chemistry, Jul-26, Volume: 55, Issue:14
Synthesis and evaluation of aryl-naloxamide opiate analgesics targeting truncated exon 11-associated μ opioid receptor (MOR-1) splice variants.
AID1432900Antinociceptive activity in C57BL6/J mouse assessed as analgesia at 5 mg/kg, ip measured after 90 mins by tail flick test (Rvb = 10%)2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID353577Analgesic activity in awake rat at 0.3 mg/kg, iv administered as bolus dose for 30 seconds and 0.3 mg/kg/hr, iv administered via infusion measured after 1 hr2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
In vitro and in vivo SAR of pyrido[3,4-d]pyramid-4-ylamine based mGluR1 antagonists.
AID1057808Displacement of [3H]diprenorphine from mu opioid receptor in HEK293 cells at 1 uM after 120 mins relative to control2013Bioorganic & medicinal chemistry, Dec-15, Volume: 21, Issue:24
Pivaloylcodeine, a new codeine derivative, for the inhibition of morphine glucuronidation. An in vitro study in the rat.
AID1302044Induction of respiratory depression in Sprague-Dawley rat at 390 nmol/kg, iv after 5 to 120 mins by plethysmography method2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID389672Equilibrium constant, ratio of IC50 for kappa opioid receptor in guinea pig ileum in presence of 100 nM nor-BNI to IC50 for kappa opioid receptor in guinea pig ileum2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID471219Analgesic activity in Swiss mouse at 15 umol/kg, ip after 90 mins by hot plate test2009European journal of medicinal chemistry, Sep, Volume: 44, Issue:9
Synthesis and pharmacological evaluation of N-phenyl-acetamide sulfonamides designed as novel non-hepatotoxic analgesic candidates.
AID461910Analgesic activity in Sprague-Dawley rat assessed as reduction of spinal nerve ligation-induced allodynia score at 3 mg/kg, sc2010Journal of medicinal chemistry, Jan-28, Volume: 53, Issue:2
Novel KCNQ2/Q3 agonists as potential therapeutics for epilepsy and neuropathic pain.
AID1583479Displacement of [3H]diprenorphine from human KOR expressed in CHO cell membranes incubated for 1 hr by liquid scintillation counting assay2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID517037Antiinflammatory activity in Sprague-Dawley rat assessed as reduction in carrageenan-induced inflammatory pain at 10 uL, intraplanter2010Journal of medicinal chemistry, Oct-14, Volume: 53, Issue:19
1-Aryl-3-(1-acylpiperidin-4-yl)urea inhibitors of human and murine soluble epoxide hydrolase: structure-activity relationships, pharmacokinetics, and reduction of inflammatory pain.
AID148461Binding affinity against Opioid receptor kappa 1 isolated from rat brain membrane was determined using [3H]U-69593 as radioligand2003Journal of medicinal chemistry, Sep-11, Volume: 46, Issue:19
Synthesis and biological evaluation of 14-alkoxymorphinans. 20. 14-phenylpropoxymetopon: an extremely powerful analgesic.
AID330420Displacement of [3H]diprenorphine from recombinant mu opioid receptor expressed in C6 cells2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID132779In vivo antinociceptive activity was determined using mouse acetylcholine induced abdominal constriction test following subcutaneous administration1993Journal of medicinal chemistry, Jul-23, Volume: 36, Issue:15
A potent new class of kappa-receptor agonist: 4-substituted 1-(arylacetyl)-2-[(dialkylamino)methyl]piperazines.
AID603730Displacement of [3H]DAMGO from mu opioid receptor in guinea pig forebrain homogenate by scintillation counting2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID1133760Analgesic activity in icv dosed ICR mouse assessed as 50% inhibition of thermal stimulus-induced response measured for 60 to 90 mins by hot-plate test1977Journal of medicinal chemistry, Mar, Volume: 20, Issue:3
Synthesis and analgesic activity of human beta-endorphin.
AID577266Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding after 60 mins2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID1583487Agonist activity at human KOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding incubated for 1 hr by by liquid scintillation counting assay relative to 10 uM U69,5932020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID1629805Toxicity in CD-1 mouse assessed as inhibition of gastrointestinal transit by measuring distance traveled by charcoal at 5 mg/kg, sc followed by charcoal meal administration measured after 30 mins2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID122497Compound was tested for hyperalgesia in mice induced by formalin expressed as time of licking at late phase(up to 30 min) at dose 10 mg/kg1998Bioorganic & medicinal chemistry letters, Nov-03, Volume: 8, Issue:21
New phthalimide derivatives with potent analgesic activity: II.
AID776688Analgesic activity in sc dosed CD1 mouse assessed as increase in pain threshold by tail flick method2013European journal of medicinal chemistry, Nov, Volume: 69Novel 6β-acylaminomorphinans with analgesic activity.
AID150090Binding affinity for Opioid receptor delta 1 was determined2002Bioorganic & medicinal chemistry letters, Nov-04, Volume: 12, Issue:21
Synthesis and structure--activity relationship of novel aminotetralin derivatives with high micro selective opioid affinity.
AID149520Inhibition of [3H]DADLE radioligand binding to rat brain opioid receptor delta 1.1995Journal of medicinal chemistry, Apr-28, Volume: 38, Issue:9
Probes for narcotic receptor-mediated phenomena. 20. Alteration of opioid receptor subtype selectivity of the 5-(3-hydroxyphenyl)morphans by application of the message-address concept: preparation of delta-opioid receptor ligands.
AID479374Agonist activity at mu opioid receptor in Swiss albino mouse ileum assessed as inhibition of electrically-stimulated muscle contraction relative to control2010Bioorganic & medicinal chemistry, May-15, Volume: 18, Issue:10
Synthesis and opioid activity of novel 6-substituted-6-demethoxy-ethenomorphinans.
AID449914Analgesic activity in ICR mouse assessed as pain threshold variation at 20 umol/kg, ip administered as single dose measured after 60 mins by tail flick test relative to control2009Bioorganic & medicinal chemistry, Sep-01, Volume: 17, Issue:17
N-[2-chloro-9H-purin-6-yl]-N-cyclopropylglycylamino acids and derivatives: synthesis, evaluation as a class of novel analgesics, and 3D QSAR analysis.
AID1057803Displacement of [3H]U-69593 from kappa opioid receptor in CHO cells at 10 uM after 120 mins relative to control2013Bioorganic & medicinal chemistry, Dec-15, Volume: 21, Issue:24
Pivaloylcodeine, a new codeine derivative, for the inhibition of morphine glucuronidation. An in vitro study in the rat.
AID327873Activation of human mu opioid receptor expressed in HEK293a cells by [35S]GTP-gamma-S binding assay2007The Journal of biological chemistry, Sep-14, Volume: 282, Issue:37
Live cell monitoring of mu-opioid receptor-mediated G-protein activation reveals strong biological activity of close morphine biosynthetic precursors.
AID239358Inhibition of [3H]U-69593 binding to opioid receptor kappa from guinea pig brain membranes2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID410725Displacement of [3H]U69593 form kappa opioid receptor in guinea pig brain2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID148146Inhibition of binding of [3H]diprenorphine to cloned human Opioid receptor kappa 1 expressed in CHO cell membrane2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID1302031Antiallodynic activity in intrathecally dosed albino Swiss CD1 IGS mouse model of chronic constriction injury-induced neuropathic pain assessed as increase in mechanical threshold for paw withdrawal administered on day 7 to 16 after CCI surgery measured 32016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID624620Specific activity of expressed human recombinant UGT2B7H2000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID149264Binding affinity towards opioid receptor kappa 11992Journal of medicinal chemistry, May-01, Volume: 35, Issue:9
Phenylmorphans and analogues: opioid receptor subtype selectivity and effect of conformation on activity.
AID128825Anti-nociceptive activity (Analgesia reversed by 3 mg/kg of naloxone) after administration through the subcutaneous route to female mice.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
2-(3,4-Dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]-acetamides: the use of conformational analysis in the development of a novel series of potent opioid kappa agonists.
AID151912mu-1 receptor binding affinity in rat brain by 3H [d-Ala2, d-Leu5] enkephalin displacement.2003Bioorganic & medicinal chemistry letters, Mar-24, Volume: 13, Issue:6
Structure-activity relationships of some opiate glycosides.
AID1196489Antinociceptive activity in icv dosed C57BL/6J mouse assessed as latency to withdrawal tail administered first dose for 8 hrs followed by second dose measured after 30 mins by 55 degC warm-water tail withdrawal assay2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluations of novel endomorphin analogues containing α-hydroxy-β-phenylalanine (AHPBA) displaying mixed μ/δ opioid receptor agonist and δ opioid receptor antagonist activities.
AID1714384Antinociceptive activity in mouse model of CFA-induced chronic inflammatory pain assessed as reduction in tactile hyperalgesia at 3 nmol, icv dosed once daily for 6 days2016Journal of medicinal chemistry, 11-23, Volume: 59, Issue:22
Structure-Based Optimization of Multifunctional Agonists for Opioid and Neuropeptide FF Receptors with Potent Nontolerance Forming Analgesic Activities.
AID114689Effective dose was measured in hot plate test.1988Journal of medicinal chemistry, May, Volume: 31, Issue:5
Peripherally acting enkephalin analogues. 1. Polar pentapeptides.
AID1146234Narcotic analgesic activity in sc dosed rat by tail-flick test1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Synthesis and pharmacological activity of some N-alkyl-substituted 9alpha-ethyl-2'-hydroxy-5-methyl-6,7-benzomorphans.
AID136970In vivo opioid activity was evaluated by determining analgesia in the mouse by the tail-flick test, relative potency with respect to morphine intra cerebro ventricular route1986Journal of medicinal chemistry, Jun, Volume: 29, Issue:6
Synthesis and opioid activity of dermorphin tetrapeptides bearing D-methionine S-oxide at position 2.
AID330426Antinociceptive activity in sc dosed mouse by p-phenylquinone writhing assay2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID695721Antinociceptive activity in iv dosed Sprague-Dawley rat chronic constriction injury model assessed as paw withdrawal threshold to von Frey filament-induced pain administered as bolus injection2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1685509Activity at human MOR expressed in U2OS cells co-expressing beta-arrestin2 EFC assessed as beta-arrestin2 EFC recruitment by Tango assay2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID138825Evaluation for the ability of mu opioid to protect the [3H]DAMGO binding site from alkylation1994Journal of medicinal chemistry, May-27, Volume: 37, Issue:11
14 alpha,14' beta-[Dithiobis[(2-oxo-2,1-ethanediyl)imino]]bis (7,8-dihydromorphinone) and 14 alpha,14' beta-[dithiobis[(2-oxo-2,1- ethanediyl)imino]]bis[7,8-dihydro-N-(cyclopropylmethyl)normorphinone]: chemistry and opioid binding properties.
AID138524Opioid antagonist activity of compound was measured as inhibiting the binding of normorphine to mouse vas deferens; None1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Some 14 beta-substituted analogues of N-(cyclopropylmethyl)normorphine.
AID299511Analgesic activity against formalin-induced acute pain in po dosed mouse2007Bioorganic & medicinal chemistry letters, Jul-15, Volume: 17, Issue:14
2-Arylimino-5,6-dihydro-4H-1,3-thiazines as a new class of cannabinoid receptor agonists. Part 2: orally bioavailable compounds.
AID1781406Displacement of [3H]DPDPE from rat delta opioid receptor expressed in CHO cell membrane measured after 30 mins by liquid scintillation counting method2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID1441546Displacement of [3H]DAMGO from mu-type opioid receptor in guinea pig brain membranes after 120 mins by solid scintillation counting2017Journal of medicinal chemistry, 03-23, Volume: 60, Issue:6
Design and Synthesis of Enantiomerically Pure Decahydroquinoxalines as Potent and Selective κ-Opioid Receptor Agonists with Anti-Inflammatory Activity in Vivo.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID577080Selectivity ratio of Ki for delta opioid receptor in Sprague-Dawley rat brain membrane to Ki for mu opioid receptor in Sprague-Dawley rat brain membrane2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID441180Antinociceptive activity against radiant heat-induced nociception in po dosed CD1 mouse assessed as increase in tail withdrawal latency measured after 15 to 120 mins postdose by tail flick test2009Journal of medicinal chemistry, Dec-10, Volume: 52, Issue:23
Further studies on arylpiperazinyl alkyl pyridazinones: discovery of an exceptionally potent, orally active, antinociceptive agent in thermally induced pain.
AID678722Covalent binding affinity to human liver microsomes assessed per mg of protein at 10 uM after 60 mins presence of NADPH2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1526731Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.05 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1526805Unbound Cmax in human at 10 mg, po dosed as immediate release formulation2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID496824Antimicrobial activity against Toxoplasma gondii2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID132771In vivo antinociceptive activity was determined upon subcutaneous administration by hot plate assay2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID603169Displacement of [125I]-IBNtxA from MOR-1 expressed in CHO cells2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Generation of novel radiolabeled opiates through site-selective iodination.
AID1432899Antinociceptive activity in C57BL6/J mouse assessed as analgesia at 5 mg/kg, ip measured after 60 mins by tail flick test (Rvb = 3%)2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID169257Amount of the drug required to produce 50% antinociception when administered intraperitoneally; value ranges from 11.8-18.02000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID1629807Toxicity in C57BL/6 mouse assessed as decrease in respiratory rate at 5 mg/kg, sc measured at 15 to 35 mins post dose relative to control2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID150851Binding affinity determined against Opioid receptor mu 1 from human cloned receptor2003Journal of medicinal chemistry, Aug-28, Volume: 46, Issue:18
Synthesis, biological evaluation, and receptor docking simulations of 2-[(acylamino)ethyl]-1,4-benzodiazepines as kappa-opioid receptor agonists endowed with antinociceptive and antiamnesic activity.
AID1526795Unbound Cmax in human at 10 mg, iv2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID389657Agonist activity at kappa opioid receptor in ddy mouse vas deferens assessed as inhibition of electric stimulation-induced contraction2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID1714365Antinociceptive activity in mouse2016Journal of medicinal chemistry, 11-23, Volume: 59, Issue:22
Structure-Based Optimization of Multifunctional Agonists for Opioid and Neuropeptide FF Receptors with Potent Nontolerance Forming Analgesic Activities.
AID1526790Unbound Cmax in human at 50 mg, po dosed as slow release formulation2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID496829Antimicrobial activity against Leishmania infantum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID149177Opioid receptor activity in terms of inhibition of [3H]dihydromorphine binding in rat brain membrane1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Common stereospecificity of opioid and dopamine systems for N-butyrophenone prodine-like compounds.
AID1655299Toxicity in PGE2-induced CD1 mouse model of thermal hyperalgesia assessed as effect on gastrointestinal transit by measuring distance traveled by charcoal meal at 3 mg/kg, sc dosed 30 mins before charcoal suspension administration and measured after 30 mi
AID1171149Antinociceptive activity in Swiss Webster mouse assessed as increase in latency time at 5 mg/kg, ip measured after 1 hr by hot plate test2014Journal of natural products, Nov-26, Volume: 77, Issue:11
Antinociceptive properties of physalins from Physalis angulata.
AID471220Analgesic activity in Swiss mouse at 15 umol/kg, ip after 120 mins by hot plate test2009European journal of medicinal chemistry, Sep, Volume: 44, Issue:9
Synthesis and pharmacological evaluation of N-phenyl-acetamide sulfonamides designed as novel non-hepatotoxic analgesic candidates.
AID1386867Selectivity index, change in deltalog(Tau/KA) for agonist activity at human mu opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding to deltalog(Tau/KA) for agonist activity at human mu opioid receptor expressed2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID127299Antagonist action in tail-flick antagonism vs morphine, in rhesus monkeys, compound was injected subcutaneously; Not Active1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Common stereospecificity of opioid and dopamine systems for N-butyrophenone prodine-like compounds.
AID79036Inhibitory effect was measured on guinea pig ileum for maximal contraction1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Pseudopeptide analogues of substance P and leucine enkephalinamide containing the psi (CH2O) modification: synthesis and biological activity.
AID151601Binding affinity at Opioid receptor mu 1 by displacement of [3H]DAMGO in rat brain membrane2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID147944Inhibition of [3H]naltrindole binding to opioid receptor delta 1 of Chinese hamster ovary membrane2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
2-aminothiazole-derived opioids. Bioisosteric replacement of phenols.
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1133759Analgesic activity in icv dosed ICR mouse assessed as 50% inhibition of heat stimulus-induced tail flick response measured for 60 to 90 mins1977Journal of medicinal chemistry, Mar, Volume: 20, Issue:3
Synthesis and analgesic activity of human beta-endorphin.
AID1872031Binding affinity to MOP (unknown origin)2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1685506Activity at human MOR expressed in CHOK1 cells co-expressing beta-arrestin2 EFC assessed as beta-arrestin2 EFC recruitment measured after 90 mins by PathHunter assay2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID149130Binding affinity for kappa opioid receptor was evaluated by displacing [3H]- diprenorphine1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID152210Binding affinity towards opioid receptor mu 21992Journal of medicinal chemistry, May-01, Volume: 35, Issue:9
Phenylmorphans and analogues: opioid receptor subtype selectivity and effect of conformation on activity.
AID27558Partition coefficient (logP)1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID193076Duration to produce analgesic activity was measured in rats by tail withdrawal reflex test (TWR), administered by intravenous at peak time 30 min (32 X MED50 dose)1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID168365Tail-flick assay was performed to determine antinociceptive profile of the compound.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Common stereospecificity of opioid and dopamine systems for N-butyrophenone prodine-like compounds.
AID79379Opioid antagonist activity in guinea pig ileum assay1997Journal of medicinal chemistry, Aug-15, Volume: 40, Issue:17
Synthesis and opioid activity of [D-Pro10]dynorphin A-(1-11) analogues with N-terminal alkyl substitution.
AID1904831Antiallodynic activity against CFA-induced C57BL/6N mouse inflammatory pain model assessed as inhibition of inflammatory mechanical allodynia at 5.6 mg/kg, ip measured over 2 hrs post treatment by von Frey test2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Optimization of a Pyrimidinone Series for Selective Inhibition of Ca
AID243024Ratio of binding affinities for opioid receptors delta 1 and mu 12005Bioorganic & medicinal chemistry letters, Feb-01, Volume: 15, Issue:3
Studies on the structure-activity relationship of 2',6'-dimethyl-l-tyrosine (Dmt) derivatives: bioactivity profile of H-Dmt-NH-CH(3).
AID225535In vivo antinociceptive activity was determined using mouse abdominal constriction test following subcutaneous administration1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID678715Inhibition of human CYP2D6 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 4-methylaminoethyl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID149124Binding affinity at Opioid receptor kappa 1 by displacement of [3H]U-69593 in guinea pig brain membranes2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID177002Dose (sc) required for a 2-s increase in reaction time in rat tail heat analgesia test1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Synthesis and analgesic properties of N-substituted trans-4a-aryldecahydroisoquinolines.
AID449915Analgesic activity in ICR mouse assessed as pain threshold variation at 20 umol/kg, ip administered as single dose measured after 90 mins by tail flick test relative to control2009Bioorganic & medicinal chemistry, Sep-01, Volume: 17, Issue:17
N-[2-chloro-9H-purin-6-yl]-N-cyclopropylglycylamino acids and derivatives: synthesis, evaluation as a class of novel analgesics, and 3D QSAR analysis.
AID19246Partition coefficient of cation (logD)1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID131767Tested for in vivo antinociceptive activity in mouse abdominal constriction assay1994Journal of medicinal chemistry, Oct-14, Volume: 37, Issue:21
Selective kappa-opioid agonists: synthesis and structure-activity relationships of piperidines incorporating on oxo-containing acyl group.
AID714649Analgesic activity in albino CF1 mouse assessed as inhibition of heat-induced paw licking or jumping behaviour administered after 30 mins prior heat challenge by hot plate method2012Bioorganic & medicinal chemistry, Nov-01, Volume: 20, Issue:21
Search for anticonvulsant and analgesic active derivatives of dihydrofuran-2(3H)-one.
AID1137257Analgesic activity in sc dosed rat by tail flick test1979Journal of medicinal chemistry, Oct, Volume: 22, Issue:10
(2,6-Methano-3-benzazocin-11 beta-yl)alkanones. 1. Alkylalkanones: a new series of N-methyl derivatives with novel opiate activity profiles.
AID268678Displacement of radiolabeled DPDPE-Cl from delta opioid receptor in Hartley guinea pig brain2006Bioorganic & medicinal chemistry letters, Aug-15, Volume: 16, Issue:16
Opiate receptor binding properties of morphine-, dihydromorphine-, and codeine 6-O-sulfate ester congeners.
AID149782Binding affinity of compound was determined against Opioid receptor delta 1 from a native receptor in guinea pig2003Journal of medicinal chemistry, Aug-28, Volume: 46, Issue:18
Synthesis, biological evaluation, and receptor docking simulations of 2-[(acylamino)ethyl]-1,4-benzodiazepines as kappa-opioid receptor agonists endowed with antinociceptive and antiamnesic activity.
AID193077Duration to produce analgesic activity was measured in rats by tail withdrawal reflex test (TWR), administered by intravenous at peak time 30 min (4 X MED50 dose)1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID754488Displacement of [3H]DPDPE from delta opoid receptor in Dunkin-Hartley guinea pig brain after 2 hrs by liquid scintillation spectrometry2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID123287Antinociceptive action was evaluated by mouse tail flick assay at a dose of 3 nmol on 9 mice1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Asymmetric syntheses, opioid receptor affinities, and antinociceptive effects of 8-amino-5,9-methanobenzocyclooctenes, a new class of structural analogues of the morphine alkaloids.
AID1358131Agonist activity at human DOR expressed in African green monkey COS1 cell membranes assessed as stimulation of [35S]GTPgS binding at 20 uM by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID247018Gastrointestinal (GI) motility was assessed by colonic bead expulsion after subcutaneous administration in mice2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID329909Agonist activity at mu opioid receptor expressed in HEK293 cells overexpressing GRK2 assessed as induction of beta-arrestin-2-GFP plasma membrane translocation at 10 uM after 10 mins2008Journal of medicinal chemistry, Apr-24, Volume: 51, Issue:8
Herkinorin analogues with differential beta-arrestin-2 interactions.
AID695257Analgesic activity in po dosed mouse assessed as inhibition of acetic acid-induced writhing response administered 0.5 to 1 hr before acetic acid challenge2012Bioorganic & medicinal chemistry letters, Apr-01, Volume: 22, Issue:7
Synthesis and pharmacological evaluation of carbamic acid 1-phenyl-3-(4-phenyl-piperazine-1-yl)-propyl ester derivatives as new analgesic agents.
AID126331Analgesic activity in monkeys.1992Journal of medicinal chemistry, Oct-02, Volume: 35, Issue:20
Alfred Burger Award address. A half century in medicinal chemistry with major emphasis on pain-relieving drugs and their antagonists.
AID695726Antinociceptive activity in Sprague-Dawley rat chronic constriction injury model assessed as reduction in Von Frey filament-induced mechanical allodynia in ipsilateral hind paw at 8 umol/kg, po2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID76232Irreversible antagonistic potency in guinea pig ileal longitudinal muscle (GPI)1983Journal of medicinal chemistry, Sep, Volume: 26, Issue:9
Importance of C-6 chirality in conferring irreversible opioid antagonism to naltrexone-derived affinity labels.
AID1809499Partial agonist activity at human MOR expressed in HEK293T cells co-expressing beta-arrestin1 assessed as beta-arrestin1 recruitment by BRET assay relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID1133440Narcotic agonist activity in mouse by writhing test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID1456643Effect on human sperm motility at 10'-5 mol/L measured immediately post dose by Makler counting chamber method (Rvb = 70 +/- 4.2%)
AID174614Duration of action in minutes, 8 times of the ED50 using rat hot flick1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID1725718Agonist activity at human mu opioid receptor assessed as inhibition of forskolin-induced cAMP accumulation2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Discovery of SHR0687, a Highly Potent and Peripheral Nervous System-Restricted KOR Agonist.
AID149142Binding affinity against Opioid receptor kappa 1 was determined in brain membrane preparations from male Hartley guinea-pigs1998Bioorganic & medicinal chemistry letters, Jul-21, Volume: 8, Issue:14
C-alkylated spiro[benzofuran-3(2H),4'-1'-methyl-piperidine-7-ols] as potent opioids: a conformation-activity study.
AID1432895Displacement of [3H]DPN from zebrafish mu opioid receptor expressed in HEK293 cell membranes after 1 hr by scintillation counting method2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID246962In vivo analgesic effect (sc) assessed as antinociceptive potency by tail flick test in mice2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID128648Analgesic activity, 30 min after subcutaneous administration of the compound, in mice1984Journal of medicinal chemistry, Oct, Volume: 27, Issue:10
Activities of morphinone and N-(cyclopropylmethyl)normorphinone at opioid receptors.
AID1630726Antinociceptive activity in CB1 mouse assessed as increase in tail flick latency at 5 mg/kg, ip up to 90 mins2016Bioorganic & medicinal chemistry, 11-01, Volume: 24, Issue:21
An LP1 analogue, selective MOR agonist with a peculiar pharmacological profile, used to scrutiny the ligand binding domain.
AID176713Dosage necessary to produce half maximal effect; Range is in between (10-24)2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID148023In vitro potency was measured against human Opioid receptor kappa 11998Journal of medicinal chemistry, Jul-02, Volume: 41, Issue:14
Synthesis and biological activity of a novel methylamine-bridged enkephalin analogue (MABE): a new route to cyclic peptides and peptidomimetics.
AID1188146Selectivity ratio of Ki for delta opioid receptor in rat brain membranes to Ki for mu opioid receptor in rat brain membranes2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID298636Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID765827Displacement of [3H]DAMGO from human mu opioid receptor expressed in CHO cells after 2 hrs by liquid scintillation counting2013European journal of medicinal chemistry, Sep, Volume: 67Probes for narcotic receptor mediated phenomena. 48. C7- and C8-substituted 5-phenylmorphan opioids from diastereoselective alkylation.
AID149268Binding affinity to Opioid receptor kappa 1 in guinea pig cortex using [3H]EKC as radioligand1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Synthesis and analgesic properties of N-substituted trans-4a-aryldecahydroisoquinolines.
AID259398Selectivity for human kappa opioid receptor over delta opioid receptor2006Journal of medicinal chemistry, Jan-12, Volume: 49, Issue:1
Synthesis and preliminary in vitro investigation of bivalent ligands containing homo- and heterodimeric pharmacophores at mu, delta, and kappa opioid receptors.
AID1302037Antinociceptive activity in C57BL6 mouse model of acute pain assessed as increase in withdrawal latency from radiant heat source at 10 ug, iv measured after 5 to 120 mins by tail flick assay relative to control2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID176687Compound was evaluated for analgesic activity in Sprague-Dawley rats by tail-flick method.1984Journal of medicinal chemistry, Apr, Volume: 27, Issue:4
Analgesics of the orvinol type. 19-Deoxy and 6,20-epoxy derivatives.
AID150244Concentration required to inhibit [3H]naltrexone binding to Opioid receptors1982Journal of medicinal chemistry, Oct, Volume: 25, Issue:10
Synthesis and pharmacology of metabolically stable tert-butyl ethers of morphine and levorphanol.
AID445727Antiallodynic activity against neuropathic pain in L5 spinal nerve ligated rat model assessed as reduction of allodynia at 3 mg/kg, po administered 9 days after surgery relative to control2009Bioorganic & medicinal chemistry letters, Oct-15, Volume: 19, Issue:20
Novel pyridine derivatives as potent and selective CB2 cannabinoid receptor agonists.
AID329609Displacement of [3H]naloxone from mu opioid receptor in rat brain membrane2008Journal of medicinal chemistry, Apr-24, Volume: 51, Issue:8
Blood-brain barrier penetration by two dermorphin tetrapeptide analogues: role of lipophilicity vs structural flexibility.
AID604022Fraction unbound in Sprague-Dawley rat plasma administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr by LC-MS/MS method2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID152057Inhibition of [3H]naloxone binding to Opioid receptor mu 1 of rat brain membrane1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID229273Ratio of IC50 measured in MVD to that of GPI.1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Pseudopeptide analogues of substance P and leucine enkephalinamide containing the psi (CH2O) modification: synthesis and biological activity.
AID231954Ratio of delta to that of mu opioid receptor affinity2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
Piperazinyl benzamidines: synthesis and affinity for the delta opioid receptor.
AID714648Antiinflammatory activity in ip dosed albino CF1 mouse assessed as inhibition of phenylbenzoquinone-induced writhing administered after 30 mins prior challenge2012Bioorganic & medicinal chemistry, Nov-01, Volume: 20, Issue:21
Search for anticonvulsant and analgesic active derivatives of dihydrofuran-2(3H)-one.
AID1358130Agonist activity at human MOR expressed in African green monkey COS1 cell membranes assessed as stimulation of [35S]GTPgS binding at 50 uM by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID1358121Displacement of [3H]diprenorphine from human MOR expressed in African green monkey COS1 cell membranes at 1 uM incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID601356Analgesic activity in ICR mouse assessed as increase in pain threshold at 0.15 mmol/kg, ip after 180 mins by tail flick method (Rvb = 8.75 +/- 9.73 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Novel β-carboline-tripeptide conjugates attenuate mesenteric ischemia/reperfusion injury in the rat.
AID114834Effective dose required for analgesic potency in the hotplate procedure after sc injection into mice.1982Journal of medicinal chemistry, Jan, Volume: 25, Issue:1
Stereochemical studies on medicinal agents. 25. Absolute configuration and analgetic potency of beta-1,2-dimethyl-2-phenyl-4-(propionyloxy)piperidine enantiomers.
AID148318Evaluated for the binding affinity at kappa receptor1994Journal of medicinal chemistry, Oct-14, Volume: 37, Issue:21
Selective kappa-opioid agonists: synthesis and structure-activity relationships of piperidines incorporating on oxo-containing acyl group.
AID259396Displacement of [3H]U69593 from human kappa opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Jan-12, Volume: 49, Issue:1
Synthesis and preliminary in vitro investigation of bivalent ligands containing homo- and heterodimeric pharmacophores at mu, delta, and kappa opioid receptors.
AID729039Agonist activity at rat DOR expressed in rat C6 cells assessed as stimulation of [35S]GTPgammaS binding after 1 hr by liquid scintillation counting analysis2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID507157Inhibition of MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells assessed as stimulation of ERK1/2 phosphorylation2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID113519In vivo inhibition of phenyl-1,4-benzoquinone(PBQ) -induced writhing in mice (sc)1988Journal of medicinal chemistry, May, Volume: 31, Issue:5
Peripherally acting enkephalin analogues. 1. Polar pentapeptides.
AID149117Binding affinity against Opioid receptor kappa 1 in guinea pig brain membranes1998Bioorganic & medicinal chemistry letters, Oct-06, Volume: 8, Issue:19
Design of a high affinity peptidomimetic opioid agonist from peptide pharmacophore models.
AID151621Binding affinity towards Opioid receptor mu 1 using [3H]DAMGO as radioligand.1995Journal of medicinal chemistry, Apr-28, Volume: 38, Issue:9
Enantiomers of diastereomeric cis-N-[1-(2-hydroxy-2-phenylethyl)- 3-methyl-4-piperidyl]-N-phenylpropanamides: synthesis, X-ray analysis, and biological activities.
AID383161Displacement of [3H]DAMGO from mu opioid receptor in ICR mouse whole brain2008Bioorganic & medicinal chemistry, Apr-15, Volume: 16, Issue:8
Syntheses of 4,6'-epoxymorphinan derivatives and their pharmacologies.
AID754486Selectivity ratio of Ki for mu opioid receptor in Dunkin-Hartley guinea pig brain over Ki for delta opioid receptor in Dunkin-Hartley guinea pig brain2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID1149254Analgesic activity in im dosed Charles River rat by tail flick test1976Journal of medicinal chemistry, Apr, Volume: 19, Issue:4
Bridged aminotetralins. 4. Resolution of potent analgesics of the bridged aminotetralin type.
AID1808008Chronic antinociceptive tolerance in Kunming mouse pretreated with compound followed by repeated compound addition at 20 nmol, icv once daily for 7 days and measured after 15 mins by radiant heat paw withdrawal test2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID1506419Displacement of [125I]BNtxA from mouse MOR expressed in CHO cell membranes after 90 mins by filter binding assay2017MedChemComm, Jan-01, Volume: 8, Issue:1
Synthesis and pharmacological evaluation of novel selective MOR agonist 6β-pyridinyl amidomorphines exhibiting long-lasting antinociception.
AID147914Binding affinity of compound was determined against Opioid receptor mu 1 from native receptor in guinea pig2003Journal of medicinal chemistry, Aug-28, Volume: 46, Issue:18
Synthesis, biological evaluation, and receptor docking simulations of 2-[(acylamino)ethyl]-1,4-benzodiazepines as kappa-opioid receptor agonists endowed with antinociceptive and antiamnesic activity.
AID1536338Antinociceptive activity in Kunming mouse model of thermal-induced nociception assessed as increase in latency to tail withdrawal at 2 to 4 nmol, icv administered once daily for 8 days measured on days 6 to 8 at 30 mins post dose in presence of NPFF recep
AID1536330Antiallodynic activity in carrageenan-induced Kunming mouse model of mechanical hyperalgesia administered as intrathecal injection after 10 to 90 mins in presence of NPFF receptor antagonist RF9 by Von Frey filament assay
AID244397Selectivity ratio of binding affinities for kappa versus mu opioid receptors2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID28233Fraction ionized (pH 7.4)2002Journal of medicinal chemistry, Jun-20, Volume: 45, Issue:13
Prediction of volume of distribution values in humans for neutral and basic drugs using physicochemical measurements and plasma protein binding data.
AID1755985Antinociceptive activity against C57Bl/6N mouse model of thermal-induced nociception at 6 mg/kg, sc measured at 30 mins by tail-flick test2021Journal of natural products, 01-22, Volume: 84, Issue:1
Isolation and Pharmacological Characterization of Six Opioidergic
AID123269Analgesic efficacy is expressed as percentage of that epibatidine, done on mouse.1998Journal of medicinal chemistry, Feb-26, Volume: 41, Issue:5
Mono- and disubstituted-3,8-diazabicyclo[3.2.1]octane derivatives as analgesics structurally related to epibatidine: synthesis, activity, and modeling.
AID1714485Agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as increase in forskolin induced cAMP production measured after 30 mins by HitHunter luminescence based assay relative to control2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID229388Relative affinity for delta and kappa opioid receptors2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
2-aminothiazole-derived opioids. Bioisosteric replacement of phenols.
AID1194130Displacement of [3H]DAMGO from mouse MOR expressed in CHO cells2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID133452Analgesic activity was determined by mouse tail flick (TF), 1 hour postdose.1984Journal of medicinal chemistry, Jan, Volume: 27, Issue:1
A cannabinoid derived prototypical analgesic.
AID223758Antinociceptive effect determined before treatment in the mouse hotplate test2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID112206The compound was evaluated for the morphine antagonism in mice1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID1526752Passive membrane permeability by LC-MS/MS analysis based PAMPA2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID410724Displacement of [3H]Naltrindole form delta opioid receptor in guinea pig brain2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID78840Inhibition of the electrically induced muscle contractions was determined using the guinea pig ileum2003Journal of medicinal chemistry, Feb-13, Volume: 46, Issue:4
3-(alphaR)-alpha-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3-hydroxybenzyl)-N-alkyl-N-arylbenzamides: potent, non-peptidic agonists of both the micro and delta opioid receptors.
AID389674Equilibrium constant, ratio of IC50 for mu opioid receptor in guinea pig ileum in presence of 20 nM Naloxone to IC50 for mu opioid receptor in guinea pig ileum2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID603732Antinociceptive activity in sc dosed mouse assessed as inhibition of acetic acid-induced writhing2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID222285% maximum inhibition is elicited when the response reaches plateau, calculated regarding electrically induced contraction in guinea pig ileum as 100%2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID1714487Agonist activity at human delta opiod receptor expressed in CHO-K1 cells assessed as increase in forskolin induced cAMP production measured after 30 mins by HitHunter luminescence based assay relative to control2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID112328Evaluated for activity in Nilsen test1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Some spiro analogues of the potent analgesic ketobemidone.
AID461905Antinociceptive activity in formalin-treated Sprague-Dawley rat model assessed as reduction in hind paw flinches at 3 mg/kg, sc measured during 11 to 60 mins of phase 2 flinches2010Journal of medicinal chemistry, Jan-28, Volume: 53, Issue:2
Novel KCNQ2/Q3 agonists as potential therapeutics for epilepsy and neuropathic pain.
AID150406Compound was tested for its binding affinity towards Opioid receptors using [3H]naloxone from rat whole brain1998Journal of medicinal chemistry, May-07, Volume: 41, Issue:10
1'-Benzyl-3,4-dihydrospiro[2H-1- benzothiopyran-2,4'-piperidine] (spipethiane), a potent and highly selective sigma1 ligand.
AID1526800Unbound Cmax in human at 10 mg, im2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID232679Selectivity ratio, inhibition of electrically evoked contraction (IC50) of mouse vas deferens (MVD) versus guinea pig ileum (GPI)1988Journal of medicinal chemistry, Feb, Volume: 31, Issue:2
Investigation of the structural parameters involved in the mu and delta opioid receptor discrimination of linear enkephalin-related peptides.
AID145936Concentration required to inhibit opiate receptor using radioligand [3H]- Etorphine1986Journal of medicinal chemistry, Oct, Volume: 29, Issue:10
3,7-Diazabicyclane: a new narcotic analgesic.
AID132845Opioid agonistic activity was measured in mouse vas deferens1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Some 14 beta-substituted analogues of N-(cyclopropylmethyl)normorphine.
AID185353Dose (sc) required to produce 50% of the maximum possible analgesic effect, evaluated by rat-paw pressure assay1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Highly selective kappa opioid analgesics. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide and N-[(2-aminocyclohexyl)aryloxy]acetamide derivatives.
AID488649Binding affinity to kappa opioid receptor2010Bioorganic & medicinal chemistry, Jun-15, Volume: 18, Issue:12
Identification of the three-dimensional pharmacophore of kappa-opioid receptor agonists.
AID114498Compound was administered subcutaneously and was evaluated for opioid agonist activity by antinociceptive tail-flick (TF) assay in mice.1984Journal of medicinal chemistry, Apr, Volume: 27, Issue:4
Racemic and optically active 2,9-dimethyl-5-(m-hydroxyphenyl)morphans and pharmacological comparison with the 9-demethyl homologues.
AID592681Apparent permeability across human Caco2 cell membrane after 2 hrs by LC-MS/MS analysis2011Bioorganic & medicinal chemistry, Apr-15, Volume: 19, Issue:8
QSAR-based permeability model for drug-like compounds.
AID1587339Displacement of [3H]-diprenorphine from human kappa-type opioid receptor expressed in CHO cell membranes incubated for 1 hr by liquid scintillation counting method2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID1807985Antinociceptive activity in Kunming mouse model assessed as maximum possible effect at 10 micromol/kg, sc by radiant heat paw withdrawal assay2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID108561Area under the antinociceptive effect time curve after 2 mg/kg administration in mice.2003Bioorganic & medicinal chemistry letters, Mar-24, Volume: 13, Issue:6
Structure-activity relationships of some opiate glycosides.
AID330424Selectivity for recombinant mu opioid receptor over recombinant kappa opioid receptor2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID223113Antinociceptive activity in acetic acid induced abdominal constriction assay after sc administration and abolished by naloxone administered at 3 mg/kg sc in mice1991Journal of medicinal chemistry, Nov, Volume: 34, Issue:11
Structure/activity studies related to 2-(3,4-dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]acetamides: a novel series of potent and selective kappa-opioid agonists.
AID128337Analgesic activity in tail flick test, subcutaneous administration1983Journal of medicinal chemistry, Jan, Volume: 26, Issue:1
Synthesis and pharmacological studies of 4,4-disubstituted piperidines: a new class of compounds with potent analgesic properties.
AID496831Antimicrobial activity against Cryptosporidium parvum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID185352Dose (po) required to produce 50% of the maximum possible analgesic effect, evaluated by rat-paw pressure assay1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Highly selective kappa opioid analgesics. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide and N-[(2-aminocyclohexyl)aryloxy]acetamide derivatives.
AID647794Displacement of [3H]-DAMGO from human mu opioid receptor expressed in CHO cells membrane after 2 hrs by liquid scintillation counting2012European journal of medicinal chemistry, Apr, Volume: 50Probes for narcotic receptor mediated phenomena. 44. Synthesis of an N-substituted 4-hydroxy-5-(3-hydroxyphenyl)morphan with high affinity and selective μ-antagonist activity.
AID507155Binding affinity to MOR/NE-occupied alpha2A adrenergic receptor heterodimer expressed in HEK293 cells coexpressing Gi protein assessed as inhibition of norepinephrine-induced Gi protein FRET signal2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID225353In vivo analgesic activity in hot plate test in mice2000Bioorganic & medicinal chemistry letters, Apr-17, Volume: 10, Issue:8
Novel 3-(4-piperidinylthio)-1H-indoles as potent nonopioid orally active central analgesics.
AID1685503Agonist activity at human KOR expressed in CHOK1 cells assessed as inhibition of forskolin-stimulated cAMP accumulation incubated for 30 mins by luminescence assay relative to DAMGO2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID357088Antinociceptive effect in sc dosed C57BL/6J mouse after 60 mins by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID125740Analgesic activity was calculated at time of peak drug effect when administered (icv) in mouse warm-water tail withdrawal assay2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID1302038Antinociceptive activity in C57BL6 mouse model of acute pain assessed as increase in withdrawal latency from radiant heat source at >10 ug, iv measured after 5 to 120 mins by tail flick assay relative to control2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID1526804Cmax in human at 10 mg, po dosed as immediate release formulation2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID115285MAD: minimal dose able to induce a statistically significant increase of the pain threshold, done on mouse; sc1998Journal of medicinal chemistry, Feb-26, Volume: 41, Issue:5
Mono- and disubstituted-3,8-diazabicyclo[3.2.1]octane derivatives as analgesics structurally related to epibatidine: synthesis, activity, and modeling.
AID708673Antinociceptive activity in icv dosed ICR mouse assessed as warm-water tail-withdrawal latency administered bid for 3 days2012Journal of medicinal chemistry, Oct-11, Volume: 55, Issue:19
14-Alkoxy- and 14-acyloxypyridomorphinans: μ agonist/δ antagonist opioid analgesics with diminished tolerance and dependence side effects.
AID425652Total body clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID127143Physical dependence capacity at abstinence suppressant dose; high1980Journal of medicinal chemistry, Mar, Volume: 23, Issue:3
Third Smissman Award address: reminiscences and musings of a classical medicinal chemist.
AID174638Duration to produce analgesic activity was measured in rats by tail withdrawal reflex test (TWR), intravenous administration.1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID150753Inhibition of P-glycoprotein, mouse L-mdr1a expressed in LLC-PK1 epithelial cells using calcein-AM polarisation assay2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID1150400Antinociceptive activity in albino CD-1 mouse at 0.1 to 10 mg/kg, ip after 60 mins by tail-flick method1976Journal of medicinal chemistry, Jan, Volume: 19, Issue:1
Aporphines. 14 Dopaminergic and antinociceptive activity of aporphine derivatives. Synthesis of 10-hydroxyaporphines and 10-hydroxy-N-n-propylnoraporphine.
AID311367Permeability coefficient in human skin2007Bioorganic & medicinal chemistry, Nov-15, Volume: 15, Issue:22
Transdermal penetration behaviour of drugs: CART-clustering, QSPR and selection of model compounds.
AID1812976Agonist activity at KOR (unknown origin) expressed in HEK293-A cells assessed as inhibition of forskolin-induced cAMP accumulation preincubated for 30 mins in presence of 3-isobutyl-1-methylxanthine followed by forskolin and compound addition by competiti2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID269579Stimulation of [35S]GTP-gamma-S binding to human recombinant KOR2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID1132665Narcotic antagonist activity in sc dosed rat assessed as dose required for 50% antagonist activity co-treated with meperidine1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Benzomorphans. Structure of a position isomer.
AID1057804Displacement of [3H]U-69593 from kappa opioid receptor in CHO cells at 1 uM after 120 mins relative to control2013Bioorganic & medicinal chemistry, Dec-15, Volume: 21, Issue:24
Pivaloylcodeine, a new codeine derivative, for the inhibition of morphine glucuronidation. An in vitro study in the rat.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1611181Displacement of [3H]-diprenorphin from human mu opioid receptor incubated for 1 hr2019Bioorganic & medicinal chemistry letters, 12-01, Volume: 29, Issue:23
Discovery of a novel bicyclic compound, DS54360155, as an orally potent analgesic without mu-opioid receptor agonist activity.
AID1136226Analgesic activity in Sprague-Dawley rat brewer's yeast treated foot assessed as response threshold at 8 mg/kg, po1978Journal of medicinal chemistry, Sep, Volume: 21, Issue:9
Synthesis and analgesic activity of 1,3-dihydro-3-(substituted phenyl)imidazo[4,5-b]pyridin-2-ones and 3-(substituted phenyl)-1,2,3-triazolo[4,5-b]pyridines.
AID141657Compound was evaluated for binding affinity towards mu-specific opiate receptor from combinatorial peptoid library1994Journal of medicinal chemistry, Aug-19, Volume: 37, Issue:17
Discovery of nanomolar ligands for 7-transmembrane G-protein-coupled receptors from a diverse N-(substituted)glycine peptoid library.
AID1063513Antinociceptive activity in sc dosed mouse by tail flick test2014Bioorganic & medicinal chemistry letters, Jan-15, Volume: 24, Issue:2
Synthesis and antinociceptive properties of N-phenyl-N-(1-(2-(thiophen-2-yl)ethyl)azepane-4-yl)propionamide in the mouse tail-flick and hot-plate tests.
AID577083Antinociceptive activity in sc dosed Sprague-Dawley rat assessed as thermal-stimulus induced tail flick latency after 1 hrs2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID135536Molar potency ratio relative to the standard agonist EKC on field-stimulated mouse vas deferens1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
2-(3,4-Dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]-acetamides: the use of conformational analysis in the development of a novel series of potent opioid kappa agonists.
AID174615Duration of action in minutes, 8 times of the ED50 using rat tail flick1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID1433433Antinociceptive activity in CD-1 mouse mechanical stimulus-induced nociception model assessed as struggle response latency at 8 mg/kg, sc administered 30 mins prior to test in presence of sigma1 receptor agonist PRE-084 by paw pressure test
AID624618Specific activity of expressed human recombinant UGT2B42000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1149255Analgesic activity in po dosed Charles River rat by tail flick test1976Journal of medicinal chemistry, Apr, Volume: 19, Issue:4
Bridged aminotetralins. 4. Resolution of potent analgesics of the bridged aminotetralin type.
AID1137260Analgesic activity in sc dosed rat by intracarotid bradykinin test1979Journal of medicinal chemistry, Oct, Volume: 22, Issue:10
(2,6-Methano-3-benzazocin-11 beta-yl)alkanones. 1. Alkylalkanones: a new series of N-methyl derivatives with novel opiate activity profiles.
AID1781405Displacement of [3H]DAMGO from rat mu opioid receptor expressed in CHO cell membrane measured after 30 mins by liquid scintillation counting method2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID1528106Antinociceptive activity in ip dosed Kunming mouse assessed as reduction in nociceptive response after 2 hrs by acetic acid-induced abdominal constriction test
AID269578Stimulation of [35S]GTPgammaS binding to human recombinant DOR relative to DPDPE2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID1526803Ratio of unbound maximal portal vein concentration in human at 10 mg, im to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID298633Displacement of [3H]DPDPE from human cloned delta opioid receptor2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID540219Volume of distribution at steady state in monkey after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID1528092Agonist activity at rat MOR expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by liquid scintillation counting relative to control
AID1426521Antinociceptive activity in wild-type C57Bl/6J mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 60 mg/kg, sc measured after 45 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID765832Activation of human DOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay relative to DPDPE2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID149062Compound was evaluated for the opioid receptor agonistic activity at dose 1-10 mg/kg by intraperitoneal administration; Inactive1999Bioorganic & medicinal chemistry letters, Aug-16, Volume: 9, Issue:16
8-acenaphthen-1-yl-1-phenyl-1,3,8-triaza-spiro[4.5]decan-4-one derivatives as orphanin FQ receptor agonists.
AID1851151Antinociceptive activity in capsaicin-induced licking mouse model assessed as reduction in time spent on licking at 3 mg/kg, po relative to control2022Bioorganic & medicinal chemistry letters, 10-01, Volume: 73Discovery of pyridyl urea sulfonamide inhibitors of Na
AID141512In vivo binding affinity against mu opioid receptor was measured by using labeled ligand [3H]naloxone (0.5 nM)1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID150414Ability to displace [3H]DHM from Opioid receptors in the absence of sodium ion(Na+)1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
14-(Arylhydroxyamino)codeinones and derivatives as analgetics and antagonists.
AID150759P-gp activity was measured by a direct transport assay, using polarized LLC-mdr1a epithelial cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID695723Antinociceptive activity in po dosed Sprague-Dawley rat chronic constriction injury model assessed as reduction in Von Frey filament-induced mechanical allodynia in ipsilateral hind paw2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID539475Solubility of the compound at pH 7.132010Bioorganic & medicinal chemistry letters, Dec-15, Volume: 20, Issue:24
Experimental solubility profiling of marketed CNS drugs, exploring solubility limit of CNS discovery candidate.
AID76240Opioid agonistic activity was measured in guinea pig ileum1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Some 14 beta-substituted analogues of N-(cyclopropylmethyl)normorphine.
AID1135271Antagonist activity at opiate receptor in mouse/rat NG108-15 cells assessed as inhibition of adenylate cyclase activity at 10'-7 M after 3 mins1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
N-(2,4,5-Trihydroxyphenehtyl)normetazocine, a potential irreversible inhibitor of the narcotic receptor.
AID108541Compound was administered subcutaneously and was evaluated for opioid antagonist activity (versus morphine) by tail-flick (TF) antagonism test; I denotes Inactive at 30 mg/kg1984Journal of medicinal chemistry, Apr, Volume: 27, Issue:4
Racemic and optically active 2,9-dimethyl-5-(m-hydroxyphenyl)morphans and pharmacological comparison with the 9-demethyl homologues.
AID395306Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to DPDPE2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID150758P-gp activity was measured by a direct transport assay, using polarized LLC-PK1 epithelial cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID1146147Analgesic activity in sc dosed mouse by Nilsen method1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Heterocyclic and piperonylic acid esters of 1-methyl-4-piperidinol as analgesics.
AID695269Antinociceptive activity in po dosed mouse by hot plate test2012Bioorganic & medicinal chemistry letters, Apr-01, Volume: 22, Issue:7
Synthesis and pharmacological evaluation of carbamic acid 1-phenyl-3-(4-phenyl-piperazine-1-yl)-propyl ester derivatives as new analgesic agents.
AID1302056Antihyperalgesic activity in albino Swiss CD1 IGS mouse model of chronic constriction injury-induced neuropathic pain assessed as increase in paw withdrawal latency at >10 ug, it administered on day 7 to 16 after CCI surgery measured 30 mins post dose by 2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID1610008Inhibition of mu opioid receptor in guinea pig brain membranes2019European journal of medicinal chemistry, Dec-01, Volume: 183Progress in the development of more effective and safer analgesics for pain management.
AID1456650Effect on human sperm motility at 10'-6 mol/L measured at 30 mins post dose by Makler counting chamber method (Rvb = 66.9 +/- 4.6%)
AID624607Specific activity of expressed human recombinant UGT1A32000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID152212mu-2 receptor binding affinity in rat brain by 3H [d-Ala2, (N-Me)Phe4, Gly5-ol] enkephalin displacement.2003Bioorganic & medicinal chemistry letters, Mar-24, Volume: 13, Issue:6
Structure-activity relationships of some opiate glycosides.
AID1432897Displacement of [3H]DPN from zebrafish delta 1b opioid receptor expressed in HEK293 cell membranes after 4 hrs by scintillation counting method2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID383162Displacement of [3H]DPDPE from delta opioid receptor in ICR mouse whole brain2008Bioorganic & medicinal chemistry, Apr-15, Volume: 16, Issue:8
Syntheses of 4,6'-epoxymorphinan derivatives and their pharmacologies.
AID1872102Antinociceptive activity in rat at 2.5 to 5 mg/kg, icv2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1181576Antinociceptive effect in orally dosed ICR-CD1 mouse by tail flick test2014Journal of medicinal chemistry, Aug-14, Volume: 57, Issue:15
Putative kappa opioid heteromers as targets for developing analgesics free of adverse effects.
AID151000Inhibition of binding of [3H]diprenorphine to cloned human Opioid receptor mu 1 expressed in CHO cell membrane;Range is in between (6.8-43)2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID298638Antinociceptive activity in mouse by hot plate assay2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID514368Antinociceptive activity in sc dosed Sprague-Dawley rat assessed as thermal-stimulus-induced tail flick latency after 100 mins2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Evaluation of N-substitution in 6,7-benzomorphan compounds.
AID1146247Narcotic analgesic activity in sc dosed mouse by Nilsen test1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Synthesis and pharmacological activity of some N-alkyl-substituted 9alpha-ethyl-2'-hydroxy-5-methyl-6,7-benzomorphans.
AID1685502Agonist activity at human KOR expressed in CHOK1 cells assessed as inhibition of forskolin-stimulated cAMP accumulation incubated for 30 mins by luminescence assay2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID148680Inhibition of [3H]U-69593 radioligand binding to Guinea pig opioid receptor kappa 1.1995Journal of medicinal chemistry, Apr-28, Volume: 38, Issue:9
Probes for narcotic receptor-mediated phenomena. 20. Alteration of opioid receptor subtype selectivity of the 5-(3-hydroxyphenyl)morphans by application of the message-address concept: preparation of delta-opioid receptor ligands.
AID395307Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to U695932009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID240066Stimulation of [35S]GTP-gamma-S, binding at Opioid receptor mu 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID765840Agonist activity at human KOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID1809494Partial agonist activity at human MOR expressed in HEK293T cells assessed as Nb33 recruitment by BRET assay relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID151303Inhibition of [3H]- DAMGO binding to Rat brain Opioid receptor mu 11996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Probes for narcotic receptor-mediated phenomena. 21. Novel derivatives of 3-(1,2,3,4,5,11-hexahydro-3-methyl-2,6-methano-6H-azocino[4,5-b]indol- 6-yl)-phenols with improved delta opioid receptor selectivity.
AID114415Antipsychotic activity to prevent amphetamine induced lethality in mice after oral administration1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Tricyclics with analgesic and antidepressant activity. 1. [[(Alkylamino)ethyl]thio]dibenz[b,f]oxepins and 10,11-dihydro derivatives.
AID419607Analgesic activity in Swiss albino mouse assessed as analgesia at 10 mg/kg by hot plate method2009European journal of medicinal chemistry, Jun, Volume: 44, Issue:6
Synthesis and antinociceptive activities of some pyrazoline derivatives.
AID149340Displacement of [3H]DSLET from delta opioid receptor in rat brain membrane1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Synthesis and structure-activity relationships of deltorphin analogues.
AID123270Analgesic efficacy is expressed as percentage of that morphine, done on mouse.1998Journal of medicinal chemistry, Feb-26, Volume: 41, Issue:5
Mono- and disubstituted-3,8-diazabicyclo[3.2.1]octane derivatives as analgesics structurally related to epibatidine: synthesis, activity, and modeling.
AID1701337Ratio of drug level in brain to plasma in mouse
AID149646Inhibition of [3H]DSLET binding to delta 1 opioid receptors in rat brain membranes1988Journal of medicinal chemistry, Feb, Volume: 31, Issue:2
Investigation of the structural parameters involved in the mu and delta opioid receptor discrimination of linear enkephalin-related peptides.
AID1872061Antinociceptive activity in mouse administered icv by tail pressure test2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1731247Antinociceptive activity in Sprague-Dawley rat model administered subcutaneously and measured every 10 mins for 60 mins by radiant heat tail-flick test
AID149131Binding affinity for the Opioid receptor kappa 11988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Highly selective kappa opioid analgesics. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide and N-[(2-aminocyclohexyl)aryloxy]acetamide derivatives.
AID330427Antinociceptive activity in sc dosed mouse by hot plate assay2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID1807957Chronic antinociceptive tolerance in Kunming mouse pretreated with compound followed by repeated compound addition at 10 micromol/kg, sc once daily for 7 days and measured after 20 mins by radiant heat paw withdrawal test2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID148260Activity was evaluated by inhibition of the binding of 1 nM [3H]U-69593 at Opioid receptor kappa 1 binding site1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Asymmetric syntheses, opioid receptor affinities, and antinociceptive effects of 8-amino-5,9-methanobenzocyclooctenes, a new class of structural analogues of the morphine alkaloids.
AID225354In vivo analgesic activity in phenylbenzoquinone-induced writhing test in mice2000Bioorganic & medicinal chemistry letters, Apr-17, Volume: 10, Issue:8
Novel 3-(4-piperidinylthio)-1H-indoles as potent nonopioid orally active central analgesics.
AID1809493Partial agonist activity at human MOR expressed in HEK293T cells co-expressing beta-arrestin2 EFC assessed as beta-arrestin2 recruitment by BRET assay relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID240430Maximum efficacy for [35S]GTP-gamma-S, binding to Opioid receptor mu 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID150752Inhibition of P-glycoprotein, human L-MDR1 expressed in LLC-PK1 epithelial cells using calcein-AM polarisation assay2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID679340TP_TRANSPORTER: increase in brain concentration in mdr1a(-/-) mouse2001Pharmaceutical research, Jul, Volume: 18, Issue:7
Effect of mdr1a P-glycoprotein gene disruption, gender, and substrate concentration on brain uptake of selected compounds.
AID223775Percentage of antagonism exerted by reserpine at 2 mg/kg2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID23712Apparent coefficient between octanol and water at 37 degree centigrades at pH 7.41986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID389682Selectivity ratio of Ke for mu opioid receptor in guinea pig ileum to Ke for kappa opioid receptor in guinea pig ileum2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID1812974Agonist activity at MOR (unknown origin) expressed in HEK293-A cells assessed as inhibition of forskolin-induced cAMP accumulation preincubated for 30 mins in presence of 3-isobutyl-1-methylxanthine followed by forskolin and compound addition by competiti2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID729033Agonist activity at rat MOR expressed in rat C6 cells assessed as stimulation of [35S]GTPgammaS binding at 10 uM after 1 hr by liquid scintillation counting analysis relative to DAMGO2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID133451Analgesic activity was determined by mouse phenylbenzoquinone (PBQ) induced writhing, 1 hour postdose.1984Journal of medicinal chemistry, Jan, Volume: 27, Issue:1
A cannabinoid derived prototypical analgesic.
AID152208Ratio of binding affinity towards mu opioid receptor to that of kappa opioid receptor1989Journal of medicinal chemistry, Jul, Volume: 32, Issue:7
Highly selective kappa-opioid analgesics. 2. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide derivatives.
AID244113Ratio of binding affinities for opioid receptors delta and mu2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID76212Inhibitory concentration evaluated in electrically stimulated guinea pig myenteric plexus longitudinal muscle1981Journal of medicinal chemistry, Jul, Volume: 24, Issue:7
Allylprodine analogues as receptor probes. Evidence that phenolic and nonphenolic ligands interact with different subsites on identical opioid receptors.
AID269580Stimulation of [35S]GTP-gamma-S binding to human recombinant KOR relative to U695932006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID77837In vitro opioid activity of compound in the GPI (guinea pig ileum) by determination of inhibition of electrically induced contractions1988Journal of medicinal chemistry, May, Volume: 31, Issue:5
Peripherally acting enkephalin analogues. 1. Polar pentapeptides.
AID148542Dose ratio IC50 after beta-CAN (10e-7 M) 15 min pretreatment on guinea pig ileum in presence of DAMGO divided by IC50 before beta-CNA/DAMGO treatment against opioid receptor kappa in guinea pig ileum1992Journal of medicinal chemistry, Jan, Volume: 35, Issue:1
Synthesis, antinociceptive activity, and opioid receptor profiles of substituted trans-3-(decahydro- and octahydro-4a-isoquinolinyl)phenols.
AID471218Analgesic activity in Swiss mouse at 15 umol/kg, ip after 60 mins by hot plate test2009European journal of medicinal chemistry, Sep, Volume: 44, Issue:9
Synthesis and pharmacological evaluation of N-phenyl-acetamide sulfonamides designed as novel non-hepatotoxic analgesic candidates.
AID239152Inhibition of [3H]DAMGO binding to Opioid receptor mu 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID1714470Agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as stimulation of beta-arrestin recruitment measured after 90 mins by beta-galactosidase based PathHunter assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID152056Inhibition of [3H]naloxone binding to Opioid receptor mu 1 of rat brain membrane1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID128336Analgesic activity in tail flick test, oral administration1983Journal of medicinal chemistry, Jan, Volume: 26, Issue:1
Synthesis and pharmacological studies of 4,4-disubstituted piperidines: a new class of compounds with potent analgesic properties.
AID1807997Antiallodynic activity in Kunming mouse model of spared nerve injury-induced neuropathic pain assessed as increase in paw withdrawal threshold at 10 micromol/kg, sc measured at 20 to 50 mins by von Frey test2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID1498746Antiallodynic activity in NMRI mouse model of spared nerve injury-induced mechanical allodynia assessed as pain relief at 12 umol/kg, ip administered 14 days post spared nerve injury surgery measured at 45 mins post dose by Von Frey filament assay2018Bioorganic & medicinal chemistry letters, 08-01, Volume: 28, Issue:14
An imidazole based H-Phe-Phe-NH
AID1433422Antinociceptive activity in sc dosed CD-1 mouse mechanical stimulus-induced nociception model assessed as struggle response latency administered 30 mins prior to test by paw pressure test
AID128327Analgesic activity determined in the mouse hot plate test expressed as ED501980Journal of medicinal chemistry, Sep, Volume: 23, Issue:9
Synthesis and biological activity of fluoroalkylamine derivatives of narcotic analgesics.
AID1629808Toxicity in C57BL/6 mouse assessed as decrease in respiratory rate at 10 mg/kg, sc measured at 15 to 35 mins post dose relative to control2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID331910Antiallodynic effect in rat hind paw incision-induced nociception model at 3 mg/kg, sc2008Bioorganic & medicinal chemistry letters, May-01, Volume: 18, Issue:9
Sulfamoyl benzamides as novel CB2 cannabinoid receptor ligands.
AID149717Dose ratio IC50 after beta-FNA (10e-6 M) 30 min pretreatment on guinea pig ileum and IC50 before beta-FNA treatment against opioid receptor mu in guinea pig ileum1992Journal of medicinal chemistry, Jan, Volume: 35, Issue:1
Synthesis, antinociceptive activity, and opioid receptor profiles of substituted trans-3-(decahydro- and octahydro-4a-isoquinolinyl)phenols.
AID145940Inhibition of [3H]dihydromorphine binding to opiate receptor from rat neural membranes after incubation at 20 nM concentration at 37 degree C1983Journal of medicinal chemistry, Dec, Volume: 26, Issue:12
14 beta-(2-bromoacetamido)morphine and 14 beta-(2-bromoacetamido)morphinone.
AID1583484Agonist activity at human KOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding incubated for 1 hr by by liquid scintillation counting assay2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID225661In vivo antinociceptive activity expressed as ED50 administered perorally for tail pressure test in mice2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Synthesis and structure-activity relationships of an orally available and long-acting analgesic peptide, N(alpha)-amidino-Tyr-D-Arg-Phe-MebetaAla-OH (ADAMB).
AID130727In vivo opioid activity was evaluated by determining analgesia in the mouse by the tail-flick test, when administered through subcutaneous route1986Journal of medicinal chemistry, Jun, Volume: 29, Issue:6
Synthesis and opioid activity of dermorphin tetrapeptides bearing D-methionine S-oxide at position 2.
AID449913Analgesic activity in ICR mouse assessed as pain threshold variation at 20 umol/kg, ip administered as single dose measured after 30 mins by tail flick test relative to control2009Bioorganic & medicinal chemistry, Sep-01, Volume: 17, Issue:17
N-[2-chloro-9H-purin-6-yl]-N-cyclopropylglycylamino acids and derivatives: synthesis, evaluation as a class of novel analgesics, and 3D QSAR analysis.
AID322189Antinociceptive effect in sc dosed Swiss mouse assessed as inhibition of acetic acid-induced visceral pain2008Bioorganic & medicinal chemistry, Mar-15, Volume: 16, Issue:6
Synthetic derivatives of the alpha- and beta-amyrin triterpenes and their antinociceptive properties.
AID416545Analgesic activity in NMRI mouse assessed as reaction time taken to lick fore paw at 8 mg/kg, ip after 30 mins of administration by hot plate test2009Bioorganic & medicinal chemistry, Mar-15, Volume: 17, Issue:6
Novel antagonists of serotonin-4 receptors: synthesis and biological evaluation of pyrrolothienopyrazines.
AID113829Effective dose (sc) required for antinociceptive potency in vivo in the paraphenylquinone writhing (PPQ) test in mice2004Journal of medicinal chemistry, Jun-03, Volume: 47, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 21. Novel 4-alkoxy and 14-phenylpropoxy derivatives of the mu opioid receptor antagonist cyprodime.
AID125811aAntagonistic potency of the compound; not active1992Journal of medicinal chemistry, Oct-02, Volume: 35, Issue:20
Alfred Burger Award address. A half century in medicinal chemistry with major emphasis on pain-relieving drugs and their antagonists.
AID77502Relative potency compared to Morphine in electrically stimulated guinea pig ileum.1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID1302054Antinociceptive activity in iv dosed C57BL6 mouse model of acute pain assessed as increase in withdrawal latency from radiant heat source measured after 5 to 120 mins by tail flick assay2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID514203Inhibition of electric eel AChE by Ellman's method2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Morphinans and isoquinolines: acetylcholinesterase inhibition, pharmacophore modeling, and interaction with opioid receptors.
AID708685Activity at human MOR/mouse DOR expressed in CHO cells assessed as increase in forskolin-stimulated cAMP accumulation at 1 uM after drug exposure for 20 hrs followed by washout2012Journal of medicinal chemistry, Oct-11, Volume: 55, Issue:19
14-Alkoxy- and 14-acyloxypyridomorphinans: μ agonist/δ antagonist opioid analgesics with diminished tolerance and dependence side effects.
AID1832224Antinociceptive activity in Swiss Webster mouse model of formalin-induced biphasic nociceptive response assessed as reduction in pain during early phase at 5 mg/kg, ip administered 40 mins before formalin injection and measured after 10 mins post formalin
AID112330Evaluated for activity in writhing test1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Some spiro analogues of the potent analgesic ketobemidone.
AID1609322Displacement of [3H]-DAMGO from full length human MOR expressed in chem5 cells incubated for 60 mins by liquid scintillation counter2019European journal of medicinal chemistry, Nov-15, Volume: 182Discovery of dual-acting opioid ligand and TRPV1 antagonists as novel therapeutic agents for pain.
AID695733Induction of constipation in fasted Sprague-Dawley rat assessed as inhibition of castor oil-induced diarrhea at 8 umol/kg, po administered 5 mins prior to castor-oil challenge measured up to 8 hrs2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1526801Unbound maximal portal vein concentration of in human at 10 mg, im2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1136787Analgetic activity in naloxone challenged mouse assessed as frequency pretreated for 2 day by mouse jumping test1979Journal of medicinal chemistry, May, Volume: 22, Issue:5
Syntheses, analgetic activity, and physical dependence capacity of 5-phenyl-6,7-benzomorphan derivatives.
AID1700440Induction of respiratory depression in CD-1 mouse assessed as reduction in respiratory rate at 10 mg/kg, sc measured 15 mins post-treatment up to 35 mins by pulse oximetric method relative to control2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Synthesis and Pharmacology of a Novel μ-δ Opioid Receptor Heteromer-Selective Agonist Based on the Carfentanyl Template.
AID735823Antinociceptive activity in Swiss webster mouse assessed as increase in latency response at 5 mg/kg sc administered 40 mins prior to test measured for 3 hrs by warm water-tail flick test2013Journal of natural products, Apr-26, Volume: 76, Issue:4
Evidence for the involvement of descending pain-inhibitory mechanisms in the antinociceptive effect of hecogenin acetate.
AID507158Inhibition of MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells assessed as stimulation of ERK1/2 phosphorylation in presence of norepinephrine2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID471217Analgesic activity in Swiss mouse at 15 umol/kg, ip after 30 mins by hot plate test2009European journal of medicinal chemistry, Sep, Volume: 44, Issue:9
Synthesis and pharmacological evaluation of N-phenyl-acetamide sulfonamides designed as novel non-hepatotoxic analgesic candidates.
AID1478381Antinociceptive activity in CD1 mouse model of mechanical nociception assessed as effect on struggle response latency at 4 mg/kg, sc administered 30 mins before behavioral evaluation by paw pressure test2018Journal of medicinal chemistry, 01-11, Volume: 61, Issue:1
(+)-Methyl (1R,2S)-2-{[4-(4-Chlorophenyl)-4-hydroxypiperidin-1-yl]methyl}-1-phenylcyclopropanecarboxylate [(+)-MR200] Derivatives as Potent and Selective Sigma Receptor Ligands: Stereochemistry and Pharmacological Properties.
AID149771Binding affinity against Opioid receptor delta 1 in guinea pig brain membranes1998Bioorganic & medicinal chemistry letters, Oct-06, Volume: 8, Issue:19
Design of a high affinity peptidomimetic opioid agonist from peptide pharmacophore models.
AID112934Analgesic activity in mice after subcutaneous administration in writhing assay; 0.26-0.831985Journal of medicinal chemistry, Sep, Volume: 28, Issue:9
Acylmorphinans. A novel class of potent analgesic agents.
AID222586Relative potency expressed as the percentage of the pD2 value against that of morphine2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID601355Analgesic activity in ICR mouse assessed as increase in pain threshold at 0.15 mmol/kg, ip after 150 mins by tail flick method (Rvb = 9.02 +/- 12.19 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Novel β-carboline-tripeptide conjugates attenuate mesenteric ischemia/reperfusion injury in the rat.
AID1587344Agonist activity at rat Mu-type opioid receptor expressed in rat C6 cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by liquid scintillation counting method2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID681120TP_TRANSPORTER: inhibition of Rhodamine 123 efflux in Caco-2 cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID148028Binding affinity to displace radioligand [3H]DAMGO on Opioid receptor mu 1 in guinea pig membranes.2000Journal of medicinal chemistry, Sep-21, Volume: 43, Issue:19
Selective protection and functionalization of morphine: synthesis and opioid receptor binding properties of 3-amino-3-desoxymorphine derivatives.
AID299512Analgesic activity against formalin-induced inflammatory pain in po dosed mouse2007Bioorganic & medicinal chemistry letters, Jul-15, Volume: 17, Issue:14
2-Arylimino-5,6-dihydro-4H-1,3-thiazines as a new class of cannabinoid receptor agonists. Part 2: orally bioavailable compounds.
AID112926Analgesic activity in mice after subcutaneous administration in tail-flicking assay; 3.78-4.411985Journal of medicinal chemistry, Sep, Volume: 28, Issue:9
Acylmorphinans. A novel class of potent analgesic agents.
AID462857Analgesic activity in ICR mouse assessed as increase in pain threshold variation at 20 umol/kg, ip administered as single dose measured after 120 mins by tail flick test2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
A class of novel Schiff's bases: Synthesis, therapeutic action for chronic pain, anti-inflammation and 3D QSAR analysis.
AID1335133Analgesic activity in Wistar rat assessed as increase in thermal stimulus-induced tail-flick latency at 12 nmol/kg administered intrathecally measured after 120 mins2017ACS medicinal chemistry letters, Jan-12, Volume: 8, Issue:1
Hydrazone Linker as a Useful Tool for Preparing Chimeric Peptide/Nonpeptide Bifunctional Compounds.
AID1386866Agonist activity at human mu opioid receptor expressed in human USOS-beta-arrestin-hMOR-PathHunter cells incubated for 90 mins by beta-arrestin-2 enzyme fragment complementation assay relative to control2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID148188Relative potency to induce 50% of maximal effect in guinea pig ileum expressing Opioid receptor mu 11983Journal of medicinal chemistry, Nov, Volume: 26, Issue:11
Synthesis and pharmacological characterization of (+/-)-5,9 alpha-dimethyl-2-[2-(4-fluorophenyl)ethyl]-2'-hydroxy-6,7-benzomorphan (fluorophen), a ligand suitable for visualization of opiate receptors in vivo.
AID1872060Antinociceptive activity in mouse by hot plate test2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID184604Acute toxicity was measured after sc administration of several dose levels (1,3,10,30,100,300, and 1000 mg/kg) for 5 days1981Journal of medicinal chemistry, Jan, Volume: 24, Issue:1
Synthesis and stereochemistry of 7-phenyl-2-propionanilidobenzo[a]quinolizidine derivatives. Structural probes of fentanyl analgesics.
AID1196092Antiallodynic effect in Wistar rat chronic constriction injury model assessed as tolerance to neuropathic pain at 3.5 nmol, it qd for 6 days administered from 7 days post CCI challenge to day 13 by Von Frey test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID1255660Agonist activity at kappa opioid receptor in human HEK293 cells after 30 mins by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry letters, Nov-15, Volume: 25, Issue:22
Conformationally restricted κ-opioid receptor agonists: Synthesis and pharmacological evaluation of diastereoisomeric and enantiomeric decahydroquinoxalines.
AID603512Displacement of [3H]-NTI from delta opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID222419Relative inhibitory activity expressed as the percentage of the maximum inhibition by the compound against that of morphine2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID698717Toxicity in mouse assessed as induction of respiratory depression at 20 mg/kg, sc measured for 35 mins starting 15 mins post dose2012Journal of medicinal chemistry, Jul-26, Volume: 55, Issue:14
Synthesis and evaluation of aryl-naloxamide opiate analgesics targeting truncated exon 11-associated μ opioid receptor (MOR-1) splice variants.
AID1302034Antihyperalgesic activity in albino Swiss CD1 IGS mouse model of chronic constriction injury-induced neuropathic pain assessed as increase in paw withdrawal latency at 10 ug, it administered on day 7 to 16 after CCI surgery measured 30 mins post dose by c2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID1872059Antinociceptive activity in mouse assessed as tail-flick latency administered icv by hot plate test2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1685501Agonist activity at human MOR expressed in CHOK1 cells assessed as inhibition of forskolin-stimulated cAMP accumulation incubated for 30 mins by luminescence assay relative to DAMGO2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID1286252Antinociceptive activity in Wistar rat model of chronic constriction injury-induced neuropathic pain assessed as reduction in allodynia at 0.8 to 3.5 nmol after 30 mins by von Frey test2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID145939Inhibitory activity against opiate receptor in rat using [3H]naloxone as radioligand1985Journal of medicinal chemistry, Nov, Volume: 28, Issue:11
Novel nonnarcotic analgesics with an improved therapeutic ratio. Structure-activity relationships of 8-(methylthio)- and 8-(acylthio)-1,2,3,4,5,6-hexahydro-2,6-methano-3-benzazocines.
AID1583486Agonist activity at human DOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding incubated for 1 hr by by liquid scintillation counting assay relative to 10 uM DPDPE2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID765837Agonist activity at mouse KOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID1755986Antinociceptive activity against C57Bl/6N mouse model of thermal-induced nociception at 6 mg/kg, sc measured at 30 mins by hot-plate test2021Journal of natural products, 01-22, Volume: 84, Issue:1
Isolation and Pharmacological Characterization of Six Opioidergic
AID1386868Bias factor, change in deltalog(Tau/KA) for agonist activity at human mu opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding to deltalog(Tau/KA) for agonist activity at human mu opioid receptor expressed in hu2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID1456656Effect on human sperm motility at 10'-6 mol/L measured at 90 mins post dose by Makler counting chamber method (Rvb = 62.1 +/- 5.7%)
AID492309Analgesic activity in Swiss mouse assessed as increase in latency of paw licking at 15 umol/kg, ip after 90 mins measured for 60 seconds by hot plate test (Rvb = 5.9 +/- 0.8 seconds)2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Synthesis and pharmacological evaluation of pyrazine N-acylhydrazone derivatives designed as novel analgesic and anti-inflammatory drug candidates.
AID1286251Antinociceptive activity in Wistar rat model of chronic constriction injury-induced neuropathic pain assessed as reduction in hyperalgesia at 0.8 to 3.5 nmol after 30 mins by cold plate test2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID1145236Analgesic activity in ip dosed Charles River rat by tail flick test1976Journal of medicinal chemistry, Apr, Volume: 19, Issue:4
Analgesic agents. 3. New bridged aminotetralins.
AID411134Displacement of [3H]DAMGO from mu opioid receptor in mouse whole brain without cerebellum2008Bioorganic & medicinal chemistry letters, Dec-15, Volume: 18, Issue:24
Synthesis of a novel 6,14-epoxymorphinan derivative and its pharmacology.
AID1276165Antinociceptive activity in Kunming mouse model of formalin-induced pain assessed as reduction of time spent in licking in phase 2 at 2 mg/kg, ip administered 30 mins before formalin injection measured after 15 mins up to 30 mins2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Antinociceptive Grayanoids from the Roots of Rhododendron molle.
AID695716Agonist activity at mu-opioid receptor in human SH-SY5Y cells assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by immunoassay2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID131018Analgesic agonist activity in acetic acid induced mouse writhing assay, subcutaneous administration1981Journal of medicinal chemistry, Jun, Volume: 24, Issue:6
Analgesic narcotic antagonists. 5. 7,7-Dimethyldihydrocodeinones and 7,7-dimethyldihydromorphinones.
AID1209582Unbound volume of distribution in Sprague-Dawley rat brain slices at 100 nM after 5 hrs2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID707250Agonist activity at human MOR expressed in HEK293 cells assessed as inhibition of forskolin-induced cAMP accumulation after 15 mins by cAMP EIA relative to vehicle-treated control2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Opioid activity profiles of oversimplified peptides lacking in the protonable N-terminus.
AID593886Antinociceptive activity in CD1 mouse assessed as thermal-stimulus induced tail flick latency at 1 to 3.2 mg/kg, iv after 150 mins2011Journal of medicinal chemistry, Apr-28, Volume: 54, Issue:8
Reversible competitive α-ketoheterocycle inhibitors of fatty acid amide hydrolase containing additional conformational constraints in the acyl side chain: orally active, long-acting analgesics.
AID29925Volume of distribution in man (IV dose)2002Journal of medicinal chemistry, Jun-20, Volume: 45, Issue:13
Prediction of volume of distribution values in humans for neutral and basic drugs using physicochemical measurements and plasma protein binding data.
AID765841Agonist activity at human MOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID247014In vivo analgesic effect (sc) assessed as antinociceptive potency by p-phenylquinone writhing test in mice2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID29359Ionization constant (pKa)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID579538Analgesic activity in mouse assessed as reduction of formalin-induced inflammatory pain at 3 mg/kg, sc administered 1 hr before formalin challenge measured after 10 mins2011Bioorganic & medicinal chemistry letters, Mar-15, Volume: 21, Issue:6
Novel potent pyrimido[4,5-c]quinoline inhibitors of protein kinase CK2: SAR and preliminary assessment of their analgesic and anti-viral properties.
AID1629793Antinociceptive activity in sc dosed CD-1 mouse assessed as increase in reaction time administered twice daily at dosing intervals of 12 hrs for 5 days by radiant heat tail flick assay2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID1057805Displacement of [3H]DADLE from delta opioid receptor in CHO cells at 1 uM after 120 mins relative to control2013Bioorganic & medicinal chemistry, Dec-15, Volume: 21, Issue:24
Pivaloylcodeine, a new codeine derivative, for the inhibition of morphine glucuronidation. An in vitro study in the rat.
AID765839Selectivity ratio of EC50 for human KOR to EC50 for human MOR2013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID128478Analgesic activity measured using mouse writhing antinociceptive assay after subcutaneous administration1997Journal of medicinal chemistry, Feb-14, Volume: 40, Issue:4
Muscarinic analgesics with potent and selective effects on the gastrointestinal tract: potential application for the treatment of irritable bowel syndrome.
AID1714471Selectivity ratio of EC50 for agonist activity at human delta opiod receptor expressed in CHO-K1 cells to EC50 for agonist activity at human mu opiod receptor expressed in CHO-K1 cells2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID708684Activity at human MOR/mouse DOR expressed in CHO cells assessed as increase in forskolin-stimulated cAMP accumulation at 1 uM after drug exposure for 20 hrs followed by washout in the presence of naloxone2012Journal of medicinal chemistry, Oct-11, Volume: 55, Issue:19
14-Alkoxy- and 14-acyloxypyridomorphinans: μ agonist/δ antagonist opioid analgesics with diminished tolerance and dependence side effects.
AID114745Tested in vivo for the analgesic activity by measuring the delay in response to noxious heat stimuli (D'Amour-Smith tail-flick method) in mice upon subcutaneous administration; 1.7-9.51980Journal of medicinal chemistry, Jul, Volume: 23, Issue:7
Synthesis and analgesic activity of some 5-(4-hydroxyphenyl)-2-azabicyclo[3.2.1]octanes.
AID1137110Analgesic activity in sc dosed mouse by Nilsen method1977Journal of medicinal chemistry, Aug, Volume: 20, Issue:8
Pyrrole esters of tropanols and related structures as analgesics.
AID1526799Cmax in human at 10 mg, im2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1536337Antinociceptive activity in Kunming mouse model of thermal-induced nociception assessed as increase in latency to tail withdrawal at 4 nmol, icv administered once daily for 8 days measured daily at 30 mins post dose by tail flick test relative to control
AID1146144Displacement of [3H]dihydromorphine from opioid receptor in rat brain homogenate1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Heterocyclic and piperonylic acid esters of 1-methyl-4-piperidinol as analgesics.
AID1809513Toxicity in C57BL/6 mouse model assessed as hyperlocomotion at 5 to 15 times of ED50 for antinociceptive effect2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID149262Binding affinity towards guinea pig Opioid receptor kappa 1 using radioligand [3H]U-695932001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
3-Carboxamido analogues of morphine and naltrexone. synthesis and opioid receptor binding properties.
AID601351Analgesic activity in ICR mouse assessed as increase in pain threshold at 0.15 mmol/kg, ip after 30 mins by tail flick method (Rvb = 5.03 +/- 10.26 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Novel β-carboline-tripeptide conjugates attenuate mesenteric ischemia/reperfusion injury in the rat.
AID268677Displacement of radiolabeled DAMGO from mu opioid receptor in Hartley guinea pig brain2006Bioorganic & medicinal chemistry letters, Aug-15, Volume: 16, Issue:16
Opiate receptor binding properties of morphine-, dihydromorphine-, and codeine 6-O-sulfate ester congeners.
AID1196097Antiallodynic effect in Wistar rat chronic constriction injury model assessed as cross tolerance developement pretreated with H-Dmt-D-Arg-Aba-Gly-NMe-3',5'-(CF3)2-Bn at 1 nmol, it qd for 6 days administered from 7 days post CCI challenge to day 13 measure2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID1456653Effect on human sperm motility at 10'-6 mol/L measured at 60 mins post dose by Makler counting chamber method (Rvb = 64.8 +/- 6.6%)
AID1196086Reduction of hyperalgesia in Wistar rat chronic constriction injury model at 1 nmol, it measured 7 days post CCI challenge by cold plate test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID730851Antinociceptive activity in Kunming mouse assessed as tail withdrawal latency at 2 mg/kg, iv by hot water tail-flick test in presence of naloxone methiodide2013Journal of medicinal chemistry, Apr-11, Volume: 56, Issue:7
Design, synthesis, and pharmacological characterization of novel endomorphin-1 analogues as extremely potent μ-opioid agonists.
AID226059Inhibition of [3H]naloxone binding to rat brain membrane with 100 mM NaCl.1983Journal of medicinal chemistry, Jan, Volume: 26, Issue:1
Synthesis and pharmacological studies of 4,4-disubstituted piperidines: a new class of compounds with potent analgesic properties.
AID601799Displacement of [3H]di-o-toylguanidine from sigma 2 receptor in rat liver homogenates2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 7,9-diazabicyclo[4.2.2]decanes as conformationally restricted κ receptor agonists: fine tuning of the dihedral angle of the ethylenediamine pharmacophore.
AID1433421Analgesic activity in mouse administered subcutaneously by hot plate assay
AID76209Inhibitory activity of compound in guinea pig ileum tissue1989Journal of medicinal chemistry, Aug, Volume: 32, Issue:8
Minimum-structure enkephalin analogues incorporating L-tyrosine, D(or L)-phenylalanine, and a diamine spacer.
AID113186In vivo antinociceptive potency determined in hot plate assay in mice2003Journal of medicinal chemistry, Sep-11, Volume: 46, Issue:19
Synthesis and biological evaluation of 14-alkoxymorphinans. 20. 14-phenylpropoxymetopon: an extremely powerful analgesic.
AID148254Evaluation for the ability of kappa opioid to protect the [3H]-DAMGO binding site from alkylation1994Journal of medicinal chemistry, May-27, Volume: 37, Issue:11
14 alpha,14' beta-[Dithiobis[(2-oxo-2,1-ethanediyl)imino]]bis (7,8-dihydromorphinone) and 14 alpha,14' beta-[dithiobis[(2-oxo-2,1- ethanediyl)imino]]bis[7,8-dihydro-N-(cyclopropylmethyl)normorphinone]: chemistry and opioid binding properties.
AID1188147Selectivity ratio of Ki for kappa opioid receptor in guinea pig brain membranes to Ki for mu opioid receptor in rat brain membranes2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID514208Selectivity ratio of Ki for kappa opioid receptor in guinea pig brain to mu opioid receptor in rat brain2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Morphinans and isoquinolines: acetylcholinesterase inhibition, pharmacophore modeling, and interaction with opioid receptors.
AID440049Displacement of [3H]DAMGO from human recombinant mu opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Dec-10, Volume: 52, Issue:23
Probes for narcotic receptor mediated phenomena. 39. Enantiomeric N-substituted benzofuro[2,3-c]pyridin-6-ols: synthesis and topological relationship to oxide-bridged phenylmorphans.
AID1136227Analgesic activity in Sprague-Dawley rat normal foot assessed as response threshold at 32 mg/kg, po1978Journal of medicinal chemistry, Sep, Volume: 21, Issue:9
Synthesis and analgesic activity of 1,3-dihydro-3-(substituted phenyl)imidazo[4,5-b]pyridin-2-ones and 3-(substituted phenyl)-1,2,3-triazolo[4,5-b]pyridines.
AID1349540Toxicity in Sprague-Dawley rat MIA-induced osteoarthritic pain model assessed as induction of tachyphylaxis at 10 mg/kg, ip administered twice daily for 5 days measured 1 hr post dose at 1 day interval for 5 days during compound dosing2017ACS medicinal chemistry letters, Dec-14, Volume: 8, Issue:12
Discovery of APD371: Identification of a Highly Potent and Selective CB
AID1136785Analgetic activity in po dosed CF1S mouse assessed as writhing by phenylquinone writhing test1979Journal of medicinal chemistry, May, Volume: 22, Issue:5
Syntheses, analgetic activity, and physical dependence capacity of 5-phenyl-6,7-benzomorphan derivatives.
AID243151Inhibitory concentration against potassium channel HERG2005Bioorganic & medicinal chemistry letters, Jun-02, Volume: 15, Issue:11
A discriminant model constructed by the support vector machine method for HERG potassium channel inhibitors.
AID496830Antimicrobial activity against Leishmania major2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1426523Antinociceptive activity in TREK1 deficient C57Bl/6J mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 60 mg/kg, sc measured after 45 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID225658In vivo antinociceptive activity expressed as ED50 administered perorally for tail pressure test2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Synthesis and structure-activity relationships of an orally available and long-acting analgesic peptide, N(alpha)-amidino-Tyr-D-Arg-Phe-MebetaAla-OH (ADAMB).
AID193078Duration to produce analgesic activity was measured in rats by tail withdrawal reflex test (TWR), administered by intravenous at peak time 30 min (8X MED50 dose)1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID114495Compound was administered subcutaneously and was evaluated for opioid agonist activity by antinociceptive p-phenylquinone-writhing (PPQ) assay in mice,1984Journal of medicinal chemistry, Apr, Volume: 27, Issue:4
Racemic and optically active 2,9-dimethyl-5-(m-hydroxyphenyl)morphans and pharmacological comparison with the 9-demethyl homologues.
AID149193Compound was evaluated for its binding affinity against opioid receptor delta subtype in guinea pig brain (minus cerebellum) using [3H]-DADLE as radioligand.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
(2S)-1-(arylacetyl)-2-(aminomethyl)piperidine derivatives: novel, highly selective kappa opioid analgesics.
AID577264Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding after 60 mins2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID452022Agonist activity at rat mu opioid receptor assessed as stimulation of [35]SGTPgammaS binding relative to control2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Highly selective and potent mu opioid ligands by unexpected substituent on morphine skeleton.
AID751088Antinociceptive activity in Swiss mouse assessed as inhibition of formalin-induced paw licking at 5 mg/kg, sc administered 30 mins prior to formalin challenge measured during neurogenic phase for 1 to 5 mins2013Journal of natural products, Jun-28, Volume: 76, Issue:6
Anti-inflammatory and antinociceptive activity of epiisopiloturine, an imidazole alkaloid isolated from Pilocarpus microphyllus.
AID1714480Antinociceptive activity in male B6-SJL mouse administered subcutaneously daily for 9 days and measured on day 9 by warm water tail-flick assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID1629795Ratio of ED50 for sc dosed CD-1 mouse administered twice daily at dosing intervals of 12 hrs for 5 days to ED50 for sc dosed CD-1 mouse measured 30 mins post dose2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID123808Relative potency of compound verses morphine for analgesic activity in mice1981Journal of medicinal chemistry, Oct, Volume: 24, Issue:10
Evidence of the preferential involvement of mu receptors in analgesia using enkephalins highly selective for peripheral mu or delta receptors.
AID624615Specific activity of expressed human recombinant UGT2B102000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1243869Displacement of [3H]-diprenorphine from opioid receptor in rat brain membrane homogenates after 1 hr by liquid scintillation counting2015European journal of medicinal chemistry, Aug-28, Volume: 101Design, synthesis, pharmacological evaluation and molecular dynamics of β-amino acids morphan-derivatives as novel ligands for opioid receptors.
AID238659Binding affinity against mu opioid receptor in mouse hot plate test2004Bioorganic & medicinal chemistry letters, Nov-15, Volume: 14, Issue:22
Parallel methods for the preparation and SAR exploration of N-ethyl-4-[(8-alkyl-8-aza-bicyclo[3.2.1]oct-3-ylidene)-aryl-methyl]-benzamides, powerful mu and delta opioid agonists.
AID1146187Displacement of [3H]-naloxone from rat opioid receptor after 30 mins by liquid scintillation counting analysis in absence of NaCl1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Analgesics. 1. Synthesis and analgesic properties of N-sec-alkyl- and N-tert-alkylnormorphines.
AID1123083Analgesic activity in sc dosed mouse by hot plate assay1979Journal of medicinal chemistry, Jul, Volume: 22, Issue:7
N-(2-Cyanoethyl) derivatives of meperidine, ketobemidone, and a potent 6,7-benzomorphan.
AID1353370Antinociceptive activity in formalin-induced Swiss mouse model of hyperalgesia assessed as time spent licking the injected paw in last phase at 39 mM/kg, po pretreated for 1 hr followed by formalin injection and measured at 20 to 30 mins (Rvb = 135.8 +/- 2018European journal of medicinal chemistry, Mar-10, Volume: 147Design, synthesis and pharmacological evaluation of N-benzyl-piperidinyl-aryl-acylhydrazone derivatives as donepezil hybrids: Discovery of novel multi-target anti-alzheimer prototype drug candidates.
AID174613Duration of action in minutes, 2 times of the ED50 using rat tail flick1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID507149Binding affinity to MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells assessed as suppression of 50 uM norepinephrine-induced FRET signal2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID329749Agonist activity at mouse delta opioid receptor in mouse model2008Bioorganic & medicinal chemistry letters, May-15, Volume: 18, Issue:10
Use of lantibiotic synthetases for the preparation of bioactive constrained peptides.
AID150397Displacement [3H]naloxone from rat-brain Opioid receptors1982Journal of medicinal chemistry, Aug, Volume: 25, Issue:8
Potential affinity labels for the opiate receptor based on fentanyl and related compounds.
AID514207Selectivity ratio of Ki for delta opioid receptor in rat brain to mu opioid receptor in rat brain2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Morphinans and isoquinolines: acetylcholinesterase inhibition, pharmacophore modeling, and interaction with opioid receptors.
AID1194125Stimulation of mouse MOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay relative to DAMGO2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID1134070Analgesic activity in dog assessed as rippling of skin at 1.62 mg/kg, sc after 2 hrs by radiant heat assay1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
Analgesic and tranquilizing activity of 5,8-disubstituted 1-tetralone Mannich bases.
AID1456655Effect on human sperm motility at 10'-5 mol/L measured at 90 mins post dose by Makler counting chamber method (Rvb = 62.1 +/- 5.7%)
AID149014Receptor binding affinity towards opioid receptor mu1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID231547Ratio of binding affinity towards mu opioid receptor to that of delta opioid receptor2000Bioorganic & medicinal chemistry letters, May-15, Volume: 10, Issue:10
Synthesis and binding affinities of 4-diarylaminotropanes, a new class of delta opioid agonists.
AID132133The effective dose was measured by using mouse writhing assay after the compound administered subcutaneously.1980Journal of medicinal chemistry, Feb, Volume: 23, Issue:2
Analgesic narcotic antagonists. 2. 8-Alkymorphinan-6-ones.
AID329748Agonist activity at mu opioid receptor in mouse model2008Bioorganic & medicinal chemistry letters, May-15, Volume: 18, Issue:10
Use of lantibiotic synthetases for the preparation of bioactive constrained peptides.
AID1781408Selectivity ratio of Ki for displacement of [3H]DAMGO from rat mu opioid receptor expressed in CHO cell membrane to Ki for displacement of [3H]U69,593 from human kappa opioid receptor expressed in CHO cell membrane2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID1809506Toxicity in C57BL/6 mouse model assessed as conditioned place preference at 10 mg/kg, IP2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID1781419Antinociceptive activity in ip dosed Kunming mouse assessed as reduction in acetic acid induced writhing signs by abdominal constriction test2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID126724Antinociceptive effect was determined by the ability to exhibit 80% reduction of naloxone induced sensitivity; Yes2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID1426520Antinociceptive activity in wild-type C57Bl/6J mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 60 mg/kg, sc measured after 30 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID1526796Unbound maximal portal vein concentration of in human at 10 mg, iv2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID150415Ability to displace [3H]naloxone from Opioid receptors in the presence of sodium ion(Na+)1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
14-(Arylhydroxyamino)codeinones and derivatives as analgetics and antagonists.
AID330423Selectivity for recombinant mu opioid receptor over recombinant delta opioid receptor2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID1358129Agonist activity at human MOR expressed in African green monkey COS1 cell membranes assessed as stimulation of [35S]GTPgS binding at 20 uM by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID330421Displacement of [3H]diprenorphine from recombinant delta opioid receptor expressed in C6 cells2008Journal of medicinal chemistry, Apr-10, Volume: 51, Issue:7
Opioids and efflux transporters. Part 2: P-glycoprotein substrate activity of 3- and 6-substituted morphine analogs.
AID148388Evaluated for inhibitory activity against Opioid receptor delta 1 of mouse vas deferens (MVD).1990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID577088Agonist activity at human mu opioid receptor expressed in CHO cells assessed as potentiation of DAMGO-induced [35S]GTPgammaS binding after 60 mins2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID246847In vivo opioid receptor activity in mouse tail flick assay2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Neoclerodane diterpenes as a novel scaffold for mu opioid receptor ligands.
AID246844In vivo opioid receptor activity in mouse hot plate assay2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Neoclerodane diterpenes as a novel scaffold for mu opioid receptor ligands.
AID1286255Antinociceptive activity in Wistar rat model of chronic constriction injury-induced neuropathic pain assessed as reduction in allodynia at 3.5 nmol, it QD for 6 consecutive days by von Frey test2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID695714Selectivity ratio of Ki for delta-opioid receptor to Ki for mu-opioid receptor2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1196089Reduction of hyperalgesia in it dosed Wistar rat measured 7 days post CCI challenge by cold plate test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID1506433Antinociceptive activity in icv dosed CD1 mouse after 15 mins by radiant heat tail flick method2017MedChemComm, Jan-01, Volume: 8, Issue:1
Synthesis and pharmacological evaluation of novel selective MOR agonist 6β-pyridinyl amidomorphines exhibiting long-lasting antinociception.
AID624606Specific activity of expressed human recombinant UGT1A12000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1185657Displacement of [3H]-naloxone from human mu opioid receptor expressed in CHO-K1 cells by scintillation counting analysis2014Journal of medicinal chemistry, Aug-14, Volume: 57, Issue:15
Synthesis and pharmacological evaluation of 5-pyrrolidinylquinoxalines as a novel class of peripherally restricted κ-opioid receptor agonists.
AID1057807Displacement of [3H]diprenorphine from mu opioid receptor in HEK293 cells at 10 uM after 120 mins relative to control2013Bioorganic & medicinal chemistry, Dec-15, Volume: 21, Issue:24
Pivaloylcodeine, a new codeine derivative, for the inhibition of morphine glucuronidation. An in vitro study in the rat.
AID1149997Analgetic activity in sc dosed mouse by hot-plate method1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Azabicyclo chemistry. 6. An investigation of one of the chemical parameters for analgetic activity. Synthesis of 2-methyl-2-azabicyclo[3.3.1]non-6-ene and -non-7-ene.
AID1714486Agonist activity at human kappa opiod receptor expressed in CHO-K1 cells assessed as increase in forskolin induced cAMP production measured after 30 mins by HitHunter luminescence based assay relative to control2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID231476Ratio between IC50 of the agonist in presence of naloxone and IC50 of the control1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID244396Selectivity ratio of binding affinities for delta versus mu opioid receptors2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Effect of a 6-cyano substituent in 14-oxygenated N-methylmorphinans on opioid receptor binding and antinociceptive potency.
AID695273Antinociceptive activity in late phase po dosed mouse by formalin test2012Bioorganic & medicinal chemistry letters, Apr-01, Volume: 22, Issue:7
Synthesis and pharmacological evaluation of carbamic acid 1-phenyl-3-(4-phenyl-piperazine-1-yl)-propyl ester derivatives as new analgesic agents.
AID1386865Agonist activity at human mu opioid receptor expressed in human USOS-beta-arrestin-hMOR-PathHunter cells incubated for 90 mins by beta-arrestin-2 enzyme fragment complementation assay relative to DAMGO2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID149845Binding affinity using guinea pig brain membrane preparations, towards Opioid receptor kappa 1 using [3H]- U-69,593 as radioligand2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID746227Antinociceptive activity in BALB/c mouse at 4 mg/kg, iv up to 120 mins by tail flick test2013European journal of medicinal chemistry, May, Volume: 63Synthesis, biological activity and resistance to proteolytic digestion of new cyclic dermorphin/deltorphin analogues.
AID114407Anticonvulsant activity to prevent pentamethylenetetrazole (MTZ) induced lethality in mice after oral administration1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Tricyclics with analgesic and antidepressant activity. 1. [[(Alkylamino)ethyl]thio]dibenz[b,f]oxepins and 10,11-dihydro derivatives.
AID1714469Agonist activity at human delta opiod receptor expressed in CHO-K1 cells assessed as increase in forskolin induced cAMP production measured after 30 mins by HitHunter luminescence based assay2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID577082Antinociceptive activity in sc dosed Sprague-Dawley rat assessed as thermal-stimulus induced tail flick latency after 0.5 hrs2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID178161Antagonist activity in rat tail flick assay by subcutaneous administration1980Journal of medicinal chemistry, Dec, Volume: 23, Issue:12
Analgesic narcotic antagonists. 4. 7-Methyl-N-(cycloalkylmethyl)-3-hydroxymorphinan-6-ones and -isomorphinan-6-ones.
AID1146145Analgesic activity in sc dosed mouse by hot-plate assay1977Journal of medicinal chemistry, Nov, Volume: 20, Issue:11
Heterocyclic and piperonylic acid esters of 1-methyl-4-piperidinol as analgesics.
AID452021Agonist activity at rat mu opioid receptor assessed as stimulation of [35]SGTPgammaS binding2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Highly selective and potent mu opioid ligands by unexpected substituent on morphine skeleton.
AID1188144Displacement of [3H]DSLET from delta opioid receptor in rat brain membranes2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID1583485Agonist activity at human MOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding incubated for 1 hr by by liquid scintillation counting assay relative to 10 uM DAMGO2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID26790Partition coefficient (logP)1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID128309Analgesic Potency in mice1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
A Free-Wilson/Fujita-Ban analysis and prediction of the analgesic potency of some 3-hydroxy- and 3-methoxy-N-alkylmorphinan-6-one opioids.
AID357083Antinociceptive effect in intratracheally dosed sickle cell anemic NY1DD transgenic mouse after 10 mins by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID1338771Antinociceptive activity in CD-1 mouse assessed as increase in latency in response to heat stimulus measured for 15 mins by hot water tail immersion test2016Journal of medicinal chemistry, 12-08, Volume: 59, Issue:23
Design, Synthesis, and Pharmacological Characterization of 2-(2-Furanyl)thiazolo[5,4-d]pyrimidine-5,7-diamine Derivatives: New Highly Potent A
AID1685507Activity at human MOR expressed in CHOK1 cells co-expressing beta-arrestin2 EFC assessed as beta-arrestin2 EFC recruitment measured after 90 mins by PathHunter assay relative to control2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID149865Inhibition of electrically evoked contraction of guinea pig ileum (myenteric plexus:longitudinal muscle preparation) by antagonist action at mu 1 opioid receptors1988Journal of medicinal chemistry, Feb, Volume: 31, Issue:2
Investigation of the structural parameters involved in the mu and delta opioid receptor discrimination of linear enkephalin-related peptides.
AID130114Antinociceptive activity in mouse tail flick test following s.c. administration.1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
(2S)-1-(arylacetyl)-2-(aminomethyl)piperidine derivatives: novel, highly selective kappa opioid analgesics.
AID1358127Displacement of [3H]diprenorphine from human MOR expressed in African green monkey COS1 cell membranes incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID1536340Toxicity in Kunming mouse assessed as inhibition of gastrointestinal transit by measuring reduction in distance traveled by charcoal at 10 mg/kg, ip dosed 15 mins prior charcoal meal measured after 30 mins
AID1714488Bias factor, ratio of biased agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as stimulation of beta-arrestin recruitment to biased agonist activity at human mu opiod receptor expressed in CHO-K1 cells assessed as increase in2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID695259Analgesic activity in ip dosed mouse assessed as inhibition of acetic acid-induced writhing response administered 0.5 to 1 hr before acetic acid challenge2012Bioorganic & medicinal chemistry letters, Apr-01, Volume: 22, Issue:7
Synthesis and pharmacological evaluation of carbamic acid 1-phenyl-3-(4-phenyl-piperazine-1-yl)-propyl ester derivatives as new analgesic agents.
AID1526751Inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1629809Toxicity in sc dosed C57BL/6 mouse assessed as decrease in respiratory rate measured at 15 to 35 mins post dose2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID178673Antinociceptive activity of compound was assessed by employing the acetylcholine writhing test in rats after sc administration.1981Journal of medicinal chemistry, Jan, Volume: 24, Issue:1
Synthesis and stereochemistry of 7-phenyl-2-propionanilidobenzo[a]quinolizidine derivatives. Structural probes of fentanyl analgesics.
AID729036Displacement of [3H]diprenorphine from rat DOR expressed in rat C6 cells after 1 hr by liquid scintillation counting analysis2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID1495429Analgesic activity in ip dosed albino Swiss CD1 mouse assessed reduction in formalin-induced inflammatory pain by measuring reduction in time spent in licking treated prior to formalin injection measured at 0 to 5 mins post formalin injection
AID150051Relative affinity evaluated for Opioid receptor delta 12002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID76095Inhibition of opioid activity in electricaly stimulated myenteric plexus longitudinal muscle of guinea pig ileum(GPI) preparation1983Journal of medicinal chemistry, Mar, Volume: 26, Issue:3
Synthesis and evaluation of 1- and 2-substituted fentanyl analogues for opioid activity.
AID1133437Agonist activity at pig ileum opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID1358123Displacement of [3H]diprenorphine from human DOR expressed in African green monkey COS1 cell membranes at 1 uM incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID23717Partition coefficient (logP)1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Structure-activity relationships for drugs binding to the agonist and antagonist states of the primary morphine receptor.
AID1583480Selectivity index, ratio of Ki for displacement of [3H]diprenorphine from human DOR expressed in CHO cell membranes incubated for 1 hr by liquid scintillation counting assay to Ki for displacement of [3H]diprenorphine from human MOR expressed in CHO cell 2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID1433427Antinociceptive activity in CD-1 mouse mechanical stimulus-induced nociception model assessed as struggle response latency at 8 mg/kg, sc administered 30 mins prior to test in presence of peripherally restricted opioid antagonist Nx-M by paw pressure test
AID151592Inhibition of [3H]DAGO binding to mu 1 opioid receptor in rat brain membranes1988Journal of medicinal chemistry, Feb, Volume: 31, Issue:2
Investigation of the structural parameters involved in the mu and delta opioid receptor discrimination of linear enkephalin-related peptides.
AID178023Effective dose for analgetic activity on intracerebroventricular administration in rats using tail flick test1986Journal of medicinal chemistry, Oct, Volume: 29, Issue:10
3,7-Diazabicyclane: a new narcotic analgesic.
AID507153Binding affinity to MOR/alpha2A adrenergic receptor heterodimer expressed in HEK293 cells coexpressing Gi protein assessed as effect on norepinephrine-induced Gi protein activation at 100 nM2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID150756Inhibition of P-gp was determined using rhodamine-assay in human CaCo-2 cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID1255653Displacement of [3H]-DPDPE from delta opioid receptor in rat brain membrane after 120 mins by scintillation counting2015Bioorganic & medicinal chemistry letters, Nov-15, Volume: 25, Issue:22
Conformationally restricted κ-opioid receptor agonists: Synthesis and pharmacological evaluation of diastereoisomeric and enantiomeric decahydroquinoxalines.
AID1526789Cmax in human at 50 mg, po dosed as slow release formulation2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID729026Antinociceptive activity in C57BL/6 mouse assessed as increase in duration of maximal activity at 10 mg/kg, ip by warm water tail withdrawal assay2013Journal of medicinal chemistry, Mar-14, Volume: 56, Issue:5
Opioid peptidomimetics: leads for the design of bioavailable mixed efficacy μ opioid receptor (MOR) agonist/δ opioid receptor (DOR) antagonist ligands.
AID1456642Antinociceptive activity in mouse model of thermal-induced nociception assessed as increase in latency to tail withdrawal at 5 mg/kg, sc measured up to 50 mins by tail flick test
AID234638Selectivity is the ratio of Ki against mu receptor to that of kappa receptor2000Journal of medicinal chemistry, Sep-21, Volume: 43, Issue:19
Selective protection and functionalization of morphine: synthesis and opioid receptor binding properties of 3-amino-3-desoxymorphine derivatives.
AID1812975Agonist activity at MOR (unknown origin) expressed in HEK293-A cells assessed as inhibition of forskolin-induced cAMP accumulation by measuring maximal efficacy preincubated for 30 mins in presence of 3-isobutyl-1-methylxanthine followed by forskolin and 2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID232232Selectivity given as ratio of kappa receptor to delta receptor2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID312061Agonist activity at human mu opioid receptor expressed in CHO cells assessed as maximal stimulation of [35S]GTP-gamma-S binding relative to basal level2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID670113Displacement of [3H]-naltrindole from human delta opioid receptor expressed in CHO cells after 3 hrs by scintillation counting2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID107478Compound was tested in vivo for narcotic agonist activity (dose in sc, mg/kg) in mice using hot plate assay1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Comparison of (-)-eseroline with (+)-eseroline and dihydroseco analogues in antinociceptive assays: confirmation of rubreserine structure by X-ray analysis.
AID268680Displacement of radiolabeled NalBzOH from kappa3 opioid receptor in Hartley guinea pig brain2006Bioorganic & medicinal chemistry letters, Aug-15, Volume: 16, Issue:16
Opiate receptor binding properties of morphine-, dihydromorphine-, and codeine 6-O-sulfate ester congeners.
AID1749822Antinociceptive activity in iv dosed Sprague-Dawley rat assessed as hot plate latency compound administered as cumulative dose at 5 mins intervals by Hot-plate test
AID1133443Narcotic agonist activity in rat by hot plate test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID1255651Displacement of [3H]-U-69593 from kappa opioid receptor in guinea pig brain membrane after 120 mins by scintillation counting2015Bioorganic & medicinal chemistry letters, Nov-15, Volume: 25, Issue:22
Conformationally restricted κ-opioid receptor agonists: Synthesis and pharmacological evaluation of diastereoisomeric and enantiomeric decahydroquinoxalines.
AID149425In vivo binding affinity against kappa opioid receptor was measured by using labeled ligand [3H]ethylketocyclazocine (1 nM) with 500 nM DADLE and 20 nM sufentanil1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID1202695AUC in rat interstitial fluid at 10 mg/kg, sc by transcortical microdialysis2015Journal of medicinal chemistry, Mar-26, Volume: 58, Issue:6
CNS drug design: balancing physicochemical properties for optimal brain exposure.
AID1812977Agonist activity at KOR (unknown origin) expressed in HEK293-A cells assessed as inhibition of forskolin-induced cAMP accumulation by measuring maximal efficacy preincubated for 30 mins in presence of 3-isobutyl-1-methylxanthine followed by forskolin and 2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID695731Antinociceptive activity in Sprague-Dawley rat chronic constriction model assessed as reduction in Von Frey filament-induced mechanical allodynia in ipsilateral hind paw at 2 umol/kg, iv administered as bolus injection 5 mins post-naloxone coadministratio2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1872065Antinociceptive activity in rat2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1781417Antinociceptive activity in ip dosed Kunming mouse by hot plate test2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID751087Antinociceptive activity in Swiss mouse assessed as inhibition of formalin-induced paw licking at 5 mg/kg, sc administered 30 mins prior to formalin challenge measured during inflammatory phase for 20 to 25 mins2013Journal of natural products, Jun-28, Volume: 76, Issue:6
Anti-inflammatory and antinociceptive activity of epiisopiloturine, an imidazole alkaloid isolated from Pilocarpus microphyllus.
AID1181574Antinociceptive effect in sc dosed ICR-CD1 mouse by tail flick test2014Journal of medicinal chemistry, Aug-14, Volume: 57, Issue:15
Putative kappa opioid heteromers as targets for developing analgesics free of adverse effects.
AID223774Percentage of analgesic efficacy compared to morphine at 8 mg/kg2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID1812991Antinociceptive activity against Kunming mouse model of thermal-induced nociception assessed as maximum possible effect at 264201 nmol/kg, po measured after 30 min by tail flick test relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID678713Inhibition of human CYP2C9 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 7-methoxy-4-trifluoromethylcoumarin-3-acetic acid as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1209581Fraction unbound in Sprague-Dawley rat brain homogenates at 5 uM by equilibrium dialysis analysis2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID26362Ionization constant (pKa)2004Journal of medicinal chemistry, Feb-26, Volume: 47, Issue:5
Prediction of human volume of distribution values for neutral and basic drugs. 2. Extended data set and leave-class-out statistics.
AID1196094Antiallodynic effect in Wistar rat chronic constriction injury model assessed as cross tolerance developement pretreated with H-Dmt-D-Arg-Aba-Gly-NMe-3',5'-(CF3)2-Bn at 1 nmol, it qd for 6 days administered from 7 days post CCI challenge to day 13 measure2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID1209583Unbound drug partitioning coefficient, Kp of the compound assessed as ratio of unbound concentration in Sprague-Dawley rat brain to unbound concentration in plasma2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID1432896Displacement of [3H]DPN from zebrafish delta 1a opioid receptor expressed in HEK293 cell membranes after 1 hr by scintillation counting method2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Role of the sugar moiety on the opioid receptor binding and conformation of a series of enkephalin neoglycopeptides.
AID603170Displacement of [125I]-IBNalA from MOR-1 expressed in CHO cells2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Generation of novel radiolabeled opiates through site-selective iodination.
AID112941Analgesic activity in mice by using hot plate method1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Structure-activity studies of dermorphin. Synthesis and some pharmacological data of dermorphin and its 1-substituted analogues.
AID1526733Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.5 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID381219Antinociceptive activity against formalin-induced pain in ddY mouse assessed as reduction of paw licking response during neurogenic phase at 20 mg/kg, ip pretreated for 10 mins before formalin challenge in presence of Naloxone1999Journal of natural products, Sep, Volume: 62, Issue:9
Strong antinociceptive effect of incarvillateine, a novel monoterpene alkaloid from Incarvillea sinensis.
AID1808014Toxicity in Kunming mouse assessed as inhibition of gastrointestinal transit at 10 micromol/kg, sc by charcoal meal test (Rvb = 70.3 +/- 3 %)2021Journal of medicinal chemistry, 11-25, Volume: 64, Issue:22
Novel Cyclic Endomorphin Analogues with Multiple Modifications and Oligoarginine Vector Exhibit Potent Antinociception with Reduced Opioid-like Side Effects.
AID235718Selectivity Ratio is the ratio of opioid receptor kappa (Ki(nM)) to the opioid receptor mu (Ki(nM))1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID169256Amount of the drug required to produce 50% antinociception when administered intracerebroventricularly; value ranges from 1.8-4.22000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID514206Displacement of [3H]U69593 from kappa opioid receptor in guinea pig brain membrane2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Morphinans and isoquinolines: acetylcholinesterase inhibition, pharmacophore modeling, and interaction with opioid receptors.
AID232698Selectivity ratio of Ki of [3H]-DSLET to Ki of [3H]DAGO; relative inhibition at opioid receptor subtype delta 1 versus mu 11988Journal of medicinal chemistry, Feb, Volume: 31, Issue:2
Investigation of the structural parameters involved in the mu and delta opioid receptor discrimination of linear enkephalin-related peptides.
AID189556Relative potency in displacing (-)-naloxone (1.0) in mouse brain homogenate1983Journal of medicinal chemistry, Nov, Volume: 26, Issue:11
Synthesis and pharmacological characterization of (+/-)-5,9 alpha-dimethyl-2-[2-(4-fluorophenyl)ethyl]-2'-hydroxy-6,7-benzomorphan (fluorophen), a ligand suitable for visualization of opiate receptors in vivo.
AID1872064Antinociceptive activity in mouse by tail pressure test2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID149742Evaluated for inhibitory activity against Opioid receptor mu 1 of guinea pig ileum (GPI)1990Journal of medicinal chemistry, Jan, Volume: 33, Issue:1
Synthesis and structure-activity relationships of dynorphin A-(1-8) amide analogues.
AID123328Analgesic activity of compound (2.66 nM) in mice after icv administration1981Journal of medicinal chemistry, Oct, Volume: 24, Issue:10
Evidence of the preferential involvement of mu receptors in analgesia using enkephalins highly selective for peripheral mu or delta receptors.
AID678714Inhibition of human CYP2C19 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using 3-butyryl-7-methoxycoumarin as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID1132666Analgesic activity in sc dosed mouse assessed as inhibition of acetylcholine bromide-induced writhing after 2 mins1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Benzomorphans. Structure of a position isomer.
AID1680667Antinociceptive activity in sc dosed CD1 mouse assessed as inhibition of the writhing response after 30 mins post dose by acetic acid-induced writhing assay2019Journal of medicinal chemistry, 01-24, Volume: 62, Issue:2
Synthesis, Biological, and Structural Explorations of New Zwitterionic Derivatives of 14- O-Methyloxymorphone, as Potent μ/δ Opioid Agonists and Peripherally Selective Antinociceptives.
AID224414In vitro efficacy against naloxone, in mouse vas deferens, activity expressed as Ke values.1991Journal of medicinal chemistry, Nov, Volume: 34, Issue:11
Structure/activity studies related to 2-(3,4-dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]acetamides: a novel series of potent and selective kappa-opioid agonists.
AID1138781Toxicity in ICR mouse assessed as rewarding effect by measuring increase in time spent in drug-paired compartment at 10 mg/kg, sc administered every 2 days for 6 days measured 24 hrs post last dose by conditioned place preference assay2014Bioorganic & medicinal chemistry, Apr-15, Volume: 22, Issue:8
Designing bifunctional NOP receptor-mu opioid receptor ligands from NOP-receptor selective scaffolds. Part II.
AID150082Binding affinity towards Opioid receptor delta 1 was evaluated2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID1498741Antiallodynic activity in ip dosed NMRI mouse model of spared nerve injury-induced mechanical allodynia assessed as pain relief administered 14 days post spared nerve injury surgery measured at 15 to 60 mins post dose by Von Frey filament assay2018Bioorganic & medicinal chemistry letters, 08-01, Volume: 28, Issue:14
An imidazole based H-Phe-Phe-NH
AID25852Phenolic pKa of compound with 0.15 M NaCl1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID132777In vivo antinociceptive activity using mouse tail flick test, subcutaneous administration1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
(1S)-1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinoline and heterocycle-condensed tetrahydropyridine derivatives: members of a novel class of very potent kappa opioid analgesics.
AID148890Opioid receptor activity was evaluated using mouse vas deferens (MVD) assay2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID449663Lipophilicity, log P of the compound2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Antinociceptive properties of caffeic acid derivatives in mice.
AID76379Tested for potent reversible agonist activity on electrically stimulated guinea pig ileal longitudinal muscle preparation1980Journal of medicinal chemistry, Mar, Volume: 23, Issue:3
A novel opioid receptor site directed alkylating agent with irreversible narcotic antagonistic and reversible agonistic activities.
AID148474Opioid receptor activity was evaluated using guinea pig ileum (GPI) assay2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID151890Inhibition of binding of [3H]DAMGO to opioid receptor mu 1 from rat brain membrane.2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
Piperazinyl benzamidines: synthesis and affinity for the delta opioid receptor.
AID150260Displacement of [3H]naloxone from rat brain Opioid receptors1981Journal of medicinal chemistry, Jan, Volume: 24, Issue:1
Synthesis and stereochemistry of 7-phenyl-2-propionanilidobenzo[a]quinolizidine derivatives. Structural probes of fentanyl analgesics.
AID148204Binding affinity using guinea pig brain membrane preparations, towards Opioid receptor mu 1 using [3H]- DAMGO as radioligand2002Journal of medicinal chemistry, Apr-25, Volume: 45, Issue:9
Studies on the synthesis and opioid agonistic activities of mitragynine-related indole alkaloids: discovery of opioid agonists structurally different from other opioid ligands.
AID130863In vivo tail-flick latency after subcutaneous administration in mouse as an evaluation of antinociceptive potency1996Journal of medicinal chemistry, Dec-06, Volume: 39, Issue:25
Analogues of capsaicin with agonist activity as novel analgesic agents: structure-activity studies. 4. Potent, orally active analgesics.
AID1202692Displacement of [3H]naloxone from MOR (unknown origin) expressed in human 293T cells2015Journal of medicinal chemistry, Mar-26, Volume: 58, Issue:6
CNS drug design: balancing physicochemical properties for optimal brain exposure.
AID395303Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID74457Tested for naloxone pA2 activity in guinea pig ileum1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
N-terminal alkylated derivatives of [D-Pro10]dynorphin A-(1-11) are highly selective for kappa-opioid receptors.
AID620067Analgesic activity in Albino-Swiss mouse assessed as inhibition of heat-induced paw licking or jumping behavior administered as ip measured after 30 mins for 45 secs by Eddy and Leimbach's hot plate method2011European journal of medicinal chemistry, Oct, Volume: 46, Issue:10
Derivatives of pyrrolo[3,4-d]pyridazinone, a new class of analgesic agents.
AID1872062Antinociceptive activity in mouse administered IT by tail pressure test2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID176816Tested for analgesic activity using rat hot plate technique1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID749691Displacement of [3H]DADLE from human recombinant delta opioid receptor expressed in CHO cell membranes after 2 hrs by liquid scintillation counting analysis2013Bioorganic & medicinal chemistry, Jun-01, Volume: 21, Issue:11
Probes for narcotic receptor mediated phenomena. 47. Novel C4a- and N-substituted-1,2,3,4,4a,9a-hexahydrobenzofuro[2,3-c]pyridin-6-ols.
AID776674Toxicity in CD1 mouse assessed as respiratory depression at 20 mg/kg, sc measured after 15 to 35 mins2013European journal of medicinal chemistry, Nov, Volume: 69Novel 6β-acylaminomorphinans with analgesic activity.
AID1685505Agonist activity at human DOR expressed in CHOK1 cells assessed as inhibition of forskolin-stimulated cAMP accumulation incubated for 30 mins by luminescence assay relative to DAMGO2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID151914Binding constant for the antagonist state was measured for its ability to displace [3H]naloxone from opioid mu 1 receptor buffered homogenate of rat brain membranes1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Structure-activity relationships for drugs binding to the agonist and antagonist states of the primary morphine receptor.
AID229399Relative affinity for mu and kappa opioid receptors2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
2-aminothiazole-derived opioids. Bioisosteric replacement of phenols.
AID1630482Agonist activity at human MOR expressed in HEK293 cells assessed as inhibition of forskolin-induced cAMP accumulation by EIA method relative to control2016Journal of medicinal chemistry, 10-13, Volume: 59, Issue:19
Versatile Picklocks To Access All Opioid Receptors: Tuning the Selectivity and Functional Profile of the Cyclotetrapeptide c[Phe-d-Pro-Phe-Trp] (CJ-15,208).
AID1386863Agonist activity at human mu opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by scintillation counting method relative to control2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID1282208Binding affinity to human kappa opioid receptor2016Journal of medicinal chemistry, Feb-11, Volume: 59, Issue:3
Tactical Approaches to Interconverting GPCR Agonists and Antagonists.
AID298631Displacement of [3H]DAMGO from human cloned mu opioid receptor2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID14593350% Inhibition of stereospecific [3H]-naltrexone (10e-9 M) binding towards opiate receptor in rat brain homogenate1985Journal of medicinal chemistry, Sep, Volume: 28, Issue:9
Acylmorphinans. A novel class of potent analgesic agents.
AID239441Inhibition of [3H][Ile5,6]deltorphin II binding to opioid receptor delta from rat brain membranes2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID479372Selectivity ratio of IC50 for Wistar rat delta opioid receptor to IC50 for Wistar rat mu opioid receptor2010Bioorganic & medicinal chemistry, May-15, Volume: 18, Issue:10
Synthesis and opioid activity of novel 6-substituted-6-demethoxy-ethenomorphinans.
AID1587348Agonist activity at human kappa-type opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by liquid scintillation counting method2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID496825Antimicrobial activity against Leishmania mexicana2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1526802Ratio of unbound Cmax in human at 10 mg, im to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1146190Analgesic activity in Swiss-Webster mouse measured for 20 mins by tail flick test1978Journal of medicinal chemistry, May, Volume: 21, Issue:5
Analgesics. 1. Synthesis and analgesic properties of N-sec-alkyl- and N-tert-alkylnormorphines.
AID1526791Unbound maximal portal vein concentration of in human at 50 mg, po dosed as slow release formulation2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID320420Agonist activity at mu opioid receptor in Swiss mouse vas deferens assessed as inhibition of electrically-stimulated twitch2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1587336Displacement of [3H]-diprenorphine from rat delta-type opioid receptor expressed in rat C6 cell membranes incubated for 1 hr by liquid scintillation counting method2019Journal of medicinal chemistry, 04-25, Volume: 62, Issue:8
Structural Simplification of a Tetrahydroquinoline-Core Peptidomimetic μ-Opioid Receptor (MOR) Agonist/δ-Opioid Receptor (DOR) Antagonist Produces Improved Metabolic Stability.
AID710801Antinociceptive activity in sc dosed CD1 mouse assessed as thermal-stimulus induced tail flick latency after 30 mins2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Variation of the net charge, lipophilicity, and side chain flexibility in Dmt(1)-DALDA: Effect on Opioid Activity and Biodistribution.
AID298634Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID669685Agonist activity at human mu opioid receptor expressed in CHO cells assessed as inhibition of forskolin-induced cAMP accumulation after 1 hr by HTRF assay2012ACS medicinal chemistry letters, Mar-08, Volume: 3, Issue:3
NOpiates: Novel Dual Action Neuronal Nitric Oxide Synthase Inhibitors with μ-Opioid Agonist Activity.
AID1826730Gastroprokinetic activity in Swiss Webster mouse assessed as stimulation of gastrointestinal motility by measuring time required to defecation of red fecal pellet at 10 mg/kg, po incubated for 20 mins by carmine red dye assay2022Journal of medicinal chemistry, 03-24, Volume: 65, Issue:6
Rational Design, Chemical Syntheses, and Biological Evaluations of Peripherally Selective Mu Opioid Receptor Ligands as Potential Opioid Induced Constipation Treatment.
AID245887Antinociceptive potencie was assessed after subcutaneous administration of compound by hotplate test (HP) in mice2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1526807Ratio of unbound Cmax in human at 10 mg, po dosed as immediate release formulation to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID149892Binding affinity against Opioid receptor delta 1 was determined in brain membrane preparations from male Hartley guinea-pigs1998Bioorganic & medicinal chemistry letters, Jul-21, Volume: 8, Issue:14
C-alkylated spiro[benzofuran-3(2H),4'-1'-methyl-piperidine-7-ols] as potent opioids: a conformation-activity study.
AID746231Antinociceptive activity in BALB/c mouse at 0.5 mg/kg, iv measured 30 to 90 mins post dose by tail flick test relative to vehicle-treated control2013European journal of medicinal chemistry, May, Volume: 63Synthesis, biological activity and resistance to proteolytic digestion of new cyclic dermorphin/deltorphin analogues.
AID1425967Agonist activity at myc-tagged MOR (unknown origin) expressed in mouse AtT-20 cells harboring GIRK1/GIRK2 channels assessed as stimulation of membrane potential hyperpolarization at 10 uM by FLIPR assay2017European journal of medicinal chemistry, Jan-27, Volume: 126Discovery, structure-activity relationship studies, and anti-nociceptive effects of N-(1,2,3,4-tetrahydro-1-isoquinolinylmethyl)benzamides as novel opioid receptor agonists.
AID751095Antinociceptive activity in Swiss mouse assessed as inhibition of acetic acid-induced abdominal writhing response at 5 mg/kg, ip administered 30 mins prior to acetic acid challenge measured for 10 to 20 mins2013Journal of natural products, Jun-28, Volume: 76, Issue:6
Anti-inflammatory and antinociceptive activity of epiisopiloturine, an imidazole alkaloid isolated from Pilocarpus microphyllus.
AID149505Inhibition of [3H]- DADLE binding to Rat brain Opioid receptor delta 11996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Probes for narcotic receptor-mediated phenomena. 21. Novel derivatives of 3-(1,2,3,4,5,11-hexahydro-3-methyl-2,6-methano-6H-azocino[4,5-b]indol- 6-yl)-phenols with improved delta opioid receptor selectivity.
AID1629803Toxicity in CD-1 mouse assessed as physical dependence by measuring number of jumps at 5 mg/kg, sc bid for 5 days followed by opioid antagonist naloxone injection on day 5 measured for 15 mins post last dose2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID604024Unbound brain to plasma concentration ratio in Sprague-Dawley rat administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID232233Selectivity given as ratio of mu receptor to delta receptor2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID147976Displacement of [3H]-BRL 52537 from opioid receptor kappa site in guinea pig1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
(1S)-1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinoline and heterocycle-condensed tetrahydropyridine derivatives: members of a novel class of very potent kappa opioid analgesics.
AID1812990Antinociceptive activity against Kunming mouse model of thermal-induced nociception assessed as maximum possible effect at 264201 nmol/kg, po measured after 20 min by tail flick test relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
Development of Multifunctional and Orally Active Cyclic Peptide Agonists of Opioid/Neuropeptide FF Receptors that Produce Potent, Long-Lasting, and Peripherally Restricted Antinociception with Diminished Side Effects.
AID1202700Ratio of unbound drug in brain to plasma in rat2015Journal of medicinal chemistry, Mar-26, Volume: 58, Issue:6
CNS drug design: balancing physicochemical properties for optimal brain exposure.
AID698722Toxicity in mouse assessed as incidence of naloxone-induced precipitation of withdrawal syndrome at 10 mg/kg, sc BID for 5 days dosed before 1 mg/kg, sc naloxone by physical dependence study2012Journal of medicinal chemistry, Jul-26, Volume: 55, Issue:14
Synthesis and evaluation of aryl-naloxamide opiate analgesics targeting truncated exon 11-associated μ opioid receptor (MOR-1) splice variants.
AID452020Displacement of [3H]diprenorphine from rat delta receptor expressed in CHO cells by scintillation counting2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Highly selective and potent mu opioid ligands by unexpected substituent on morphine skeleton.
AID113828Effective dose (sc) required for antinociceptive potency in vivo in the hotplate (HP) test in mice2004Journal of medicinal chemistry, Jun-03, Volume: 47, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 21. Novel 4-alkoxy and 14-phenylpropoxy derivatives of the mu opioid receptor antagonist cyprodime.
AID1386862Agonist activity at human mu opioid receptor expressed in CHO cell membranes assessed as stimulation of [35S]GTPgammaS binding incubated for 1 hr by scintillation counting method relative to DAMGO2018Journal of medicinal chemistry, 10-11, Volume: 61, Issue:19
Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias.
AID78160Concentration inhibiting electrically induced contraction of guinea pig ileum(GPI) at an ED50 of 5.6(ug/kg).1992Journal of medicinal chemistry, Oct-30, Volume: 35, Issue:22
Synthesis and conformational properties of the lanthionine-bridged opioid peptide [D-AlaL2,AlaL5]enkephalin as determined by NMR and computer simulations.
AID148481Compound was tested for irreversible antagonistic activity against opioid receptor in electrically stimulated longitudinal muscle of guinea pig ileum1986Journal of medicinal chemistry, Oct, Volume: 29, Issue:10
Synthesis and biological activity of analogues of beta-chlornaltrexamine and beta-funaltrexamine at opioid receptors.
AID249902Analgesic activity was evaluated in mouse hotplate test; expressed as licking latency after 45 min of treatment at a dose of 10 ug intracerebroventricularly2004Journal of medicinal chemistry, Nov-18, Volume: 47, Issue:24
Design, synthesis, and preliminary pharmacological evaluation of 4-aminopiperidine derivatives as N-type calcium channel blockers active on pain and neuropathic pain.
AID1832223Antinociceptive activity in Swiss Webster mouse model of formalin-induced biphasic nociceptive response assessed as reduction in pain during late phase at 5 mg/kg, ip administered 40 mins before formalin injection and measured after 10 to 30 mins post for
AID462863Analgesic activity in ICR mouse assessed as increase in pain threshold variation at 20 umol/kg, ip administered as single dose measured after 180 mins by tail flick test2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
A class of novel Schiff's bases: Synthesis, therapeutic action for chronic pain, anti-inflammation and 3D QSAR analysis.
AID684906Analgesic activity against po dosed rat assessed as reversal of carrageenan-induced mechanical hyperalgesia at 8 mg/kg, po2012Journal of medicinal chemistry, Mar-22, Volume: 55, Issue:6
From bradykinin B2 receptor antagonists to orally active and selective bradykinin B1 receptor antagonists.
AID1809510Toxicity in C57BL/6 mouse model assessed as charcoal distance travel at 15 mg/kg, sc measured after 3 hrs by gastrointestinal transit assay (Rvb = 29.5 +/- 1 cm)2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID298639Antinociceptive activity in mouse by phenylquinone writhing assay2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID150757P-gp activity was measured by a direct transport assay, using polarized LLC-MDR1 epithelial cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID131337Dose (sc) required for 50% reduction in frequency of writhing in mouse writhing analgesia test1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Synthesis and analgesic properties of N-substituted trans-4a-aryldecahydroisoquinolines.
AID148609In vitro inhibitory activity against opioid activity in guinea pig ileum, relative to Morphine1986Journal of medicinal chemistry, Jun, Volume: 29, Issue:6
Synthesis and opioid activity of dermorphin tetrapeptides bearing D-methionine S-oxide at position 2.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1136784Analgetic activity in sc dosed CF1S mouse assessed as writhing by phenylquinone writhing test1979Journal of medicinal chemistry, May, Volume: 22, Issue:5
Syntheses, analgetic activity, and physical dependence capacity of 5-phenyl-6,7-benzomorphan derivatives.
AID244110Ratio of Ki for Opioid receptors kappa 1 and mu 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID177752Agonist/antagonist and antinociceptive profile was assessed in a hotplate assay1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Common stereospecificity of opioid and dopamine systems for N-butyrophenone prodine-like compounds.
AID601797Displacement of [3H]DPDPE from delta opioid receptor in rat brain membranes2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 7,9-diazabicyclo[4.2.2]decanes as conformationally restricted κ receptor agonists: fine tuning of the dihedral angle of the ethylenediamine pharmacophore.
AID126651Physical dependence capacity (PDC) of the compound; high physical dependence capacity1992Journal of medicinal chemistry, Oct-02, Volume: 35, Issue:20
Alfred Burger Award address. A half century in medicinal chemistry with major emphasis on pain-relieving drugs and their antagonists.
AID228141Binding affinity (Ki) ratio of mu to delta receptor2002Journal of medicinal chemistry, Aug-15, Volume: 45, Issue:17
Synthesis and biological activities of cyclic lanthionine enkephalin analogues: delta-opioid receptor selective ligands.
AID1426522Antinociceptive activity in TREK1 deficient C57Bl/6J mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 60 mg/kg, sc measured after 30 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID148678Evaluated for the inhibition of [3H]EKC binding to Opioid receptor kappa 1 of guinea pig brain1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID132480Analgesic activity in mouse1980Journal of medicinal chemistry, Mar, Volume: 23, Issue:3
Third Smissman Award address: reminiscences and musings of a classical medicinal chemist.
AID127629Duration of analgesic effect using mouse hot plate assay1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID1781404Agonist activity at rat mu opioid receptor expressed in CHO cell membrane at 1 uM incubated for 1 hr by [35S]GTPgammaS binding based liquid scintillation counting method relative to control2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID695729Antinociceptive activity in Sprague-Dawley rat chronic constriction model assessed as reduction in Von Frey filament-induced mechanical allodynia in contralateral hind paw at 8 umol/kg, po2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID151608Binding affinity against Opioid receptor mu 1 isolated from rat brain membrane was determined using [3H]DAMGO as radioligand2003Journal of medicinal chemistry, Sep-11, Volume: 46, Issue:19
Synthesis and biological evaluation of 14-alkoxymorphinans. 20. 14-phenylpropoxymetopon: an extremely powerful analgesic.
AID514205Displacement of [3H][Ile5,6]deltorphin2 from delta opioid receptor in rat brain membrane2010Bioorganic & medicinal chemistry, Jul-15, Volume: 18, Issue:14
Morphinans and isoquinolines: acetylcholinesterase inhibition, pharmacophore modeling, and interaction with opioid receptors.
AID239209Inhibition of [3H]DPDPE binding to Opioid receptor delta 12004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID1171127Antinociceptive activity in Swiss Webster mouse assessed as inhibition of formalin-induced late phase pain response at 5 mg/kg, ip dosed 40 mins before formalin injection2014Journal of natural products, Nov-26, Volume: 77, Issue:11
Antinociceptive properties of physalins from Physalis angulata.
AID147998Binding affinity against opioid receptor kappa 1 from human cloned receptor2003Journal of medicinal chemistry, Aug-28, Volume: 46, Issue:18
Synthesis, biological evaluation, and receptor docking simulations of 2-[(acylamino)ethyl]-1,4-benzodiazepines as kappa-opioid receptor agonists endowed with antinociceptive and antiamnesic activity.
AID139099Analgesic Potency was tested against mice1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
A Free-Wilson/Fujita-Ban analysis and prediction of the analgesic potency of some 3-hydroxy- and 3-methoxy-N-alkylmorphinan-6-one opioids.
AID1587571Displacement of [3H]DPDPE from delta opioid receptor in rat membranes after 120 mins by scintillation counting analysis
AID148496In vitro relative potency in guinea pig ileum was determined1982Journal of medicinal chemistry, Jun, Volume: 25, Issue:6
Synthesis, X-ray crystallographic determination, and opioid activity of erythro-5-methylmethadone enantiomers. Evidence which suggests that mu and delta opioid receptors possess different stereochemical requirements.
AID1700437Antinociceptive activity in 129S mouse model of thermal-induced nociception administered subcutaneously by warm water tail-flick assay2020Journal of medicinal chemistry, 11-25, Volume: 63, Issue:22
Synthesis and Pharmacology of a Novel μ-δ Opioid Receptor Heteromer-Selective Agonist Based on the Carfentanyl Template.
AID1456657Effect on human sperm motility at 10'-7 mol/L measured at 90 mins post dose by Makler counting chamber method (Rvb = 62.1 +/- 5.7%)
AID234637Selectivity is the ratio of Ki against mu receptor to that of delta receptor2000Journal of medicinal chemistry, Sep-21, Volume: 43, Issue:19
Selective protection and functionalization of morphine: synthesis and opioid receptor binding properties of 3-amino-3-desoxymorphine derivatives.
AID754487Displacement of [3H]U-69593 from kappa opoid receptor in Dunkin-Hartley guinea pig brain after 1 hr by liquid scintillation spectrometry2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID76090Inhibition of twitches in guinea pig ileum1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Structure-activity studies of dermorphin. Synthesis and some pharmacological data of dermorphin and its 1-substituted analogues.
AID298778Antinociceptive effect in ip dosed mouse assessed as reduction of licking time in early phase administered before 30 mins of formalin administration2007Bioorganic & medicinal chemistry letters, Mar-01, Volume: 17, Issue:5
Chiral tetrahydroquinoline derivatives as potent anti-hyperalgesic agents in animal models of sustained inflammation and chronic neuropathic pain.
AID131732Analgesic activity using mouse hot plate technique at 55 degree Centigrade1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID1809500Partial agonist activity at mouse MOR expressed in HEK293T cells assessed as Nb33 recruitment by BRET assay relative to control2021Journal of medicinal chemistry, 09-23, Volume: 64, Issue:18
A Novel Mitragynine Analog with Low-Efficacy Mu Opioid Receptor Agonism Displays Antinociception with Attenuated Adverse Effects.
AID1209593Dissociation constant, pKa of the acidic compound by capillary electrophoresis-mass spectrometry analysis2011Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 39, Issue:3
Measurement of unbound drug exposure in brain: modeling of pH partitioning explains diverging results between the brain slice and brain homogenate methods.
AID1630727Antinociceptive activity in CB1 mouse assessed as increase in tail flick latency at 5 mg/kg, ip after 60 mins2016Bioorganic & medicinal chemistry, 11-01, Volume: 24, Issue:21
An LP1 analogue, selective MOR agonist with a peculiar pharmacological profile, used to scrutiny the ligand binding domain.
AID1055367Displacement of radiolabeled DAMGO from human recombinant mu opioid receptor expressed in OPRM1 cells2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Structure-activity relationship of imidazopyridinium analogues as antagonists of neuropeptide s receptor.
AID298635Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID1610011Selectivity ratio of Ki for delta opioid receptor in guinea pig brain membranes to Ki for mu opioid receptor in guinea pig brain membranes2019European journal of medicinal chemistry, Dec-01, Volume: 183Progress in the development of more effective and safer analgesics for pain management.
AID1277622Agonist activity at human MOR expressed in CHO cells assessed as induction of membrane potential change measured every 3 secs for 30 secs by fluorescent membrane potential assay2016Journal of medicinal chemistry, Feb-11, Volume: 59, Issue:3
Potent μ-Opioid Receptor Agonists from Cyclic Peptides Tyr-c[D-Lys-Xxx-Tyr-Gly]: Synthesis, Biological, and Structural Evaluation.
AID443810Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to 500 nM SNC802010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Synthesis and opioid activity of enantiomeric N-substituted 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolines.
AID311524Oral bioavailability in human2007Bioorganic & medicinal chemistry, Dec-15, Volume: 15, Issue:24
Hologram QSAR model for the prediction of human oral bioavailability.
AID149261Binding affinity towards Opioid receptor kappa 1 using [3H]U-69593 as radioligand.1995Journal of medicinal chemistry, Apr-28, Volume: 38, Issue:9
Enantiomers of diastereomeric cis-N-[1-(2-hydroxy-2-phenylethyl)- 3-methyl-4-piperidyl]-N-phenylpropanamides: synthesis, X-ray analysis, and biological activities.
AID150235Inhibition of Opioid receptors binding by inhibiting specific [3H]naloxone binding by 50% in the presence of 100 mM NaCl1980Journal of medicinal chemistry, Sep, Volume: 23, Issue:9
Synthesis and biological activity of fluoroalkylamine derivatives of narcotic analgesics.
AID1188145Displacement of [3H]U69593 from kappa opioid receptor in guinea pig brain membranes2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID230027Ratio of Kt value to that of Kp value of the compound.1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID624614Specific activity of expressed human recombinant UGT2A12000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID132687Inhibition of opioid activity in electricaly stimulated myenteric plexus longitudinal muscle of mouse vas deferens(MVD) preparation1983Journal of medicinal chemistry, Mar, Volume: 26, Issue:3
Synthesis and evaluation of 1- and 2-substituted fentanyl analogues for opioid activity.
AID1302057Increase in inspiratory time in Sprague-Dawley rat at 390 nmol/kg, iv after 5 to 120 mins by plethysmography method2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID449916Analgesic activity in ICR mouse assessed as pain threshold variation at 20 umol/kg, ip administered as single dose measured after 120 mins by tail flick test relative to control2009Bioorganic & medicinal chemistry, Sep-01, Volume: 17, Issue:17
N-[2-chloro-9H-purin-6-yl]-N-cyclopropylglycylamino acids and derivatives: synthesis, evaluation as a class of novel analgesics, and 3D QSAR analysis.
AID139638Antagonist activity in mouse vas deferens preparation.1984Journal of medicinal chemistry, Oct, Volume: 27, Issue:10
Activities of morphinone and N-(cyclopropylmethyl)normorphinone at opioid receptors.
AID452018Displacement of [3H]diprenorphine from human kappa receptor expressed in CHO cells by scintillation counting2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Highly selective and potent mu opioid ligands by unexpected substituent on morphine skeleton.
AID695712Displacement of [3H]DPDPE from delta-opioid receptor expressed in CHOK1 cells after overnight incubation by scintillation proximity assay2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID132769In vivo antinociceptive activity in mice by using hot plate test after intracerebroventricular administration1992Journal of medicinal chemistry, Feb-21, Volume: 35, Issue:4
Systemic analgesic activity and delta-opioid selectivity in [2,6-dimethyl-Tyr1,D-Pen2,D-Pen5]enkephalin.
AID1781409Selectivity ratio of Ki for displacement of [3H]DPDPE from rat delta opioid receptor expressed in CHO cell membrane to Ki for displacement of [3H]U69,593 from human kappa opioid receptor expressed in CHO cell membrane2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of an
AID462854Analgesic activity in ICR mouse assessed as increase in pain threshold variation at 20 umol/kg, ip administered as single dose measured after 90 mins by tail flick test2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
A class of novel Schiff's bases: Synthesis, therapeutic action for chronic pain, anti-inflammation and 3D QSAR analysis.
AID670115Selectivity index, ratio of inhibition of human delta opioid receptor to inhibition of human mu opioid receptor2012Journal of medicinal chemistry, Apr-26, Volume: 55, Issue:8
Synthesis, binding affinity, and functional in vitro activity of 3-benzylaminomorphinan and 3-benzylaminomorphine ligands at opioid receptors.
AID129446Antinociceptive potency determined by mouse tail withdrawal assay.1998Journal of medicinal chemistry, Aug-27, Volume: 41, Issue:18
3-Alkyl ethers of clocinnamox: delayed long-term mu-antagonists with variable mu efficacy.
AID1186503Agonist activity at human mu opioid receptor expressed CHO-K1 cells coexpressing Galpha15 assessed as induction of intracellular calcium release by FLIPR calcium assay2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
Discovery, structure-activity relationship studies, and anti-nociceptive effects of 1-phenyl-3,6,6-trimethyl-1,5,6,7-tetrahydro-4H-indazol-4-one as novel opioid receptor agonists.
AID601798Displacement of [3H]-(+)-pentazocine from sigma 1 receptor in guinea pig brain membranes2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Synthesis of 7,9-diazabicyclo[4.2.2]decanes as conformationally restricted κ receptor agonists: fine tuning of the dihedral angle of the ethylenediamine pharmacophore.
AID25949Half-life of the compound1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID232034Selectivity Ratio of IC50 of MVD to IC50 of GPI1992Journal of medicinal chemistry, Oct-30, Volume: 35, Issue:22
Synthesis and conformational properties of the lanthionine-bridged opioid peptide [D-AlaL2,AlaL5]enkephalin as determined by NMR and computer simulations.
AID224083Antinociceptive effect expressed as licking latency determined at 8 mg/kg after 30 minutes of subcutaneous administration in the mouse hotplate test2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID612049Displacement of [3H]DAMGO from human recombinant mu opioid receptor expressed in CHO cells after 2 hrs by liquid scintillation counting2011Bioorganic & medicinal chemistry, Jun-01, Volume: 19, Issue:11
Probes for narcotic receptor mediated phenomena. Part 42: synthesis and in vitro pharmacological characterization of the N-methyl and N-phenethyl analogues of the racemic ortho-c and para-c oxide-bridged phenylmorphans.
AID259394Displacement of [3H]DAMGO from human mu opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Jan-12, Volume: 49, Issue:1
Synthesis and preliminary in vitro investigation of bivalent ligands containing homo- and heterodimeric pharmacophores at mu, delta, and kappa opioid receptors.
AID1452203Analgesic activity in Albino Swiss CD-1 mouse assessed as increase in pain response latency administered at 4 mg/kg, ip treated up to 90 mins prior to tet by hot plate assay
AID1685511Bias factor, ratio of biased agonist activity at human mu opiod receptor expressed in U2OS cells assessed as stimulation of beta-arrestin2 EFC recruitment to biased agonist activity at human mu opiod receptor expressed in U2OS cells assessed as inhibition2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID1583481Selectivity index, ratio of Ki for displacement of [3H]diprenorphine from human KOR expressed in CHO cell membranes incubated for 1 hr by liquid scintillation counting assay to Ki for displacement of [3H]diprenorphine from human MOR expressed in CHO cell 2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID1282207Binding affinity to human mu opioid receptor2016Journal of medicinal chemistry, Feb-11, Volume: 59, Issue:3
Tactical Approaches to Interconverting GPCR Agonists and Antagonists.
AID114386Analgesic activity for the inhibition of phenylquinone induced writhing (PQW) after subcutaneous administration to mice1980Journal of medicinal chemistry, May, Volume: 23, Issue:5
Tricyclics with analgesic and antidepressant activity. 1. [[(Alkylamino)ethyl]thio]dibenz[b,f]oxepins and 10,11-dihydro derivatives.
AID1506429Antinociceptive activity in sc dosed CD1 mouse after 30 mins by radiant heat tail flick method2017MedChemComm, Jan-01, Volume: 8, Issue:1
Synthesis and pharmacological evaluation of novel selective MOR agonist 6β-pyridinyl amidomorphines exhibiting long-lasting antinociception.
AID1526792Ratio of unbound Cmax in human at 50 mg, po dosed as slow release formulation to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID410727Ratio of Ki for delta opioid receptor to Ki for kappa opioid receptor in guinea pig brain2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID1731249Antinociceptive activity in Sprague-Dawley rat model assessed as maximum possible effect at 10 mg/kg, sc measured every 10 mins for 60 mins by radiant heat tail-flick test relative to control
AID1526794Cmax in human at 10 mg, iv2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1823683Agonist activity at human mu opioid receptor expressed in HEK293T cells assessed as arrestin-3 recruitment preincubated for 5 mins with coelenterazine followed by compound addition and measured after 10 mins by BRET assay
AID357097Decrease in analgesic activity in CCL5 pretreated C57BL/6J mouse2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID765825Displacement of [3H]U69,593 from human kappa opioid receptor expressed in CHO cells after 2 hrs by liquid scintillation counting2013European journal of medicinal chemistry, Sep, Volume: 67Probes for narcotic receptor mediated phenomena. 48. C7- and C8-substituted 5-phenylmorphan opioids from diastereoselective alkylation.
AID488650Selectivity ratio of Ki for mu opioid receptor to kappa opioid receptor2010Bioorganic & medicinal chemistry, Jun-15, Volume: 18, Issue:12
Identification of the three-dimensional pharmacophore of kappa-opioid receptor agonists.
AID1196087Antinociceptive activity in it dosed Wistar rat after 30 mins by tail flick test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1134065Neuroleptic activity in ip dosed rat assessed as drug required for blocking discriminated jump-out avoidance behavior in after 1 hr1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
Analgesic and tranquilizing activity of 5,8-disubstituted 1-tetralone Mannich bases.
AID151590Ability to displace [3H]naloxone from the Opioid receptor mu 1 isolated from the rat brain membranes.1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID152069Binding affinity for Opioid receptor mu 12002Bioorganic & medicinal chemistry letters, Nov-04, Volume: 12, Issue:21
Synthesis and structure--activity relationship of novel aminotetralin derivatives with high micro selective opioid affinity.
AID357086Antinociceptive effect in icv dosed C57BL/6J mouse after 10 mins by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID647793Antinociceptive activity in sc dosed mouse2012European journal of medicinal chemistry, Apr, Volume: 50Probes for narcotic receptor mediated phenomena. 44. Synthesis of an N-substituted 4-hydroxy-5-(3-hydroxyphenyl)morphan with high affinity and selective μ-antagonist activity.
AID232309Dose ratio in the presence / absence of N-methyl-nalorphine (11.5 mg/kg) in acetic acid (AA) writhing1988Journal of medicinal chemistry, May, Volume: 31, Issue:5
Peripherally acting enkephalin analogues. 1. Polar pentapeptides.
AID1629812Toxicity in C57BL/6 mouse assessed as conditioned place preference at 10 mg/kg/day, ip measured for 30 mins post dose2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID603516Antinociceptive activity in sc dosed mouse by acetic acid writhing test2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID1255652Displacement of [3H]-DAMGO from mu opioid receptor in guinea pig brain membrane after 120 mins by scintillation counting2015Bioorganic & medicinal chemistry letters, Nov-15, Volume: 25, Issue:22
Conformationally restricted κ-opioid receptor agonists: Synthesis and pharmacological evaluation of diastereoisomeric and enantiomeric decahydroquinoxalines.
AID1526797Ratio of unbound Cmax in human at 10 mg, iv to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID779594Agonist activity at human mu opioid receptor expressed in HEK293 cells assessed as beta-arrestin recruitment by chemiluminescence assay2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
Structure-activity relationships and discovery of a G protein biased μ opioid receptor ligand, [(3-methoxythiophen-2-yl)methyl]({2-[(9R)-9-(pyridin-2-yl)-6-oxaspiro-[4.5]decan-9-yl]ethyl})amine (TRV130), for the treatment of acute severe pain.
AID1136763Analgetic activity against CF-1 mouse assessed as increase in reaction time at 4 mg/kg, sc by heat stimulus induced tail flick response assay1979Journal of medicinal chemistry, May, Volume: 22, Issue:5
Syntheses, analgetic activity, and physical dependence capacity of 5-phenyl-6,7-benzomorphan derivatives.
AID1358125Displacement of [3H]diprenorphine from human KOR expressed in African green monkey COS1 cell membranes at 1 uM incubated for 1 hr by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID225861Maximal analgesic dose required to cause antinociceptive effect in the mouse hot plate method by subcutaneous administration2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID246888In vivo opioid receptor activity in mouse p-phenylquinone writhing assay2005Journal of medicinal chemistry, Jul-28, Volume: 48, Issue:15
Neoclerodane diterpenes as a novel scaffold for mu opioid receptor ligands.
AID238289Binding affinity for rat brain opioid receptor mu 12005Bioorganic & medicinal chemistry letters, Feb-01, Volume: 15, Issue:3
Studies on the structure-activity relationship of 2',6'-dimethyl-l-tyrosine (Dmt) derivatives: bioactivity profile of H-Dmt-NH-CH(3).
AID169261Amount of the drug required to produce 50% antinociception when administered intravenously; value ranges from 4.9-7.92000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID185210Morphinomimetic activity was determined in rats by tail withdrawal reflex test (TWR), administered by intravenous.1986Journal of medicinal chemistry, Nov, Volume: 29, Issue:11
Synthetic 1,4-disubstituted-1,4-dihydro-5H-tetrazol-5-one derivatives of fentanyl: alfentanil (R 39209), a potent, extremely short-acting narcotic analgesic.
AID152074Binding affinity towards mu opioid receptor was determined1989Journal of medicinal chemistry, Jul, Volume: 32, Issue:7
Highly selective kappa-opioid analgesics. 2. Synthesis and structure-activity relationships of novel N-[(2-aminocyclohexyl)aryl]acetamide derivatives.
AID496827Antimicrobial activity against Leishmania amazonensis2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID151916Inhibition of [3H]naloxone binding to Opioid receptor mu 1 of rat brain membrane1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID577084Antinociceptive activity in sc dosed Sprague-Dawley rat assessed as thermal-stimulus induced tail flick latency after 2 hrs2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID620068Analgesic activity in Albino-Swiss mouse assessed as protection against phenylbenzoquinone-induced writhing administered as ip 30 mins before phenylbenzoquinone challenge measured after 5 mins2011European journal of medicinal chemistry, Oct, Volume: 46, Issue:10
Derivatives of pyrrolo[3,4-d]pyridazinone, a new class of analgesic agents.
AID577087Agonist activity at human delta opioid receptor expressed in CHO cells assessed as potentiation of DPDPE-induced [35S]GTPgammaS binding after 60 mins2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID1136229Analgesic activity in Sprague-Dawley rat normal foot assessed as response threshold at 8 to 16 mg/kg, po1978Journal of medicinal chemistry, Sep, Volume: 21, Issue:9
Synthesis and analgesic activity of 1,3-dihydro-3-(substituted phenyl)imidazo[4,5-b]pyridin-2-ones and 3-(substituted phenyl)-1,2,3-triazolo[4,5-b]pyridines.
AID149669Binding affinity against Opioid receptor delta 1 isolated from rat brain membrane was determined using [3H][Ile]-deltorphin as radioligand2003Journal of medicinal chemistry, Sep-11, Volume: 46, Issue:19
Synthesis and biological evaluation of 14-alkoxymorphinans. 20. 14-phenylpropoxymetopon: an extremely powerful analgesic.
AID180356The compound was tested for analgesic potency using rat tail withdrawal method in rats, on subcutaneous administration.1987Journal of medicinal chemistry, Nov, Volume: 30, Issue:11
Nitrogen-bridged conformationally constrained etorphine analogues. Synthesis and biological evaluation.
AID127654Compound was evaluated for the analgesic activity by administering through subcutaneous route in hotplate test1981Journal of medicinal chemistry, May, Volume: 24, Issue:5
New analgesic drugs derived from phencyclidine.
AID1302026Antinociceptive activity in C57BL6 mouse model of acute pain assessed as increase in withdrawal latency from radiant heat source at 390 nmol/kg, iv measured after 15 to 30 mins by tail flick assay2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID1134074Analgesic activity in mouse at 10 mg/kg, ip after 2 hrs by hot plate assay1977Journal of medicinal chemistry, May, Volume: 20, Issue:5
Analgesic and tranquilizing activity of 5,8-disubstituted 1-tetralone Mannich bases.
AID1202693AUC in rat brain at 10 mg/kg, sc2015Journal of medicinal chemistry, Mar-26, Volume: 58, Issue:6
CNS drug design: balancing physicochemical properties for optimal brain exposure.
AID577086Antinociceptive activity in sc dosed Sprague-Dawley rat assessed as thermal-stimulus induced tail flick latency relative to morphine2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID178144Analgesic agonist activity in heat stimulus rat tail-flick assay on subcutaneous administration1981Journal of medicinal chemistry, Jun, Volume: 24, Issue:6
Analgesic narcotic antagonists. 5. 7,7-Dimethyldihydrocodeinones and 7,7-dimethyldihydromorphinones.
AID1256137Antinociceptive activity in i.c.v dosed normal ICR-CD1 mouse assessed as withdrawal latency for radiant heat by tail flick assay2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID233518Antagonistic potency was evaluated as analgesic activity in presence of nalorphine; No1980Journal of medicinal chemistry, Mar, Volume: 23, Issue:3
Third Smissman Award address: reminiscences and musings of a classical medicinal chemist.
AID624612Specific activity of expressed human recombinant UGT1A92000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID148565Inhibition of [3H]- U69,593 binding to Guinea pig Opioid receptor kappa 11996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Probes for narcotic receptor-mediated phenomena. 21. Novel derivatives of 3-(1,2,3,4,5,11-hexahydro-3-methyl-2,6-methano-6H-azocino[4,5-b]indol- 6-yl)-phenols with improved delta opioid receptor selectivity.
AID204005In vivo binding affinity against sigma Opioid receptor was measured by using labeled ligand [3H]-SKF- 10,047 (1 nM)1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID1901077Displacement of [3H]-DAMGO from MOR in guinea pig brain membranes measured by competitive radioligand receptor binding assay2022European journal of medicinal chemistry, Feb-15, Volume: 230Synthesis of 8-aminomorphans with high KOR affinity.
AID127657Compound was evaluated for the analgesic activity by administering through subcutaneous route in writhing test1981Journal of medicinal chemistry, May, Volume: 24, Issue:5
New analgesic drugs derived from phencyclidine.
AID249900Analgesic activity was evaluated in mouse hotplate test; expressed as licking latency after 30 min of treatment at a dose of 10 ug intracerebroventricularly2004Journal of medicinal chemistry, Nov-18, Volume: 47, Issue:24
Design, synthesis, and preliminary pharmacological evaluation of 4-aminopiperidine derivatives as N-type calcium channel blockers active on pain and neuropathic pain.
AID1725717Agonist activity at human delta opioid receptor assessed as inhibition of forskolin-induced cAMP accumulation2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Discovery of SHR0687, a Highly Potent and Peripheral Nervous System-Restricted KOR Agonist.
AID114007Effective dose for analgetic activity on subcutaneous administration in mice using Writhing test1986Journal of medicinal chemistry, Oct, Volume: 29, Issue:10
3,7-Diazabicyclane: a new narcotic analgesic.
AID112202The compound was evaluated for the analgesic activity in mice1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Factors affecting binding of trans-N-[2-(methylamino)cyclohexyl]benzamides at the primary morphine receptor.
AID539464Solubility of the compound in 0.1 M phosphate buffer at 600 uM at pH 7.4 after 24 hrs by LC/MS/MS analysis2010Bioorganic & medicinal chemistry letters, Dec-15, Volume: 20, Issue:24
Experimental solubility profiling of marketed CNS drugs, exploring solubility limit of CNS discovery candidate.
AID76470Relative agonist molar potency on the electrically stimulated guinea pig myenteric plexus longitudinal muscle preparation1981Journal of medicinal chemistry, Jul, Volume: 24, Issue:7
Allylprodine analogues as receptor probes. Evidence that phenolic and nonphenolic ligands interact with different subsites on identical opioid receptors.
AID754489Displacement of [3H]DAMGO from mu opoid receptor in Dunkin-Hartley guinea pig brain after 1.5 hrs by liquid scintillation spectrometry2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID765826Displacement of [3H]DADLE from human delta opioid receptor expressed in CHO cells after 2 hrs by liquid scintillation counting2013European journal of medicinal chemistry, Sep, Volume: 67Probes for narcotic receptor mediated phenomena. 48. C7- and C8-substituted 5-phenylmorphan opioids from diastereoselective alkylation.
AID22293Delta logD (logD6.5 - logD7.4)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID678719Metabolic stability in human liver microsomes assessed as medium signal/noise ratio (S/N of 10 to 100) by measuring GSH adduct formation at 100 uM after 90 mins by HPLC-MS analysis2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID149372Binding affinity for rat delta opioid receptor was evaluated by displacing [3H]- diprenorphine1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID149256Binding affinity to displace radioligand [3H]U-69593 on Opioid receptor kappa 1 in guinea pig membranes.2000Journal of medicinal chemistry, Sep-21, Volume: 43, Issue:19
Selective protection and functionalization of morphine: synthesis and opioid receptor binding properties of 3-amino-3-desoxymorphine derivatives.
AID113517In vivo inhibition of Acetic acid-induced writhing in mice (sc)1988Journal of medicinal chemistry, May, Volume: 31, Issue:5
Peripherally acting enkephalin analogues. 1. Polar pentapeptides.
AID603171Displacement of [125I]-IBOxyA from MOR-1 expressed in CHO cells2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Generation of novel radiolabeled opiates through site-selective iodination.
AID1562920Displacement of [3H]JWH-018 from CB1R/CB2R in Wistar rat brain membranes at 10 uM after 60 mins by liquid scintillation analysis2019European journal of medicinal chemistry, Sep-15, Volume: 178Preparation of bivalent agonists for targeting the mu opioid and cannabinoid receptors.
AID148030Binding affinity towards Opioid receptor mu 1 of guinea pig brain membranes using radioligand 0.25 nM [3H]DAMGO2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
3-Carboxamido analogues of morphine and naltrexone. synthesis and opioid receptor binding properties.
AID765831Activation of human KOR assessed as inhibition of forskolin-stimulated cAMP accumulation after 30 mins by cell based TR-FRET assay relative to U695932013Bioorganic & medicinal chemistry letters, Sep-01, Volume: 23, Issue:17
Access to 7β-analogs of codeine with mixed μ/δ agonist activity via 6,7-α-epoxide opening.
AID746230Antinociceptive activity in BALB/c mouse at 1 mg/kg, iv measured 30 to 90 mins post dose by tail flick test relative to vehicle-treated control2013European journal of medicinal chemistry, May, Volume: 63Synthesis, biological activity and resistance to proteolytic digestion of new cyclic dermorphin/deltorphin analogues.
AID113830Effective dose (sc) required for antinociceptive potency in vivo in the tail-flick (TF) test in mice2004Journal of medicinal chemistry, Jun-03, Volume: 47, Issue:12
Synthesis and biological evaluation of 14-alkoxymorphinans. 21. Novel 4-alkoxy and 14-phenylpropoxy derivatives of the mu opioid receptor antagonist cyprodime.
AID1714484Reward liability in Sprague-Dawley rat assessed as increase in conditioned place preference at 5 to 10 mg/kg, ip administered starting from day 2 to 7 for 60 mins measured on day 8 for 15 mins2016Journal of medicinal chemistry, 12-22, Volume: 59, Issue:24
Synthetic Studies of Neoclerodane Diterpenes from Salvia divinorum: Identification of a Potent and Centrally Acting μ Opioid Analgesic with Reduced Abuse Liability.
AID150396Displacement of [3H]nalotrexone from rat-brain Opioid receptors1982Journal of medicinal chemistry, Aug, Volume: 25, Issue:8
Potential affinity labels for the opiate receptor based on fentanyl and related compounds.
AID128507Analgesic activity was determined by writhing test after subcutaneous administration in mice1982Journal of medicinal chemistry, Oct, Volume: 25, Issue:10
Synthesis and pharmacology of metabolically stable tert-butyl ethers of morphine and levorphanol.
AID12234881-Octanol-water distribution coefficient, log D of the compound at pH 7.42012Drug metabolism and disposition: the biological fate of chemicals, Feb, Volume: 40, Issue:2
Predicting phenolic acid absorption in Caco-2 cells: a theoretical permeability model and mechanistic study.
AID329610Displacement of [3H]deltorphin2 from delta opioid receptor in rat brain membrane2008Journal of medicinal chemistry, Apr-24, Volume: 51, Issue:8
Blood-brain barrier penetration by two dermorphin tetrapeptide analogues: role of lipophilicity vs structural flexibility.
AID1286253Potency index, ratio of antinociceptive activity of compound at 8 to 10 nmol, it to antinociceptive activity of morphine at 35 nmol, it in naive Wistar rat after 30 mins2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID624613Specific activity of expressed human recombinant UGT1A102000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1137259Analgesic activity in sc dosed mouse by acetylcholine writhing test1979Journal of medicinal chemistry, Oct, Volume: 22, Issue:10
(2,6-Methano-3-benzazocin-11 beta-yl)alkanones. 1. Alkylalkanones: a new series of N-methyl derivatives with novel opiate activity profiles.
AID419609Antinociceptive activity in Swiss albino mouse assessed as protection against acetic acid-induced writhing at 10 mg/kg, ip administered 30 mins before acetic acid challenge2009European journal of medicinal chemistry, Jun, Volume: 44, Issue:6
Synthesis and antinociceptive activities of some pyrazoline derivatives.
AID113187In vivo antinociceptive potency determined in paraphenylquinone writhing test in mice2003Journal of medicinal chemistry, Sep-11, Volume: 46, Issue:19
Synthesis and biological evaluation of 14-alkoxymorphinans. 20. 14-phenylpropoxymetopon: an extremely powerful analgesic.
AID224084Antinociceptive effect expressed as licking latency determined at 8 mg/kg after 45 minutes of subcutaneous administration in the mouse hotplate test2003Journal of medicinal chemistry, Mar-13, Volume: 46, Issue:6
[(3-Chlorophenyl)piperazinylpropyl]pyridazinones and analogues as potent antinociceptive agents.
AID444100Antihyperalgesic activity against carrageenan-induced inflammatory hyperalgesia in iv dosed Sprague-Dawley rat after 30 mins2009Bioorganic & medicinal chemistry letters, Nov-01, Volume: 19, Issue:21
N,N-Diethyl-4-[(3-hydroxyphenyl)(piperidin-4-yl)amino] benzamide derivatives: the development of diaryl amino piperidines as potent delta opioid receptor agonists with in vivo anti-nociceptive activity in rodent models.
AID25851Phenolic pKa of compound with 0.001 M NaCl1996Journal of medicinal chemistry, Oct-25, Volume: 39, Issue:22
Octanol-, chloroform-, and propylene glycol dipelargonat-water partitioning of morphine-6-glucuronide and other related opiates.
AID577077Displacement of [3H]DAMGO from mu opioid receptor in Sprague-Dawley rat brain membrane by liquid scintillation counting2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID150822In vitro binding affinity against cloned human Opioid receptor mu 1 expressed in HEK 293S cells2003Journal of medicinal chemistry, Jan-02, Volume: 46, Issue:1
The power of visual imagery in drug design. Isopavines as a new class of morphinomimetics and their human opioid receptor binding activity.
AID710806Antinociceptive activity in CD1 mouse assessed as AUC of thermal-stimulus induced tail flick latency assessed per min at 1 umol/kg, ip up to 120 mins2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Variation of the net charge, lipophilicity, and side chain flexibility in Dmt(1)-DALDA: Effect on Opioid Activity and Biodistribution.
AID1456649Effect on human sperm motility at 10'-5 mol/L measured at 30 mins post dose by Makler counting chamber method (Rvb = 66.9 +/- 4.6%)
AID221211Sedative activity in female mice (Alderley park strain) after sc administration; I = Motor stimulation at 5 mg/kg, no sedation observed1991Journal of medicinal chemistry, Nov, Volume: 34, Issue:11
Structure/activity studies related to 2-(3,4-dichlorophenyl)-N-methyl-N-[2-(1-pyrrolidinyl)-1-substituted- ethyl]acetamides: a novel series of potent and selective kappa-opioid agonists.
AID225871In vivo antinociceptive activity expressed as % Maximum possible effect administered perorally at a dose of 10 mg/kg in mice; Not determined2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Synthesis and structure-activity relationships of an orally available and long-acting analgesic peptide, N(alpha)-amidino-Tyr-D-Arg-Phe-MebetaAla-OH (ADAMB).
AID1581745Antinociceptive activity in Sprague-Dawley rat dosed intravenously using cumulative dosing every 5 mins until rat maxed-out on hot plate by hot plate test2020Journal of medicinal chemistry, 01-09, Volume: 63, Issue:1
Investigation of the Adrenergic and Opioid Binding Affinities, Metabolic Stability, Plasma Protein Binding Properties, and Functional Effects of Selected Indole-Based Kratom Alkaloids.
AID1426524In vivo activation of TREK1 in C57Bl/6J mouse assessed as increase in thermal-stimulus induced paw withdrawal latency at 60 mg/kg, sc measured after 30 mins by hot plate method relative to control2017Journal of medicinal chemistry, 02-09, Volume: 60, Issue:3
Development of the First Two-Pore Domain Potassium Channel TWIK-Related K
AID177943Antagonist and antinociceptive profile was evaluated in a paraphenylquinone assay after subcutaneous injection1991Journal of medicinal chemistry, Jan, Volume: 34, Issue:1
Common stereospecificity of opioid and dopamine systems for N-butyrophenone prodine-like compounds.
AID443804Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2010Journal of medicinal chemistry, Feb-11, Volume: 53, Issue:3
Synthesis and opioid activity of enantiomeric N-substituted 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolines.
AID496832Antimicrobial activity against Trypanosoma brucei rhodesiense2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID114309Antinociceptive activity in mice was determined using Tail flick method.2002Bioorganic & medicinal chemistry letters, Nov-04, Volume: 12, Issue:21
Synthesis and structure--activity relationship of novel aminotetralin derivatives with high micro selective opioid affinity.
AID1872077Antinociceptive activity in mouse administered icv2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID1286256Antinociceptive activity in Wistar rat model of chronic constriction injury-induced neuropathic pain assessed as reduction in hyperalgesia at 3.5 nmol, it QD for 6 consecutive days by cols plate test2015ACS medicinal chemistry letters, Dec-10, Volume: 6, Issue:12
Dual Alleviation of Acute and Neuropathic Pain by Fused Opioid Agonist-Neurokinin 1 Antagonist Peptidomimetics.
AID389655Antinociceptive activity in po dosed mouse by tail flick test2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID136963Compound was evaluated for the potency to produce hyperactivity in mice1981Journal of medicinal chemistry, May, Volume: 24, Issue:5
New analgesic drugs derived from phencyclidine.
AID1302027Antinociceptive activity in C57BL6 mouse model of acute pain assessed as increase in withdrawal latency from radiant heat source at 390 nmol/kg, iv measured after 60 mins by tail flick assay2016Journal of medicinal chemistry, 04-28, Volume: 59, Issue:8
Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.
AID224569Binding affinity against mu opioid receptor in guinea pig brain membranes1998Bioorganic & medicinal chemistry letters, Oct-06, Volume: 8, Issue:19
Design of a high affinity peptidomimetic opioid agonist from peptide pharmacophore models.
AID224581Compound was tested for its ability to stimulate [35S]GTP-gamma-S, binding to membranes from C6 glioma cells stably expressing rat mu opioid receptor1998Bioorganic & medicinal chemistry letters, Oct-06, Volume: 8, Issue:19
Design of a high affinity peptidomimetic opioid agonist from peptide pharmacophore models.
AID148887In vitro relative molar potency using the hotplate procedure in mice1982Journal of medicinal chemistry, Jun, Volume: 25, Issue:6
Synthesis, X-ray crystallographic determination, and opioid activity of erythro-5-methylmethadone enantiomers. Evidence which suggests that mu and delta opioid receptors possess different stereochemical requirements.
AID1358132Agonist activity at human DOR expressed in African green monkey COS1 cell membranes assessed as stimulation of [35S]GTPgS binding at 50 uM by scintillation counting method2018European journal of medicinal chemistry, May-10, Volume: 151Synthesis of 7β-hydroxy-8-ketone opioid derivatives with antagonist activity at mu- and delta-opioid receptors.
AID1196093Antiallodynic effect in Wistar rat chronic constriction injury model assessed as tolerance to neuropathic pain at 3.5 nmol, it qd for 6 days administered from 7 days post CCI challenge to day 13 by cold plate test2015European journal of medicinal chemistry, Mar-06, Volume: 92Synthesis and biological evaluation of compact, conformationally constrained bifunctional opioid agonist - neurokinin-1 antagonist peptidomimetics.
AID681128TP_TRANSPORTER: inhibition of Calcein-AM efflux in Mdr1b-expressing LLC-PK1 cells2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Comparison of in vitro P-glycoprotein screening assays: recommendations for their use in drug discovery.
AID779596Agonist activity at human mu opioid receptor expressed in HEK293 cells assessed as inhibition of forskolin-stimulated cAMP accumulation by fluorescence assay2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
Structure-activity relationships and discovery of a G protein biased μ opioid receptor ligand, [(3-methoxythiophen-2-yl)methyl]({2-[(9R)-9-(pyridin-2-yl)-6-oxaspiro-[4.5]decan-9-yl]ethyl})amine (TRV130), for the treatment of acute severe pain.
AID148482In vitro opioid inhibitory activity against in guinea pig ileum1986Journal of medicinal chemistry, Jun, Volume: 29, Issue:6
Synthesis and opioid activity of dermorphin tetrapeptides bearing D-methionine S-oxide at position 2.
AID1629773Antinociceptive activity in sc dosed CD-1 mouse assessed as increase in latency latency to respond with hind paw lick or shake/flutter measured 30 mins post dose by hot plate test2016Journal of medicinal chemistry, 09-22, Volume: 59, Issue:18
Mitragynine/Corynantheidine Pseudoindoxyls As Opioid Analgesics with Mu Agonism and Delta Antagonism, Which Do Not Recruit β-Arrestin-2.
AID679085TP_TRANSPORTER: transepithelial transport of Morphine at a concentration of 1 uM in Caco-2 cells2003Pharmaceutical research, Aug, Volume: 20, Issue:8
Novel experimental parameters to quantify the modulation of absorptive and secretory transport of compounds by P-glycoprotein in cell culture models of intestinal epithelium.
AID395302Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID1146575Narcotic analgesic activity in po dosed rat assessed as inhibition of phenazocine-induced effect by D'Amour-Smith tail flick test1978Journal of medicinal chemistry, Dec, Volume: 21, Issue:12
(2-exo-3-endo)-2-Aryltropane-3-carboxylic esters, a new class of narcotic antagonists.
AID149816In vitro binding affinity at opioid receptor delta 1 was determined in C6 rat glioma cells using [3H]Ile5,6 deltorphin II2003Journal of medicinal chemistry, Apr-24, Volume: 46, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 18. N-substituted 14-phenylpropyloxymorphinan-6-ones with unanticipated agonist properties: extending the scope of common structure-activity relationships.
AID1526793Ratio of unbound maximal portal vein concentration in human at 50 mg, po dosed as slow release formulation to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID1256136Antinociceptive activity in i.t dosed normal ICR-CD1 mouse assessed as withdrawal latency for radiant heat by tail flick assay2015Journal of medicinal chemistry, Nov-12, Volume: 58, Issue:21
Inhibition of Inflammatory and Neuropathic Pain by Targeting a Mu Opioid Receptor/Chemokine Receptor5 Heteromer (MOR-CCR5).
AID149009Affinity for opioid receptor mu sites1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
(1S)-1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinoline and heterocycle-condensed tetrahydropyridine derivatives: members of a novel class of very potent kappa opioid analgesics.
AID507159Inhibition of alpha2A adrenergic receptor heterodimer expressed in HEK293 cells assessed as change in ERK1/2 activity2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID1188151Agonist activity at delta opioid receptor in mouse vas deferens assessed as inhibition of electrically-stimulated muscle contraction2014Bioorganic & medicinal chemistry, Sep-01, Volume: 22, Issue:17
'Carba'-carfentanil (trans isomer): a μ opioid receptor (MOR) partial agonist with a distinct binding mode.
AID357087Antinociceptive effect in intrathecally dosed C57BL/6J mouse after 10 mins by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID1443980Inhibition of human BSEP expressed in fall armyworm sf9 cell plasma membrane vesicles assessed as reduction in vesicle-associated [3H]-taurocholate transport preincubated for 10 mins prior to ATP addition measured after 15 mins in presence of [3H]-tauroch2010Toxicological sciences : an official journal of the Society of Toxicology, Dec, Volume: 118, Issue:2
Interference with bile salt export pump function is a susceptibility factor for human liver injury in drug development.
AID26304Partition coefficient (logD6.5)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID389677Equilibrium constant, ratio of IC50 for mu opioid receptor in ddy mouse vas deferens in presence of 20 nM naloxone to IC50 for mu opioid receptor in ddy mouse vas deferens2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID1257129Antinociceptive activity in ip dosed C57BL/6 mouse assessed as tail withdrawal latency measured 30 mins after drug challenge by warm water tail withdrawal assay2015Journal of medicinal chemistry, Nov-25, Volume: 58, Issue:22
Further Optimization and Evaluation of Bioavailable, Mixed-Efficacy μ-Opioid Receptor (MOR) Agonists/δ-Opioid Receptor (DOR) Antagonists: Balancing MOR and DOR Affinities.
AID148991Inhibition of opioid receptor mu in guinea pig ileum (GPI)1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Synthesis and structure-activity relationships of deltorphin analogues.
AID225656In vivo antinociceptive activity was determined using mouse tail-flick test following subcutaneous administration1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID29423HPLC capacity factor (k')2002Journal of medicinal chemistry, Jun-20, Volume: 45, Issue:13
Prediction of volume of distribution values in humans for neutral and basic drugs using physicochemical measurements and plasma protein binding data.
AID1133436Binding affinity to pig ileum opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID1872103Toxicity in rat assessed as inhibition of hypercapnic respiratory response at 2.5 to 5 mg/kg icv or sc2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Analgesic Opioid Ligand Discovery Based on Nonmorphinan Scaffolds Derived from Natural Sources.
AID149311Relative affinity for mu and delta opioid receptors in rat brain membrane1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Synthesis and structure-activity relationships of deltorphin analogues.
AID751093Antinociceptive activity in Swiss mouse assessed as increase in latency time at 5 mg/kg, sc administered 30 mins prior to testing measured after 30 to 120 mins by hot plate test2013Journal of natural products, Jun-28, Volume: 76, Issue:6
Anti-inflammatory and antinociceptive activity of epiisopiloturine, an imidazole alkaloid isolated from Pilocarpus microphyllus.
AID496817Antimicrobial activity against Trypanosoma cruzi2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID349682Antinociceptive activity in Sprague-Dawley rat assessed as effect on mechanical nociceptive threshold at 1 to 5 mg/kg, ip after 30 mins by paw pressure test2009Journal of medicinal chemistry, May-14, Volume: 52, Issue:9
Synthesis, conformation, and biological characterization of a sugar derivative of morphine that is a potent, long-lasting, and nontolerant antinociceptive.
AID604021Unbound volume of distribution in Sprague-Dawley rat brain measured per gram of brain tissue administered in casettes of 2/3 drugs at 4 hr constant rate intravenous infusions using flow rate of 1 (ml/kg)/hr corresponding to dosage rate of 2 (umol/kg)/hr b2009Journal of medicinal chemistry, Oct-22, Volume: 52, Issue:20
Structure-brain exposure relationships in rat and human using a novel data set of unbound drug concentrations in brain interstitial and cerebrospinal fluids.
AID1536336Antinociceptive activity in Kunming mouse model of thermal-induced nociception assessed as increase in latency to tail withdrawal at 2 nmol, icv administered once daily for 8 days measured daily at 30 mins post dose by tail flick test relative to control
AID221723Antinociceptive activity determined in vivo in tail flick assay in male Swiss mice with 2.0 mg/kg Naloxone1993Journal of medicinal chemistry, Jun-25, Volume: 36, Issue:13
Non-peptide ligands for opioid receptors. Design of kappa-specific agonists.
AID577079Displacement of [3H]U69593 from kappa opioid receptor in guinea pig brain membrane by liquid scintillation counting2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Synthesis and pharmacological activities of 6-glycine substituted 14-phenylpropoxymorphinans, a novel class of opioids with high opioid receptor affinities and antinociceptive potencies.
AID601354Analgesic activity in ICR mouse assessed as increase in pain threshold at 0.15 mmol/kg, ip after 120 mins by tail flick method (Rvb = 8.09 +/- 13.28 %)2011European journal of medicinal chemistry, Jun, Volume: 46, Issue:6
Novel β-carboline-tripeptide conjugates attenuate mesenteric ischemia/reperfusion injury in the rat.
AID312064Agonist activity at mu opioid receptor in rat brain assessed as maximal stimulation of [35S]GTP-gamma-S binding2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID1456651Effect on human sperm motility at 10'-7 mol/L measured at 30 mins post dose by Makler counting chamber method (Rvb = 66.9 +/- 4.6%)
AID607794Displacement of [125I]IOXY from human mu opioid receptor expressed in CHO cells coexpressing human recombinant MOR after 2 hrs by liquid scintillation counting2011Bioorganic & medicinal chemistry, Jul-15, Volume: 19, Issue:14
Probes for narcotic receptor mediated phenomena. 43. Synthesis of the ortho-a and para-a, and improved synthesis and optical resolution of the ortho-b and para-b oxide-bridged phenylmorphans: compounds with moderate to low opioid-receptor affinity.
AID225660In vivo antinociceptive activity expressed as ED50 administered perorally for tail pressure test2002Journal of medicinal chemistry, Nov-07, Volume: 45, Issue:23
Synthesis and structure-activity relationships of an orally available and long-acting analgesic peptide, N(alpha)-amidino-Tyr-D-Arg-Phe-MebetaAla-OH (ADAMB).
AID137100Relative potency was determined for the compound with respect to morphine activity (1) after icv administration1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Synthesis and activity profiles of new dermorphin-(1-4) peptide analogues.
AID244114Ratio of binding affinities for opioid receptors kappa and mu2005Journal of medicinal chemistry, May-05, Volume: 48, Issue:9
Synthesis and biological evaluation of 14-alkoxymorphinans. 22.(1) Influence of the 14-alkoxy group and the substitution in position 5 in 14-alkoxymorphinan-6-ones on in vitro and in vivo activities.
AID1749821Displacement of [3H]DAMGO from human recombinant mu opioid receptor expressed in HEK293 cells incubated for 120 mins by radiometric scintillation analysis
AID1685510Activity at human MOR expressed in U2OS cells co-expressing beta-arrestin2 EFC assessed as beta-arrestin2 EFC recruitment by Tango assay relative to control2020RSC medicinal chemistry, Aug-01, Volume: 11, Issue:8
G-Protein biased opioid agonists: 3-hydroxy-
AID749692Displacement of [3H]DAMGO from human recombinant mu opioid receptor expressed in CHO cell membranes after 2 hrs by liquid scintillation counting analysis2013Bioorganic & medicinal chemistry, Jun-01, Volume: 21, Issue:11
Probes for narcotic receptor mediated phenomena. 47. Novel C4a- and N-substituted-1,2,3,4,4a,9a-hexahydrobenzofuro[2,3-c]pyridin-6-ols.
AID603511Displacement of [3H]-DAMGO from mu opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID147982Receptor binding affinity towards opioid receptor kappa1992Journal of medicinal chemistry, Aug-07, Volume: 35, Issue:16
Substituted 1-(aminomethyl)-2-(arylacetyl)-1,2,3,4-tetrahydroisoquinolines: a novel class of very potent antinociceptive agents with varying degrees of selectivity for kappa and mu opioid receptors.
AID1526808Ratio of unbound maximal portal vein concentration in human at 10 mg, po dosed as immediate release formulation to inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID176817Tested for analgesic activity using rat tail flick technique1990Journal of medicinal chemistry, Oct, Volume: 33, Issue:10
Synthesis and pharmacological evaluation of a series of new 3-methyl-1,4-disubstituted-piperidine analgesics.
AID615257Analgesic activity in sc dosed Swiss mouse assessed as assessed as thermal-stimulus induced tail flick latency after 30 mins2011European journal of medicinal chemistry, Sep, Volume: 46, Issue:9
Synthesis and biological evaluation of analogues of M6G.
AID353578Antinociceptive activity in anaesthetized rat assessed as inhibition of noxious pinch-induced electromyograph response at 0.3 mg/kg, iv administered as bolus dose for 30 seconds and 0.3 mg/kg/hr, iv administered via infusion measured after 1 hr2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
In vitro and in vivo SAR of pyrido[3,4-d]pyramid-4-ylamine based mGluR1 antagonists.
AID79038Mu opioid receptor agonist activity as inhibition of electrically stimulated mysenteric plexus in guinea pig ileum1982Journal of medicinal chemistry, Dec, Volume: 25, Issue:12
Synthesis and biological evaluation of a metazocine-containing enkephalinamide. Evidence for nonidentical roles of the tyramine moiety in opiates and opioid peptides.
AID240436Maximum efficacy for [35S]GTP-gamma-S, binding to Opioid receptor delta 1; no data2004Journal of medicinal chemistry, Nov-04, Volume: 47, Issue:23
Design, chemical synthesis, and biological evaluation of thiosaccharide analogues of morphine- and codeine-6-glucuronide.
AID312063Agonist activity at mu opioid receptor in rat brain assessed as maximal stimulation of [35S]GTP-gamma-S binding relative to basal level2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID507151Binding affinity to MOR heterodimer expressed in HEK293 cells coexpressing Gi protein assessed as Gi protein activation at 100 nM2008Nature chemical biology, Feb, Volume: 4, Issue:2
Conformational cross-talk between alpha2A-adrenergic and mu-opioid receptors controls cell signaling.
AID678716Inhibition of human CYP3A4 assessed as ratio of IC50 in absence of NADPH to IC50 for presence of NADPH using diethoxyfluorescein as substrate after 30 mins2012Chemical research in toxicology, Oct-15, Volume: 25, Issue:10
Preclinical strategy to reduce clinical hepatotoxicity using in vitro bioactivation data for >200 compounds.
AID177756Analgesic activity at 1 min following injection at 1 mg/kg into the lateral tail vein of the rat (55 degree Centigrade hot plate assay)1991Journal of medicinal chemistry, Feb, Volume: 34, Issue:2
New 1-(heterocyclylalkyl)-4-(propionanilido)-4-piperidinyl methyl ester and methylene methyl ether analgesics.
AID149449Binding affinity towards opioid receptor mu 11992Journal of medicinal chemistry, May-01, Volume: 35, Issue:9
Phenylmorphans and analogues: opioid receptor subtype selectivity and effect of conformation on activity.
AID226060Inhibition of [3H]-Naloxone binding to rat brain membrane without NaCl1983Journal of medicinal chemistry, Jan, Volume: 26, Issue:1
Synthesis and pharmacological studies of 4,4-disubstituted piperidines: a new class of compounds with potent analgesic properties.
AID148328Inhibition of [3H]-DAMGO binding to Opioid receptor mu 1 of Chinese hamster ovary membrane2004Journal of medicinal chemistry, Apr-08, Volume: 47, Issue:8
2-aminothiazole-derived opioids. Bioisosteric replacement of phenols.
AID128497Analgesic activity in mice by the acetic acid writhing assay1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Structure-activity studies on narcotic antagonists. 2. N-substituted ethyl 3-(m- or p-hydroxyphenyl) nipecotates.
AID1145239Analgesic activity in Charles River rat by tail flick test relative to morphine1976Journal of medicinal chemistry, Apr, Volume: 19, Issue:4
Analgesic agents. 3. New bridged aminotetralins.
AID467612Fraction unbound in human plasma2009European journal of medicinal chemistry, Nov, Volume: 44, Issue:11
Prediction of volume of distribution values in human using immobilized artificial membrane partitioning coefficients, the fraction of compound ionized and plasma protein binding data.
AID695707Apparent permeability across human Caco2 cells at 200 uM by LC/MS analysis2012Journal of medicinal chemistry, Jun-28, Volume: 55, Issue:12
Synthesis and biological evaluation of an orally active glycosylated endomorphin-1.
AID1335120Analgesic activity in C57BL6 mouse assessed as increase in thermal stimulus-induced tail-flick latency at 48 umol/kg, iv measured after 5 mins2017ACS medicinal chemistry letters, Jan-12, Volume: 8, Issue:1
Hydrazone Linker as a Useful Tool for Preparing Chimeric Peptide/Nonpeptide Bifunctional Compounds.
AID1441548Displacement of [3H]DPDPE from delta-type opioid receptor in guinea pig brain membranes after 120 mins by solid scintillation counting2017Journal of medicinal chemistry, 03-23, Volume: 60, Issue:6
Design and Synthesis of Enantiomerically Pure Decahydroquinoxalines as Potent and Selective κ-Opioid Receptor Agonists with Anti-Inflammatory Activity in Vivo.
AID754480Antinociceptive activity in ddY mouse assessed as tolerance level at 10 mg/kg, sc bid measured on day 5 by tail-flick test2013Journal of medicinal chemistry, Jun-27, Volume: 56, Issue:12
Orally active opioid compounds from a non-poppy source.
AID136965In vivo analgesic potency in mice compared to morphine after i.c.v. administration.1985Journal of medicinal chemistry, Jun, Volume: 28, Issue:6
Synthesis and pharmacological activity of partially modified retro-inverso dermorphin tetrapeptides.
AID229952Relative affinity for rat brain kappa1 and guinea pig delta opioid receptors1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Probes for narcotic receptor-mediated phenomena. 21. Novel derivatives of 3-(1,2,3,4,5,11-hexahydro-3-methyl-2,6-methano-6H-azocino[4,5-b]indol- 6-yl)-phenols with improved delta opioid receptor selectivity.
AID1583483Agonist activity at human DOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding incubated for 1 hr by by liquid scintillation counting assay2020Journal of medicinal chemistry, 02-27, Volume: 63, Issue:4
Aromatic-Amine Pendants Produce Highly Potent and Efficacious Mixed Efficacy μ-Opioid Receptor (MOR)/δ-Opioid Receptor (DOR) Peptidomimetics with Enhanced Metabolic Stability.
AID227968Ke value was measured as antagonist/ (IC50 ratio - 1)1994Journal of medicinal chemistry, Sep-16, Volume: 37, Issue:19
Synthesis and opioid activity of 7-oxygenated 2,3,4,4a,5,6,7,7a-octahydro-1H-benzofuro[3,2-e]isoquinolin-9-ols.
AID152062Binding affinity towards Opioid receptor mu 1 was evaluated2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
Enkephalin glycopeptide analogues produce analgesia with reduced dependence liability.
AID389678Selectivity ratio of Ke for mu opioid receptor in ddy mouse vas deferens to Ke for kappa opioid receptor in ddy mouse vas deferens2008Bioorganic & medicinal chemistry, Oct-15, Volume: 16, Issue:20
Design, synthesis, and structure-activity relationship of novel opioid kappa-agonists.
AID462848Analgesic activity in ICR mouse assessed as increase in pain threshold variation at 20 umol/kg, ip administered as single dose measured after 60 mins by tail flick test2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
A class of novel Schiff's bases: Synthesis, therapeutic action for chronic pain, anti-inflammation and 3D QSAR analysis.
AID111970Maximum percent analgesia using tail flick test in mice1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
14-(Arylhydroxyamino)codeinones and derivatives as analgetics and antagonists.
AID497005Antimicrobial activity against Pneumocystis carinii2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1802709PRESTO-Tango Assay from Article 10.1038/nchembio.2334: \\In silico design of novel probes for the atypical opioid receptor MRGPRX2.\\2017Nature chemical biology, 05, Volume: 13, Issue:5
In silico design of novel probes for the atypical opioid receptor MRGPRX2.
AID1802708Intracellular Calcium Mobilization Assay from Article 10.1038/nchembio.2334: \\In silico design of novel probes for the atypical opioid receptor MRGPRX2.\\2017Nature chemical biology, 05, Volume: 13, Issue:5
In silico design of novel probes for the atypical opioid receptor MRGPRX2.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (41,340)

TimeframeStudies, This Drug (%)All Drugs %
pre-199015991 (38.68)18.7374
1990's7848 (18.98)18.2507
2000's7987 (19.32)29.6817
2010's7035 (17.02)24.3611
2020's2479 (6.00)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 117.70

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index117.70 (24.57)
Research Supply Index10.81 (2.92)
Research Growth Index4.47 (4.65)
Search Engine Demand Index227.24 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (117.70)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials5,200 (11.75%)5.53%
Reviews2,136 (4.82%)6.00%
Case Studies2,109 (4.76%)4.05%
Observational168 (0.38%)0.25%
Other34,657 (78.29%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (911)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Epidural Morphine Following Vaginal Delivery: A Randomised, Double-Blind, Placebo-Controlled Trial [NCT00803114]Phase 4228 participants (Actual)Interventional2002-03-31Completed
Effect of Locally Administered Morphine and Bupivicaine on Acute and Chronic Postmastectomy Pain [NCT02462577]Phase 2120 participants (Actual)Interventional2015-01-31Completed
[NCT01112540]Phase 40 participants InterventionalCompleted
Post Operative Pain Control Among Intrathecal 0.1 mg Morphine, Femoral Nerve Block, or Periarticular Infiltration of 20 mL of 0.25% Bupivacaine in Patients Post Intramedullary Hip Screw [NCT01219088]Phase 480 participants (Anticipated)Interventional2010-09-30Recruiting
Intrathecal Opioid Versus Ultrasound Guided Fascia Iliaca Plane Block for Analgesia After Primary Hip Arthroplasty [NCT01217294]108 participants (Actual)Interventional2011-05-31Completed
Self Medication With Oral Morphine After Total Knee Arthroplasty. A Randomised Controlled Trial Comparing Self Medication With Standard Nurse Dispensing. Is There a Difference in Morphine Consumption, Pain, Patient Satisfaction or Safety? [NCT01226186]144 participants (Actual)Interventional2010-10-31Completed
Pharmacological Anxiolysis With Promethazine as an Adjunctive Therapy for Acute Low Back Pain in the Adult Emergency Department [NCT01129934]Phase 4200 participants (Anticipated)Interventional2010-05-31Not yet recruiting
A Randomised, Double Blind Cross-over Study of Serial MRCP Following Morphine-neostigmine and Secretin Provocation in Healthy Volunteers [NCT01134848]Phase 410 participants (Actual)Interventional2009-01-31Completed
Association Between Clinical Effect of Morphine in Patients With PCA After Major Surgery and Pharmacogenetics: Prospective Observational Clinical Study. [NCT01233752]224 participants (Actual)Observational2010-07-31Completed
[NCT02173756]Phase 340 participants (Anticipated)Interventional2014-06-30Not yet recruiting
Paracetamol Plus Morphine in ED [NCT03865004]Phase 4136 participants (Actual)Interventional2015-10-17Completed
Comparison of Analgesic Efficacy of Morphine Sulfate Immediate Release (MSIR)/Acetaminophen vs. Oxycodone/Acetaminophen (Percocet) for Acute Pain in Emergency Department Patients [NCT03088826]Phase 280 participants (Actual)Interventional2017-08-18Completed
THE CLINICAL EVALUATION OF IMPLANTABLE PUMP SYSTEM FOR SAFETY AND DELIVERY ACCURACY IN PATIENTS REQUIRING INTRATHECAL ADMINISTRATION OF MORPHINE SULFATE FOR CHRONIC PAIN [NCT01185470]Phase 2/Phase 375 participants (Actual)Interventional2011-02-28Completed
The Influence of HRV-changing Premedication on Hemodynamic Parameters After Spinal Anesthesia [NCT01066247]60 participants (Anticipated)Interventional2009-09-30Completed
[NCT01205516]Phase 414 participants (Actual)Interventional2013-01-31Terminated(stopped due to Funding agency withdrew funding due to slow recruitment)
Continuous Femoral Nerve Blockade and Single Shot Sciatic Nerve Block Compared to Intrathecal Morphine for Total Knee Arthroplasty [NCT02882152]40 participants (Actual)Interventional2011-08-31Completed
[NCT01339624]65 participants (Actual)Interventional2009-01-31Completed
Comparison of Incidence of Brachial Plexus Injury After Rotator Cuff Repair With Continuous Interscalene Block Versus Patient Controlled Analgesia Morphine [NCT01334632]0 participants (Actual)Interventional2011-04-30Withdrawn(stopped due to Change of practice in the department (Nerve stimulation technique abandoned))
A Phase 3, Multicenter, Randomized, Double-Blind, Three-Arm Study to Evaluate the Efficacy and Safety of Tramadol Infusion (AVE-901) Versus Placebo and Morphine in the Management of Postoperative Pain Following Abdominoplasty [NCT03774836]Phase 3360 participants (Anticipated)Interventional2018-12-14Active, not recruiting
Effect of Continuous Paravertebral Block on Postoperative Quality of Recovery After Hepatectomy [NCT03777644]76 participants (Actual)Interventional2018-11-01Completed
Drug Drug Interactions of Antiplatelet Drugs and Morphine [NCT01369186]Phase 495 participants (Actual)Interventional2011-05-31Completed
Comparative of Postoperative Pain Control at 24 and 48 Hours Between Intrathecal 0.1 mg. of Morphine or Local Infiltration of 20 ml. of 0.25% Bupivacaine in Patients Post Hip Hemiarthroplasty Under Spinal Anesthesis [NCT01219062]Phase 410 participants (Actual)Interventional2010-09-30Terminated(stopped due to Surgeon team were not happy with the study protocol, the periarticular injection of local anesthetics)
Comparison of the Analgesic Effect Between Intrathecal Morphine and IV-fentanyl Patient Controlled Analgesia (ITM-IVPCA) and Epidural PCA (PCEA) in Patients Undergoing Gastrectomy -Randomized Allocation Study- [NCT01234272]Phase 459 participants (Actual)Interventional2010-08-31Completed
Hydromorphone for Perioperative Analgesia in Lung Tumor Ablation Parallel Controlled :A Randomized, Parallel Controlled Trial [NCT05848635]Phase 488 participants (Anticipated)Interventional2023-05-01Not yet recruiting
Dexmedetomidine and Morphine as Adjuvants to US Guided Erector Spinae Plane Blocks in Elective Thoracic Surgeries [NCT05843344]90 participants (Anticipated)Interventional2023-05-01Not yet recruiting
Effect of IV Nalbuphine on Postoperative Nausea and Vomiting Following Intrathecal Morphine in Patients Undergoing Inguinal Hernia Repair [NCT05704673]80 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Morphine Versus Ketamine as Adjuvants in Ultrasound-guided Paravertebral Thoracic Blocks in Elective Thoracic Surgery [NCT04852484]90 participants (Anticipated)Interventional2021-04-16Active, not recruiting
Pragmatic, Randomized, Blinded Trial to Shorten Pharmacologic Treatment of Newborns With Neonatal Opioid Withdrawal Syndrome (NOWS) [NCT04214834]Phase 3502 participants (Anticipated)Interventional2020-09-08Recruiting
Percutaneous Cordotomy for Pain Palliation in Advanced Cancer [NCT04119037]42 participants (Anticipated)Interventional2019-09-16Recruiting
Spinal Hydromorphone Versus Morphine for Post-Cesarean Delivery Analgesia: A Non-Inferiority Trial [NCT03592992]Phase 4126 participants (Actual)Interventional2020-11-11Completed
[NCT01536964]Phase 412 participants (Actual)Interventional2012-04-30Completed
MORphine Use in the Fascia Iliaca Compartment Block With UltraSound [NCT03846102]Phase 455 participants (Actual)Interventional2019-01-28Terminated(stopped due to COVID-19 crisis.)
Effects of a Surgical Site Injection on Pain Scores and Narcotic Use After Orthopaedic Trauma Surgery [NCT03693404]Phase 4190 participants (Actual)Interventional2018-12-01Completed
Application of Iced Normal Saline Combined With Cocktail Perfusion in Total Knee Arthroplasty: Randomized Controlled Trial [NCT05204056]60 participants (Actual)Interventional2018-03-02Completed
Pilot Study: KeraStat® Gel for Topical Delivery of Morphine for Management of Non-Healing, Painful Open Wounds and Ulcers [NCT05217160]Phase 424 participants (Anticipated)Interventional2021-05-11Recruiting
Post-cesarean Analgesia With Epidural Morphine Following Epidural 2-chloroprocaine [NCT04369950]Phase 444 participants (Actual)Interventional2020-05-11Completed
Intrathecal Morphine Versus Bilateral Quadratus Lumborum Blocks for Perioperative Analgesia in Pediatric Patients Undergoing Open Lower Abdominal Procedures: A Prospective Randomized Trial [NCT05506930]Phase 430 participants (Anticipated)Interventional2022-08-17Recruiting
Post Operative Analgesia After Pediatric Hip Surgery - PCA, Epidural or Lumbar Plexus Catheter: A Prospective Randomized Control Trial [NCT03435692]42 participants (Actual)Interventional2011-07-15Terminated(stopped due to Funding was exhausted prior to enrolling intended number of patients.)
Comparison of Spinal Morphine With Systemic Analgesia After Urologic Surgery [NCT03675646]Phase 498 participants (Actual)Interventional2016-03-05Completed
Comparison of Addition of Dexmedetomidine to Low Dose Morphine Versus Standard Dose of Morphine in Patiant Controlled Analgesia in Children Undergoing Pelvi Abdominal Exploration. [NCT05688371]60 participants (Anticipated)Interventional2023-02-01Recruiting
PROSPR: PeriopeRative Opioid Stewardship Program of Research (Phase 4 Split Script Study) [NCT05372133]175 participants (Actual)Interventional2022-08-11Completed
A Phase II, Multicenter, Double Blind, Double Dummy, Randomized, 2 Arms Parallel Study to Evaluate the Efficacy, Safety and Pharmacokinetics of CHF6563 in Babies With Neonatal Opioid Withdrawal Syndrome [NCT04104646]Phase 27 participants (Actual)Interventional2020-12-18Terminated(stopped due to Low recruitment rate)
Ropivacaine Continuous Wound Infusion Versus Intrathecal Morphine for Postoperative Analgesia After Cesarean Delivery : A Randomized Controlled Trial [NCT03502642]Phase 460 participants (Actual)Interventional2017-05-29Completed
Comparison of the Efficacy and Safety of NALDEBAIN With Conventional Treatment After Laparoscopic Cholecystectomy [NCT03713216]Phase 444 participants (Actual)Interventional2018-07-01Completed
Nebulized Morphine Versus Intravenous Morphine in the Management of Post Traumatic Pain in Emergency Department (ED) [NCT01123551]Phase 3200 participants (Actual)Interventional2010-06-30Completed
The Effect of Neuraxial Morphine (Duramorph) on Pain Control [NCT03926559]Early Phase 1125 participants (Anticipated)Interventional2019-04-01Recruiting
Association Between Clinical Effect of Continuous Morphine Administration in Patients After Major Surgery and Pharmacogenetics: Perspective Observational Clinical Study [NCT01233219]0 participants (Actual)Observational2010-11-30Withdrawn
Comparison for Pethidine Requirement in Patients Received Spinal Morphine 0.2 and 0.3 Milligram for Post Lobectomy (Lung) Analgesia [NCT01236495]Phase 440 participants (Actual)Interventional2010-11-30Completed
Ropivacaine Through Continuous Infusion Versus Epidural Morphine for Postoperative Analgesia After Emergency Cesarean Section [NCT02410317]Phase 3101 participants (Actual)Interventional2015-02-28Completed
Oxycodone Extended-release in the Treatment of Perioperative Pain in Patients Undergoing Orthopaedic Surgery [NCT02238340]Phase 440 participants (Actual)Interventional2012-03-31Completed
Combined General and Spinal Anesthesia vs. General Anesthesia for Pain Relief During Laparoscopy Gynecological Surgery [NCT01246323]40 participants (Anticipated)Interventional2010-11-30Recruiting
Postoperative Pain Relief Following Total Hip Arthroplasty. A Comparison Between Intrathecal Morphine (IM) and Local Infiltration Analgesia (LIA) [NCT01281891]Phase 480 participants (Anticipated)Interventional2009-09-30Recruiting
The Effects of Ultrasound-guided Transversus Abdominis Plane Block on Acute and Chronic Postsurgical Pain After Robotic Partial Nephrectomy. A Prospective, Randomized, Clinical Trial [NCT02460640]96 participants (Actual)Interventional2015-05-31Completed
Quadratus Lumborum Type 2 Block Versus Intrathecal Morphine for Analgesia Following Elective Caesarean Sections [NCT03267628]0 participants (Actual)Interventional2019-01-01Withdrawn(stopped due to We at the Sunshine Coast University Hospital are unable to cope with the extra effort/time needed to complete this trial properly.)
Comparison Between Epidural and Patient Controlled Analgesia on Immunological and Inflammatory Systems Following Radical Retropubic Prostatectomy [NCT01367418]Phase 326 participants (Actual)Interventional2010-09-30Completed
Epidural or Patient-controlled Analgesia for Colorectal Cancer Surgery. Long-term Outcomes. [NCT01318161]Phase 3221 participants (Actual)Interventional2011-03-31Terminated(stopped due to Difficulty in recruiting)
A Phase 1 Randomized, Placebo-controlled Study to Assess the Safety, Tolerability and Pharmacokinetics of Multiple Doses of ASP8062 With a Single Dose of Morphine in Recreational Opioid Using Participants [NCT04448561]Phase 124 participants (Actual)Interventional2020-06-30Completed
Comparison Between the Effects of Intravenous Morphine, Tramadol and Ketorolac on Stress and Immune Responses in Patients Undergoing Modified Radical Mastectomy [NCT02449954]Phase 2/Phase 360 participants (Actual)Interventional2014-06-30Active, not recruiting
Impact of Dexmedetomidine Supplemented Analgesia on Sleep Quality in Elderly Patients After Major Surgery: A Randomized, Double-blind, and Placebo-controlled Pilot Study [NCT03117790]Phase 4118 participants (Actual)Interventional2017-06-26Completed
Morphine for Palliative Treatment of Refractory Dyspnea in Patients With Advanced COPD: Benefits and Respiratory Adverse Effects [NCT02429050]Phase 4124 participants (Actual)Interventional2016-11-16Completed
Analgesic Efficacy of Liposomal Bupivacaine in Total Knee Arthroplasty [NCT02426164]Phase 40 participants (Actual)Interventional2015-06-30Withdrawn(stopped due to Could not receive facility approval)
Adjuvant Treatment With Pramipexole to Reduce the Dose of Opioids Necessary for Analgesia in Acute Renal Colic [NCT04160520]Phase 1/Phase 219 participants (Actual)Interventional2019-10-28Completed
A Randomized, Placebo-Controlled, Double-Blind, Two-Part, Cross-over Study in Healthy Adult Male Subjects to Compare the Reduction in Pain Intensity After Single-Dose Administration of Intravenous or Oral Acetaminophen and Intravenous Morphine by Using UV [NCT02678416]Phase 479 participants (Actual)Interventional2015-12-07Completed
Comparison Between Intrathecal Morphine and Quadratus Lumborum Block for Postpartum Analgesia of Elective Cesareans. [NCT03673280]75 participants (Anticipated)Interventional2018-03-18Active, not recruiting
Analgesics in the Pre-hospital Setting: Implications on Hemorrhage Tolerance - Morphine [NCT04138615]Phase 1/Phase 244 participants (Actual)Interventional2019-11-12Completed
[NCT03638401]80 participants (Actual)Interventional2014-03-03Completed
Human Laboratory Model to Screen Drugs With Opioid Analgesic-sparing Effects: Cannabidiol/Morphine Combinations [NCT04030442]Phase 140 participants (Anticipated)Interventional2019-05-01Recruiting
Does Low-Dose Ketamine Infusion or Intravenous Morphine Infusion During Abdominoplasty Change Postoperative Pain Profile? : A Double-Blind, Randomized, Controlled Clinical Trial [NCT03664622]160 participants (Actual)Interventional2018-09-15Completed
Transversus Abdominis Plane Block With Intrathecal Fentanyl Versus Intrathecal Morphine in Cesarean Delivery: A Randomized, Controlled, Noninferiority Trial [NCT04824274]80 participants (Actual)Interventional2021-04-12Completed
Postoperative Analgesic Effect of Hydromorphone on Chinese Patients Receiving Partial Pulmonary Resection Under Video-assisted Thoracoscopy [NCT03648008]Phase 4171 participants (Actual)Interventional2018-05-05Completed
Multimodal Intrathecal Analgesia for Cesarean Section [NCT05186454]Phase 260 participants (Anticipated)Interventional2021-05-23Recruiting
Spinal Anesthesia for Enhanced Recovery After Liver Surgery [NCT03715517]128 participants (Anticipated)Interventional2018-10-04Recruiting
A Comparison of the Analgesic Efficacy of Local Anaesthetic Wound Infiltration Versus Intrathecal Morphine for Total Knee Replacement [NCT01312415]Phase 442 participants (Anticipated)Interventional2010-08-31Recruiting
Effect of Quadratus Lumborum Block on Postoperative Analgesic Requirements in Pediatric Patients: A Randomized Controlled Double Blinded Study [NCT03693222]40 participants (Actual)Interventional2016-05-15Completed
Time to Detox: A Patient-Centered Comparison of Length of Detoxification Treatment and Time to Naltrexone Maintenance Therapy in Opioid-Dependent Individuals [NCT03678792]Phase 30 participants (Actual)Interventional2019-11-15Withdrawn(stopped due to Infeasible to conduct at this time.)
A Phase 2, Randomized, Open Label, Multiple-Dose, Comparator, Parallel-Group, Safety and Tolerance Study of Buprenorphine Sublingual Spray (0.5 mg TID) Versus Standard of Care Post-Operative Narcotic Therapy for the Treatment of Post-Operative Pain [NCT03254459]Phase 2100 participants (Actual)Interventional2017-09-12Completed
Estimation of the Effective Dose (ED) 95 of Intrathecal Hyperbaric Prilocaine 2% for Scheduled Cesarean Delivery : a Dose-finding Study Based on the Continual Reassessment. [NCT03607916]Phase 240 participants (Actual)Interventional2014-02-28Completed
Multimodal Anesthesia and Analgesia for Total Shoulder and Reverse Total Shoulder Arthroplasty: A Randomized Controlled Trial [NCT03586934]Phase 30 participants (Actual)Interventional2018-06-01Withdrawn(stopped due to Difficult to enroll patients for the study)
Ultrasound-guided (US) Serratus Anterior Plane Block (SAPB) for Acute Rib Fractures in the Emergency Department (ED) [NCT03619785]Phase 470 participants (Anticipated)Interventional2018-11-06Recruiting
Intra Nasal Sufentanil Versus Intravenous Morphine for Acute Severe Traumatic Pain Analgesia in Emergency Setting. A Multicenter,Randomized,Controled, Comparative, Double Blinded Study [NCT02095366]Phase 4194 participants (Actual)Interventional2013-08-02Completed
Effectiveness of Transversus Abdominis Plane Block Versus Quadratus Lumborum Technique in Patients After Cesarean Section [NCT02804126]Phase 4232 participants (Actual)Interventional2017-06-01Completed
Analgesic Response to Opioid Analgesics in Buprenorphine-Maintained Individuals [NCT02136784]12 participants (Anticipated)Interventional2014-04-30Recruiting
Clinical Trial With Lozenges as Local Anesthetic Treatment for Head/Neck Cancer Patients With Oral Mucositis [NCT02252926]Phase 270 participants (Actual)Interventional2014-09-30Completed
Prospective Controlled Study of Surgical Management of Unstable Thoracic Cage Injuries and Chest Wall Deformity in Trauma [NCT02132416]92 participants (Actual)Interventional2014-05-31Completed
Inhaled PPP001 Versus Immediate-release Oral Opioids for the Management of Breakthrough Pain in Cancer Subjects: a Randomized, Open Label, Crossover, Comparison Study [NCT03564548]Phase 220 participants (Anticipated)Interventional2021-05-26Recruiting
[NCT02035904]Phase 460 participants (Anticipated)Interventional2013-01-31Recruiting
Analgesic Effect of Intrathecal Morphine Combined With Low Dose Local Anesthetics on Postoperative Analgesia After Liver Resection: A Randomized, Controlled Preliminary Study [NCT05208801]90 participants (Actual)Interventional2018-11-19Completed
The Effect of Epidural Low-dose Morphine-soaked Microfibrillar Collagen Sponge in Postoperative Pain Control After Posterior Lumbar Spinal Surgery: a Randomized, Double-blind, Placebo-controlled [NCT02067338]Phase 419 participants (Actual)Interventional2012-08-31Completed
Effect of Intradermal Morphine Application on Histaminergic and Non-histaminergic Itch and Related TRPV1 and Antihistamine Treatments (2nd Sub-project) [NCT04700007]26 participants (Actual)Interventional2021-01-18Completed
Intravenous Paracetamol or Morphine for the Treatment of Acute Flank Pain : a Randomized, Double Blind, Controlled Clinical Trial [NCT01318187]Phase 473 participants (Actual)Interventional2011-01-31Completed
The Transversus Abdominis Plane Block [NCT03634111]60 participants (Actual)Interventional2017-07-10Completed
Do Peripheral Nerve Blocks When Used as Part of a Multimodal Regimen Inclusive on Intrathecal Morphine Improve Analgesia After Unilateral Total Knee Arthroplasty? A Randomized Controlled Trial [NCT02135120]42 participants (Actual)Interventional2013-03-31Completed
A Randomized Control Trial to Determine Whether Electroacupuncture(EA) Intervention With Morphine Can Reduce the Intraoperative Pain and Early Post-operative Complications in Patients Undergoing Catheter Ablation of Atrial Fibrillation. [NCT05575544]200 participants (Anticipated)Interventional2022-10-11Not yet recruiting
The Median Effective Dose (ED50) of Paracetamol and Morphine for Postoperative Patients: A Study of Interaction. [NCT01366313]90 participants (Actual)Interventional2007-09-30Completed
Dexmedetomidine Versus Morphine and Midazolam in Prevention and Treatment of Delirium After Adult Cardiac Surgery; a Randomized, Double-blind Clinical Trial [NCT03078946]Phase 460 participants (Actual)Interventional2013-03-31Completed
Randomized Controlled Trial Comparing Post-VATS Analgesia Between Patients With an Intrathecal Injection of Morphine and Sufentanil Versus Placebo. [NCT02152514]Phase 434 participants (Actual)Interventional2013-04-30Terminated(stopped due to Due to technical details recruitment was unreasonably slow)
Comparative Effect of 0.2 or 0.3 Spinal Morphine and 0.25 or 0.5 % Bupivacaine for Femoral Nerve Block After Total Knee Replacement [NCT00795223]Phase 4160 participants (Actual)Interventional2008-10-31Completed
[NCT01378949]90 participants (Anticipated)Interventional2011-09-30Not yet recruiting
Clinical Effectiveness of Erector Spinae Plane Block in Peri-operative Analgesia for Nephrectomy/NSS Performed Via Lumbotomy [NCT03887260]42 participants (Anticipated)Interventional2019-03-01Recruiting
Analgesic and Antihyperalgesic Effects of Morphine and Buprenorphine Following an Experimental Inflammatory Injury in Volunteers. [NCT01296334]34 participants (Actual)Interventional2011-02-28Completed
Does Continuous Subcutaneous Paravertebral Infusion of Bupivicaine With the ON-Q Pain Relief System vs. Standard IV Pain Management Decrease Ventilator Dependence in Trauma Patients With Multiple Rib Fractures [NCT00880529]Phase 42 participants (Actual)Interventional2009-02-28Terminated(stopped due to low enrollment, 2 pts enrolled no data every analyzed investigator left the institution)
A Prospective, Randomized, Blind, Multicentre, Parallel Group Study to Investigate the Efficacy and Safety of Oxycodone Hydrochloride Injection in the Postoperative Pain Relieving Treatment [NCT01304134]Phase 3240 participants (Actual)Interventional2010-03-31Completed
Comparison of the Analgesic Effect of Femoral Nerve Block, Intraarticular Infiltration or a Combination of Both in the Control of Pain in Total Knee Arthroplasty [NCT01304212]Phase 4137 participants (Actual)Interventional2011-04-30Completed
The Effect of Intravenous Nalbuphine on Postoperative Nausea and Vomiting With Intrathecal Morphine in Abdominoplastic Surgery. [NCT03786562]80 participants (Anticipated)Interventional2019-03-08Recruiting
Comparison of Incidence of Femoral Neuropathy After Anterior Cruciate Ligament Reconstruction With Femoral Nerve Block Versus Patient-controlled Analgesia (PCA) [NCT01321138]74 participants (Actual)Interventional2011-04-30Completed
Effect of Local Anesthetic Continuous Preperitoneal Wound Infiltration on Incisional Hyperalgesia Following Colorectal Laparoscopic Surgery [NCT01077752]Phase 395 participants (Actual)Interventional2010-02-28Completed
The Comparison of 0.05 vs. 0.1 Milligram Spinal Morphine for Reducing Morphine Requirement After Vaginal Hysterectomy With/Without Anterior and Posterior Vaginoplasty [NCT01079754]Phase 472 participants (Anticipated)Interventional2010-03-31Recruiting
Topical Morphine for Analgesia in Patients With Skin Grafts [NCT00362219]Phase 30 participants (Actual)Interventional2022-01-31Withdrawn(stopped due to no patients were recrueted)
Effects of Intrathecal Morphine on Transcranial Electric Motor-Evoked Potentials in Patients Undergoing Posterior Spine Fusion [NCT00596609]36 participants (Actual)Observational2007-08-31Completed
The Comparison of Morphine and Hydromorphone Patient-Controlled Analgesia [NCT00385541]Phase 450 participants (Actual)Interventional2003-11-30Completed
Surgicel; a Probable Analgesic Reservoir for Post-laparoscopic Cholecystectomy Pain Management; Randomized Controlled Double-blind Trial [NCT03730714]Phase 2/Phase 390 participants (Actual)Interventional2018-11-15Completed
Effect of Dexmedetomidine Infusion on Gastric Emptying and Gastrointestinal Transit in Healthy Volunteers [NCT01084473]Phase 112 participants (Actual)Interventional2010-03-31Completed
Ultrasound Guided Erector Spinae Block Versus Intrathecal Morphine for Postoperative Analgesia in Major Hepatopancreaticobiliary Surgery [NCT04635644]40 participants (Actual)Interventional2021-11-15Completed
IV Paracetamol vs IV Morphine vs Placebo in Sciatalgia in Patients Presented With Sciatalgia to Emergency Department: A Randomized Controlled Trial [NCT02504996]Phase 4300 participants (Anticipated)Interventional2015-01-31Recruiting
Ketorolac as a Strategy for Reducing Post-operative Opioid Requirements in Children With Obstructive Sleep Apnea Undergoing Adenotonsillectomy: a Randomized Controlled Trial [NCT03467750]Phase 4120 participants (Anticipated)Interventional2018-07-19Recruiting
Efficacy and Safety of Nebulized Morphine Given at Two Different Doses Compared to Intravenous Morphine in Post-traumatic Acute Pain: a Randomized Controlled Double Blind Study [NCT02200185]300 participants (Actual)Interventional2012-04-30Completed
The Use of Dexmedetomidine as an Adjuvant for Perioperative Pain Management in Morbidly Obese Adolescents Undergoing Bariatric Surgery [NCT02880540]Phase 326 participants (Actual)Interventional2016-03-31Completed
Comparing Effectiveness of Post-operative Analgesia Between Patient Re-education and the Additional of a Basal Morphine Infusion to IV-PCA Morphine in Patients With Unsatisfactory Analgesia After Laparotomy [NCT02523846]Phase 4160 participants (Anticipated)Interventional2015-08-31Recruiting
Effect of Intravenous Granisetron on Incidence and Severity of Intrathecal Morphine Induced Pruritus in Elective Cesarean Section [NCT03483870]Phase 280 participants (Actual)Interventional2018-06-01Completed
Randomized, Embedded, Multifactorial Adaptive Platform for Perioperative Medicine at UPMC (UPMC REMAP): Core Protocol - Enhanced Recovery Protocols (ERP) [NCT04606264]Phase 32,500 participants (Anticipated)Interventional2023-05-15Recruiting
Postoperative Analgesic Effect of Morphine Added to Ropivacaine for Fascia Iliaca Compartment Block Following Femoral Fracture Surgeries [NCT03875274]Phase 470 participants (Actual)Interventional2017-04-01Completed
Psychological Intervention and Physiotherapy With Medication Improves CRPS Patients Outcome [NCT02467556]Phase 410 participants (Actual)Interventional2011-03-31Completed
A Randomized, Double-Blind, Multi-Center, Repeat-Dose, Comparison of the Effects of Q8003 to the Morphine-Equivalent Doses of Oxycodone and of Morphine on the Opioid-Related Adverse Events of Moderate to Severe Nausea, Emesis, and Dizziness in Subjects Wi [NCT01280331]Phase 3375 participants (Actual)Interventional2011-01-31Completed
Oral Morphine Versus Rectal Ketamine in Pain Management During Burns Wound Dressing Changes in Paediatric Population at Mbarara Regional Referral Hospital: An Open Label Randomized Trial [NCT05163366]Phase 344 participants (Actual)Interventional2021-03-01Completed
An Open-Label Pilot Study of the Analgesic Efficacy and Safety Of Q8003 and of the Conversion From IV Morphine PCA Analgesia to Q8003 or to Percocet® in Patients Who Have Undergone Primary Unilateral Total Knee Arthroplasty or Total Hip Arthroplasty [NCT00818493]Phase 244 participants (Actual)Interventional2009-02-28Completed
A Double-Blind, Randomized, Multi-Center, Repeat-Dose, Comparison of the Analgesic Efficacy and Safety of the Opioid Combination Q8003 to Each of the Individual Milligram Components (Oxycodone and Morphine) in the Management of Acute Moderate to Severe Pa [NCT00831051]Phase 2197 participants (Actual)Interventional2008-12-31Completed
Analgesia Comparison of Nalbuphine and Morphine for Laparoscopic Myomectomy [NCT03288428]Phase 480 participants (Anticipated)Interventional2017-05-01Recruiting
Phase 1, Single-Center, Open-label, Drug Interaction Study to Evaluate the Effect of Alcohol on the PK of Morphine Sulfate ER (KADIAN) Capsules in Healthy Adults Under Fasting and Fed Conditions and Relative BA to Morphine Solution [NCT00768183]Phase 132 participants (Actual)Interventional2006-05-31Completed
Spinal Morphine (0.05 mg) Provides an Effective Pain Control in Patients Undergoing Transurethral Resection of Prostate Gland- a Randomized Double-blinded Control Trial [NCT02458742]80 participants (Actual)Interventional2015-06-30Completed
Ultra Small Dose of Intrathecal Naloxone to Minimize Morphine Induced Side- Effects in Patients Undergoing Minor Anal Surgery Under Spinal Anesthesia. A Randomized Double Blind Study [NCT03230474]100 participants (Actual)Interventional2016-05-31Completed
Shaping Anesthetic Techniques to Reduce Post-Operative Delirium [NCT03133845]218 participants (Anticipated)Interventional2015-10-31Completed
A Comparison of Morphine and Morphine Plus Dexmedetomidine in Chronic Cancer Pain [NCT02289261]Phase 440 participants (Actual)Interventional2014-11-30Completed
Comparison of Treatment by IN Ketamine to IV Morphine in Acute Pain [NCT03511833]Phase 3120 participants (Anticipated)Interventional2019-12-31Not yet recruiting
Intranasal Fentanyl Versus Intravenous Morphine in the Emergency Department Treatment of Severe Painful Sickle Cell Crises in Children [NCT03682211]Phase 431 participants (Actual)Interventional2012-12-12Completed
Analgesic Effect of Morphine Added to Transverses Abdominis Plane Block; Is it Systemic or Regional Effect? [NCT05420337]52 participants (Actual)Interventional2022-08-24Completed
Comparing Protocols for Analgesia Following Elective Cesarean Section [NCT03622489]Phase 4120 participants (Anticipated)Interventional2017-03-01Recruiting
Comparison of Dexmedetomidine as Adjuvant to Different Concentrations of Ropivacaine for Femoral Nerve Blockade in Patients Undergoing Total Knee Arthroplasty [NCT03658421]90 participants (Actual)Interventional2018-09-01Completed
Neurotoxic Adverse Effects of Morphine and Oxycodone in Continuous Subcutaneous Infusion for Treatment of Pain in Terminal Patients With Diminished Renal Function: a Randomized Controlled Trial [NCT03616639]Phase 48 participants (Actual)Interventional2018-06-04Terminated(stopped due to Insufficient inclusion of subjects)
Comparison of Two Different Doses of Intravenous Morphine on Desflurane Consumption and Recovery Time in Patients Undergoing Total Abdominal Hysterectomy [NCT02362022]Phase 490 participants (Actual)Interventional2007-09-30Completed
Efficacy of NSAID and Acetaminophen in the Control of Post-Operative Pain in Patients Undergoing Total Knee Replacement [NCT05393414]81 participants (Actual)Interventional2019-11-25Completed
Effects of Perioperative Intravenous Dexamethasone in Clinical Outcomes After Total Knee Arthroplasty in a Hispanic Population: A Randomized Controlled Trial [NCT06042426]Phase 4100 participants (Anticipated)Interventional2023-09-30Not yet recruiting
Understanding Opioid Use Before and After Surgery in Norway: A Prospective Multicenter Study and Randomized Double-blind Controlled Study [NCT05639712]Phase 41,000 participants (Anticipated)Interventional2022-12-13Recruiting
A Double Blind, Multi-arm Randomized Control Trial, for Efficacy of Intramuscular Diclofenac Versus Intravenous Morphine Versus Intravenous Paracetamol, in Renal Colic Emergency Department Pain Management [NCT02187614]Phase 41,645 participants (Actual)Interventional2014-08-31Completed
Analgesia of Acute Coronary Syndromes With ST-segment Elevation in a Pre-hospital Setting. Randomized Non-inferiority Trial of the Association MEOPA + Paracetamol Versus Morphine. [NCT02198378]Phase 4680 participants (Actual)Interventional2014-11-30Completed
Ketamine and Morphine Versus Morphine Alone for the Treatment of Acute Pain in the Emergency Department [NCT01900847]17 participants (Actual)Interventional2013-06-01Terminated(stopped due to concern of side effects)
A Randomized Control Trial Comparing Analgesic Benefits of Ultrasound-guided Single vs Continuous Quadratus Lumborum Blocks vs Intrathecal Morphine for Post Cesarean Section Pain [NCT04368364]Phase 43 participants (Actual)Interventional2020-05-22Terminated(stopped due to Study was stopped early due to a conflicting study in the same patient population at the study location.)
Effects of Thoracic Paravertebral Blockade on Acute and Chronic Pain After Video Assisted Thoracoscopic Surgery (VATS) - A Randomized, Clinical Trial [NCT02302586]Phase 460 participants (Actual)Interventional2014-09-30Completed
Post Operative Pain Control: Continuous Infusion of Morphine vs Fentanyl. Clinical Outcomes [NCT02146638]60 participants (Actual)Interventional2012-04-30Completed
Titration Morphinique autocontrôlée Par le Patient Par un Dispositif mécanique à Usage Unique Versus Administration Par l'infirmière Chez Les Patients Ayant Une Douleur aiguë sévère Aux Urgences. [NCT02152176]Phase 4200 participants (Actual)Interventional2014-07-31Completed
Comparison of Two Antalgic Strategies: Acupuncture Versus Intravenous Morphine in the Management of Acute Pain in Emergency Departement. A Randomized Trial of Efficacy and Safety [NCT02152410]Early Phase 1100 participants (Actual)Interventional2012-04-30Completed
Intravenous Ketorolac Vs. Morphine In Children Presenting With Acute Abdominal Pain And/or Suspected Appendicitis: A Multi-centre Non-Inferiority Randomized Controlled Trial [NCT06160778]Phase 3495 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Influence of Peri-operative Opioid Analgesia on Circulating Tumor Cells in Patients Undergoing Laparoscopic Colorectal Cancer Surgery - Multi-center, Randomized Clinical Trial [NCT03700541]Phase 471 participants (Actual)Interventional2019-01-07Completed
Influence of Peri-operative Opioid Analgesia on Circulating Tumor Cells in Patients Undergoing Open Colorectal Cancer Surgery - Multi-center, Randomized Clinical Trial [NCT03700411]Phase 4125 participants (Actual)Interventional2019-01-07Completed
Ultrasound-guided Transmuscular Quadratus Lumborum Block for Elective Caesarean Section. A Double Blind, Randomized, Placebo Controlled Trial. [NCT03068260]Phase 472 participants (Actual)Interventional2017-03-15Completed
Therapeutic Rest to Delay Admission in Early Labor: A Prospective Study on Morphine Sleep [NCT03539562]82 participants (Actual)Observational2017-09-27Completed
The Influence of Postoperative Analgesia on Systemic Inflammatory Response and Postoperative Cognitive Disfunction in Elderly Patients After Surgical Repair of Femoral Fractures [NCT02848599]Phase 286 participants (Actual)Interventional2016-07-31Completed
Sensorial and Physiological Mechanism-based Assessments of Perioperative Pain [NCT03537612]Phase 315 participants (Actual)Interventional2018-06-22Terminated(stopped due to Do to our inability to meet recruitment targets - Sponsor stopped funding. Looking for new sponsor and protocol modifications)
Comparison of Two Different Anesthetic Techniques on Incidence of Postoperative Delirium in Cancer Patients After Laparoscopic Surgery in Trendelenburg Position: A Prospective Randomized Clinical Trial [NCT03572517]65 participants (Actual)Interventional2017-09-01Completed
Effect of Dexmedetomidine Infusion, Lidocaine Infusion, and Intrathecal Morphine Injection on Biomarker for Perioperative Stress and Immune Response, and Cancer Progression and Metastasis in Colorectal Cancer Surgery [NCT05742438]114 participants (Anticipated)Interventional2023-04-12Recruiting
A Randomized Controlled Trial for Postoperative Analgesia in Patients Undergoing Elective Lumbar Fusion Operations Under General Anesthesia: Ultrasound Guided Erector Spinae Plane Block Versus Intrathecal Morphine [NCT05338320]Phase 4120 participants (Anticipated)Interventional2022-05-10Recruiting
Dexmedetomidine Use in Infants Undergoing Cooling Due to Neonatal Encephalopathy (DICE Trial) [NCT04772222]Phase 250 participants (Anticipated)Interventional2022-06-20Recruiting
The Comparison Between Dexamethasone and Morphine as an Adjuvant to Epidural Bupivacaine for Post-operative Analgesia in Lower Extremity Surgery [NCT03051022]64 participants (Actual)Interventional2016-05-01Completed
Hemodynamic Effects of Low Dose Spinal Anesthesia for Cesarean Section [NCT02036697]30 participants (Actual)Interventional2013-11-30Terminated(stopped due to Difficulty with patient recruitment.)
Efficacy of Morphine in Reducing the Rate of Early Non-Invasive Ventilation (NIV) Failure in Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD), Phase I/IIa [NCT04427826]Phase 1/Phase 224 participants (Anticipated)Interventional2020-12-08Recruiting
Etude Comparative Monocentrique, randomisée, en Cross Over, en Double Aveugle, Contre Placebo, de l'Action de la Morphine et de la Naloxone Dans un modèle Cognitif de Gestion Des Efforts Physiques [NCT02267304]Phase 237 participants (Actual)Interventional2013-10-30Completed
A Randomized, Double-Blind, Multi-Center, Repeat-Dose, Comparison of the Analgesic Efficacy and Safety of Q8003 With Oxycodone and Morphine for the Management of Acute Moderate to Severe Postoperative Pain Following Bunionectomy Surgery [NCT01016808]Phase 3522 participants (Actual)Interventional2009-12-31Completed
Comparison of Transversus Abdominis Plane Block Versus Patient-controlled Epidural Analgesia for Patients on Buprenorphine or Methadone, After Cesarean Section [NCT02091297]0 participants (Actual)Interventional2014-04-30Withdrawn(stopped due to two other institutions that were in the center thought they weren't going to be able to recruit enough patients)
Ultrasound Guided Anterior Quadratus Lumborum Block for Postoperative Pain After Percutaneous Nephrolithotomy: Randomized Controlled Trial [NCT03425162]60 participants (Actual)Interventional2018-02-12Completed
Genetic Variation in Organic Cation Transport 1 (OCT1) and Its Significance for Morphine Pharmacokinetics [NCT03425084]Phase 186 participants (Actual)Interventional2018-06-01Completed
Impact of Guideline Recommendations for Post-caesarean Analgesia on Pain, Nausea and Pruritus [NCT05659823]Phase 4108 participants (Actual)Interventional2020-11-02Completed
Intraoperative Methadone for Postoperative Pain Management in Spinal Fusion Surgery: a Prospective, Double-blind, Randomised Controlled Trial [NCT04764825]Phase 4150 participants (Anticipated)Interventional2021-02-26Recruiting
Clinical Effectiveness and Safety of Intraoperative Methadone in Patients [NCT04475029]114 participants (Actual)Interventional2020-07-06Completed
The Effect of Double Injection Erector Spinae Plane Block on Postoperative Pain Following Breast Surgery [NCT03415646]50 participants (Actual)Interventional2018-02-03Completed
Single-injection Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia in Patients Undergoing Open Radical Prostatectomy: A Prospective Randomized Sham-controlled Trial [NCT04337060]52 participants (Actual)Interventional2020-05-01Completed
The Effect of Ultrasound Guided Rectus Sheath Block on Postoperative Analgesia After Laparotomy With Transverse Incision in Children [NCT02115087]Phase 440 participants (Actual)Interventional2010-09-30Completed
A Randomized, Double-blind, Placebo-controlled, Clinical Trial of Structured Opioid Discontinuation Versus Continued Opioid Therapy in Suboptimal and Optimal Responders to High-dose Long-term Opioid Analgesic Therapy for Chronic Pain. [NCT02741076]Phase 444 participants (Actual)Interventional2016-09-14Terminated(stopped due to Inability to recruit sufficient no. of subjects over an acceptable time period)
Effect of Midazolam on Inflammatory Response and Organ Function in Mechanically Ventilated Sepsis Patients With Different Immune Status. [NCT02135055]Phase 480 participants (Anticipated)Interventional2014-05-31Not yet recruiting
The Effects of Sufentanil or Morphine Added to Hyperbaric Bupivacaine in Spinal Anaesthesia for Elective Caesarean Section [NCT03386630]Phase 466 participants (Actual)Interventional2018-03-28Completed
Efficacy of Fentanyl to Reduce the Time of Severe Postoperative Pain Relief Compared to Morphine: a Randomized Parallel-group, Double-blind Clinical Trial [NCT02145975]Phase 360 participants (Actual)Interventional2014-01-31Completed
Efficacy of Dexmedetomidine Versus Morphine as an Adjunct to Bupivacaine in Caudal Anesthesia for Pediatric Thoracic Surgeries. A Randomized Controlled Trial. [NCT04445636]50 participants (Actual)Interventional2020-06-28Completed
0.05 vs. 0.1 Milligram Spinal Morphine for Reducing Morphine Requirement After Vaginal Hysterectomy With/Without Anterior and Posterior Vaginoplasty [NCT01080911]Phase 472 participants (Anticipated)Interventional2010-03-31Recruiting
Comparison of Analgesia With Fentanyl and Morphine on Platelet Inhibition After Pre-hospital Ticagrelor Administration in Patients With ST-segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT02531165]38 participants (Actual)Interventional2015-09-30Completed
A Randomised Double-blind Study to Compare the Analgesic Efficacy and Safety Profiles of M6G and Morphine, as a Loading Dose Followed by PCA, in Patients Suffering Moderate to Severe Post-operative Pain Requiring PCA for at Least 24 Hours [NCT01082471]Phase 3517 participants (Actual)Interventional2005-11-30Completed
Pre- vs. Post-Incisional Epidural Morphine: Higher Postoperative Pain Perception and Extra Morphine Consumption [NCT01095575]40 participants (Actual)Interventional2006-01-31Completed
Spinal Bupivacaine/Morphine in Laparoscopic Gastro-intestinal Surgery [NCT02284282]56 participants (Actual)Interventional2014-08-31Completed
Monocentric, Non-blinded, Prospective Randomized Parallel Group Phase IV Clinical Study to Evaluate the Efficacy of Ultrasound Guided Single Shot Block of Nervus Tibialis Posterior for Postoperative Pain Relief After Hallux Valgus Surgery. [NCT02282956]Phase 460 participants (Anticipated)Interventional2014-10-31Recruiting
Thoracic Paravertebral Block Versus Pectoral Nerves Block (Modified PECS) Block in Breast Surgery [NCT02677571]55 participants (Actual)Interventional2015-12-31Completed
Comparison Between Cyclizine and Dexamethasone for Prevention of Nausea and Vomiting After Intrathecal Morphine in Patients Undergoing Cesarean Section [NCT03931135]160 participants (Anticipated)Interventional2019-09-01Not yet recruiting
Topical Morphine for Analgesia in Pediatric Procedures. Clinical Trial Randomized, Double-blind, Placebo. [NCT02300194]Phase 40 participants (Actual)Interventional2014-12-31Withdrawn(stopped due to Withdrawn by investigators)
Efficacity, Safety and Cost of Intravenous Morphine Titration Alone or Combined to Ketamine [NCT01146145]160 participants (Actual)Interventional2003-05-31Completed
PEF-Block & Ribs Fractures Effect of Posterior Exo-thoracic Fascia Block in the Pain Management of Ribs Fractures: a Prospective, Randomized Study [NCT03396692]90 participants (Actual)Interventional2018-06-18Completed
Comparison of Erector Spinae Plane Block With Thoracic Paravertebral Block for Breast Surgery [NCT03480958]75 participants (Actual)Interventional2018-03-28Completed
Comparison of Intra-Peritoneal Instillation of Levobupivacaine With Morphine Hydrochloride Versus Levobupivacaine With Magnesium Sulfate for Post-Operative Pain Relief After Laparoscopic Cholecystectomy [NCT05281081]Phase 460 participants (Actual)Interventional2021-01-01Completed
Postoperative Analgesia in Total Hip Replacement: a Comparison of the Analgesic Efficacy of Periarticular Infiltration of Local Anaesthetic With Intrathecal Morphine. [NCT01312077]Phase 450 participants (Anticipated)Interventional2010-10-31Recruiting
Bilateral vs. Unilateral Erector Spinae Plane Block for Laparoscopic Cholecystectomy; A Randomised Controlled Trial [NCT03781687]90 participants (Actual)Interventional2019-01-02Completed
Analgesic Efficacy and Safety of Nalbuphine Versus Morphine for Perioperative Tumor Ablation: a Randomized, Control, Multicentre Trial [NCT05073744]Phase 4316 participants (Anticipated)Interventional2021-09-05Recruiting
A Multicenter, Open-Label, Safety and Pharmacokinetic Study of Oral Morphine Sulfate Administration in Pediatric Subjects 2 Years Old Through 17 Years Old With Postoperative Pain [NCT03429400]Phase 351 participants (Actual)Interventional2018-04-17Completed
Comparison of the Efficacy of Postoperative Analgesia by a Single Dose of Intrathecal Morphine and Intravenous Morphine: a Randomized Trial [NCT03620916]36 participants (Anticipated)Interventional2018-08-17Recruiting
A Randomized Controlled Comparison of Ketorolac Tromethamine and Morphine for Postoperative Analgesia in Critically-ill, 3-18 Year-old Children: A Subgroup Analysis of Developmental Changes in Morphine Kinetics and Efficacy [NCT01322191]Phase 448 participants (Actual)Interventional2008-04-30Completed
Optimal Dose of Intrathecal Morphine for Postoperative Analgesia After Cesarean Delivery [NCT05069012]Phase 472 participants (Anticipated)Interventional2021-11-15Recruiting
Efficacy of Intravenous Paracetamol and Ibuprofen on Postoperative Pain and Morphine Consumption in Hysterectomy: Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial [NCT04691856]66 participants (Actual)Interventional2020-12-24Completed
A Multicenter, Randomized, Active-Controlled Study to Evaluate the Efficacy and Safety of EXPAREL When Administered Via Infiltration Into the Transversus Abdominis Plane Versus Standard of Care in Subjects Undergoing Elective Cesarean Section (CHOICE) [NCT03853694]Phase 4167 participants (Actual)Interventional2019-03-04Completed
Evaluation of the Cardioprotective Effect of Intracoronary Injection of Morphine During Reperfusion in Acute Myocardial Infarction [NCT01186445]Phase 394 participants (Actual)Interventional2011-01-31Completed
Is Postoperative Quality of Recovery After Unilateral Nephrectomy Related to the Type of Anesthesia and Analgesia? [NCT04521556]Phase 480 participants (Actual)Interventional2019-04-01Completed
Efficacy of Paracetamol in Addition to Morphine to Improve Analgesia in the Emergency Department: a Multicenter, Randomized, Double-blind, Placebo-controlled Trial [NCT03843281]Phase 4222 participants (Actual)Interventional2019-05-02Completed
Comparison of Sublingual Buprenorphine With Intravenous Morphine Sulfate in Treatment of Acute Pain Due to Long Bone Fracture [NCT01298297]Phase 480 participants (Actual)Interventional2010-02-28Completed
(SEQ Block): Single Puncture Combined Lumbar Erector Spinae Plane Block and Quadratus Lumborum Block for Perioperative Analgesia in Acetabular Surgeries [NCT04688814]Phase 352 participants (Actual)Interventional2020-12-25Completed
A Single Dose, Three-Period, Three-Treatment, Six-Sequence, Three-Way Crossover Study of the Dose Proportionality of and Effect of Food on Morphine Sulfate Tablets. [NCT00994539]36 participants (Actual)Interventional2007-01-31Completed
A Prospective Randomized Trial Comparing Femoral Nerve Black to Intraoperative Local Anesthetic Injection of Liposomal Bupivacaine (Exparel) in Total Knee Replacement [NCT02473198]Phase 3312 participants (Anticipated)Interventional2014-01-31Active, not recruiting
Postoperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Controlled Comparison Between Ultrasound Guided Erector Spinae Plane Block and Intrathecal Morphine [NCT05218733]Phase 4120 participants (Actual)Interventional2022-02-15Completed
Impact of Intrathecal Morphine on Sleep Apnea Syndrome After Hip Arthroplasty Performed Under Spinal Anaesthesia [NCT02566226]Phase 460 participants (Actual)Interventional2015-11-30Completed
Modified Versus Conventional Thoracolumbar Interfascial Plane Block for Perioperative Analgesia in Lumber Spine Surgery. A Randomized Controlled Study. [NCT05880017]60 participants (Anticipated)Interventional2022-12-01Recruiting
A Randomized, Open-Label, Parallel-Arm, Optimal Dose-Titration, Multicenter Study to Evaluate the Safety and Efficacy of Oral JNS024 Extended-Release (ER) in Japanese Subjects Treated With Around-the-Clock Opioid Analgesics for Their Moderate to Severe Ch [NCT01309386]Phase 3100 participants (Actual)Interventional2010-08-31Completed
Improving Pain Relief For Those Who Need It Most After Cesarean Delivery [NCT01298778]69 participants (Actual)Interventional2010-08-31Completed
Effects of Individualized Opioid Analgesia Versus Conventional Opioid Analgesia After Adenotonsillectomy in Children [NCT04527393]Phase 4128 participants (Anticipated)Interventional2022-05-01Recruiting
Efficacy Methadone for Management Postoperative Pain After the Use of Anesthesia Intravenous in Laparoscopic Cholecystectomy [NCT01833715]86 participants (Actual)Interventional2013-03-31Completed
The Relationship Between Visual Pain Score and Perfusion Index in Postoperative Patients [NCT03151369]89 participants (Actual)Interventional2017-04-18Completed
Evaluation of Analgesic Efficacy of Transmucosal Fentanyl for Breakthrough Pain Caused by Interventional Gastrostomy [NCT02869321]Phase 420 participants (Actual)Interventional2015-05-31Completed
A Comparison of Oral Controlled-release Morphine With Transdermal Fentanyl in Nasopharyngeal Cancer Patients With Moderate or Severe Oral Mucositis Pain Induced by Chemoradiotherapy [NCT04292990]Phase 4300 participants (Anticipated)Interventional2020-12-31Not yet recruiting
Interest of the Injection of Morphine, in Addition to a Local Anesthetic When Performing a Combined Spinal-epidural for Labor Analgesia [NCT02868944]Phase 3144 participants (Actual)Interventional2014-08-31Completed
Evaluation of Fentalogs and Their Metabolites in Hair of Patients in a Monitored Clinical Context by Means of Hair Analysis [NCT05740657]225 participants (Anticipated)Observational [Patient Registry]2022-12-06Recruiting
The Effects of Scalp Block on Haemodynamic Response and Postoperative Pain in [NCT02852382]Phase 245 participants (Actual)Interventional2014-04-30Completed
Comparison of Local Anesthetic Dose in IPACK (Interspace Between the Popliteal Artery and the Posterior Capsule of the Knee) Block Performed for Postoperative Analgesia in Knee Artroplasty Operations [NCT05963139]112 participants (Anticipated)Interventional2023-08-01Recruiting
Opioid-Free Versus Transitional Anesthetic With Opioids From Tonsillectomy [NCT04528173]Phase 4550 participants (Anticipated)Interventional2020-07-22Recruiting
A Randomized Controlled Trial Comparing Intrathecal Morphine With Quadratus Lumborum Block as Part of a Multimodal Analgesia Strategy for Post-cesarean Delivery Analgesia [NCT02871713]76 participants (Anticipated)Interventional2017-05-30Recruiting
A Phase 3, Single-Centered, Randomized, Double-Blind, Placebo-Controlled, Efficacy and Safety Trial of Morphine Sulfate Gel 0.1% in Patients With Stage 2-3 Wounds [NCT00755989]Phase 3100 participants (Anticipated)Interventional2008-12-31Not yet recruiting
Transmuscular Quadratus Lumborum Block for Postoperative Pain After Total Abdominal Hysterectomy [NCT02586454]64 participants (Actual)Interventional2015-11-30Completed
Phase 4 Study of Intra-articular Dexmedetomidine Adding to Levobupivacaine for Postoperative Analgesia in Arthroscopic Knee Surgery [NCT01918917]Phase 460 participants (Actual)Interventional2011-07-31Completed
Comparison of the Erector Spinae Plane Block Versus Intrathecal Morphine on Post-Cesarean Delivery Analgesia [NCT04256642]Phase 3160 participants (Anticipated)Interventional2020-02-29Recruiting
Efficacy and Safety of Periarticular Multimodal Drug Injections in Total Knee Arthroplasty [NCT00901628]Phase 4101 participants (Actual)Interventional2008-04-30Completed
External Oblique Intercostal Plane Block for Postoperative Analgesia in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy [NCT05663658]60 participants (Actual)Interventional2022-12-23Completed
Management of Pain Post Hepatectomy : Infiltration of Local Anesthetics Versus Continuous Spinal Analgesia . [NCT03238430]Phase 2/Phase 3186 participants (Actual)Interventional2015-05-20Completed
Methadone Versus Morphine for Moderate to Severe Cancer-Related Pain: A Double-Blind Randomized Parallel Group Study [NCT00573937]Phase 21 participants (Actual)Interventional2007-08-31Terminated(stopped due to Slow accrual.)
Multimodal Drug Infiltration in Total Knee Arthroplasty: Is Posterior Capsular Infiltration Worth the Risk? A Prospective, Double-Blind, Randomized Controlled Trial [NCT02860949]Phase 290 participants (Actual)Interventional2014-04-30Completed
Transmuscular Quadratus Lumborum Block for Postoperative Pain After Laparoscopic Partial Nephrectomy: A Randomized Controlled Trial [NCT03982784]60 participants (Actual)Interventional2019-06-10Completed
Feasibility and Validity of an Observational Scale as a Surrogate of Dyspnea in Non-communicating Patients in the Intensive Care Unit (ICU): DYS-NOC [NCT02801838]50 participants (Actual)Interventional2016-02-23Completed
Identification and Quantification of the Effects of a Surgery-induced Peripheral Inflammatory Response on Changes in Drug Efflux Transporter Function in the Brain [NCT00878371]Phase 435 participants (Actual)Interventional2009-05-31Completed
Efficacy and Safety of Rapid-Onset Opioids for Exertional Dyspnea in Cancer Patients [NCT04188418]Phase 3150 participants (Anticipated)Interventional2020-10-23Recruiting
A Multicenter Randomized Controlled Trial in Elderly Patients With Hip Fractures Comparing Continuous Fascia Iliaca Compartment Block to Systemic Opioids and Its Effect on Delirium Occurrence [NCT02689024]Phase 4239 participants (Actual)Interventional2016-05-31Terminated(stopped due to recruitment too slow; intervention was standard care in patients who were not included; acute care pathways changed due to policy regarding hip fracture patients)
Cognitive Function and Addiction in Patients With Chronic Pain Under Opioid Tapering in a Multidisciplinary Pain Treatment [NCT03365817]Phase 375 participants (Actual)Interventional2009-02-02Completed
Influence of Combined Intrathecal Morphine and Fentanyl in Patients Undergoing Total Knee Arthroplasty [NCT03365115]111 participants (Anticipated)Interventional2018-01-01Not yet recruiting
A Randomized, 2-Way, Parallel, Single-Blind Pharmacokinetic Study to Evaluate the Interaction Between Intravenous Morphine and Orally or Intravenously Administered Acetaminophen in Healthy Subjects [NCT02848729]Phase 450 participants (Actual)Interventional2016-02-29Completed
Contribution of COMT Haplotypes in Propranolol Analgesic Efficacy for Treating Post-surgical Pain After Laparoscopic Hemicolectomy [NCT02511483]Phase 210 participants (Actual)Interventional2015-05-18Terminated(stopped due to Difficulty with recruitment)
The Comparison of Two Different Doses of Morphine Added to Spinal Bupivacaine for Inguinal Hernia Repair. [NCT02001948]Phase 446 participants (Actual)Interventional2009-07-31Completed
Improving Perioperative Pain Management for Laparoscopic Surgery Due to Colon Cancer Using the Ultrasound-guided Transmuscular Quadratus Lumborum Block. A Double Blind, Randomized, Placebo Controlled Trial. [NCT03570541]Phase 469 participants (Actual)Interventional2018-06-28Completed
Determining the Effectiveness of Nebulized Morphine in Treating Dyspnea in Advanced Idiopathic Pulmonary Fibrosis [NCT04497831]Phase 320 participants (Anticipated)Interventional2020-09-21Not yet recruiting
A Comparative Study of Immediate-Release Oxycodone Capsules Versus Immediate-Release Morphine Tablets for the Treatment of Chinese Patients With Cancer Pain. [NCT01675622]Phase 3242 participants (Actual)Interventional2011-01-31Completed
Ultrasound-Guided Versus Conventional Injection for Caudal Block in Children [NCT03337191]134 participants (Actual)Interventional2016-01-01Completed
The Safety and Efficacy of the Enhanced Recovery After Surgery(ERAS) Applied on Cardiac Surgery With Cardiopulmonary Bypass: a Single Center, Randomized, Controlled Clinical Study [NCT02479581]Phase 2226 participants (Actual)Interventional2015-07-31Completed
A Phase Ib Study of Oxcarbazepine Plus Morphine in Patients With Refractory Cancer Pain [NCT02078089]Phase 11 participants (Actual)Interventional2014-03-06Terminated(stopped due to Poor Accrual)
A Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Explore the Pharmacokinetics and Pharmacodynamics of TRV130, Morphine, and Placebo in Healthy Adult Male Subjects [NCT02083315]Phase 130 participants (Actual)Interventional2013-07-31Completed
Total Knee Arthroplasty & Outcome: A Prospective Randomized Comparison Between Adductor Canal Block and Femoral Nerve Block [NCT02082067]Phase 40 participants (Actual)Interventional2014-03-31Withdrawn
A Randomized Controlled, Open-label, Non-inferiority, Three Arm Clinical Study to Assess Inhalation of Low-dose Methoxyflurane, Intranasal Fentanyl, and Intravenous Morphine for Acute Pain in the Pre-hospital Setting [NCT05137184]Phase 3338 participants (Actual)Interventional2021-11-12Completed
The Effect of Intraoperative Ketamine on Opioid Consumption and Pain After Spine Surgery in Opioid-dependent Patients [NCT02085577]Phase 4147 participants (Actual)Interventional2014-05-31Completed
Inhaled Versus Intravenous Opioid Dosing for the Initial Treatment of Severe Acute Pain in the Emergency Department [NCT03257319]Phase 3850 participants (Anticipated)Interventional2017-09-19Recruiting
A Randomized, Multicenter, Double-Blind, Double Dummy, Active Comparator, Dose-Ranging Study to Explore the Efficacy of SUBSYS® in Emergency Department Patients With Acute Pain [NCT02137525]Phase 20 participants (Actual)InterventionalWithdrawn(stopped due to Study was never initiated)
The Effect of Intravenous Paracetamol in Combination With NSAIDs for Postoperative Pain in Children [NCT02248493]Phase 454 participants (Actual)Interventional2012-11-30Completed
Efficacy of Peri-Incisional Multimodal Drug Injection Following Operative Management of Femur Fractures: A Randomized Controlled Trial [NCT02793947]Phase 4102 participants (Actual)Interventional2015-05-31Completed
Pruritus After Intrathecal Morphine in Cesarean Section: Incidence, Severity and Its Relation to Serum Serotonin Level [NCT03209427]Phase 440 participants (Actual)Interventional2014-04-02Completed
Effect of Low-dose Epidural Morphine Combined With Single-injection Femoral Nerve Block on Postoperative Analgesia in Patients After Total Knee Arthroplasty [NCT03203967]110 participants (Actual)Interventional2017-07-01Completed
Evaluating Pain Outcomes of Caudal vs Ilioinguinal Nerve Block in Children Undergoing Hernia Repair [NCT03041948]88 participants (Anticipated)Interventional2015-09-01Recruiting
Regional Nerve Blocks to Improve Analgesia and Recovery in Older Adults Undergoing Spinal Fusion [NCT05461092]Early Phase 150 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Comparison of the Analgesic Effects of Tramadol, Pethidine and Morphine Under Erector Spinae Plane (ESP) Block in the Treatment of Pain After Elective Thoracic Surgery [NCT06172920]Phase 445 participants (Anticipated)Interventional2023-12-31Not yet recruiting
Efficacy of Multimodal Periarticular Injections in Operatively Treated Ankle Fractures: A Randomized Controlled Trial [NCT02967172]Phase 4100 participants (Actual)Interventional2016-10-31Completed
The Impact of Two Different Intraoperative Analgesia Techniques on Post-operative Outcome After Hepato-pancreato-biliary Surgery [NCT01201499]140 participants (Anticipated)Interventional2010-11-30Not yet recruiting
Comparison Between Single-shot Femoral Nerve Block and Epidural Techniques for Total Knee Arthroplasty: a Randomized Controlled Trial [NCT02164825]60 participants (Actual)Interventional2014-01-31Completed
A Comparison of PLAtelet Response to Aspirin Between Emergency Department Patients With Chest Pain Receiving Fentanyl or Morphine (PLAAFM) [NCT05367336]Early Phase 1100 participants (Anticipated)Interventional2022-08-31Recruiting
Improving ObsQoR-11 With Continuous Wound Infusion Versus Intrathecal Morphine After Elective Cesarean Delivery: A Randomized Double-Blinded Controlled Trial Targeting Patients' Recovery and Satisfaction [NCT05696678]96 participants (Anticipated)Interventional2023-02-28Not yet recruiting
PCA Ketamine-Morphine Versus PCA Morphine as Post-Operative Analgesia in Colorectal Surgery. [NCT06010056]Phase 460 participants (Actual)Interventional2018-04-05Completed
Risk-benefit Analysis of Intrathecal Morphine Administration to Patients Undergoing Surgical Treatment of Proximal Femoral Fracture (Monocentric, Single-blinded, Randomized Clinical Study Compared to Standard Treatment) [NCT05920642]Phase 450 participants (Anticipated)Interventional2023-09-04Not yet recruiting
Comparison of Post-operative Analgetics With Transversus Abdominis Block and Spinal Morphine for Post-Caesarean Section: A Randomised Trial Study [NCT06089200]Phase 244 participants (Actual)Interventional2023-02-23Completed
Analgesic Efficacy of Erector Spinae Block , Quadratus Lumborum Block and Intrathecal Morphine for Post Operative Pain Relief After Cesarean Section, A Prospective Randomized Single-Blind Controlled Study [NCT06088420]120 participants (Anticipated)Interventional2023-10-31Recruiting
A Multicenter, Open-label, Randomized, Parallel Group Study to Compare the Efficacy and Safety of Sufentanil Transdermal System (TDS) With Sustained-Release Morphine Sulfate in Patients With Chronic Pain Due to Cancer [NCT00943566]Phase 20 participants (Actual)Interventional2010-01-31Withdrawn(stopped due to funding for project discontinued)
Evaluation of Effect of Intravenous Morphine vs Intravenous Ibuprofen and Acetaminophen vs Intravenous Ibuprofen on Pain Relief in Patients With Closed Extremity Fracture Admitted in Alzahra and Ayatollah Kashani Hospitals in 2022 [NCT05630222]Phase 3150 participants (Actual)Interventional2022-03-15Completed
An Investigation of the Influence of Different Intrathecal Opioids on the Post-operative Pain Experiences of Woman at Rahima Moosa Mother and Child Hospital [NCT02577809]Phase 4100 participants (Actual)Interventional2015-07-31Completed
Interaction Between Epidural 2-chloroprocaine and Epidural Morphine: Effect of Timing on Efficacy of Morphine Analgesia After 2-chloroprocaine Anesthesia [NCT00487084]136 participants (Actual)Interventional2004-08-31Completed
The Impact of Pain on Behavioural Disturbances in Patients With Moderate and Severe Dementia. A Cluster Randomized Trial [NCT01021696]Phase 2/Phase 3352 participants (Actual)Interventional2009-11-30Completed
Assessment of the Analgesic Efficacy and Tolerability of the Perioperative Association of the Ketamine With Opiates After Posterior Vertebral Fusion Surgery in Children With Idiopathic Scoliosis [NCT02571491]Phase 248 participants (Actual)Interventional2012-01-31Completed
Intrathecal Morphine for Postoperative Analgesia in Video-Assisted Thoracic Surgery: A Randomized, Placebo-controlled, Double-blinded Clinical Trial [NCT05351229]Phase 490 participants (Anticipated)Interventional2023-09-29Recruiting
Intraoperative and Postoperative Analgesia for Laparoscopic Surgery. [NCT00772187]Phase 440 participants (Anticipated)Interventional2007-10-31Completed
A Randomized, Double-blind, Active and Placebo Controlled Trial to Compare the Relative Analgesic Efficacy and Safety of a Single Intravenous Dose of ORG 28611 3 mcg/kg, Morphine Sulfate 0.12 mg/kg, and Placebo in Patients Experiencing Moderate to Severe [NCT00782951]Phase 211 participants (Actual)Interventional2007-07-31Terminated
Evaluation of Opioid Antagonist Activity in Humans [NCT00460239]Phase 212 participants (Actual)Interventional2007-01-31Completed
Local Infiltration Analgesia or Intrathecal Morphine in Total Knee Arthroplasty [NCT00992082]50 participants (Anticipated)Interventional2009-08-31Recruiting
Continuous Thoracic Paravertebral Block for Open Hepatectomy [NCT03990922]76 participants (Actual)Interventional2019-06-20Completed
Perioperative Analgesic Modalities for Breast Cancer Surgeries [NCT04248608]75 participants (Actual)Interventional2020-01-28Completed
Low Dose Extended-release Epidural Morphine in Conjunction With Lumbar Plexus Block Versus Lumbar Plexus Block Alone for Total Hip Resurfacing Arthroplasty: A Randomized Controlled Trial. [NCT00934661]Phase 440 participants (Actual)Interventional2010-01-31Terminated(stopped due to Drug was discontinued by manufacturer)
A Randomized, Double-blind, Parallel-arm, Placebo- and Comparator- Controlled Trial of the Efficacy and Safety of Multiple Doses of Immediate-release (IR) CG5503 for Postoperative Pain Following Abdominal Hysterectomy [NCT00478023]Phase 3854 participants (Actual)Interventional2007-05-31Completed
Rapid IV Symptom-inhibited Fentanyl Induction (SIFI) to Facilitate Rotation Onto Oral Opioid Agonist Therapy (OAT) [NCT05905367]Phase 450 participants (Anticipated)Interventional2023-07-31Not yet recruiting
The Use of Very Low Dose Caudal Morphine for Postoperative Pain Management in Out Patients [NCT00938821]33 participants (Actual)Observational2010-01-31Completed
The Analgesic Effects of Morphine Versus Ketorolac in Low Back Pain [NCT02782286]Phase 4100 participants (Anticipated)Interventional2016-05-31Not yet recruiting
Efficacy of Multimodal Peri- and Intraarticular Drug Injections in Total Knee Arthroplasty [NCT00562627]Phase 4102 participants (Actual)Interventional2007-11-30Completed
2-cohort, 3-part, Open-label, Randomised, Single Dose, Crossover Study in Healthy Subjects to Compare PK & Bioavailability of a Single Dose, in Fed and Fasted State, of MR902 Prolonged Release (PR) Tablets With Immediate Release (IR) Morphine Sulfate Oral [NCT02773316]Phase 184 participants (Actual)Interventional2015-09-30Completed
Post-operative Electroacupuncture as Part of the Multimodal Analgesic Regimen for Laparoscopic or Robotic Colorectal Surgery [NCT02773472]70 participants (Actual)Interventional2015-08-31Terminated
A 2 x 2 Factorial Trial to Assess Whether Non-Steroidal Anti-Inflammatory Analgesics and Small Bore Chest Tubes Are Less Painful Than Opiate Analgesics and a Large Bore Chest Tubes in Pleurodesis for Malignant Pleural Effusion [TIME1] [NCT00644319]Phase 2320 participants (Anticipated)Interventional2007-03-31Recruiting
Randomized, Double-blind, Placebo-controlled Single-centre Clinical Trial Evaluating Efficacy and Safety of Intraoperative and Postoperative Continuous Lidocaine Infusion in High Cardiac Risk Vascular Surgery [NCT04691726]Phase 487 participants (Actual)Interventional2019-01-29Completed
Intrathecal Morphine for Postoperative Pain Management in Patients Undergoing Laparoscopic Bariatric Surgery [NCT02731430]Phase 2/Phase 3100 participants (Actual)Interventional2015-12-31Active, not recruiting
Effects of Intrathecally Administered Ketamine, Morphine and Their Combination in Patients Undergoing Major Abdominal Cancer Surgery [NCT02726828]Phase 2/Phase 390 participants (Actual)Interventional2015-10-31Completed
A Pragmatic, Phase III, Multi-site, Double-blind, Placebo Controlled, Parallel Arm, Dose Increment Randomised Trial of Regular, Low Dose Extended Release Morphine for Chronic Refractory Breathlessness [NCT02720822]Phase 3171 participants (Anticipated)Interventional2016-08-08Completed
Phase 4: A Comparison of Intravenous Administration of Morphine vs. Oxycodone for Postoperative Pain Management Following Laparoscopic Hysterectomy or Myomectomy [NCT00528177]Phase 490 participants (Anticipated)Interventional2007-09-30Completed
Comparison of Three Different Doses of Intrathecal Morphine for Analgesia After Cesarean Section [NCT05317572]150 participants (Actual)Interventional2017-10-01Completed
Patient-controlled Intermittent Epidural Bolus Versus Epidural Infusion for Posterior Spinal Fusion After Adolescent Idiopathic Scoliosis [NCT02669004]Phase 447 participants (Actual)Interventional2015-06-30Completed
Safety and Efficacy of Paravertebral Morphine Versus Dexmedetomidine on Acute and Chronic Pain [NCT02935933]Phase 1/Phase 290 participants (Anticipated)Interventional2016-10-31Active, not recruiting
Intraoperative Dexmedetomidine Versus Morphine for Postoperative Analgesia After Laparoscopic Bariatric Surgery [NCT02213159]Phase 2/Phase 360 participants (Actual)Interventional2014-07-31Completed
Analgesia Postoperatoria Mediante Catetere Perdurare e Analgesia Postoperatoria Mediante Infusione Continua Periferia Nell'Intervento Chirurgico Per Riparazione Chirurgica di Aneurismi Dell'Aorta Addominale: Tecniche a Confronto [NCT02677532]Phase 451 participants (Actual)Interventional2011-12-31Completed
Randomized Triple-blind Placebo Controlled Trial of Influence of Morphine or Ketamine or Saline Applied During In-hospital Cardiopulmonary Resuscitation on Early Survival and Neurological Outcome [NCT04009759]Phase 1240 participants (Anticipated)Interventional2021-10-01Not yet recruiting
Palliation of Dyspnea in Advanced Chronic Obstructive Pulmonary Disease: Understanding Patients' and Caregivers' Experiences of Opioid Therapy [NCT00982891]Phase 2/Phase 345 participants (Actual)Interventional2010-03-31Completed
Baseline Epidemiologic Assessment of Abuse-Deterrence of MorphaBond ER (BEAD-MB) (PMR 2961-9) [NCT04033094]17,566 participants (Actual)Observational2017-10-16Completed
Preoperative Controlled-Release Oxycodone or Intraoperative Morphine As Transition Opioid After Intravenous Anesthesia For Video-Assisted Thoracic Surgery: a Randomized, Double-blind, Controlled Trial. [NCT00681174]Phase 422 participants (Actual)Interventional2008-07-31Terminated(stopped due to Failure to enroll sufficient patients by expected deadline.)
Pharmacokinetics of Morphine and Oxycodone in Frail Elderly Undergoing Cardiac Surgery - AGE AWARE II [NCT04696445]34 participants (Actual)Observational2020-10-01Completed
Early Parecoxib Usage to Decreases Narcotic Requirement and Length of Stay After Traumatic Rib Fracture [NCT02749409]Phase 317 participants (Actual)Interventional2016-08-08Terminated(stopped due to Case numbers not enough, however, the funding is over)
Pharmacological or Non-Pharmacological Management of Maternal Hypotension During Elective Cesarean Section Under Subarachnoid Anesthesia: a Randomized, Controlled Trial [NCT00991627]Phase 436 participants (Anticipated)Interventional2009-09-30Completed
An Evaluation of the Effectiveness of Ibuprofen and Opioid (Morphine or Diamorphine) for Acute Pain in Sickle Cell Disease: a Double-blind, Placebo-controlled Randomised Trial [NCT00880373]Phase 4320 participants (Anticipated)Interventional2011-03-31Terminated(stopped due to The funding withdrawal and early termination of the trial is based upon lack of suitable recruitment figures in order to reach the required trial endpoints.)
Sensory Effects of Oral Opioid Treatment in Patients With Chronic Low Back Pain [NCT02824276]Phase 135 participants (Actual)Interventional2017-01-06Active, not recruiting
Thoracic Paravertebral Blocks in Open Nephrectomy. A Prospective, Randomized Study of Block Efficacy and Influence on Oxidative Stress and Patient Outcome. [NCT03428633]Phase 260 participants (Actual)Interventional2018-03-09Completed
Analgetic and Anxiolytic Effect of Preoperative Pregabalin in Patients Undergoing Surgery of the Vertebral Columna [NCT00353704]Phase 450 participants (Actual)Interventional2005-11-30Completed
Ultrasound-guided Erector Spinae Plane Block Versus Paravertebral Block in Breast Cancer Patients Undergoing Mastectomy With Immediate Reconstruction - a Non-inferiority Trial. A Single-centre Randomized Controlled Non-inferiority Trial With a Parallel Gr [NCT05590559]100 participants (Anticipated)Interventional2021-06-01Recruiting
The Use of Intrathecal Morphine in the Management of Acute Pain Following Decompressive Lumbar Spinal Surgery: A Randomized Controlled Trial [NCT01053039]Phase 4150 participants (Actual)Interventional2010-01-31Completed
Intravenous Treatment With Non Steroidal Anti Inflammatory Drugs (NSAID) Versus Nebulized Morphine (NM) Analgesia for First-line Renal Colic: Randomized Controlled Double-blind Single-center Study. [NCT02156596]Phase 1100 participants (Actual)Interventional2013-02-28Completed
Randomised, Controlled Clinical Study Regarding the Feasibility of Converting Opiate Dependents From Methadone Substitutes to Slow Release Morphine Sulphate (Sevre-Long™) [NCT01079117]Phase 3276 participants (Actual)Interventional2006-10-31Completed
Herb Drug Interaction of Traditional Chinese Herb and Commonly Used Drugs [NCT00923000]Phase 150 participants (Anticipated)Interventional2008-12-31Recruiting
AVINZA Control of Chronic Pain, Effectiveness and Safety Study (ACCESS 2008) A Multi-Center Study to Evaluate the Effectiveness and Tolerability of AVINZA for Chronic Moderate-Severe Pain: A Focus on Risk Minimization Assessment, Intervention and Outcomes [NCT00640042]Phase 41,570 participants (Actual)Interventional2008-03-31Completed
The Efficacy of Pain Control After Total Hip Replacement Between Ultrasound Guide Supra-inguinal Fascia Iliaca Block and Intrathecal Morphine: A Randomized Controlled Trial [NCT04104204]98 participants (Anticipated)Interventional2019-12-03Recruiting
The Effects of Colloid Pre-Loading on D-Dimer of the Mother and Her Baby During Cesarean Section Under Spinal Anesthesia for Mild Preeclampsia [NCT02622126]Phase 260 participants (Actual)Interventional2016-01-31Completed
The Effectiveness of Small Doses of Ketamine With Morphine on Decreasing Pain Responses During Open Wound Care [NCT00701909]Phase 312 participants (Actual)Interventional2008-06-30Completed
Spinal Analgesia for Colonic Resection Using an Enhanced Recovery After Surgery (ERAS) Program [NCT01477190]Phase 1/Phase 240 participants (Actual)Interventional2010-10-31Completed
Comparison of Ionsys and Routine Care With Morphine IV (Intravenous) PCA in the Management of Early Post-operative Mobilisation, Ability to Mobilise and in Time to Fitness For Discharge [NCT00766506]Phase 4108 participants (Actual)Interventional2008-05-31Terminated(stopped due to Product class one recall)
Clinical Effectiveness and Safety of Intraoperative Methadone in Patients Undergoing Laparoscopic Hysterectomy: a Prospective, Double-blind, Randomised Controlled Trial [NCT03908060]126 participants (Actual)Interventional2019-05-06Active, not recruiting
A Randomized Two-way Crossover, Single-Dose, Open-Label Study to Evaluate the Bioequivalence of a Test Formulation of KADIAN (2 x 10mg) Capsules Compared to a KADIAN 20 mg Capsule in Healthy Adult Subjects Under Fed Conditions [NCT00759915]Phase 136 participants (Actual)Interventional2006-08-31Completed
A Single-Dose, 2-Period, 2-Treatment, 2-Way Crossover Study Comparing the Bioavailability of a Morphine Sulfate Sustained Release Capsule 1 x 200mg to KADIAN 2 x 100mg Capsules Under Fasting Conditions [NCT00759759]Phase 136 participants (Actual)Interventional2004-09-30Completed
Study of the Concentrations of Long Acting Morphine After Oral Absorption in Subjects Who Underwent Gastric Bypass (OBEMO 2) [NCT02641301]Phase 424 participants (Actual)Interventional2015-12-31Active, not recruiting
Periarticular Injection and Hamstring Block Versus Placebo for Pain Control in Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial [NCT05248724]44 participants (Actual)Interventional2017-08-01Completed
Ultrasound-guided Transversus Abdominis Plane Block for Postoperative Analgesia in Living Donor Hepatectomy: Randomized Controlled Double-blinded Trial [NCT02645903]Phase 450 participants (Actual)Interventional2015-05-31Completed
Chronic Administration of Opioids in Cancer Chronic Pain:an Open Prospective Study on Efficacy, Safety and Pharmacogenetic Factors Influence. [NCT00916890]Phase 4320 participants (Anticipated)Interventional2009-02-28Suspended(stopped due to difficulties in patients enrolment)
A Single-Dose, 2-Period, 2-Treatment, 2-Way Crossover Study Comparing the Bioavailability of a Morphine Sulfate Sustained Release Capsule 1 x 200mg to KADIAN 2 x 100mg Capsules Administered Orally as a Sprinkle on Applesauce [NCT00759954]Phase 136 participants (Actual)Interventional2004-09-30Completed
The Use of Intraoperative Intrathecal Morphine Versus Epidural Extended Release Morphine for Postoperative Pain Control in Pediatric Patients Undergoing Posterior Spinal Fusion [NCT00880607]Phase 484 participants (Actual)Interventional2008-12-31Completed
Comparison of Clonidine and Morphine Plus Bupivacaine in Caudal Peridural Anesthesia for Postoperative Analgesia After Pediatric Urogenital Surgery [NCT00672347]Phase 1/Phase 280 participants (Actual)Interventional2008-07-31Completed
Perioperative Use of Gabapentin To Decrease Opioid Requirements in Pediatric Spinal Fusion Patients [NCT00726999]63 participants (Actual)Interventional2006-06-30Completed
A Mechanistic Study on Morphine-induced Orthogonal Neural Plasticity for Itch and Pain Processing in Humans (a Relation of Morphine-induced Itch and Pain Processing) [NCT04115462]24 participants (Actual)Interventional2020-01-15Completed
A Phase IV, Comparative, Randomized, Double Blind, Single-Dose, 2-way Crossover Study to Evaluate the Pharmacokinetics and Safety of Alpharma Branded Products Division (KADIAN)and Ligand Pharmaceuticals Inc. (Avinza) 30 mg Morphine Sulfate Sustained-Relea [NCT00782548]Phase 440 participants (Actual)Interventional2004-05-31Completed
Determination of the Efficacy and Side-Effect Profile of Lower Doses of Intrathecal Morphine in Patients Undergoing Total Knee Arthroplasty [NCT00695045]60 participants (Actual)Interventional2003-07-31Completed
Prospective, Randomized, Double-blinded, Placebo-controlled Study to Examine Pain Relief and the Need for Supplementary Analgesics With Intra-thecal Morphine Sulfate (0.2 mg) in Patients Undergoing Total Knee Arthroplasty (TKA) [NCT02620631]Phase 454 participants (Actual)Interventional2011-03-31Active, not recruiting
A Randomized Two-way Crossover, Single-Dose, Open-Label Study to Evaluate the Bioequivalence of a Test Formulation of KADIAN (2 x 10mg) Capsules Compared to a KADIAN 20 mg Capsule in Healthy Adult Subjects Under Fasted Conditions [NCT00759902]Phase 136 participants (Actual)Interventional2006-08-31Completed
A Single-Dose, 2-Period, 2-Treatment, 2-Way Crossover Study Comparing the Bioavailability of a Morphine Sulfate Sustained Release Capsule 1 x 200mg to KADIAN 2 x 100mg Capsules Under Fed Conditions [NCT00759356]Phase 136 participants (Actual)Interventional2004-08-31Completed
Ultrasound Guidance or Electrical Nerve Stimulation for Interscalene Brachial Plexus Block: a Randomized, Controlled Trial [NCT00702416]Phase 450 participants (Anticipated)Interventional2008-05-31Completed
Morphine, Nortriptyline and Their Combination in Sciatica Treatment [NCT00009672]Phase 280 participants Interventional2001-01-30Completed
Comparison of a Patient Controlled Oral Administration (PCOA) of Analgesic Protocol With an IV Administration After Planned Caesarian Section : Monocentric, Randomised and Controlled Study [NCT01566253]Phase 480 participants (Actual)Interventional2012-03-31Completed
Effect of Early Administration of Morphine on the Development of Acute Opioid Tolerance During Infusion of Remifentanil for Pediatric Scoliosis Surgery [NCT00737997]Phase 340 participants (Actual)Interventional2006-12-31Completed
A Comparative Study With Pre-Emptive Parenteral Oxycodone, Morphine and Dexamethasone in the Treatment of Postoperative Pain in Paediatric Patients 4 to 12 Years of Age [NCT00733083]100 participants (Anticipated)Interventional2008-09-30Not yet recruiting
A Multi-Center, Primary Care-Based, Open-Label Study to Assess the Success of Converting Opioid-Experienced Patients, With Chronic, Moderate to Severe Pain, to EMBEDA Using a Standardized Conversion Guide, and to Identify Behaviors Related to Prescription [NCT01179191]Phase 4684 participants (Actual)Interventional2010-08-31Terminated(stopped due to See termination reason in detailed description.)
Effect of Epidural Morphine and Midazolam on Postoperative Painin Patients Undergoing Major Abdominal Cancer Surgery [NCT04033471]Phase 1/Phase 220 participants (Anticipated)Interventional2019-07-01Recruiting
A Long-Term, Open-Label Safety Study of ALO-01 (Morphine Sulfate Plus Naltrexone Hydrochloride Extended-Release) Capsules in Subjects With Chronic Moderate to Severe Nonmalignant Pain [NCT00415597]Phase 3467 participants (Actual)Interventional2006-12-31Completed
Comparison of Erector Spina and Quadratus Lumborum in Open Nephrectomy [NCT05810571]60 participants (Anticipated)Interventional2023-03-01Active, not recruiting
Pre-emptive Intravenous Morphine for Acute Post-craniotomy Pain: a Randomized, Double-blind, Placebo-controlled Trial. [NCT05117034]115 participants (Anticipated)Interventional2022-02-16Recruiting
[NCT00718406]Phase 40 participants InterventionalCompleted
A Phase 1 Study to Evaluate the Effects of Lidocaine/Epinephrine Test Dose Administration on the Pharmacokinetic Profile of a Single Dose of Thoracic Extended-Release Epidural Morphine in Patients Undergoing Major Upper Abdominal Surgery [NCT00728832]Phase 139 participants (Actual)Interventional2002-05-31Completed
Hydromorphone PCA Intravenously vs Sustained-Release Morphine Orally in Cancer Patients With Severe Pain After Successful Titration: A Multicenter, Randomized, Controlled, Phase II Trial [NCT04243954]Phase 295 participants (Actual)Interventional2020-04-10Completed
Comparison of Postoperative Hemodynamics After High Spinal Block With or Without Intrathecal Morphine in Cardiac Surgeries. [NCT02825056]Early Phase 160 participants (Anticipated)Interventional2016-07-31Not yet recruiting
Intrathecal Atropine to Prevent Nausea and Vomiting After Spinal Anesthesia With Morphine for Elective Caesarean Section: a Randomized Controlled Trial [NCT00921102]Phase 4216 participants (Actual)Interventional2007-05-31Completed
A Randomized, Double-blind, Parallel-group, Multi-center, Active- and Placebo-controlled Trial to Evaluate the Analgesic Efficacy and Safety of Multiple Doses of CG5503 IR for Postoperative Pain Following Bunionectomy [NCT00609466]Phase 3291 participants (Actual)Interventional2007-09-30Completed
Mechanisms of Hypoglycemia Associated Autonomic Failure [NCT00678145]Phase 2116 participants (Anticipated)Interventional2008-03-31Active, not recruiting
Assessment of the Pharmacokinetic, Pharmacodynamic, Pharmacogenetic Relationships of Morphine and Metabolites After Severe Postoperative Pain in Adults [NCT00822549]438 participants (Actual)Observational2006-09-30Completed
Evaluation of the Effectiveness of the Radiofrequency Ablation for Reducing Refractory Pain From Bone Metastases [NCT00712712]Phase 278 participants (Actual)Interventional2007-12-24Completed
Pharmacological Treatment of Narcotic Neonatal Withdrawal [NCT02810782]Phase 3120 participants (Actual)Interventional2001-06-30Completed
Functional Brain Mechanisms Underlying the Anti-suicidal Effects of Buprenorphine in Opioid Use Disorder [NCT04234516]Phase 40 participants (Actual)Interventional2020-01-20Withdrawn(stopped due to PI leaving the institute)
Pericapsular Nerve Group (PENG) Block vs Intrathecal Morphine for Postoperative Analgesia in Patients Undergoing Total Hip Arthroplasty: a Randomized Non-inferiority Trial [NCT05308420]Phase 460 participants (Actual)Interventional2022-04-03Completed
Local Administration of Morphine for Analgesia After Iliac Bone Graft Harvest [NCT01037335]Phase 40 participants (Actual)Interventional2009-04-30Withdrawn(stopped due to No participants enrolled)
Perineural Dexamethasone Administered in Femural Nerve Block After Anterior Cruciate Ligament Reconstruction [NCT02749162]Phase 390 participants (Actual)Interventional2015-11-30Completed
The Effect of Opiate Administration in Children With Acute Abdominal Pain and Peritoneal Signs on the Decision for Surgical Intervention [NCT00839787]0 participants (Actual)Interventional2008-12-31Withdrawn(stopped due to Unable to enroll more patients)
Regional Anaesthesia for Painful Injuries After Disasters (RAPID) Study: A Randomized Trial [NCT02698228]Phase 40 participants (Actual)Interventional2016-03-31Withdrawn(stopped due to Study did not occur)
Transversus Abdominis Plane Block Versus Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patients; a Prospective, Randomized, Controlled Study [NCT04209478]40 participants (Actual)Interventional2016-05-01Completed
[NCT00547664]88 participants (Actual)Interventional2008-01-31Completed
Effentora® for Dyspnoea - Fentanyl Buccal Tablet for the Relief of Episodic Breathlessness in Cancer Patients: A Multicenter, Open Label, Randomized, Morphine-controlled, Crossover, Phase II-TRIAL [NCT04635852]Phase 210 participants (Actual)Interventional2013-03-31Completed
Ultrasound-guided Continuous Quadratus Lumborum Block III for Postoperative Analgesia in Percutaneous Nephrolithotomy [NCT04800302]45 participants (Actual)Interventional2021-06-10Completed
Ultrasound Guided Continuous Erector Spinae Plane Block Versus Patient Controlled Analgesia in Patients Undergoing Nephrectomy for Renal Malignancies: A Randomized Controlled Study [NCT04537598]60 participants (Actual)Interventional2020-03-03Completed
Efficacy Of IV Morphine vs Remifentanil-Intrathecal Morphine Analgesia During Hepatic Resection Surgery [NCT00553553]45 participants (Anticipated)Interventional2007-09-30Recruiting
Enhanced Recovery After Cesarean Section With Low Dose Intrathecal Morphine. A Prospective Randomized Controlled Study. [NCT04618146]60 participants (Anticipated)Interventional2020-11-10Recruiting
Randomised Clinical Trial of the Optimization of Procedural Pain Control in ICU Patients [NCT00558090]150 participants (Anticipated)Interventional2008-02-29Completed
Effect of Guanfacine on Opioid-induced Hyperalgesia (OIH) and Tolerance [NCT01681264]Phase 4200 participants (Anticipated)Interventional2013-11-30Active, not recruiting
Plasmatic Catecholamines After Neuraxial Labor Analgesia: a Randomized Controlled Trial Comparing Epidural Versus Combined Spinal-epidural [NCT02666794]50 participants (Actual)Interventional2017-07-12Completed
Pharmacokinetics of Sedatives and Analgesics During Extracorporeal Membrane Oxygenation (ECMO) Support [NCT03593408]20 participants (Anticipated)Observational2019-02-08Recruiting
Comparison of Transdermal Fentanyl PCA and IV Morphine PCA in the Management of Postoperative Pain Control [NCT00996177]Phase 4657 participants (Actual)Interventional2004-06-30Completed
Post Operative Functional Restoration in Patients Undergoing Major Abdominal and Pelvic Laparoscopic Surgery: Effect of Perioperative Intravenous Lidocaine [NCT00982618]60 participants (Actual)Interventional2009-07-31Completed
Translational Studies in Analgesic Pharmacology: Analgesic Synergy in Clinical Pain. A Phase 2 Study Comparing a Single Dose of a 1:1 Combination of Methadone and Morphine With Morphine Alone in Patients With Post-operative Pain. [NCT00142519]Phase 250 participants (Actual)Interventional2005-03-31Completed
A Study to Evaluate the Efficacy and Safety of Buprenorphine Transdermal Patch Compared to Morphine Sulfate Sustained-release Tablet in Opioid Pre-treated Chinese Subjects With Moderate to Severe Chronic Cancer Pain [NCT03967327]Phase 3194 participants (Anticipated)Interventional2019-04-22Recruiting
Does the Use of Intravenous Patient Controlled Analgesia (IVPCA) Increase Opioid Consumption and Side Effects in Fast Track Orthopedic Procedures? [NCT02880800]80 participants (Anticipated)Interventional2016-08-31Recruiting
Palliation of Dyspnea With Morphine in Patients With Interstitial Lung Disease [NCT02622022]Phase 436 participants (Actual)Interventional2016-01-31Completed
Difference in the Frequency of Episodes of Respiratory Depression Between Obese (BMI≥30) and Women With Normal BMI Receiving Spinal Anesthesia Combined With Intrathecal Morphine During Elective Caesarean Section [NCT02819661]30 participants (Anticipated)Interventional2018-05-01Recruiting
Intranasal Ketamine for Acute Traumatic Pain in the Emergency Department: A Prospective, Randomized Clinical Trial of Efficacy and Safety [NCT02817477]Phase 490 participants (Actual)Interventional2012-09-30Completed
[NCT02817321]76 participants (Actual)Interventional2016-11-30Completed
A Randomized, Double-Blind, Triple-Dummy, Single-Dose, Four-Way Crossover Study to Determine the Relative Bioavailability, Pharmacodynamic Effects, and Safety of Equivalent Doses of Whole and Crushed ALO-01 Versus Morphine IR in Opioid Experienced, Non-De [NCT00751478]Phase 1/Phase 232 participants (Actual)Interventional2007-03-31Completed
Double-blinded Randomized Controlled Study for Comparison of Surgical Rectus Sheath and Intrathecal Morphine for Postoperative Pain Control After Caesarean Section [NCT02790099]Phase 4144 participants (Actual)Interventional2014-09-30Completed
A Randomized Study of Optimal Pain Management: Standard Pain Control Versus Early Intervention With Intrathecal Therapy in Patients With Advanced Pancreatic Cancer [NCT00660348]1 participants (Actual)Interventional2008-03-31Terminated(stopped due to Low enrollment)
A Randomized, Partially Blind, Four-way Crossover Study to Determine the Effects of a Single Dose of Egalet® Morphine Combined With a Single Dose of Alcohol in Healthy Male and Female Moderate Drinkers [NCT00802308]Phase 124 participants (Actual)Interventional2008-12-31Completed
The Efficacy of Erector Spinae Plane Block Compared to Intrathecal Morphine for Postoperative Analgesia in Lumbar Spine Surgery Patients: A DOUBLE - BLINDED RETROSPECTIVE COMPARATIVE STUDY. [NCT05123092]82 participants (Actual)Interventional2021-01-20Completed
Influence of Anesthetic Temperature on Cephalad Sensory Blockade With Spinal Anesthesia for Cesarean Delivery [NCT00815022]400 participants (Actual)Interventional2008-12-31Completed
Visceral Pain Originating From the Upper Urinary Tract - a Randomized Controlled Trial on the Effect of Morphine and Oxycodone in Patients Undergoing Percutaneous Nephrolithotomy (PCNL) [NCT00784472]Phase 355 participants (Actual)Interventional2008-12-31Completed
A Single Dose, Three-Period, Three-Treatment, Six-Sequence, Three-Way Crossover Pharmacokinetic and Comparative Bioavailability Study of Morphine Sulfate Injection, Solution, and Tablet Formulations Under Fasting Conditions. [NCT00994942]18 participants (Actual)Interventional2006-04-30Completed
Effect of Topical Morphine (Mouthwash) on Oral Pain Due to Chemo- and/or Radiotherapy Induced Mucositis [NCT00613743]30 participants (Anticipated)Interventional2007-12-31Completed
Comparative Effectiveness of the Different Treatment Modalities for Management of Vaso-occlusive Painful Crisis in Pediatric Sickle Cell Disease [NCT04301336]Phase 2/Phase 3350 participants (Actual)Interventional2019-11-01Completed
Comparison of Oral Morphine Versus Nasal Ketamine Spray With Chitosan in Cancer Pain Outpatients [NCT02591017]Phase 311 participants (Actual)Interventional2015-02-28Terminated(stopped due to insufficient enrollment)
General Anesthesia Versus Spinal Anesthesia Combined With Intrathecal Morphine in Abdominal Hysterectomy for Benign Gynecological Diseases. A Randomized Open Controlled Study. [NCT00527332]Phase 4180 participants (Actual)Interventional2007-03-31Completed
Intravenous Subdissociative-dose Ketamine Versus Morphine for Prehospital Analgesia a Randomized Controlled Trial [NCT03236805]Phase 3285 participants (Actual)Interventional2017-11-23Terminated(stopped due to 285 patients have recruited instead on 496 but we don't want to continue to prolonge the study. Analysis will be performed on the data we have.)
Use of Intrathecal Hydromorphone in Elective Cesarean Deliveries [NCT01866254]Early Phase 145 participants (Actual)Interventional2013-05-31Completed
An Open Label, Cross-over, Randomized Controlled Multicenter Phase III Study Comparing Standard Oral SR-morphine by the Clock Medications With Self-controlled Nasal Fentanyl for Chronic Cancer Pain Requiring Opioids [NCT01906073]Phase 30 participants (Actual)Interventional2017-01-31Withdrawn
Different Lipid Soluble Opioids for Gynecologic Laparoscopic Surgery Postoperative Patient-controlled Analgesia --- a Double Blind Randomized Study [NCT01917045]180 participants (Actual)Interventional2012-01-31Completed
NOL-Guided Superficial Parasternal Intercostal Plane Block Versus Erector Spinae Plane Block in Open Heart Surgery With Cardiopulmonary Bypass - A Propensity Matched Non-Inferiority Clinical Trial [NCT06070701]60 participants (Anticipated)Interventional2023-06-01Recruiting
Impact of Epidural Morphine on the Incidence and Severity of Shoulder Pain Following Thoracotomy. [NCT01984463]22 participants (Actual)Interventional2014-02-28Terminated(stopped due to Increased incidence of respiratory depression in the morphine group)
The Efficacy of Intrathecal Morphine in Patients Undergoing Robot-assisted Prostatectomy [NCT01991275]30 participants (Actual)Interventional2013-11-30Completed
Comparison of Continuous Epidural and Continuous Paravertebral Blockade in Postoperative Analgesia After Videothoracoscopic Lung Lobectomy [NCT02040662]Phase 2120 participants (Actual)Interventional2013-01-31Completed
Pharmacokinetics of Oral Morphine and Pharmacogenomics of CYP2D6 and UGT2B7, in an Urban Pediatric Population (2 - 6 Years of Age) Presenting for Elective Surgery [NCT01071499]Phase 2/Phase 343 participants (Actual)Interventional2010-03-31Completed
Impact of the Route of Administration of Ketamine Associated With Morphine PCA on Analgesia After Total Hip Arthroplasty [NCT00797264]18 participants (Actual)Interventional2008-11-30Completed
Decreasing REcurrent Pain and Anxiety in Medical Procedures With a Pediatric Population: Trial [NCT02947243]0 participants (Actual)Interventional2018-05-31Withdrawn(stopped due to Major changes to protocol (new study design and comparator))
Comparison of Efficacy and Safety of the Postoperative Analgesia Methods for Supratentorial Craniotomy by Integrated Pulmonary Index (IPI) [NCT02929147]Phase 490 participants (Anticipated)Interventional2016-11-30Not yet recruiting
Ultrasound-guided Continous Quadratus Lumborum Block: Effect on Acute Pain and Quality of Recovery After Hepatic Surgery With Right Subcostal Incision [NCT02914015]40 participants (Actual)Interventional2018-08-01Terminated(stopped due to we change the study protocol)
The Effects of Morphine on Loading-dose Ticagrelor in Patients With ST-segment Elevation Myocardial Infarction Before Primary Percutaneous Coronary Interven Tion [NCT02913469]Phase 4128 participants (Anticipated)Interventional2014-12-12Recruiting
A Centre-Randomized, Open-Label, Cross-Over Study to Compare the Pharmaco-Economic Consequences of an Ultiva (Remifentanil Hydrochloride) Based Regimen With Conventional Sedative Based Regimens in ICU Subjects Requiring Short-Term Mechanical Ventilation W [NCT00158873]Phase 4224 participants Interventional2004-09-30Completed
The Safety of Fentanyl TAIFUN Treatment After Titrated Dose Administration and the Current Breakthrough Pain Treatment for Breakthrough Pain in Cancer Patients [NCT00822614]Phase 3500 participants (Anticipated)Interventional2008-12-31Recruiting
Naloxone for the Treatment of Opioid-Induced Pruritus: A Double-Blind, Prospective, Randomized, Controlled Study [NCT01071057]Phase 2/Phase 392 participants (Actual)Interventional2010-12-31Completed
Ultrasound Guided Erector Spinae Plane Block in Scoliotic Adolescents Undergoing Posterior Spine Instrumentation . A Randomized Controlled Trial [NCT03968146]Phase 230 participants (Actual)Interventional2019-06-18Completed
Randomized, Double-Blind Study Of The Morphine-Sparing Efficacy And Safety Of Parecoxib Sodium 40 Mg IV Followed By 20 Mg IV Every 12 Hours In The Treatment Of Pain Following Radical Prostatectomy [NCT00346268]Phase 4105 participants (Actual)Interventional2006-12-31Terminated(stopped due to See termination reason in detailed description.)
A CTSC Clinical Research Center Study: A Comparison of the Addiction Liability of Hydrocodone and Sustained Release Morphine [NCT00314340]Phase 412 participants (Actual)Interventional2005-11-30Completed
A Randomized Clinical Trial Comparing Intravenous Morphine and Intravenous Hydromorphone in the Treatment of Adult ED Patients With Moderate to Severe Pain [NCT00305058]Phase 2/Phase 3194 participants (Actual)Interventional2005-07-31Completed
A Randomised, Observer Blinded, Controlled Trial Of Femoral Nerve Block Versus Local Infiltration Analgesia for Post Operative Analgesia Following Total Knee Arthroplasty [NCT02288923]199 participants (Actual)Interventional2015-03-31Completed
Prospective, Controlled Versus Placebo, Randomized, Double-blind Study, Evaluating the Value of Non-opioid Analgesic Combination (Based on Paracetamol, Nefopam, Ketoprofen) for Postoperative Analgesia. [NCT01882530]Phase 4223 participants (Actual)Interventional2013-07-23Terminated(stopped due to Practice on postoperative pain management changed)
Comparing the Effect of Intravenous Morphine and Injectable Acetaminophen on Renal Colic Patients Presenting to the Emergency Department: A Randomized Controlled Trial [NCT01906762]Phase 2124 participants (Actual)Interventional2012-07-31Completed
Prediction of Inter-individual Differences in the Response to Morphine by Psychophysical Assessment of Pain Enhancing and Inhibiting Mechanisms in Patients With Chronic Neuropathic Pain [NCT01914042]Phase 2150 participants (Anticipated)Interventional2013-07-31Recruiting
Low-dose Spinal Morphine for Post-Thoracotomy Pain After Video-Assisted Thoracoscopic Surgery: A Prospective Randomized Double-Blind Controlled Trial [NCT01917448]Phase 436 participants (Actual)Interventional2014-02-28Completed
Transversus Abdominis Plane (TAP) Block Versus Intrathecal Morphine for Caesarean Section - Randomised Controlled Trial [NCT01931215]Phase 4180 participants (Actual)Interventional2013-09-30Completed
Abciximab (ReoPro) as a Therapeutic Intervention for Sickle Cell Vaso-Occlusive Pain Crisis [NCT01932554]Phase 20 participants (Actual)Interventional2013-11-30Withdrawn(stopped due to Insufficient recruitment)
The Interaction of Nociceptive Stimulation and Various Antinociceptive Modalities on Ischemia Reperfusion Injury [NCT01932918]142 participants (Actual)Observational2011-01-31Completed
The Effect of Chlorzoxazone on Moderate to Severe Postoperative Pain After Spine Surgery [NCT01933542]Phase 4110 participants (Actual)Interventional2013-08-31Completed
Nebulized Morphine in Chest Trauma Patients: A Prospective Study [NCT03580187]Phase 375 participants (Actual)Interventional2018-06-14Completed
A Randomized Withdrawal, Active- and Placebo-controlled, Double-blind, Multi-center Phase III Trial Assessing Safety and Efficacy of Oral CG5503 (Tapentadol) PR* in Subjects With Moderate to Severe Chronic Malignant Tumor-related Pain [NCT00472303]Phase 3622 participants (Actual)Interventional2007-07-31Completed
Adductor Canal Nerve Block Following Total Knee Arthroplasty: A Randomized, Prospective Study Comparing High vs. Low Volume Bolus of 0.33% Ropivacaine [NCT01939379]0 participants (Actual)Interventional2013-09-30Withdrawn(stopped due to PI left institution. Efforts made to contact PI unsuccessful. No study data available.)
Effectiveness of Preemptive Use of Pregabalin on Pain Intensity and Postoperative Morphine Consumption After Laparoscopic Colorectal Surgery [NCT01940224]50 participants (Actual)Interventional2013-07-31Completed
"Study Design and Rationale of A Multicenter, Open-Labeled, Randomized Controlled Trial Comparing MIdazolam Versus MOrphine in Acute Pulmonary Edema: MIMO Trial" [NCT02856698]Phase 4111 participants (Actual)Interventional2017-04-08Terminated(stopped due to The study was stopped because of the adverse events)
Efficiency of Multi-Modal Anesthesia (MMA) Protocol in Pain Control and Analgesia in Patients Undergoing Posterior Lumbar Spinal Fusion Surgery [NCT05413902]Phase 4100 participants (Actual)Interventional2021-04-05Completed
Systemic Analgesia and Local Anaesthesia for Percutaneous Venous Catheter Placement in Preterm Neonates [NCT00213200]Phase 3108 participants Interventional2003-07-31Completed
Prospective Longitudinal Observational Study to Evaluate the Clinical Characteristics and Opioids Treatments in Patients With Breakthrough Cancer Pain [NCT01946555]150 participants (Actual)Observational2013-09-30Completed
Assessing a Clinically-meaningful Opioid Withdrawal Phenotype [NCT05027919]Phase 260 participants (Anticipated)Interventional2022-02-01Recruiting
The Effect of Dexamethasone in Combination With Paracetamol and Ibuprofen as Adjuvant, Postoperative Pain After Herniated Disc Surgery [NCT01953978]Phase 4160 participants (Actual)Interventional2012-12-31Completed
Multimodal Opiate-sparing Analgesia Versus Traditional Opiate Based Analgesia After Cardiac Surgery, a Randomized Controlled Trial [NCT01966172]Phase 4180 participants (Actual)Interventional2007-03-31Completed
First Evaluation of Morphine Hydrochloride by Nebulisation Compared to Intravenous Route in Healthy Volunteers: Preliminary Study Dose [NCT01975753]Phase 1/Phase 235 participants (Actual)Interventional2014-05-13Completed
The Comparison of 0.15 Milligram Spinal Morphine vs.no Treatment for Morphine Requirement After Video-assisted Thoracoscopic Surgery. A Pilot Randomized Control Study [NCT01979354]Phase 440 participants (Anticipated)Interventional2014-02-28Recruiting
The Efficacy of Intrathecal Morphine in Patients Undergoing Open Nephrectomy [NCT01997788]46 participants (Actual)Interventional2013-08-31Completed
Comparison Between the Effect of Tramadol Versus Morphine on PD1 and PD1-ligand in Patients With Chronic Cancer Pain [NCT04589494]Phase 2/Phase 315 participants (Anticipated)Interventional2020-04-16Recruiting
Is Postoperative Quality of Recovery After Radical Prostatectomy Related to the Type of Anesthesia and Analgesia? [NCT04587505]Phase 461 participants (Actual)Interventional2019-04-01Completed
A Randomized, Controlled Trial of IV Acetaminophen Versus IV Morphine to Manage Pain in Pregnancy: Can Opioid Use be Reduced in Pregnant Women? [NCT02267772]163 participants (Actual)Interventional2014-01-31Terminated(stopped due to Difficulties in recruitment)
Efficacy of the Intralesional Infusion of Local Anesthetic and Steroids After Major Abdominal Surgery: a Randomized Double Blind Phase III Trial [NCT02002663]Phase 3120 participants (Actual)Interventional2013-08-31Completed
A Comparison of Individualized vs. Weight Based Protocols to Treat Vaso-Occlusive Episodes in Sickle Cell Disease [NCT03933397]Phase 3328 participants (Actual)Interventional2019-08-13Terminated(stopped due to Due to COVID enrollment numbers needed to meet the primary endpoint will not be met.)
Impact of Dexmedetomidine Supplemented Analgesia on Long-term Survival in Elderly Patients After Cancer Surgery: a Multicenter Randomized Controlled Trial [NCT03012971]1,500 participants (Actual)Interventional2017-01-06Active, not recruiting
Non-Opiate Treatment After Prenatal Opiate Exposure to Prevent Postnatal Injury to the Young Brain [NCT03396588]Phase 3120 participants (Actual)Interventional2017-12-07Active, not recruiting
Serratus Intercostal Plane Block in Supraumbilical Surgery: A Prospective Randomized Comparison [NCT04282291]105 participants (Actual)Observational [Patient Registry]2016-02-18Completed
Randomized Comparison Study of Single Dose Morphine and Fentanyl Added to Intrathecal Mixture on Orthopedics Patients With Undiagnosed Obstructive Sleep Apnea [NCT02014714]Phase 140 participants (Anticipated)Interventional2013-12-31Recruiting
Correlation of Postoperative VAS Values and Body Mass Index in Patients Undergoing Abdominal Surgery: A Clinical Trial [NCT02017314]Phase 4100 participants (Anticipated)Interventional2013-11-30Recruiting
Phase III Study Evaluating the Efficacy of Topical Morphine in the Treatment of Severe Local Pain of Chronic Wounds [NCT02028923]Phase 3126 participants (Actual)Interventional2014-04-30Terminated(stopped due to Recruiting patients too low)
Randomized, Double-Blind, Placebo and Comparator-Controlled, Dose-Response Trial of the Efficacy and Safety of Intranasal Morphine, Intravenous Morphine and Placebo in Patients With Moderate to Severe Pain Following Orthopedic Surgery [NCT00388011]Phase 2187 participants (Actual)Interventional2005-01-31Completed
A Comparison of Nausea and Vomiting in Postoperative Paediatric Patients With Patient-controlled Analgesia (PCA): Morphine vs Oxycodone (POPCORN) [NCT06186141]Phase 4690 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Effective and Safe Morphine Dose for Patient Controlled Anesthesia in Supratentorial Craniotomies [NCT04313374]Phase 490 participants (Actual)Interventional2016-08-01Completed
Does Adding Nalbuphine to Intrathecal Morphine Reduce Morphine Induced Pruritus? A Randomized, Double Blind, Controlled Study. [NCT04589429]Phase 270 participants (Anticipated)Interventional2020-10-15Recruiting
Effect of Intrathecal Morphine on Chronic Pain After Elective Caesarean Section: A Randomized Controlled Trial. [NCT03451695]Phase 4290 participants (Actual)Interventional2018-04-01Completed
A Within Subject Comparison of Opioid Withdrawal in Opioid Dependent Individuals [NCT01136356]Phase 1/Phase 212 participants (Actual)Interventional2010-07-31Completed
Comparison of Epidural Oxycodone and Epidural Morphine for Post Caesarean Section Analgesia: a Randomised Controlled Trial [NCT02277678]Phase 3100 participants (Actual)Interventional2013-08-31Completed
A Randomized Double-Blind, Placebo- and Active-Controlled, Dose-Ranging Study to Evaluate the Analgesic, Efficacy, Safety and Tolerability of Intravenous N1539 in Subjects After Open Abdominal Hysterectomy [NCT01084161]Phase 2486 participants (Actual)Interventional2010-03-31Completed
Continuous Pre-uterine Wound Infiltration Versus Intrathecal Morphine for Postoperative Analgesia After Cesarean Section. Controlled Comparative Study. [NCT02279628]Phase 4150 participants (Anticipated)Interventional2014-07-31Recruiting
Opioid Titration With 12.5 ug/h Fentanyl Transdermal Patch vs Orally Morphine for Opioid-naïve Patients With Moderate Cancer Pain: A Prospective, Randomized, Controlled, Multi-center, Phase III Trial [NCT04533243]Phase 3209 participants (Anticipated)Interventional2020-09-01Not yet recruiting
The Role of Spinal Analgesia in Laparoscopic and Laparotomic Hysterectomy: an Observational Retrospective Study (the SPIN_GYN Study) [NCT05654363]670 participants (Actual)Observational2023-03-13Completed
Neuraxial Preservative Free Morphine for Normal Spontaneous Vaginal Delivery: A Prospective Double Blind Randomized Control Trial [NCT04017442]Phase 4140 participants (Actual)Interventional2019-10-19Completed
ANalgesic Efficacy and Safety of MOrphiNe Versus Methoxyflurane in Patients With Acute Myocardial Infarction [NCT04476173]Phase 3200 participants (Anticipated)Interventional2020-06-01Recruiting
A Randomized, Double-Blind, Placebo- and Active-Controlled, 3-Way Crossover Study to Determine the Abuse Potential of Oral Administration of Crushed EMBEDA Relative to Crushed Controlled-Release Morphine Sulfate and Placebo in Non Dependent, Recreational [NCT01380093]Phase 180 participants (Actual)Interventional2011-02-28Completed
A Single-Center, Randomized, Double-Blind, Two-Way Crossover Study to Evaluate Whether a Single-Dose Administration of Crushed and Whole EMBEDA Induces Clinical Opiate Withdrawal Signs and Symptoms in Opioid-Dependent Patients With Chronic, Non-Cancer Pai [NCT01100437]Phase 414 participants (Actual)Interventional2010-04-30Terminated(stopped due to See termination reason in detailed description.)
Evaluation of Multimodal Oral Strategies Using Sequential Analysis (Tramadol, Opioid) After Shoulder Ambulatory Surgery [NCT04110665]Phase 4200 participants (Anticipated)Interventional2017-09-01Recruiting
[NCT00783016]Phase 4234 participants (Anticipated)Interventional2008-10-31Completed
Intrathecal Morphine Versus Morphine-dexmedetomidine Combination for Postoperative Pain Control After Total Knee Replacement [NCT05439564]105 participants (Actual)Interventional2022-07-01Completed
Postoperative Analgesia With Transversus Abdominis Plane Block or Quadratus Lumborum Block in Patients After Cesarian Delivery [NCT03404908]Phase 4105 participants (Actual)Interventional2018-02-07Completed
Ultrasound Guided Motor Sparing Knee Blocks With or Without Dexmedetomidine for Postoperative Analgesia Following Knee Arthroplasty: a Randomized Double Blinded Study [NCT02540070]Phase 3135 participants (Anticipated)Interventional2014-08-31Recruiting
"A Randomized Withdrawal, Active- and Placebo-controlled, Double-blind, Multi-center Phase III Trial Assessing Safety and Efficacy of Oral CG5503 (Tapentadol) Prolonged Release (PR*) in Subjects With Moderate to Severe Chronic Malignant Tumor-related Pain [NCT00505414]Phase 3136 participants (Actual)Interventional2007-06-30Terminated(stopped due to Recall of rescue medication, alternative rescue medication availability issues.)
Effects of Obstructive Sleep Apnea Syndrome and Obesity on Morphine Pharmacokinetics in Children [NCT02732795]43 participants (Actual)Interventional2015-07-31Completed
Does Intrathecal Morphine Affect Outcomes in Spine Deformity Surgery: A Prospective, Randomized Clinical Controlled Trial [NCT05092828]Phase 440 participants (Anticipated)Interventional2021-12-01Recruiting
Examining the Relationship Amongst Opioid Subjective Effects and Pharmacokinetics of Extended Release Opioids at Shortened Dosing Intervals in Patients With Chronic Pain: a Randomized, Blinded, N-of-1 Case Series Feasibility Study [NCT04132011]Phase 40 participants (Actual)Interventional2019-05-01Withdrawn(stopped due to No recruitment (Feasibility study).)
[NCT02708459]90 participants (Actual)Interventional2016-03-31Completed
"Red Morphine Drops for Symptomatic Treatment of Dyspnoea in Terminal Patients With Primary Lung Cancer or Lung metastases-a Pilot Study" [NCT00338481]Phase 420 participants (Actual)Interventional2006-04-30Completed
Effectiveness of Bilateral Ultrasound-Guided Erector Spinae Plane Block in Intraoperative and Postoperative Pain Control in Lumbar Spine Surgeries.A Randomized Controlled Trial [NCT04110210]Early Phase 134 participants (Actual)Interventional2019-09-08Completed
Efficacy of Transverses Abdominis -Plane Block With Bupivacaine Versus Bupivacaine With Morphine in Patients Undergoing Major Abdominal Cancer Surgery [NCT02566096]Phase 460 participants (Actual)Interventional2015-09-30Completed
A Prospective Randomized Case Series Comparison on the Clinical Efficacy of Exparel Local Anesthetic in Total Knee Arthroplasty Patients [NCT02765815]Phase 40 participants (Actual)Interventional2016-02-29Withdrawn(stopped due to competing protocol)
Atropine in Laparoscopic Gynaecological Surgery (The ALGOS Trial) A Randomised, Double Blind, Controlled Trial [NCT02769325]Phase 4150 participants (Anticipated)Interventional2016-05-31Not yet recruiting
Intra-Articular Morphine Versus Bupivacaine on Knee Motion in Patients With Osteoarthritis: Randomized and Double-Blind Clinical Trial [NCT00636415]30 participants (Actual)Interventional2004-06-30Completed
Post-cesarean Section Analgesic Potency and Side Effects of Intrathecal Morphine and Nalbuphine [NCT02716129]Phase 280 participants (Actual)Interventional2016-07-31Completed
Postoperative Urinary Retention in Orthopedic Patients Submitted to Intrathecal Anesthesia With Morphine Versus Intrathecal Anesthesia Without Opioid Associated With Peripheral Nerve Block: a Randomized Clinical Trial [NCT04298775]52 participants (Actual)Interventional2017-01-01Completed
A Double Blind Randomized Clinical Trial to Investigate the Efficacy and Safety of Ultra-low Dose Methadone as Adjuvant Analgesic Therapy in Cancer Patients With Pain [NCT02687347]Phase 3204 participants (Anticipated)Interventional2016-02-29Recruiting
A Randomized, Double-blind Comparison of Morphine and Sufentanil for Treatment of Prehospital Traumatic Severe Acute Pain. [NCT00656773]Phase 3108 participants (Actual)Interventional2008-01-31Completed
[NCT02841982]30 participants (Actual)Interventional2016-08-31Completed
Ketamine Improves Post-Thoracotomy Analgesia [NCT00625911]44 participants (Actual)Interventional2001-09-30Completed
A Phase III Randomized, Double-Blind, Placebo- and Active-Comparator-Controlled, Multiple-Dose, Clinical Trial to Study the Safety and Efficacy of MK0663/Etoricoxib and Ibuprofen in the Treatment of Postorthopedic Knee Replacement Surgery Pain [NCT00820027]Phase 3776 participants (Actual)Interventional2008-12-15Completed
Phase 1 Drug-drug Interaction of Cannabidiol and Morphine in Recreational Opioid Users [NCT05143424]Phase 160 participants (Anticipated)Interventional2021-11-04Recruiting
Comparative Study Between Ultrasound-Guided Transversus Abdominis Plane Block and Spinal Morphine for Pain Relief After Elective Caesarean Section [NCT05331781]60 participants (Actual)Interventional2020-01-01Completed
A Randomized, Multicenter, Single-Blind Study Comparing Hydrocodone/Acetaminophen Extended Release 10/650, Morphine Extended Release, and Acetaminophen to Placebo in Subjects With Acute Pain Following Bunionectomy [NCT01038609]Phase 2250 participants (Actual)Interventional2009-12-31Completed
The Analgesic Effects of Morphine Versus Ketorolac in Renal Colic [NCT02782273]Phase 4100 participants (Anticipated)Interventional2016-05-31Not yet recruiting
Comparison of Acupuncture and Titrated (TM) Morphine in Patients Presenting to the Emergency Room (ER) With Acute Renal Colic (RC) [NCT02781415]Phase 3200 participants (Actual)Interventional2014-07-31Completed
Continuous Ketamine Infusion Versus Placebo in the Treatment of Acute Post-Surgical Pain: A Randomized Trial Evaluating the Efficacy of Ketamine in Colorectal Surgery [NCT02785003]Phase 40 participants (Actual)Interventional2016-07-31Withdrawn(stopped due to Lack of Funding)
Influence of METHoxyflurane on ANtiplatelet Effect of Ticagrelor in Patients With Unstable Angina Pectoris - METHANE Study [NCT04442919]Phase 475 participants (Anticipated)Interventional2020-06-01Recruiting
A Randomized, Double-Blind, Double-Dummy, Parallel-Group, Active and Placebo-Controlled Trial to Evaluate the Analgesic Efficacy and Safety of NTM-001 for the Treatment of Moderately Severe Postoperative Pain Following Bunionectomy [NCT05324358]Phase 3360 participants (Anticipated)Interventional2022-11-15Recruiting
Postpartum Perineal Pain After Obstetric Anal Sphincter Injuries: A Randomized Clinical Trial [NCT03470675]Phase 467 participants (Actual)Interventional2018-06-27Active, not recruiting
Optimal Timing of Endoscopic Intervention After Extracorporeal Shock-Wave Lithotripsy in the Treatment of Chronic Pancreatitis With Pancreatic Stones. [NCT05270434]225 participants (Anticipated)Interventional2022-03-01Not yet recruiting
Phase 4 Study of Postoperative Pain Therapy With Hydromorphone Using Patient-Controlled Target-Controlled Infusion (TCI-PCA) vs. Patient-Controlled Analgesia (PCA) With Morphine After Elective Cardiac Surgery [NCT02483221]Phase 450 participants (Actual)Interventional2015-04-30Completed
Pamukkale University Medical School,Dept. of Emergency Medicine [NCT01422291]Phase 4120 participants (Actual)Interventional2011-01-31Completed
Comparison of Analgesic Effects of Ultrasound Guided Transversus Abdominis Plane Block With Bupivacaine and Bupivacaine With Morphine in Patient Undergoing Open Unilateral Inguinal Hernia Repair Under Spinal Anaesthesia [NCT05379374]40 participants (Actual)Interventional2018-08-18Completed
Factors Associated With Failed Spinal Anesthesia for Cesarean Delivery, a Retrospective Case-control Study [NCT04685980]440 participants (Actual)Observational2020-12-25Completed
Comparing Low Dose IV Ketamine-midazolam Versus IV Morphine Regarding ED Pain Control in Patients Sustaining Closed Limb Fracture(s) [NCT01807429]Phase 2/Phase 3236 participants (Actual)Interventional2012-12-31Completed
Randomized, Double-Blind, Active- and Placebo-Controlled Study of Analgesic Efficacy and Safety of Repeated Dosing of MNS075 (Intranasal Morphine), IV Morphine, and Placebo in Acute Post-Operative Pain After Elective Orthopedic Surgery [NCT00390039]Phase 3256 participants (Actual)Interventional2006-05-31Completed
Changes in Morphine Handling and Response in Patients With Brain Trauma [NCT00196131]Phase 1/Phase 220 participants (Actual)Interventional2005-01-31Active, not recruiting
Randomized, Double-Blind, Placebo Controlled, Dose Ranging, Single Dose Comparison of Analgesic Efficacy and Safety of Intranasal Morphine, Immediate Release Oral Morphine, Intravenous Morphine and Placebo in Postsurgical Dental Pain [NCT00390312]Phase 2225 participants (Actual)Interventional2001-09-30Completed
Erector Spinae Plane Block Catheters: The Role in Acute Postoperative Pain After Hepatic Resection With Intrathecal Morphine [NCT04849455]Phase 470 participants (Anticipated)Interventional2021-05-24Recruiting
A Single Dose, Three-Period, Three-Treatment, Six-Sequence, Three-Way Crossover Comparative Bioavailability Study of Morphine Sulfate Immediate Release Tablets and Solution and Controlled Release Capsules Under Steady-State Conditions. [NCT00994383]36 participants (Actual)Interventional2007-01-31Completed
Erector Spinae Plane Block Efficacy Versus Intravenous Morphine for Postoperative Pain Control Following Vertebral Fixation Surgery Via Posterior Approach: a Randomized Controlled Trial [NCT04729049]30 participants (Actual)Interventional2021-02-01Completed
Observational Prospective Study of Opiate-free Anesthesia for Anterior Total Hip Replacement [NCT04112277]100 participants (Actual)Observational2019-04-01Completed
Analgetic Efficiency of Single-shot Perineural Low Dose Dexamethasone Added to Infraclavicular Block Anesthesia for Upper Limb Surgery [NCT02698995]Phase 3180 participants (Actual)Interventional2015-11-30Completed
Efficiency and Safety a Fixed Combination of Orphenadrine and Diclofenac for Postoperative Analgesia in Cardiac Surgery Patients [NCT05322603]60 participants (Actual)Interventional2022-03-18Completed
Use of Caudal Anesthesia Supplemented With Morphine in Children Undergoing Renal Surgery - Prospective Study [NCT01869036]Phase 440 participants (Actual)Interventional2012-07-31Completed
"A Randomized Comparison of Oral Methadone as a First-Switch Opioid Versus Opioid Switching Between Sustained-Release Morphine and Oxycodone for Oncology-Hematology Outpatients With Pain Management Problems: The Simply Rotate Study" [NCT00726830]1 participants (Actual)Interventional2009-03-31Terminated(stopped due to Low Accrual.)
Pediatric Analgesia After Cardiac Surgery; Morphine IV Versus Paracetamol IV After Cardiac Surgery in Neonates and Infants. [NCT05853263]208 participants (Actual)Interventional2016-03-09Completed
Role of Methadone As Co-Opioid Analgesic in Cancer Patients [NCT00558870]Phase 25 participants (Actual)Interventional2007-11-30Terminated(stopped due to Low Accrual.)
A Double-Blind, 3-Part Crossover Study to Assess the Pharmacokinetics and Tolerability of Single Doses of Gabapentin Enacarbil and Morphine Administered Alone and in Combination in Healthy Subjects [NCT01476124]Phase 118 participants (Actual)Interventional2011-08-31Completed
A Randomized, Double-Blind, Study of the Analgesic Efficacy and Safety of Flexible Dose Q8003 Versus Low Dose Q8003 in Patients Who Have Undergone Primary Unilateral Total Knee Arthroplasty [NCT01055015]Phase 3141 participants (Actual)Interventional2010-02-28Completed
Effectiveness of Controlled-Release Morphine for Chronic Neuropathic Pain After Spinal Cord Injury [NCT00488969]Phase 217 participants (Actual)Interventional2007-07-31Completed
Optimizing Pain Treatment in Pre-Term Neonates [NCT00494429]Phase 233 participants (Actual)Interventional2005-05-31Completed
Safety and Efficacy of Intrathecally Administered Magnesium Sulfate Added to Morphine and Local Anesthetics for Major Abdominal Cancer Surgery [NCT03459417]90 participants (Actual)Interventional2018-01-01Completed
Non-Invasive Assessment of Opioid Analgesia in Children With Sickle Cell Disease [NCT00513864]Phase 40 participants (Actual)Interventional2006-11-30Withdrawn(stopped due to lack of funding)
Postoperative Analgesic and Behavioral Effects of Intranasal Fentanyl, Intravenous Morphine and Intramuscular Morphine in Pediatric Patients Undergoing Bilateral Myringotomy and Placement of Ventilating Tubes [NCT01244126]Phase 4171 participants (Actual)Interventional2008-05-31Completed
Differences in the Pharmacokinetic and Pharmacodynamic Profile of Ticagrelor and Its Active Metabolite AR-C124900XX Between Patients With Unstable Angina Pectoris Treated With Crushed Ticagrelor and a Combination of Morphine and Metoclopramide or Morphine [NCT02939235]Phase 432 participants (Actual)Interventional2016-07-31Completed
[NCT02936934]Phase 464 participants (Anticipated)Interventional2016-10-31Not yet recruiting
Randomised Comparison Between Spinal/GA or GA Alone Following Robot-assisted Laparoscopic Prostatectomy. Stress Response, Pain, Recovery and Home Discharge [NCT03639389]Phase 3211 participants (Actual)Interventional2019-01-01Completed
Comparison of the Efficacy of Bilevel Erector Spinae Plane Block and Single Level Erector Spinae Plane Block Versus General Anesthesia in Breast Cancer Surgeries [NCT05429489]120 participants (Anticipated)Interventional2022-06-27Recruiting
Double Blind Randomized Study of Morphine Analgesia in Patients With Acute Appendicitis [NCT00477061]Phase 471 participants (Actual)Interventional2004-01-31Completed
PCA Ketamine-Morphine Versus PCA Morphine as Post-Operative Analgesia in Colorectal Surgery [NCT06021717]Phase 460 participants (Actual)Interventional2018-04-05Completed
A Double-blind, Randomized, 2-way Cross-over, Phase II, Efficacy Trial in Cancer Patients to Assess the Overall Efficacy, Patient Preference, Morphine Related Side Effect Profile and Safety of the Egalet® Controlled Release Morphine Formulation 30-240 mg [NCT00446069]Phase 236 participants (Actual)Interventional2007-08-31Completed
Methadone in Pediatric and Adult Sickle Cell Patients [NCT00761085]47 participants (Actual)Interventional2008-01-01Completed
A Study to Evaluate the Effects of Epidural Lidocaine Administration on the Pharmacokinetic and Pharmacodynamic Profiles of DepoDur® (Morphine Sulfate Extended-release Injection) in Patients Undergoing Cesarean Delivery [NCT00804609]30 participants (Actual)Interventional2008-09-30Completed
Epidural Esketamine and Morphine for Postoperative Analgesia After Caesarean Delivery: A Pilot Study [NCT05582135]119 participants (Actual)Interventional2021-05-05Completed
Morphine or Fentanyl for Refractory Dyspnea in COPD [NCT03834363]Phase 460 participants (Anticipated)Interventional2019-11-15Recruiting
Relieving Dyspnea With Low Dose of Morphine in Patients Admitted to the Intensive Care Unit for an Acute Respiratory Failure: a Double-blind Randomized Controlled Pilot Study [NCT04358133]Phase 223 participants (Actual)Interventional2020-12-16Completed
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo and Active-Controlled Study of Oliceridine (TRV130) for the Treatment of Moderate to Severe Acute Pain After Abdominoplasty [NCT02820324]Phase 3407 participants (Actual)Interventional2016-05-31Completed
Estimation of the ED95 of Intrathecal Hyperbaric Prilocaine 2% With Sufentanyl for Scheduled Cesarean Delivery : a Dose-finding Study Bases on the Continual Reassessment Method (CRM) [NCT03036384]Phase 240 participants (Actual)Interventional2016-03-31Completed
Peripheral Effects of Opioid Analgesia in Patients Undergoing Axillary Node Dissection [NCT00003000]18 participants (Anticipated)Observational1992-05-31Completed
Perioperative Methadone Use to Decrease Opioid Requirement in Pediatric Spinal Fusion Patients [NCT02558010]Phase 358 participants (Actual)Interventional2016-02-01Completed
Local Administration of Morphine: An Evaluation of the Analgesic Effect at Stomatitis in Children [NCT00357942]Phase 472 participants (Actual)Interventional2006-09-30Completed
Randomized, Placebo-Controlled, Double-Blind Cross-Over Trial of Opioids Versus Mexiletine in the Treatment of Postamputation Pain [NCT00383682]Phase 260 participants Interventional1997-07-31Completed
The Effect of Erector Spinae Plane Block on Postoperative Pain Following Laparoscopic Cholecystectomy: A Randomized Controlled Study [NCT03420703]46 participants (Actual)Interventional2018-02-24Completed
The Efficacy of Serratus Anterior Plane Block in Analgesia for Thoracotomy: a Prospective Study [NCT03839160]90 participants (Actual)Interventional2019-12-01Completed
A Phase Ⅲ, Randomized, Double-blind, Placebo- and Active-controlled Study of SHR0410 Injection for the Treatment of Pain After Endoscopic Surgery of the Lower Abdominal [NCT04852003]Phase 3228 participants (Actual)Interventional2021-05-13Completed
[NCT00231517]Phase 40 participants InterventionalCompleted
Multimodal Narcotic Limited Perioperative Pain Control With Colorectal Surgery as Part of an Enhanced Recovery After Surgery Protocol: A Randomized Prospective Single- Center Trial. [NCT02958566]Phase 480 participants (Anticipated)Interventional2017-01-31Recruiting
Does Local Morphine Add to Local Anesthetics in Serratus Anterior Plane Block for Post Mastectomy Pain Has a System Analgesic Effect? A Clinical and Pharmacokinetics Study [NCT02962024]40 participants (Actual)Interventional2016-11-30Completed
Intraarticular Application of Opioids Versus Glucocorticosteroids Versus Placebo in Rheumatoid Arthritis [NCT00244153]Phase 1/Phase 2120 participants Interventional2004-06-30Recruiting
Opiate-Induced Tolerance & Hyperalgesia in Pain Patients [NCT00246532]Phase 4139 participants (Actual)Interventional2005-10-31Completed
Comparison of the Safety and Efficacy of Patient Controlled Analgesia Delivered by Fentanyl HCl Transdermal System Versus Morphine IV Pump for Pain Management After Non-emergent Abdominal or Pelvic Surgery [NCT00266539]Phase 3506 participants (Actual)Interventional2004-04-30Completed
Pain Treatment After Total Knee Replacement - Continuous Epidural Versus Intravenous Patient Controlled Analgesia With Morphine [NCT00270322]Phase 480 participants Interventional2006-01-31Terminated(stopped due to We believe regional anesth better for TKR,90% patients got epidural. Last year we started spinal morphine one shot, and found it very promissing.)
Metabolites of Tramadol in the Postoperative Surgical Patients Admitted in the ICU [NCT04004481]50 participants (Actual)Observational2019-01-25Completed
Comparison of Epidural Bupivacaine-Clonidine With Intravenous Morphine Versus Intravenous Morphine Alone for Post-Operative Pain Relief in Pediatric Patients Undergoing Lower Extremity or Pelvic Osteotomy. [NCT00287326]Phase 340 participants (Anticipated)Interventional2006-01-31Terminated(stopped due to terminated by PI)
Multimodal Management for Perioperative Analgesia in Otolaryngology - Head and Neck Free Flap Reconstructive Surgery: A Prospective Study [NCT04246697]Phase 430 participants (Actual)Interventional2019-11-01Completed
Optimizing Outpatient Anesthesia (OSPREy-Outpatient Surgery Pain Relief Enhancement) [NCT03726268]Phase 41,000 participants (Anticipated)Interventional2018-11-29Active, not recruiting
A Randomized Comparison of Sublingual Buprenorphine to Morphine Sulfate in the Treatment of Neonatal Abstinence Syndrome (NAS) [NCT01708707]Phase 229 participants (Actual)Interventional2012-12-31Completed
Bupivacaine Liposome Suspension Versus a Concentrated Multi Drug Periarticular Injection in 70 Patients Undergoing Total Knee Arthroplasty Without Femoral Nerve Block: a Double-blinded, Randomized Clinical Trial [NCT02299349]70 participants (Actual)Interventional2013-08-31Completed
Withdrawal Suppression Efficacy of Tramadol [NCT00142896]Phase 216 participants (Actual)Interventional2005-02-28Completed
Patient Satisfaction With Subdissociative Dose Ketamine Versus Morphine for Emergency Department Pain Control [NCT04698772]32 participants (Actual)Observational2019-12-19Completed
Effects of Ticagrelor and Intracoronary Morphine on Myocardial Salvage in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention [NCT01738100]Phase 2100 participants (Anticipated)Interventional2012-09-30Recruiting
Morphine Versus Methadone As First Line Strong Opioid for Cancer Pain [NCT00634010]Phase 336 participants (Actual)Interventional2008-02-29Terminated(stopped due to Slow Accrual)
Morphine Modulation of The Brain's Pain Matrix [NCT01245244]Phase 440 participants (Actual)Interventional2010-10-31Completed
An Analgesia Protocol for Acute Renal Colic in the DHMC Emergency Department [NCT00504283]45 participants (Anticipated)Interventional2007-02-28Completed
[NCT00155376]Phase 4100 participants Interventional2005-09-30Recruiting
Intraoperative Administration of Intravenous Morphine in Patients Undergoing Laparoscopic Cholecystectomy - a Retrospective, Observational, Quality-improvement Study [NCT06182111]300 participants (Anticipated)Observational2024-02-29Not yet recruiting
Intranasal Sufentanil for Analgesia of Severe Sickle Cell Vaso-occlusive Pain Crisis in the Pediatric Emergency Department: a Double Blind Randomized Versus Placebo Controlled Trial [NCT06181695]Phase 3182 participants (Anticipated)Interventional2024-05-02Not yet recruiting
A Phase II/Ⅲ, Randomized, Double-Blind, Dose-explored, Active-controlled Study of SHR8554 Injection for the Treatment of Pain After Orthopedic Surgery [NCT05375305]Phase 2/Phase 3320 participants (Actual)Interventional2022-05-11Completed
The SIM-study: A Randomized Controlled Trial of Subcutaneous Versus Intravenous Morphine When Switching From Oral to Parenteral Route in Palliative Cancer Patients [NCT05236647]Phase 360 participants (Anticipated)Interventional2022-03-08Recruiting
Early and Late Postoperative Analgesia and Recovery Effects of Programmed Intermittent Bolus Infusion of Thoracic Paravertebral Block for Hepatectomy: A Prospective, Randomized, Double-blinded, Controlled Study [NCT04304274]76 participants (Actual)Interventional2020-03-10Completed
Biobehavioral Studies of Opioid Seeking: Effects of Buprenorphine/Naloxone Dose on Experimental Stress Reactivity and Opioid Abstinence [NCT03015246]Phase 1/Phase 226 participants (Actual)Interventional2016-12-31Completed
Outcomes And Parent Satisfaction Associated With Parent/Nurse Controlled Analgesia In Pediatric Patients With Developmental Delay [NCT00743730]94 participants (Actual)Interventional2005-06-30Completed
A Phase III Randomized, Double-blind, Dose-Controlled, Multicenter Study Evaluating the Safety and Efficacy of Dexmedetomidine in Intubated and Mechanically Ventilated Pediatric Intensive Care Unit Subjects [NCT00875550]Phase 3175 participants (Actual)Interventional2010-01-31Completed
A Randomised, Double-Blind, Double-Dummy, Placebo And Active Controlled, 4-Way Crossover Methodology Study To Assess The Effect Of Gabapentin, Diphenhydramine And Morphine On Cold Pain In Healthy Male Volunteers [NCT01119222]Phase 119 participants (Actual)Interventional2008-07-31Completed
Postoperative Thoracic Epidural Analgesia in Super Obese Patients (~BMI 60 kg m-2) Undergoing Open Weight Loss Surgery :Does the Addition of Morphine to 0.1% and 0.2% Levobupivacaine Affect Postoperative Pain Relief, Perioperative Lung Function, Return of [NCT01249872]Phase 2/Phase 396 participants (Actual)Interventional2010-01-31Completed
Comparing Intrathecal Morphine and Erector Spinae Plane Regional Anesthesia Against Intrathecal Morphine Alone for Post-Cesarean Section Pain [NCT06114121]Phase 4100 participants (Anticipated)Interventional2024-01-10Not yet recruiting
Ilioinguinal Iliohypogastric Nerve Block Compared to Intrathecal Morphine as Adjunct to Spinal Anesthesia for Cesarean Section: Randomized Controlled Trail [NCT06108895]30 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Buprenorphine for the Treatment of Neonatal Abstinence Syndrome [NCT00521248]Phase 160 participants (Anticipated)Interventional2004-04-30Completed
Differences in the Pharmacokinetic and Pharmacodynamic Profile of Ticagrelor and Its Active Metabolite AR-C124900XX Between Patients With Unstable Angina Pectoris Treated With Crushed Ticagrelor and a Combination of Morphine and Naloxone or Morphine Alone [NCT02939248]Phase 430 participants (Actual)Interventional2016-10-31Completed
Spinal Morphine in Robotic Assisted Radical Prostatectomy [NCT02924974]Phase 4160 participants (Anticipated)Interventional2016-09-30Completed
Opioid Induced Acute Preconditioning [NCT00184938]40 participants (Anticipated)Interventional2005-01-31Suspended
Postoperative Analgesia After Total Hip Replacement [NCT00219921]Phase 3120 participants Interventional2005-09-30Completed
Bioavailability and Effectiveness of Transdermally Administered Morphine [NCT00125684]Phase 16 participants (Anticipated)Interventional2003-07-31Completed
Implications of Different Analgesic Models on Inflammatory Markers After Laparoscopic Cholecystectomy [NCT04609033]110 participants (Actual)Interventional2020-10-24Completed
A Proof of Concept Randomized, Double-blind, Parallel Group, Controlled Dose-finding and Safety Study of STR-324 in Post-operative Pain [NCT04582786]Phase 2118 participants (Anticipated)Interventional2020-12-01Recruiting
Methadone Demonstration Project With Neonatal Intensive Care Unit Infants Diagnosed With Neonatal Abstinence Syndrome [NCT03134703]Phase 211 participants (Actual)Interventional2017-02-27Terminated(stopped due to Poor recruitment)
Impact of Adductor Canal Block, Compared to Patient Controlled Analgesia, in the Surgical Stress Response of Patients Programmed for Traumatic Anterior Cruciate Ligament Repair [NCT04797546]Phase 10 participants (Actual)Interventional2016-09-30Withdrawn
Programmed Intermittent Bolus Versus Continuous Infusion for Epidural Analgesia in Major Abdominal Surgery: a Randomized Clinical Trial [NCT04254523]88 participants (Actual)Interventional2019-11-14Completed
A Randomized, Open-Labeled, Multi-Center Study to Investigate the Safety and Efficacy of OROS Hydromorphone HCl Comparing With Morphine SR in Cancer Pain Patients [NCT00803283]Phase 32 participants (Actual)Interventional2008-11-30Terminated
Determining the Role of Periarticular Multimodal Analgesia in Decreasing Perioperative Pain in Tibial Plateau Fractures [NCT05037812]Early Phase 1150 participants (Anticipated)Interventional2019-03-25Active, not recruiting
Evaluating the Effectiveness of Local Multimodal Injection in Controlling Pain, Limiting Complications, and Reducing Cost as Compared to Regional Anesthesia for Treating Rotational Ankle Fractures. [NCT05019638]Early Phase 1200 participants (Anticipated)Interventional2021-05-15Enrolling by invitation
Outcomes Of Perioperative Pregabalin On Total Knee Arthroplasty: A Randomized Controlled Trial [NCT02954484]Phase 3116 participants (Actual)Interventional2015-04-30Completed
Multimodal Perioperative Pain Management of Circumferential Lumbar Fusion Improves Recovery [NCT01513564]120 participants (Actual)Interventional2001-01-31Completed
Evaluating Pain Outcomes of Caudal vs Ilioinguinal Nerve Block in Children Undergoing Orchiopexy Repair [NCT03041935]90 participants (Actual)Interventional2015-09-01Completed
[NCT01522534]Phase 326 participants (Actual)Interventional2012-01-31Terminated(stopped due to not enough inclusions)
Perioperative Pain Management In Spine Surgery Patients: Part I [NCT01447888]100 participants (Actual)Interventional2011-09-30Completed
Effect of Perioperative Electroacupuncture With Tramadol and Ketamine on Postoperative Analgesia in Prostatectomy: a Randomized Placebo-controlled Trial [NCT01526525]Phase 470 participants (Actual)Interventional2009-07-31Completed
A Randomized, 2-Part, Crossover, Single Center Study to Evaluate Effect of Quinidine on the Pharmacokinetics of NKTR-118 and the Concomitant Effect of Quinidine and NKTR-118 on Morphine-induced Miosis [NCT01533155]Phase 1214 participants (Actual)Interventional2012-03-31Completed
Evaluation of Oxycodone Hydrochloride Versus Intravenous Morphine Hydrochloride for Postoperative Analgesia After Hip Prosthetic Surgery [NCT01536301]Phase 4246 participants (Actual)Interventional2012-06-30Completed
Effect of Morphine on Dyspnea and 6-Minute Walk Distance in Pulmonary Arterial Hypertension [NCT03401476]Phase 215 participants (Anticipated)Interventional2017-05-08Enrolling by invitation
Morphine as the First Drug for the Treatment of Cancer Pain [NCT01541124]60 participants (Actual)Interventional2008-08-31Completed
A Single Center, Prospective Randomized Double-blind Trial: Efficacy of Nefopam and Morphine in Balanced Analgesia for Acute Ureteric Colic [NCT01543165]Phase 4111 participants (Anticipated)Interventional2012-12-31Recruiting
[NCT01546701]Phase 480 participants (Actual)Interventional2011-03-31Completed
An Open, Randomized, Parallel Group Study in Patients With Cancer Pain, To Compare a Two-Step Analgesic Ladder (Non-Opioid to Oxycodone) With Conventional Management Using A Three-Step Approach [NCT00378937]Phase 430 participants (Anticipated)Interventional2004-01-31Completed
Randomized, Controlled, Observer-blinded Study on the Efficacy of TAP Block With 0.375% Levobupivacaine in Terms of PCA Morphine Postoperative Consumption in Patients Undergoing Laparoscopic Hysterectomy [NCT01552148]Phase 452 participants (Actual)Interventional2012-03-31Completed
Methadone in Ambulatory Surgery [NCT02300077]60 participants (Actual)Interventional2014-12-31Completed
Methadone for 'Adenocarcinopathic' Pain Treatment: Methadone vs. Morphine Vanguard RCT [NCT05325164]Phase 30 participants (Actual)Interventional2022-09-30Withdrawn(stopped due to Trial not started; change in Sponsor and Principal Investigator, trial to be registered again by new Sponsor/Investigator if it is started.)
A Randomized Trial Comparing Intrathecal Morphine and Intraoperative Lidocaine Infusion to Epidural Anesthesia With Postoperative PCA for Patients Undergoing Exploratory Laparotomy on the Gynecologic Oncology Service. [NCT05017246]Phase 2174 participants (Anticipated)Interventional2022-01-18Recruiting
Comparison of 0.1 and 0.05mg Intrathecal Morphine When Administered With a Multimodal Pain Regimen for Post-cesarean Analgesia [NCT03427463]Early Phase 1200 participants (Anticipated)Interventional2018-01-16Recruiting
Assessing the Effectiveness of Ibuprofen Compared to Morphine as a Pediatric Postoperative Pain Management Tool Following Inguinal Surgery (AIMS) [NCT02603848]100 participants (Anticipated)Interventional2017-02-27Recruiting
An Open Label, Randomized, Multicenter, Crossover, Phase II Study to Compare Pain Relief Following Morphine Administration Via AERxPMS vs Orally in Cancer Patients Experiencing Opioid-Sensitive Breakthrough Pain [NCT00020618]Phase 20 participants Interventional2001-03-31Completed
Randomized Controlled Trial Evaluating the Transcutaneous Carbon Dioxide Measurements in Obese Women Using Intrathecal Morphine Versus Patient-Controlled Intravenous Hydromorphone for Post-Cesarean Analgesia [NCT03282669]Phase 40 participants (Actual)Interventional2019-08-31Withdrawn(stopped due to Change in institutional policy. Change in resources available.)
Effect of Body Mass Index on the ED95 of Intrathecal Hyperbaric Bupivacaine for Elective Cesarean Section [NCT00403663]52 participants (Actual)Interventional2006-10-31Completed
Interaction Between Nalbuphine and Morphine in Postoperative PCA for Gynecologic Patients [NCT00155233]Phase 4200 participants Interventional2005-01-31Recruiting
Comparison of Peripheral Nerve Blocks vs. Combination of Peripheral Nerve Block and DepoDur in Total Knee Joint Replacement: A Prospective, Randomized Study [NCT00895531]Phase 475 participants (Actual)Interventional2009-12-31Terminated(stopped due to Investigator left institution)
Safety and Efficacy of Hydromorphone as an Analgesic Alternative to Morphine in Acute, Severe Pain: A Randomized Clinical Trial [NCT00195910]Phase 2198 participants (Actual)Interventional2004-10-31Completed
Analgesic Strategies in Newborns Receiving Prostaglandin Therapy [NCT00200590]30 participants (Anticipated)Interventional2003-12-31Terminated(stopped due to More important number of SAE in one arms)
Robot-assisted Lobectomy Versus Video-assisted Lobectomy : a Prospective Observational Study [NCT03111797]200 participants (Actual)Observational2016-01-01Completed
"NEUROIMPA Intraarticular Application of Opioids in Chronic Arthritis" [NCT02967302]Phase 2/Phase 3112 participants (Anticipated)Interventional2015-08-31Active, not recruiting
Intravenous Ketorolac Vs. Morphine In Children Presenting With Suspected Appendicitis: A Pilot Single Center Non Inferiority Randomised Controlled Trial [NCT04528563]Phase 3105 participants (Actual)Interventional2021-05-05Completed
Evaluation of Non-opioid Balanced General Anesthesia in Cardiac Surgery With Extracorporeal Circulation: a Randomized, Controlled, Multicenter Superiority Trial [NCT04886453]Phase 3320 participants (Anticipated)Interventional2021-08-30Recruiting
Peri-articular Injections Containing a Corticosteroid During Total Knee Arthroplasty [NCT00492973]101 participants (Actual)Interventional2006-03-31Completed
Regional vs General Anesthesia in Patients With Hip Fracture Under Treatment With Clopidogrel [NCT03596060]150 participants (Anticipated)Interventional2017-10-20Recruiting
Repurposing Slow-Release Oral Morphine as a New Oral Alternative for the Treatment of Opioid Use Disorder [NCT03948464]Phase 327 participants (Actual)Interventional2019-12-06Terminated(stopped due to Study unable to proceed per protocol due to COVID-19 precautions)
Efficacités comparées du Bloc Des Muscles érecteurs du Rachis, du Bloc péridural et de la rachianalgésie en Chirurgie Thoracique Majeure. [NCT04147754]200 participants (Anticipated)Observational2019-11-04Not yet recruiting
Efficacy and Safety of Methoxyflurane Vaporized (PENTHROX®) in the Treatment of Acute Trauma Pain in Pre-hospital Setting and in the Emergency Department in Italy: a Multicentre, Randomized, Controlled, Open-label Study [NCT03585374]Phase 3272 participants (Actual)Interventional2018-02-08Completed
A Randomized, Open Label Clinical Trial of Buprenorphine in the Treatment of Neonatal Abstinence Syndrome in Infants With In Utero Exposure to Benzodiazepines or Are Breastfeeding [NCT01671410]Phase 111 participants (Actual)Interventional2012-08-31Completed
Effects of Chronic Musculoskeletal Pain and Opioidergic Versus Placebo Interventions on Neuroendocrine Function in Men [NCT00737737]Phase 48 participants (Actual)Interventional2008-08-31Completed
Effect of Intradermal Morphine Application on Histaminergic and Non-histaminergic Itch and Related TRPV1 and Antihistamine Treatment [NCT04672382]26 participants (Actual)Interventional2021-07-01Completed
The Analgesic Effect of Combined Treatment With Intranasal S-Ketamine and Intranasal Midazolam Compared With Morphine Patient Controlled Analgesia in Spinal Surgery Patients [NCT01275547]Phase 2/Phase 322 participants (Actual)Interventional2011-01-31Completed
Imaging the Neuroimmune Effects of Acute Opioid Administration [NCT03801629]Phase 110 participants (Actual)Interventional2019-09-12Completed
Embrace TDD: Prospective, Multi-Center, Post Market Study to Evaluate Intrathecal (IT) Morphine as an Alternative to Systemic Opioids for the Treatment of Chronic, Intractable, Non-Malignant Primary Back Pain With or Without Leg Pain [NCT03761277]Phase 493 participants (Actual)Interventional2019-01-16Completed
Postoperative Epidural Analgesia in Spine Fusion Surgery [NCT01838707]Phase 260 participants (Actual)Interventional2007-12-31Completed
Assessment of the Analgesic Efficacy of Morphine Chloride in Addition to a Low Dose Solution of Spinal Anaesthetic in Hemorrhoidectomy Compared to a Standard Dose of Spinal Local Anaesthetic. Simple Blind, Randomized, With Blinded Evaluation by Third Part [NCT02046772]Phase 463 participants (Actual)Interventional2012-03-31Completed
Comparative Study on the Effect of Quadratus Lumborum Block Versus Intrathecal Morphine on the Incidence of Chronic Pain Post Caesarean Section in a University Hospital of Middle-income Country; A Randomized Control Study [NCT05602038]100 participants (Anticipated)Interventional2023-02-01Not yet recruiting
Effect of Bilateral Quadratus Lumborum Block for Pain Relief in Patients With Cesarean Section [NCT03199170]90 participants (Actual)Interventional2017-09-01Completed
Low Dose Ketamine Versus Morphine for Moderate to Severe Pain in the Emergency Department: A Prospective, Randomized, Double-Blind Study [NCT01835262]Phase 490 participants (Actual)Interventional2013-04-30Completed
OPRM1 A118G SNP Effect on Striatal Dopamine Response to an IV Opiate [NCT01878006]Phase 215 participants (Actual)Interventional2013-06-13Completed
Intraosseous Morphine Administration During Primary Total Knee Arthroplasty: A Randomized Clinical Trial [NCT04388111]Phase 448 participants (Actual)Interventional2020-05-05Completed
Low-Dose Ketamine Versus Morphine for Moderate to Severe Pain in the Emergency Department Geriatric Population: A Prospective, Randomized, Double-Blind Study. [NCT02673372]Phase 460 participants (Actual)Interventional2016-04-30Completed
Development of Analgesic Tolerance to Repeated Doses of Subcutaneous Morphine Using the Brief Thermal Sensitization Model in Healthy Volunteers [NCT00256347]30 participants Interventional2005-03-31Completed
[NCT00199316]80 participants (Anticipated)Interventional2005-01-31Recruiting
Double Bedtime Dosing During Immediate-release Morphine Administration to Cancer Patients: A Randomized, Double-blind Cross-over Comparison of a Double Bedtime Dose Ver-sus Two Standard Doses at Bedtime and at Night [NCT00201539]Phase 319 participants (Actual)Interventional2002-04-30Completed
A Randomized, Double-Blind, Controlled Trial of Hydromorphone (Immediate and Sustained- Release) vs Morphine (Immediate and Sustained-release) in Cancer Pain [NCT00410540]Phase 3202 participants (Actual)InterventionalCompleted
Pre-hospital Morphine Titration : Comparison of 0,05 Versus 0,1 mg/kg [NCT00237731]Phase 4106 participants (Actual)Interventional2005-09-30Completed
Oral Morphine Versus Ibuprofen for Post-operative Pain Management in Children: a Randomized Controlled Study [NCT01686802]Phase 2132 participants (Actual)Interventional2012-09-30Completed
Postoperative Analgesia After Total Hip Arthroplasty. A Comparison of Continuous Epidural Infusion and Wound Infiltration With Intraarticular Bolus Injection. [NCT00289419]Phase 480 participants (Actual)Interventional2005-02-28Completed
Sedation and Analgesia in Intensive Care: Comparison of Morphine and Fentanyl/Midazolam [NCT01602640]90 participants (Actual)Interventional2009-01-31Completed
Comparison of the Safety and Efficacy of Patient Controlled Analgesia Delivered by the E-TRANS Fentanyl HCl Transdermal System Versus Morphine IV Pump for Pain Management After Primary Unilateral Total Hip Replacement [NCT00264485]Phase 3799 participants (Actual)Interventional2004-03-31Completed
Does the Use of Intrathecal Morphine Increase the Length of Hospital Stay in Fast Track Orthopedic Procedures? [NCT05105074]104 participants (Actual)Interventional2019-01-19Completed
The Optimal Dosage of Intrathecal Morphine for Peripartum Analgesia [NCT01146457]83 participants (Actual)Interventional2010-07-31Terminated(stopped due to Principal Investigator)
A Randomized Clinical Trial Comparing Different Dosing Regimens of Intravenous Morphine in the Treatment of Adult Patients Presenting to the Emergency Department With Moderate to Severe Pain [NCT00293969]280 participants Interventional2005-03-31Completed
Analgesia and Wound Healing Assessment Following Topical Morphine Applied to Patients With Cutaneous Cancer Related Pain [NCT00306020]0 participants (Actual)Interventional2006-01-31Withdrawn(stopped due to The study was withdrawn due to difficulties in recruiting appropriate patients in community clinic setting)
Randomized, Double-blind, Placebo Controlled, Superiority Phase II Study to Evaluate the Safety, Pharmacokinetic, Efficacy of Gabapentin as add-on to Morphine in Children From 3 Months to Less Than 18 Years [NCT03275012]Phase 20 participants (Actual)Interventional2017-04-04Withdrawn(stopped due to Study not started)
Ultrasound-assisted Bilateral Transversus Abdominis Plane Block for Open Prostatectomy [NCT01625572]66 participants (Actual)Interventional2012-07-31Completed
Opioid-Sparing Multimodal Analgesia Versus Opioid Analgesia for Postoperative Pain After Elective Craniotomy [NCT05474040]60 participants (Actual)Interventional2021-12-15Completed
Single Dose Two-Way Crossover Fed Bioequivalence Study of Morphine Sulfate 60 mg Extended-Release Tablets in Healthy Volunteers. [NCT01665209]Phase 124 participants (Actual)Interventional2006-10-31Completed
Single Dose Two-Way Crossover Fasted Bioequivalence Study of Morphine Sulfate 60 mg Extended-Release Tablets in Healthy Volunteers. [NCT01665222]Phase 126 participants (Actual)Interventional2006-10-31Completed
Determination of Effectiveness of Periarticular Local Infiltration When Compared to Spinal Epimorph for Analgesia in Total Knee Arthroplasty [NCT01667445]Phase 4113 participants (Actual)Interventional2012-09-30Completed
Assessment of Analgesic Effect of Ketamine Vs Ketamine Magnesium Infusion and Their Effect on Postoperative Morphine Consumption After Surgical Nephrectomy [NCT05596669]Phase 1100 participants (Actual)Interventional2021-09-01Completed
Comparative Study Between Erector Spinae Plane Block Versus Intravenous Morphine as Postoperative Analgesia After Spine Surgeries . [NCT05350696]60 participants (Anticipated)Interventional2023-11-20Not yet recruiting
Oral Morphine Versus Ibuprofen for Post-fracture Pain Management in Children: a Randomized Controlled Study [NCT01690780]183 participants (Actual)Interventional2012-09-30Completed
Randomized, Double Blind, Cross Over Study Comparing Effectiveness of Traditional Opioids Versus Opioids in Admixture With Bupivacaine Upon Self-administration of Boluses Via a Personal Therapy Manager (PTM) in Intrathecal Pumps [NCT02886286]Phase 417 participants (Actual)Interventional2016-05-31Completed
A Prospective Double Blind Randomized Comparison of Methadone, Fentanyl, and Morphine for Post-laparotomy Epidural Analgesia. [NCT01828840]100 participants (Anticipated)Interventional2014-04-30Completed
A Comparison Trial Between Patient Controlled Intravenous Analgesia (PCA) and Epidural Analgesia for Pectus Excavatum Repair [NCT02056301]Phase 462 participants (Actual)Interventional2012-08-31Terminated(stopped due to New method of pain control pushed by surgeons.)
Physiological Mechanisms of Dyspnea Relief and Improved Exercise Tolerance After Treatment With Oral Morphine in Patients With Advanced Chronic Obstructive Pulmonary Disease (COPD). [NCT01718496]Phase 320 participants (Anticipated)Interventional2014-07-31Recruiting
Effect of Thoracic Epidural Analgesia for Thoracic Surgery on Arrhythiogenesis [NCT01718717]50 participants (Anticipated)Interventional2014-12-31Not yet recruiting
Altered Drug Disposition and Biomarkers for Diagnosis of Chronic Inflammatory Liver Disease. [NCT01766960]Phase 122 participants (Actual)Interventional2012-11-30Completed
Safety and Efficacy of Intrathecal Morphine in Children Undergoing Major Abdominal Surgeries, Dose-finding Clinical Study [NCT03120403]Phase 245 participants (Actual)Interventional2016-07-01Completed
Vital-signs-integrated Patient-assisted Intravenous Opioid Analgesia for Postsurgical Pain: A Novel Modality to Improve Patient Safety by Detecting and Preventing Respiratory Depression [NCT02804022]Phase 220 participants (Actual)Interventional2016-12-29Active, not recruiting
Investigation of Analgesic Effect of Long Thoracic Nerve Blockade After VATS (Video-Assisted Thoracoscopic Surgery) Operation [NCT03483415]60 participants (Anticipated)Interventional2018-05-01Not yet recruiting
A Multicentre, Double-Blind, Double-Dummy, Two-Phase Crossover Study of Fentanyl Citrate Nasal Spray Compared to Immediate Release Morphine Sulphate in the Treatment of BTCP in Subjects Taking Regular Opioid Therapy [NCT00589823]Phase 3135 participants (Actual)Interventional2007-06-30Completed
Efficacy and Side Effects of Intrathecal Morphine in Multimodal Analgesia for Unilateral Total Knee Arthroplasty [NCT03232957]131 participants (Actual)Interventional2017-08-01Completed
A Placebo-controlled, Randomized, Double-blind Study of the Safety and Efficacy of Q8003 in the Management of Post-bunionectomy Pain [NCT00560183]Phase 3256 participants (Actual)Interventional2007-11-30Completed
Prospective, Randomized Clinical Pilot Study: Oral Opiate Targin In Treatment Of Postoperative Pain After Major Cardiac Surgery [NCT01816581]Phase 450 participants (Actual)Interventional2011-07-31Completed
Randomized Controlled Trial to Evaluate the Efficiency of IV Fluids in the Treatment of Renal Colic [NCT03529097]Phase 40 participants (Actual)Interventional2018-06-01Withdrawn(stopped due to No participants enrolles)
RANDOMISED STUDY ABOUT POTSOTERATORY PAIN CONTROL IN LAPAROSCOPIC SIGMOIDECTOMY [NCT01825993]Phase 3225 participants (Anticipated)Interventional2013-04-30Not yet recruiting
Evaluating the Effectiveness of Topical Morphine Compared With a Routine Mouthwash in Managing Cancer Treatment-induced Mucositis in Patients With Head and Neck Cancer in Isfahan [NCT01837446]Phase 2/Phase 330 participants (Actual)Interventional2011-07-31Completed
A Phase II/III, Open-Label, Multicenter, Safety, Efficacy and Pharmacokinetic Study of Dexmedetomidine in Neonates Ages ≥28 Weeks to ≤44 Weeks Gestational Age [NCT01159262]Phase 2/Phase 336 participants (Actual)Interventional2010-07-31Completed
Comparison of a Pain Pump Versus Injectable Medication for Analgesia in Knee Arthroscopy [NCT01242644]Phase 248 participants (Actual)Interventional2006-10-31Completed
Reduction of Bladder Injection Pain With Belladonna Opiate Suppository: A Randomized, Double-Blind, Placebo-Controlled Trial (ROBIN Trial) [NCT02600715]Phase 426 participants (Actual)Interventional2015-11-30Completed
Reduced Opioid Analgesic Requirements Via Improved Endogenous Opioid Function [NCT02469077]117 participants (Actual)Interventional2015-08-31Completed
A Multicenter, Open Label, Safety and Pharmacokinetic Study of Oral Morphine Sulfate Administration in Pediatric Subjects 2 Years Old Through 17 Years Old With Postoperative Pain [NCT01322360]Phase 450 participants (Actual)Interventional2011-04-30Completed
Pharmacological Treatment of Neonatal Abstinence Syndrome: Opiate Versus Non-Opiate [NCT01734551]Phase 431 participants (Actual)Interventional2011-09-30Completed
The Analgesic Efficacy of Ultrasound Guided Transversus Abdominis Plane (TAP) Block in Lower Abdominal OncoSurgeries [NCT03165383]60 participants (Actual)Interventional2013-02-11Completed
A Phase III, Randomized, Double-Blind, Placebo- and Active-controlled Study of SHR8554 Injection for the Treatment of Pain After Abdominal Surgery. [NCT04766463]Phase 3528 participants (Actual)Interventional2021-03-03Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Open Colectomy [NCT01507220]Phase 42 participants (Actual)Interventional2012-03-31Terminated(stopped due to Slow enrollment)
Analgesic Effect of Single Dose Intravenous Acetaminophen in Pediatric Patients Undergoing Tonsillectomy [NCT01691690]Phase 2250 participants (Actual)Interventional2012-10-31Completed
Epidural Morphine for Geriatrics Undergoing Lower Abdominal Cancer Surgery: a Dose Response Study [NCT04316871]Phase 488 participants (Actual)Interventional2020-03-20Completed
Randomized, Double Blinded, Trial Comparing Intrathecal Morphine With Placebo in Patients Undergoing Robotic Totally Endoscopic Beating Heart Coronary Revascularization and Intraoperative Extubation [NCT03241485]Phase 479 participants (Actual)Interventional2018-06-19Completed
Patient-controlled Sedation With Propofol Versus Combined Sedation During Bronchoscopy - a Randomized Controlled Trial [NCT03357393]150 participants (Actual)Interventional2016-04-04Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Open Colectomy [NCT01507233]Phase 45 participants (Actual)Interventional2012-05-31Terminated(stopped due to Slow enrollment.)
A Randomized, Double-Blind, Double-Dummy, Active-Controlled, Repeated Dose, Multicenter Study to Compare Intravenous and Oral Acetaminophen for the Treatment of Acute Moderate to Severe Pain in Combination With Patient-Controlled Analgesia With Morphine i [NCT02746263]Phase 41 participants (Actual)Interventional2016-04-27Terminated(stopped due to Business decision because enrollment was slower than expected)
"Does a 1 Plus 1 Hydromorphone Pain Protocol Have a Similar Rate of Respiratory Depression to Physician Discretion Protocol in a Geriatric Population With Moderate to Severe Pain?" [NCT01784991]116 participants (Actual)Interventional2011-12-31Terminated(stopped due to difficulty in recruiting)
A Laboratory Model for Heroin Abuse Medications [NCT00000273]Phase 28 participants (Actual)Interventional1995-08-31Completed
Ultrasound Guided PECs II (Pectoralis and Serratus Nerves) Block in Patients Undergoing a Thoracic Surgery [NCT03023982]Phase 2168 participants (Anticipated)Interventional2017-02-28Not yet recruiting
Intrathecal Opioids for Pain Control After Colorectal Resection: Determining the Optimal Dose [NCT04752033]Phase 480 participants (Actual)Interventional2021-03-10Completed
Efficacy of Caudal Block on Intra-operative Anal Sphincter Muscle Tone and Post-operative Analgesia During Anal Sphincter Sparing Procedures Under General Anaesthesia: A Randomized Control Trial [NCT04651595]26 participants (Actual)Interventional2021-01-01Completed
A Phase 2, Randomized, Double-Blind, Placebo- and Active-controlled Study of TRV130 for the Treatment of Acute Postoperative Pain Following Abdominoplasty [NCT02335294]Phase 2200 participants (Actual)Interventional2014-12-31Completed
Decreased Neuraxial Morphine and Adjunctive Peripheral Nerve Blockade to Reduce Severity of Side Effects and Opioid Use After Cesarean Delivery [NCT04279054]Early Phase 187 participants (Actual)Interventional2020-09-09Active, not recruiting
A Phase III Double-Blind Equivalence Study of Two Different Formulations of Slow-Release Morphine Followed by a Randomization Between Dextromethorphan or Placebo Plus Statex SR for Chronic Cancer Pain Relief in Terminally Ill Patients [NCT00003687]Phase 387 participants (Actual)Interventional1998-06-11Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of Bupivacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Open Colectomy [NCT01507246]Phase 442 participants (Actual)Interventional2011-12-31Completed
Comparison of Intrathecal Morphine With Quadratus Lumborum Block for Post-Cesarean Delivery Analgesia: [NCT02339766]8 participants (Actual)Interventional2015-10-01Terminated(stopped due to Not feasible due to difficulty with recruitment.)
Intrathecal Dexmedetomidine Versus Intrathecal Morphine Inpatients Undergoing Cardiac Valve Replacement Surgeries: Effect on Postoperative Pain and Diaphragmatic Function [NCT06076759]40 participants (Anticipated)Interventional2023-10-01Not yet recruiting
Morphine as an Adjunct in Sonar Guided Transversus Abdominis Plane Block for Postoperative Analgesia in Patients Undergoing Abdominal Surgery. [NCT02976597]Phase 2/Phase 390 participants (Actual)Interventional2016-11-30Completed
Dose Response Relationship of Dexmedetomidine in Decreasing Post Operative Analgesic Requirements in the Pediatric Tonsillectomy Patient [NCT01057381]Phase 4109 participants (Actual)Interventional2005-08-31Completed
Multimodal Analgesia With Interfascial Continuous Wound Infiltration of a Local Anaesthetic vs Intravenous Opioids After Laparoscopic Colon Surgery: A Randomized Clinical Trial. [NCT02223533]Phase 4110 participants (Actual)Interventional2012-01-31Completed
Comparative Effect of Combined High Spinal and General Anaesthesia With General Anaesthesia Alone On Right Ventricular Function In Patients With Mitral Valvular Disease With Pulmonary Hypertension [NCT03013075]Phase 450 participants (Anticipated)Interventional2016-11-30Recruiting
Randomized, Double-Blinded Placebo Controlled Trial of Epidural, Sustained-relief Morphine for Acute Post-operative Analgesia Following Selective Dorsal Rhizotomy in Children [NCT00955877]13 participants (Actual)Interventional2010-03-31Terminated(stopped due to The manufacturer decided to stop drug production.)
Effect of Dexmedetomidine on Postoperative Glucose Levels and Insulin Secretion Patterns in Obese Patients With Impaired Glucose Tolerance. [NCT03809182]Phase 440 participants (Actual)Interventional2012-09-27Completed
Comparison of Ultrasound Guided Femoral Nerve Blockade and Standard Parenteral Opioid Pain Management Alone in Patients With Hip Fracture in the Emergency Department [NCT02381717]60 participants (Anticipated)Interventional2015-08-31Recruiting
Morphine: a Novel Intervention to Maximize the Benefits of Exercise Training in Adults With Chronic Lung Disease and Persistent Breathlessness? [NCT03824834]Phase 240 participants (Anticipated)Interventional2019-08-06Recruiting
Fentanyl Versus Morphine in Spinal Anesthesia for Caesarian Section - Study on Perioperative Analgesia, Side Effects and Patient 's Satisfaction [NCT05533229]160 participants (Actual)Observational2022-04-01Completed
A Randomized, Phase IIa Trial Evaluating the Safety and Efficacy of a New Centrally Acting Analgesic in Subjects With Moderate to Severe Pain Following Bunionectomy. [NCT00872885]Phase 2258 participants (Actual)Interventional2009-03-31Completed
High Spinal Anesthesia and the Incidence of Delirium After Cardiac Surgery: a Randomized-controlled Feasibility Trial [NCT05374356]50 participants (Anticipated)Interventional2022-05-31Recruiting
Prospective Randomized Blinded Trial to Shorten Pharmacologic Treatment of Newborns With Neonatal Opioid Withdrawal Syndrome (NOWS) [NCT04455802]Phase 30 participants (Actual)Interventional2020-10-01Withdrawn(stopped due to termination of funding)
Ketamine for Acute Painful Crisis in Sickle Cell Disease Patients: Prospective Randomized Control Trial [NCT03431285]264 participants (Anticipated)Interventional2018-01-01Recruiting
Thoracic Epidural Morphine Versus Triamcinolone Acetonide Analgesia in Flail Chest [NCT03413059]Phase 2/Phase 340 participants (Anticipated)Interventional2018-02-01Not yet recruiting
Intrathecal Morphine Compared to Intravenous Tramadol and Transversus Abdominal Plane Block for Catheter Related Bladder Discomfort Syndrome [NCT04814745]33 participants (Actual)Interventional2020-07-07Completed
Analgesic Efficacy of Paravertebral Morphine for Acute Postoperative Pain: Randomized Multicenter Clinical Trial [NCT03379987]120 participants (Anticipated)Interventional2018-01-01Recruiting
Efficacy of Peri-Incisional Multimodal Drug Injection in Reducing Post-Operative Pain Following Lumbar Spine Surgery [NCT03513445]Phase 30 participants (Actual)Interventional2018-06-01Withdrawn(stopped due to No participants enrolled)
Effect of Intrathecal Morphine on Urinary Bladder Function and Recovery in Patients Having a Cesarean Delivery - A Double-blind Randomized Clinical Trial [NCT05042817]56 participants (Actual)Interventional2021-10-01Completed
[NCT00004390]Phase 3120 participants Interventional1995-02-28Completed
Efficacy of Liposomal Bupivacaine Versus Standard Analgesia in Pain Management of Total Joint Arthroplasty [NCT02197273]211 participants (Actual)Interventional2014-07-31Completed
[NCT00004696]100 participants Interventional1994-08-31Completed
Evaluating the Effectiveness of Cervical Erector Spinae Block for Shoulder Surgery [NCT04397549]60 participants (Anticipated)Interventional2020-06-15Not yet recruiting
Perioperative Pain Management for Total Shoulder Arthroplasty: A Pilot Non-Inferiority Trial [NCT05908851]80 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Project 1 Aim 2, Adaptations of the Brain in Chronic Pain With Opioid Exposure [NCT05463367]Phase 280 participants (Anticipated)Interventional2021-01-01Recruiting
Morphine Versus Methadone for Opiate Exposed Infants With Neonatal Abstinence Syndrome [NCT02851303]Phase 461 participants (Actual)Interventional2016-10-31Completed
Incidence of Orthostatic Intolerance and Orthostatic Hypotension After Administration of Intravenous Morphine in Patients Prior to Hip or Knee Arthroplasty [NCT04902222]26 participants (Anticipated)Observational2021-04-01Recruiting
Evaluation of Safety and Efficacy of Nalbuphine Versus Morphine Patient Controlled Analgesia (PCA) for Mucositis Pain in Pediatric Patients. A Prospective Randomized Double Blinded Clinical Trial [NCT03825887]Phase 380 participants (Actual)Interventional2018-02-01Completed
Efficacy and Adverse Events of Morphine and Fentanyl in an Aeromedical Setting [NCT00580489]204 participants (Actual)Interventional2006-08-31Completed
Comparison of Hemodynamic Changes With Morphine Versus Esmolol as an Adjuvant Agent During Induction of Anaesthesia [NCT06065956]Phase 1/Phase 2110 participants (Actual)Interventional2022-08-28Completed
Vital Signs-Integrated Patient-Assisted Intravenous Opioid Analgesia for Post Surgical Pain [NCT04011163]Phase 2/Phase 340 participants (Actual)Interventional2021-03-31Active, not recruiting
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation Of BupiVacaine, EXPAREL®: A Phase 4 Health Economic Trial in Adult Patients Undergoing Ileostomy Reversal [NCT01509807]Phase 433 participants (Actual)Interventional2012-01-31Completed
[NCT03006627]100 participants (Anticipated)Interventional2016-12-31Not yet recruiting
Low Dose Ketamine (LDK) Versus Morphine for Acute Pain Control in the Emergency Department [NCT01538745]Phase 445 participants (Actual)Interventional2012-02-29Completed
A Phase II/III, Randomized, Double-Blind, Placebo- and Active-controlled Study of SHR8554 Injection for the Treatment of Pain After Orthopedic Surgery [NCT04794738]Phase 2/Phase 3192 participants (Anticipated)Interventional2021-04-18Recruiting
Intravenous (IV) Patient Controlled Analgesia (PCA) With or Without Continuous Dose vs Oral Opioid to Maintain Analgesia for Severe Cancer Pain After Successful Hydromorphone Titration: a Multi-center, Phase Ⅲ ,Randomized Trial [NCT04785768]Phase 31,600 participants (Anticipated)Interventional2021-05-01Not yet recruiting
A Double-blind, Randomized, Parallel Group Study to Compare the Efficacy and Safety, of Oxycodone Immediate-release Capsules Versus Morphine Immediate-release Tablets in Hospitalized Patients With Moderate to Severe Pain Following Surgery. [NCT01675635]Phase 3240 participants (Actual)Interventional2011-07-31Completed
Regional Anesthesia for Breast Cancer Surgery, Effects on Postoperative Wellbeing and Disease Recurrence. [NCT03117894]200 participants (Actual)Interventional2017-05-23Completed
Low Dose Spinal Morphine for Patients With Obstructive Sleep Apnea (OSA) Undergoing Total Hip Arthroplasty (THA) [NCT01790971]40 participants (Anticipated)Interventional2020-01-31Suspended(stopped due to competing studies)
Comparison Between Pericapsular Nerve Group Block (Peng) and Morphine Infusion in Reducing the Pain of Proximal Femur Fracture in the Emergency Department, a Randomized Controlled Study [NCT05023473]36 participants (Actual)Interventional2022-04-01Completed
Comparison of Dexmedetomidine and Dexamethasone as Adjuvant to Bupivacaine in Ultrasound-guided Bilevel Erector Spinae Plane Block in Modified Radical Mastectomy [NCT05591417]60 participants (Anticipated)Interventional2022-10-27Recruiting
Comparison of Two Analgesic Strategies After Scheduled Caesarean : Block of the Lumbar Region With Ropivacaine Versus Intrathecal Morphine [NCT04755712]Phase 4104 participants (Actual)Interventional2021-03-22Completed
Optimal Morphine Dosing Schedule for Neonatal Abstinence Syndrome [NCT04298853]Phase 417 participants (Actual)Interventional2020-06-30Completed
Two Dose Epidural Morphine for Post-cesarean Analgesia [NCT01844206]Phase 45 participants (Actual)Interventional2013-06-30Terminated(stopped due to Slow recruitment of subjects)
Quality of Recovery Following Administration of Transverse Abdominus Plane (TAP) Catheter as Compared to Intrathecal Morphine After Cesarean Delivery Under Spinal Anesthesia: a Prospective, Randomized Trial [NCT01593280]80 participants (Anticipated)Interventional2012-05-31Recruiting
A Randomized, Double-Blind, Placebo-Controlled, 3 Way Crossover Study Evaluating The Relative Abuse Potential Of Crushed Embeda Compared To Morphine Sulfate Controlled Release Tablets (Crushed) And Placebo In Non-Dependent, Recreational Opioid Users Follo [NCT01595867]Phase 133 participants (Actual)Interventional2010-08-31Completed
A Phase 1, Single Dose, Open-label, Safety, Tolerability, and Pharmacokinetic Study of LYN-014 in Individuals With Opioid Use Disorder Who Are Stable on Methadone Therapy [NCT05251376]Phase 10 participants (Actual)Interventional2022-02-28Withdrawn(stopped due to Sponsor decision.)
Metabolomic Profiling of Erector Spinae Plane Block for Breast Cancer Surgery [NCT04689945]91 participants (Actual)Observational2021-02-01Completed
Effect of Combined Morphine and Duloxetine on Chronic Pain [NCT03249558]Phase 481 participants (Actual)Interventional2018-03-12Completed
Impact of Dexmedetomidine Supplemented Analgesia on Incidence of Delirium in Elderly Patients After Cancer Surgery: a Multicenter Randomized Controlled Trial [NCT03012984]1,500 participants (Actual)Interventional2017-01-06Completed
Emergence Delirium and Recovery Profile in Patients Undergoing Cleft Lip and Palate Repair: Comparison of Combination of Morphine and Fentanyl With Fentanyl Alone [NCT03010540]70 participants (Actual)Interventional2015-07-31Completed
Ultrasound Guided Quadratus Lumborum Type III Block Versus Intrathecal Morphine for Analgesia After Cesarean Delivery [NCT03428880]Phase 4120 participants (Actual)Interventional2017-02-15Completed
Levorphanol as a Second Line Opioid in Cancer Patients Undergoing Opioid Rotation: An Open Label Study [NCT03579446]Early Phase 143 participants (Actual)Interventional2018-11-29Completed
Most Effective Opioid Analgesia in Ambulatory Surgeries: a Randomized Control, Investigator Blinded, Parallel Group With Superiority Design Study of Morphine Versus Hydromorphone [NCT02223377]402 participants (Actual)Interventional2015-01-31Completed
Intrathecal Ketorolac in Patients With Intrathecal Morphine Dose Escalation [NCT00349401]Phase 20 participants (Actual)Interventional2006-12-31Withdrawn(stopped due to Study was not initiated. No subjects were screened or enrolled.)
Efficacy of Subcutaneous Infiltration With Local Anesthetic During Elective Cesarean Delivery for Postoperative Pain Control: a Randomized Controlled Trial [NCT03383588]Phase 226 participants (Actual)Interventional2018-07-19Terminated(stopped due to study was published during initial recruitment that showed no difference)
Intrathecal Morphine Versus Intrathecal Hydromorphone for Analgesia Following Cesarean Delivery [NCT02789410]134 participants (Actual)Interventional2016-05-31Completed
Post-Op Pain Control for Prophylactic Intramedullary Nailing. [NCT03823534]Phase 360 participants (Anticipated)Interventional2019-02-20Recruiting
An Evaluation of the Tolerability of Switching Subjects on Chronic Around-the-Clock (ATC) Opioid Therapy to Buprenorphine HCl Buccal Film [NCT01871285]Phase 239 participants (Actual)Interventional2013-06-30Completed
The Effect of Acute Intravenous Morphine Administration on Sleep Disordered Breathing (SDB) in Patients With Moderate Obstructive Sleep Apnoea (OSA): A Paired Design Trial [NCT03127800]Phase 36 participants (Actual)Interventional2016-05-20Terminated(stopped due to Difficulties with recruitment)
Treatment of Acute Post-operative Pain in Patients Undergoing Laparoscopic Colon Resections [NCT03403842]159 participants (Anticipated)Interventional2018-02-01Recruiting
Intraoperative Methadone Versus Morphine for Postoperative Pain Control in Patients Undergoing Intramedullary Nailing or Open Reduction and Internal Fixation of the Tibia [NCT01430182]17 participants (Actual)Interventional2011-09-30Terminated(stopped due to Shortages of study drug, difficulty enrolling patients)
A Randomized Controlled Trial of Oral Analgesic Utilization for Pain Management of CHildhood Musculoskeletal Injuries [NCT02064894]501 participants (Actual)Interventional2013-07-08Completed
A Prospective Randomized Double Blind Trial to Reduce Post-Operative Pain in Implant Based Breast Reconstruction [NCT02044302]Phase 22 participants (Actual)Interventional2014-04-30Terminated
Is Continuous Wound Infusion With Ropivacaine Better Than Intrathecal Morphine for Post-caesarean Analgesia? A Prospective, Randomized, Controlled, Double Blinded Study [NCT02264821]Phase 3192 participants (Actual)Interventional2012-02-29Completed
Activity Monitoring Assessment of Opiate Withdrawal [NCT00000335]Phase 20 participants Interventional1995-09-30Completed
TAPA Block Versus Conventional Analgesia Methods on Cognitive Functions and Postoperative Opioid Consumption in Major Abdominal Surgery [NCT05215691]90 participants (Actual)Observational2022-03-10Completed
Evaluation of Efficacy of Methadone Versus Morphine for Treatment of Neonatal Abstinence Syndrome (NAS). [NCT01804075]Phase 431 participants (Actual)Interventional2011-01-31Completed
Prospective Assessment of Intraoperative Intra-articular Morphine and Clonidine Injection in Hip Arthroscopy on Postoperative Pain Management [NCT02530151]Phase 470 participants (Actual)Interventional2015-11-30Completed
Parent/Nurse Controlled Analgesia for Post-Operative Pain Management in Neonates: A Preliminary Randomized Controlled Trial [NCT01823497]36 participants (Actual)Interventional2013-04-30Completed
Patient-Driven Analgesic Protocol Selection for Post-Cesarean Pain Management [NCT02605187]160 participants (Actual)Interventional2015-11-30Completed
Sub-dissociative Ketamine for the Management of Acute Pediatric Pain [NCT01951963]Phase 477 participants (Actual)Interventional2012-12-31Completed
Ultrasound Guided Femoral (3 in 1) Nerve Block Versus Ultrasound Guided Fascia Iliacus Compartment Block Versus Standard Treatment for Pain Control in Patients With Hip Fractures in the Emergency Department [NCT01904071]Phase 464 participants (Actual)Interventional2008-10-31Completed
Ultrasound-guided PECS2 (The Pectoralis) Block Versus Intrathecal Morphine for Postoperative Analgesia After Mastectomy [NCT06016205]50 participants (Anticipated)Interventional2023-12-01Recruiting
Treatment of Neonatal Abstinence Syndrome With Clonidine Versus Morphine as Primary Therapy [NCT03092011]Phase 490 participants (Anticipated)Interventional2018-02-21Recruiting
A Phase 3, Multicenter, Randomized, Double-blind, Placebo and Active-controlled Study of Oliceridine (TRV130) for the Treatment of Moderate to Severe Acute Pain After Bunionectomy [NCT02815709]Phase 3418 participants (Actual)Interventional2016-05-31Completed
Intravenous Lidocaine Versus Provider Chosen Dose of Morphine for the Treatment of Severe Pain in the Emergency Department: An Open-label Randomized Controlled Pilot Study [NCT02912195]Phase 432 participants (Actual)Interventional2016-03-31Completed
A Multicenter, Open-Label Study to Evaluate the Safety and Efficacy of EXPAREL When Administered Via Infiltration Into the Transversus Abdominis Plane (TAP) After Bupivacaine Spinal Anesthesia in Subjects Undergoing Elective Cesarean Section [NCT02353754]Phase 412 participants (Actual)Interventional2015-05-31Terminated(stopped due to Slow enrollment. None of the subjects received EXPAREL.)
Effect of the Peripheral Opioid Receptor Antagonist Methylnaltrexone on the Pharmacokinetic and Pharmacodynamic Profiles of Ticagrelor in Patients Receiving Morphine: a Prospective, Randomized Placebo-controlled Trial [NCT02403830]Phase 430 participants (Actual)Interventional2015-08-31Completed
Initial Pain Management in Pediatric Pancreatitis: Opioid vs. Non-Opioid [NCT04291599]Phase 250 participants (Anticipated)Interventional2022-03-15Recruiting
Comparison of Postoperative Analgesic Effects of Ultrasonography-Guided Paravertebral Block and Subcostal Transversus Abdominis Plane Block in Patients Undergoing Laparoscopic Nephrectomy [NCT05723341]90 participants (Anticipated)Interventional2023-02-15Not yet recruiting
Investigating the Safety of Morphine and Ibuprofen in Children Post-adenotonsillectomy for Obstructive Sleep Apnea [NCT01680939]Phase 3120 participants (Anticipated)Interventional2012-05-31Recruiting
Efficacy of Two Doses of Epidural Morphine for Analgesia After Traumatic Vaginal Delivery: a Randomized, Double Blinded, Placebo-controlled Pilot Study [NCT01689597]Phase 40 participants (Actual)Interventional2012-09-30Withdrawn(stopped due to Withdrawn - no participants enrolled)
Comparing the Effectiveness of Low-dose Ketamine With Morphine to Treat Pain in Patients With Long Bone Fractures [NCT02430818]13 participants (Actual)Interventional2015-04-30Terminated(stopped due to were not able to enroll patients to a satisfactory level)
Comparison of the Effects of Intrathecal Morphine at Two Different Doses in Thoracoscopic Lung Resection [NCT05588336]Phase 446 participants (Actual)Interventional2022-04-25Completed
Real-time Decision Support for Postoperative Nausea and Vomiting (PONV) Prophylaxis [NCT02625181]27,034 participants (Actual)Interventional2016-07-31Completed
Liposomal Bupivacaine in Implant Based Breast Reconstruction [NCT02659501]24 participants (Actual)Interventional2015-07-31Terminated
Comparison of Low-dose Ketamine to Opioids in the Management of Acute Pain in Patients Presenting to the Emergency Department With Long Bone Fractures [NCT04061330]Phase 20 participants (Actual)Interventional2022-01-01Withdrawn(stopped due to Study was terminated prior to enrollment due to lack of funding)
A Randomized, Double-Blind, Single-Center, 5 Way Cross-Over Study to Assess the Effect of Adding Oral Phenylephrine and Oral Sorbitol to Low Dose (1.5 mg) Plain Oral Morphine in Human Volunteers: Analgesia and Side Effect Assessment. [NCT00374881]Phase 1/Phase 29 participants (Actual)Interventional2006-09-30Completed
Dose Escalation of Dexamethasone to Increase Duration of Transversus Abdominal Plane Block Following Cesarean Section: A Prospective Randomized Double-Blinded Clinical Study [NCT03098420]Phase 2/Phase 329 participants (Actual)Interventional2016-07-31Terminated(stopped due to Low enrollment; recruitment challenges due to competing studies in women and infant center)
Brain Effects of Opiate Agonist and Antagonist [NCT04342130]Phase 410 participants (Actual)Interventional2018-04-27Completed
Multimodal Analgesia in Cardiac Surgery (Pilot Study) [NCT02734940]Phase 43 participants (Actual)Interventional2016-07-11Terminated(stopped due to Unable to find participants who met inclusion/exclusion criteria)
Randomized, Controlled, Double Blind, to Evaluate the Postpartum Analgesia With Epidural Morphine: Analgesic Effect of Two Different Doses Compared to Placebo [NCT04887649]Phase 3114 participants (Actual)Interventional2009-03-31Completed
Effects of Anesthetics on Inflammatory Markers in Patients Undergoing Abdominal Surgeries. [NCT04630938]81 participants (Actual)Interventional2020-10-24Completed
Perioperative Epidural Analgesia for Short-term and Long-term Outcomes of Pancreatic Cancer Surgery- Randomised Trial [NCT01929915]135 participants (Actual)Interventional2013-07-31Completed
Analgesic Effect Evaluation of Methadone Associated With Morphine for Cancer Pain: Prospective Randomized Study [NCT03324815]40 participants (Anticipated)Interventional2017-03-02Recruiting
Efficacy of Transdermal Fentanyl Patches in Relief of Acute Postoperative Pain After Mastectomy [NCT03051503]Phase 460 participants (Anticipated)Interventional2017-02-02Recruiting
Serratus Anterior Plane Block: Post-operative Analgesia Technique in Video-assisted Thoracic Surgery. Efficacy Pilot Study and Population Pharmacokinetic Analysis [NCT03277391]20 participants (Anticipated)Interventional2017-04-14Recruiting
Intravenous Buprenorphine Versus Morphine for Severe Pain in the Emergency Department [NCT03256487]Phase 2122 participants (Anticipated)Interventional2017-09-26Recruiting
Erector Spinae Plane Block for Rib Fracture Analgesia in the Emergency Department [NCT04892563]40 participants (Anticipated)Interventional2021-07-01Not yet recruiting
Comparison of Intranasal Sufentanil Versus Intravenous Morphine for the Management of Acute Pain [NCT03224039]Phase 440 participants (Anticipated)Interventional2017-01-01Recruiting
An Open-label Trial, Enrolling Subjects Aged 6 Years to Less Than 18 Years Suffering From Pain Requiring Prolonged Release Opioid Treatment, to Evaluate the Safety and Efficacy of Tapentadol PR Versus Morphine PR, Followed by an Open-label Extension [NCT02151682]Phase 2/Phase 373 participants (Actual)Interventional2015-04-29Completed
Effectiveness of Epidural Morphine and Ropivacaine Treatment for Abdominal Cancer Pain in Patients of Brazilian's Public Health System [NCT05558397]Phase 430 participants (Anticipated)Interventional2018-04-01Recruiting
Ultrasound Guided External Oblique Intercostal Plane Block for Perioperative Analgesia in Major Upper Abdominal Surgery: Prospective Randomized Controlled Study [NCT05691933]Phase 3120 participants (Anticipated)Interventional2023-02-01Not yet recruiting
Safety and Efficacy of Dexmedetomidine Addition to Intrathecal Morphine for Postoperative Analgesia in Cancer Patients Undergoing Major Abdominal Surgery [NCT02435537]Phase 2/Phase 390 participants (Actual)Interventional2013-05-31Completed
Anti Emetic Efficacy of Combination of Ramosetron and Premixture of Naloxone With Patient-controlled Analgesia After Gynecologic Surgery [NCT02416115]90 participants (Actual)Interventional2014-07-31Completed
Combined Spinal Epidural Analgesia in Labour: A Comparison of Two Intrathecal Regimens of Single Shot Spinal [NCT03117595]Phase 4100 participants (Actual)Interventional2017-11-23Completed
To Compare the Efficacy and Patients' Satisfaction for the Treatment of Post Cesarean Pain of Two Protocols: Oral Medications in Fixed Time Interval Administration Versus Spinal Morphine [NCT02440399]200 participants (Actual)Interventional2015-07-31Completed
A Comparative Study Between Ultrasound-guided Thoracic Paravertebral Block, Pectoral Nerves Block, and Erector Spinae Block for Pain Management in Cancer Breast Surgeries. A Randomized Controlled Study [NCT05076773]80 participants (Actual)Interventional2019-04-10Completed
Adductor Canal Block and Functional Recovery After Total Knee Arthroplasty. A Double-Blind, Randomized Controlled Trial [NCT02411149]Phase 4200 participants (Actual)Interventional2014-04-30Completed
Psoas Compartment Block Versus Periarticular Local Anesthetic Infiltration for Pain Management for Total Hip Arthroplasty: A Prospective, Randomized Study [NCT02658149]Phase 4100 participants (Actual)Interventional2016-05-31Completed
Intrathecal Opioids for Pain Control After Cesarean Delivery: Determining the Optimal Dose [NCT02009722]Phase 484 participants (Actual)Interventional2014-01-31Completed
Post-operative Morphine Consumption in Obese Patients Undergoing Laparoscopic Bariatric Surgery Following Ketamina and Lidocaine Perfusion [NCT05591105]60 participants (Actual)Observational2022-01-15Completed
Pharmacokinetics-pharmacodynamics of Morphine With or Without Midazolam Administered by Continuous Infusion in Neonatal Intensive Care [NCT05371886]180 participants (Anticipated)Interventional2023-04-01Recruiting
Incidence of Post-Dural Puncture Headache Following Unintentional Dural Puncture: A Randomized Trial of Intrathecal Morphine Versus Saline [NCT01977898]68 participants (Actual)Interventional2011-11-30Completed
Improving Outcomes in Neonatal Abstinence Syndrome [NCT01958476]Phase 3117 participants (Actual)Interventional2013-09-30Completed
Clinical Effectiveness of Erector Spinae Plane Block in Peri-operative Analgesia for Laparoscopic Kidney Procedures [NCT03874091]62 participants (Actual)Interventional2019-01-15Completed
A Randomized, Double-blind, Placebo-controlled, Fixed Sequence Study to Assess the Effect on Respiratory Drive of Multiple Doses of AZD4041 When Co-administered With a Single Dose of Morphine in Healthy Recreational Opioid Users [NCT05587998]Phase 145 participants (Actual)Interventional2022-09-20Completed
Intraoperative Lidocaine Infusion vs. Esmolol Infusion for Postoperative Analgesia in Laparoscopic Cholecystectomy: a Randomized Clinical Trial [NCT02327923]Phase 490 participants (Actual)Interventional2015-01-31Completed
5HT3 Antagonists to Treat Opioid Withdrawal and to Prevent the Progression of Physical Dependence [NCT01549652]133 participants (Actual)Interventional2011-04-30Completed
Ultrasound-guided Block of the Saphenous Nerve and Obturator Nerve, Posterior Branch, for Postoperative Pain Management After Ambulatory Knee Arthroscopy [NCT01837394]Phase 460 participants (Actual)Interventional2012-08-31Completed
Safety and Efficacy of Patient Controlled Analgesia in the Emergency Department [NCT00910208]211 participants (Actual)Interventional2009-04-30Completed
COADMINISTRATION OF INTRAVENOUS REMIFENTANIL AND MORPHINE FOR POSTTHORACOTOMY PAIN; COMPARISON WITH IV MORPHINE ALONE [NCT01830296]Phase 460 participants (Actual)Interventional2011-05-31Completed
Comparison of Intrathecal Morphine, Epidural Bupivacaine With Sufentanil and Systemic Patient Controlled Analgesia With Morphine for Analgesia After Colorectal Surgery: Prospective Randomised Study. [NCT03007121]Phase 475 participants (Actual)Interventional2017-04-10Completed
QUALITY OF RECOVERY AFTER INTRAOPERATIVE MORPHINE OR METHADONE IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY [NCT03045133]Phase 470 participants (Actual)Interventional2016-06-20Completed
Adjuvants to Ultrasonic Guided Interscalene Block In Arthroscopic Rotator Cuff Repair; Morphine and/or Nalbuphine [NCT03034382]Phase 280 participants (Anticipated)Interventional2016-01-31Recruiting
Efficacy, Safety, and Tolerability of Oral Cebranopadol Versus Morphine Sulfate PR in Subjects With Chronic Moderate to Severe Pain Related to Cancer. [NCT01964378]Phase 3200 participants (Actual)Interventional2013-10-29Terminated(stopped due to low accrual made the study no longer feasible/decision not related to safety and efficacy)
Intraoperative Lidocaine Infusion as a Sole Analgesic Versus Morphine in Laparoscopic Gastric Bypass Surgery [NCT05150756]Early Phase 160 participants (Actual)Interventional2022-01-01Completed
A Randomized, Double-blind, Controlled, Multi-site Study of the Pharmacokinetics and Pharmacodynamics of Methadone vs. Morphine During Mechanical Ventilation Following Cardiac Surgery in Neonates, Infants and Children [NCT01094522]Phase 1/Phase 247 participants (Actual)Interventional2010-03-31Completed
Safety and Efficacy of Intrathecal Morphine in Children Undergoing Major Abdominal Surgeries, Dose-finding Clinical Study [NCT03158584]45 participants (Anticipated)Interventional2017-01-01Active, not recruiting
Opioid Effects on Swallowing Comparing Younger and Elderly Volunteers [NCT01924234]Phase 418 participants (Actual)Interventional2013-08-31Completed
Multimodal Opioid-free Anesthesia Versus Opioid-based Anesthesia for Patients Undergoing Cardiac Valve Surgeries: A Randomized Controlled Trial [NCT04648540]Early Phase 160 participants (Actual)Interventional2020-12-01Completed
A Phase 2, Multicenter, Randomized, Double-blind, Multiple-dose, Adaptive, Placebo- and Active-controlled Study of TRV130 for the Treatment of Acute Postoperative Pain After Bunionectomy [NCT02100748]Phase 2333 participants (Actual)Interventional2014-04-30Completed
Effect of OPRM1 Genotype on the Dose Response to Spinal Morphine for Post-Cesarean Analgesia [NCT01465191]Phase 4169 participants (Actual)Interventional2011-11-30Completed
A Randomized, Active-Control, Double-Blind, Double-Dummy Clinical Trial Comparing Sublingual Buprenorphine And Morphine Solution For The Treatment Of Neonatal Opioid Abstinence Syndrome [NCT01452789]Phase 363 participants (Actual)Interventional2011-11-30Completed
Effect of Intrathecal Morphine, Dexmedetomidine or Both in Combination to Bupivacaine on Immunity in Patients Undergoing Major Abdominal Cancer Surgeries [NCT03024957]Phase 1/Phase 230 participants (Anticipated)Interventional2017-01-31Active, not recruiting
Effectiveness of Topical Morphine Use in Patients With Painful Neoplastic Wounds in the Breast and Head and Neck: Double Blind Randomized Clinical Trial - MorphineGEL [NCT05800834]Phase 2106 participants (Anticipated)Interventional2023-09-12Recruiting
Evaluation Study of Efficacy and Safety of TTS-Fentanyl in Chronic Non-Malignant Pain [NCT01816243]Phase 439 participants (Actual)Interventional2004-04-30Completed
Implementation of a Rapid Recovery Program in Gynecologic Oncology Surgery: A Pilot Study [NCT01705288]Early Phase 1103 participants (Actual)Interventional2013-01-01Completed
Erector Spinae Plane Block in Robotic Cardiac Surgery [NCT05702151]50 participants (Anticipated)Interventional2022-12-22Recruiting
Effectiveness of Pre-Operative Methadone Versus Morphine for Post-Operative Analgesia in Orthopedic Surgery Patients [NCT00892606]Phase 475 participants (Actual)Interventional2009-01-31Completed
Ketamine-Midazolam Versus Morphine-Midazolam for Continous Patient Sedation in Intensive Care Units in Uganda. A Randomised Controlled Trial. [NCT03407404]Phase 2/Phase 3124 participants (Actual)Interventional2017-10-22Terminated(stopped due to Futility)
Development of a Morphine Pharmacokinetic and Pharmacodynamic Model for the Neonatal Population [NCT03035578]Phase 1/Phase 20 participants (Actual)Interventional2017-12-01Withdrawn(stopped due to research project has been abandoned primarily because of the excessive delays associated with past challenges in obtaining approval from Health Canada)
Benefit of the Association of Low Doses of Ketamine With Intravenous Morphine in the Treatment of Acute Severe Pain in Emergency Department [NCT03017248]Phase 1125 participants (Actual)Interventional2016-01-31Active, not recruiting
A Prospective Randomized Double Blind Trial of the Efficacy of a Bilateral Lumbar Erector Spinae Block on the 24h Morphine Consumption After Posterior Lumbar Interbody Fusion Surgery. [NCT03825198]Phase 380 participants (Anticipated)Interventional2019-08-01Recruiting
Comparison of Sequential and Mixture Injection of Opioids and Hyperbaric Bupivacaine for Subarachnoid Block for Elective Caesarean Section; a Randomised Controlled Study [NCT04403724]Phase 4126 participants (Actual)Interventional2020-07-11Completed
Impact of Supra-inguinal Fascia Iliaca Compartment Block on Postoperative Opioid Consumption in Total Hip Arthroplasty Interventions by Posterior Approach [NCT04574479]Phase 486 participants (Actual)Interventional2020-12-16Completed
Adductor Canal Block Versus Periarticular Infiltration Effect on Functional Outcome In Patients Undergoing Total Knee Replacement [NCT04814303]200 participants (Anticipated)Interventional2021-05-31Not yet recruiting
Two Dose Neuraxial Morphine for Prevention of Postdural Puncture Headache [NCT02473276]Phase 4400 participants (Anticipated)Interventional2015-09-30Suspended(stopped due to Temporary pause due to enrollment challenges)
Post-market Study Evaluating a Treatment Conversion to Low Dose Intrathecal Morphine From Conventional Medical Management for Maintenance of Pain Control and Improvement of Opioid-related Side Effects. (CONVERT Targeted Drug Delivery [TDD]) [NCT01924182]7 participants (Actual)Interventional2013-10-31Terminated(stopped due to Amendment changes were significant enough to warrant a new study.)
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Efficacy Study of Kadian NT (Morphine Sulfate Plus Naltrexone Hydrochloride Extended-Release) Capsules in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Hip o [NCT00420992]Phase 3547 participants (Actual)Interventional2006-12-31Completed
A Phase II/III, Open-Label, Multicenter, Safety, and Efficacy Study of Dexmedetomidine in Preterm Subjects Ages ≥28 Weeks to <36 Weeks Gestational Age [NCT01508455]Phase 2/Phase 36 participants (Actual)Interventional2012-03-31Completed
Evaluation of Multimodal Preemptive Analgesia in Major Pediatric Abdominal Cancer Surgeries [NCT03580980]90 participants (Actual)Interventional2015-04-01Completed
A Comparison of Single Dose Preservative Free Morphine With Fentanyl Infusion for Post-Cesarean Section Analgesia [NCT01362998]2 participants (Actual)Interventional2011-01-31Terminated(stopped due to Lack of time and help to continue the study)
Preemptive Analgesia for Post Tonsillectomy Pain With IV Morphine in Children [NCT02995304]60 participants (Anticipated)Interventional2016-12-31Not yet recruiting
Choosing Opioid Management for Pain and Analyzing ACS Rates Equally [NCT01380197]Phase 340 participants (Actual)Interventional2010-05-26Completed
Comparison of Intrathecal Hydromorphone and Intrathecal Morphine for Postoperative Analgesia After Cesarean Delivery [NCT02096003]Phase 280 participants (Actual)Interventional2014-05-31Completed
Cortical Modulation of Acute Post-thoracotomy Pain With Transcranial Direct Current Stimulation [NCT03005548]Phase 262 participants (Actual)Interventional2016-06-30Completed
Post-operative Pain Relief in Laparoscopic Cholecystectomy Using a Combination of Intraperitoneal Bupivacaine Morphine, Bupivacaine Fentanyl and Bupivacaine Ketamine: A Comparative Study [NCT03355716]120 participants (Anticipated)Interventional2018-01-31Not yet recruiting
Mechanisms of Sleep Disruption Hyperalgesia [NCT01794689]100 participants (Actual)Interventional2013-05-31Completed
The Quality of Recovery After Intrathecal Morphine or Adductor Canal Block Added to Spinal Anesthesia in Patients Undergoing Arthroscopic Anterior Cruciate Ligament Reconstruction [NCT05742958]Phase 470 participants (Anticipated)Interventional2023-06-07Recruiting
RCT Comparing the Analgesic Efficacy of 4 Therapeutic Strategies Based on 4 Different Major Opioids (Fentanyl, Oxycodone, Buprenorphine vs Morphine) in Cancer Patients With Moderate/Severe Pain, at the Moment of Starting 3rd Step of WHO Analgesic Ladder. [NCT01809106]Phase 4518 participants (Actual)Interventional2011-04-30Completed
The Combination of Adductor Canal Block and Periarticular Injection. A Novel Technique for Patients Undergoing Total Knee Replacement (ACB PAI) [NCT02292082]Phase 4111 participants (Actual)Interventional2014-11-30Completed
EFFECT OF CAUDAL BUPIVACAINE VERSUS INTRAVENOUS MORPHINE ON TIME TO FIRST ANALGESIC REQUIREMENT IN PEDIATRIC SURGICAL PATIENTS; A RANDOMISED CONTROLLED TRIAL. [NCT02456142]Phase 470 participants (Actual)Interventional2015-07-31Completed
Efficacy of Intranasal Fentanyl at Reducing Pain During Abscess Incision and Drainage (I&D) in Children [NCT01549002]Phase 320 participants (Actual)Interventional2012-01-31Completed
The Contribution of Intrathecal Morphine Administration to Postoperative Patient Satisfaction During Cesarean Delivery [NCT06076018]60 participants (Anticipated)Interventional2023-12-20Not yet recruiting
Evaluation of the Benefit of Non-opioid General Anaesthesia on Postoperative Pain in Laparoscopic Colonic Surgery [NCT05031234]160 participants (Actual)Interventional2020-12-17Completed
Pharmacokinetics of Anesthetics and Analgesics in Children and Adolescent [NCT03427736]460 participants (Anticipated)Observational2018-12-13Recruiting
Intravenous Ketamine for Pain Control During First Trimester Surgical Abortion [NCT03751423]Phase 3123 participants (Anticipated)Interventional2019-06-10Suspended(stopped due to Study on-hold due to COVID-19 pandemic restrictions. Will resume when possible.)
Non-inferiority of Intranasal Fentanyl Versus Oral Morphine Sulfate in the Treatment of Pain in Pediatric Trauma : a Controled Randomized , Single Blind Study [NCT03063359]Phase 322 participants (Actual)Interventional2017-05-30Terminated(stopped due to The new pain protocols imposed by the HAS make it difficult to include new patients in the study)
Efficacy of the Ultrasound-guidedTransversus Abdominis Plane (TAP) Block on Postoperative Pain Control in Open Aortic Abdominal Aneurysm Repair Surgery [NCT02292667]Phase 360 participants (Anticipated)Interventional2015-01-31Recruiting
Investigational Plan for the Clinical Evaluation of the ReLeaf Analgesic Infusion Catheter & Wound Drain [NCT02293525]0 participants (Actual)InterventionalWithdrawn(stopped due to No subjects were enrolled and the sponsor suspended support at this time)
Intravenous Methadone in Perioperative Acute and Chronic Management in Chinese Adult Cardiac Surgical Patients: a Pilot Randomized Controlled Trial [NCT05913284]Phase 386 participants (Anticipated)Interventional2023-12-01Not yet recruiting
Bilateral Ultrasound-guided M-Tapa Block vs External Oblique Intercostal Block for Postoperative Analgesia in Patients Undergoing Laparoscopic Sleeve Gastrectomy Surgery: A Prospective Randomized Controlled Study [NCT05939635]60 participants (Anticipated)Interventional2023-07-11Recruiting
Opioid/Benzodiazepine Polydrug Abuse: Integrating Research on Mechanisms, Treatment and Policies - Study 3 [NCT05006079]Phase 224 participants (Anticipated)Interventional2022-06-15Recruiting
A Study Comparing Recurrent Use of Morphine Sulfate Immediate Release, Oxycodone/Acetaminophen (Percocet), and Hydrocodone/Acetaminophen (Vicodin) at Discharge From the ED in Opioid-naïve Adult Patients With Moderate to Severe Pain. [NCT03529331]Phase 40 participants (Actual)Interventional2019-09-01Withdrawn(stopped due to The ED physicians no longer prescribe opioids at discharge; not feasible to conduct the study)
Investigation of Pharmacokinetics and Pharmacodynamics of Epidural Methadone in Healthy Volunteers [NCT03525509]Early Phase 113 participants (Actual)Interventional2018-06-04Completed
A 5-day, Multicentre, Randomized, Open-label, Parallel Group, Active Control Pilot Study to Evaluate the Efficacy and Safety of OxyNorm® (Oxycodone Hydrochloride Injection) in Comparison With Morphine Sulfate Through the IV Continuous Infusion Regimen in [NCT02660229]Phase 466 participants (Actual)Interventional2015-11-30Completed
Effects of Different Types of Perioperative Analgesia on Minimal Residual Disease Development After Colon Cancer Surgery [NCT02314871]Phase 460 participants (Anticipated)Interventional2015-01-31Completed
The Effect of Adding Pregabalin to the Analgesic Effect of Intravenous Morphine in Patients With Multiple Fracture Ribs [NCT03473093]Early Phase 180 participants (Anticipated)Interventional2018-03-31Not yet recruiting
Intrathecal Morphine and Local Infiltration Analgesia in Total Knee Arthroplasty, a Randomized Controlled Study [NCT03434951]Phase 4120 participants (Anticipated)Interventional2017-11-06Recruiting
Efficacy of Intravenous Ibuprofen and Paracetamol on Postoperative Pain and Morphine Consumption in Lumbar Disc Surgery: Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial [NCT03437707]3 participants (Actual)Interventional2018-02-13Completed
Intraperitoneal Instillation and Wound Infiltration Compared With Intrathecal Morphine for Postcesarean Section Analgesia : A Prospective Randomized Controlled Double- Blind Trial [NCT05405049]46 participants (Anticipated)Interventional2022-06-01Not yet recruiting
Opioid Treatment for Chronic Low Back Pain and the Impact of Mood Symptoms [NCT01502644]Phase 481 participants (Actual)Interventional2009-02-28Completed
A Pain Relief Trial Utilizing the Infiltration of a Multivesicular Liposome Formulation of Bupivacaine, EXPAREL(R): A Phase 4 Health Economic Trial in Adult Patients Undergoing Laparoscopic Colectomy (IMPROVE-Lap Colectomy) [NCT02058290]Phase 4122 participants (Actual)Interventional2011-12-31Terminated(stopped due to Slower than expected enrollment)
Low-dose Ketamine Versus Morphine for Severe Painful Sickle Cell Crises in Children at Mulago Hospital: A Randomised Controlled Trial [NCT02434939]Phase 4240 participants (Actual)Interventional2015-06-30Completed
Acupuncture Versus Intravenous Morphine in the Management of Acute Pain in the Emergency Department. An Efficacy and Safety Study [NCT02460913]Phase 2300 participants (Actual)Interventional2012-04-30Completed
Retrospective Study of the Measurement of the Efficacy of MORPHINE in the Early Management of Dyspnea in COVID-19 Positive Patients With Moderate to Severe Impairment Without Objective of Resuscitation Management (Level of Care 3 and 4) at the Hospices Ci [NCT04522037]200 participants (Anticipated)Observational2020-06-01Recruiting
The Analgesic Effects of Intrathecal Morphine in Comparison to Ultrasound-guided Transversus Abdominis Plane Block After Cesarean Section: a Randomized Controlled Trial at a Ugandan Regional Referral Hospital [NCT03263689]Phase 3130 participants (Actual)Interventional2014-03-15Completed
Evaluation Of Efficacy And Safety Of Labour Analgesia By Intrathecal Morphine With Fentanyl Compared To Morphine With Bupivacaine In Mulago Hospital: A Double-blinded Randomized Control Trial [NCT02498171]138 participants (Actual)Interventional2014-01-31Completed
PAciFy Cough: A Multicentre, Double Blind, Placebo Controlled, Crossover Trial of Morphine Sulfate for the Treatment of PulmonAry Fibrosis Cough [NCT04429516]Phase 344 participants (Actual)Interventional2020-12-17Completed
A Multi-site, Double-blind, Parallel Arm, Block Randomised, Placebo Controlled, Factorial Phase III Study of Opioids for Chronic Refractory Breathlessness in People With Chronic Obstructive Pulmonary Disease. [NCT02455362]Phase 30 participants (Actual)Interventional2015-05-31Withdrawn(stopped due to 'Recruitment not possible given changes to trial criteria)
Does Preemptive Epidural Morphine Prevent Remifentanil Induced Hyperalgesia [NCT03225690]Phase 4105 participants (Anticipated)Interventional2017-07-19Recruiting
A Prospective, Randomised Double Blinded Study Comparing a Pectoral Nerve Block With Non-targeted Local Anaesthetic in Bilateral Breast Surgery [NCT02410746]50 participants (Anticipated)Interventional2016-01-31Recruiting
the Association of Ultrasound Guided Suprascapular and Supraclavicular Nerve Block Provides Adequate Analgesia in Comparison With Ultrasound Guided Interscalene Block [NCT02397330]60 participants (Anticipated)Interventional2015-04-30Not yet recruiting
Efficacy of Injectable Fentanyl in Sublingual Route Versus Oral Morphine Syrup for Breakthrough Pain in Gynecologic Cancer Patients With Chronic Cancer Pain : A Randomized Double Blind Controlled Trial [NCT05037539]Phase 1/Phase 220 participants (Actual)Interventional2021-06-15Completed
The Effect of Patient Controlled Analgesia Pump Cues on Patient Satisfaction [NCT02456909]176 participants (Actual)Interventional2015-04-30Completed
Inflammatory Responses to Acute and Chronic Opioid Exposure in Humans [NCT01749826]20 participants (Actual)Interventional2010-01-31Terminated(stopped due to The cytokines in the samples were undetectable.)
Peripheral Nerve Blocks in Pediatric Orthopedic Patients: Are There Any Post Recovery Benefits? [NCT02236130]49 participants (Actual)Interventional2014-06-30Terminated(stopped due to Poor response rate on follow up of patients)
Eliminating Long Acting Spinal Narcotic Use and Its Associated Side Effects for Those Who do Not Need it After Cesarean Delivery [NCT02143141]Phase 413 participants (Actual)Interventional2011-11-30Terminated(stopped due to feasibility of population needed to complete study)
Comparing Acute Pain Management Protocols for Patients With Sickle Cell Disease [NCT02222246]Phase 4106 participants (Actual)Interventional2015-03-15Completed
A Multicenter, Randomized, Open-Label, Parallel-Group Trial to Compare the Efficacy and Safety of the Sufentanil NanoTab PCA System/15 mcg (Zalviso™) to Intravenous Patient-Controlled Analgesia With Morphine for the Treatment of Acute Post-Operative Pain [NCT01539538]Phase 3357 participants (Actual)Interventional2012-04-30Completed
A Randomized, Double-blind Study Evaluating the Influence of Morphine on Pharmacokinetics and Pharmacodynamics of Ticagrelor and Its Active Metabolite (AR-C124910XX) in Patients With ST-segment Elevation Myocardial Infarction and Non-ST-segment Elevation [NCT02217878]Phase 474 participants (Actual)Interventional2014-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00305058 (4) [back to overview]Number of Participants Satisfied With Pain Medication
NCT00305058 (4) [back to overview]Number of Participants With a Change in Pain Score
NCT00305058 (4) [back to overview]Number of Participants With Pain Relief
NCT00305058 (4) [back to overview]Change in Pain Intensity
NCT00314340 (1) [back to overview]3 Scores on the Addiction Research Center Inventory (ARCI)
NCT00346268 (10) [back to overview]Opiate Related Symptom Distress Scale (OR-SDS) Questionnaire: Overall Composite Score
NCT00346268 (10) [back to overview]Pain Intensity Score
NCT00346268 (10) [back to overview]Amount of Blood Loss
NCT00346268 (10) [back to overview]Number of Participants With Blood Loss Requiring Red Blood Cell (RBC) Transfused Units
NCT00346268 (10) [back to overview]Cumulative Amount of Morphine Administered in the First 24 Hours Following Surgery
NCT00346268 (10) [back to overview]Cumulative Amount of Morphine Administered in the First 48 Hours Following Surgery
NCT00346268 (10) [back to overview]Time to Last Administration of Morphine
NCT00346268 (10) [back to overview]Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Interference Composite Score
NCT00346268 (10) [back to overview]Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Severity Composite Score
NCT00346268 (10) [back to overview]Number of Participants With Rating of Global Evaluation of Study Medication
NCT00353704 (2) [back to overview]Morphine (Opioid) Consumption Cumulated
NCT00353704 (2) [back to overview]Mean VAS Pain (Visual Analogue Scale)at Rest (0-100 mm)
NCT00385541 (5) [back to overview]The Number of Patients Who Vomited
NCT00385541 (5) [back to overview]Pain Assessment by Patient
NCT00385541 (5) [back to overview]Nausea Assessment by Patient
NCT00385541 (5) [back to overview]Mean Score on the Ramsey Scale of Sedation
NCT00385541 (5) [back to overview]Mean Score on the Numeric Rating Scare (NRS) Pruritus Scale
NCT00415597 (3) [back to overview]Subjects With Treatment Emergent Adverse Events
NCT00415597 (3) [back to overview]Mean Percent Change From Baseline to 52 Weeks in Brief Pain Inventory Score (BPI) of Average Pain
NCT00415597 (3) [back to overview]Mean Percent Change From Baseline to 12 Weeks in Brief Pain Inventory Score (BPI) of Average Pain
NCT00420992 (1) [back to overview]Mean Change From Randomization to 12 Weeks Following Randomization in Diary Brief Pain Inventory Score of Average Pain (Daily Scores of Average Pain Averaged Over 7 Days)
NCT00460239 (8) [back to overview]Psychomotor/Cognitive Performance Effects Assessed by Trails B
NCT00460239 (8) [back to overview]Psychomotor/Cognitive Performance Effects Assessed by Digit Symbol Substitution Test (DSST)
NCT00460239 (8) [back to overview]Physiologic Effects as Assessed by Pupil Diameter
NCT00460239 (8) [back to overview]Physiologic Effects as Assessed by Oxygen Saturation
NCT00460239 (8) [back to overview]Physiologic Effects as Assessed by Body Temperature
NCT00460239 (8) [back to overview]Physiologic Effects as Assessed by Heart Rate
NCT00460239 (8) [back to overview]Peak Change From Baseline in Drug Effect Assessed by Visual Analog Scale (VAS)
NCT00460239 (8) [back to overview]Physiologic Effects as Assessed by Blood Pressure
NCT00472303 (23) [back to overview]Change in the EuroQoL (EQ-5D) Health Status Index (United Kingdom Time Trade-off Value Set) Change From Start of Titration to Endpoint Titration.
NCT00472303 (23) [back to overview]Change in the EuroQoL (EQ-5D) Health Status Index (United Kingdom Time Trade-off Value Set) Over Time in the Maintenance Phase for Tapentadol and the Placebo Randomized Withdrawal Treatment Arms.
NCT00472303 (23) [back to overview]Changes in Health Related Quality of Life: EuroQol-5D Health State Visual Analog Scale (VAS) Maintenance Phase.
NCT00472303 (23) [back to overview]Health Related Quality of Life: EuroQol-5D Health State Visual Analog Scale (VAS) Titration Phase.
NCT00472303 (23) [back to overview]Number of Participants Scored as Responder in Maintenance Phase.
NCT00472303 (23) [back to overview]The Average Mean Total Daily Dose of Rescue Medication.
NCT00472303 (23) [back to overview]Change in the Patient Assessment of Constipation Symptoms (PAC-SYM) During the Titration Phase
NCT00472303 (23) [back to overview]Changes in the Short Form 36® Health Survey (SF-36®) During the Maintenance Phase.
NCT00472303 (23) [back to overview]Change in the Patient Assessment of Constipation Symptoms (PAC-SYM) During the Maintenance Phase
NCT00472303 (23) [back to overview]Average Daily Pain Intensity Scores, Averaged Per Week by Treatment, During the Titration Phase in the Tapentadol Treatment Arm.
NCT00472303 (23) [back to overview]Current Pain Intensity Scores, Averaged Per Week, During the Titration Phase in the Morphine Arm.
NCT00472303 (23) [back to overview]Clinical Opioid Withdrawal Scale (COWS) at the End of the Titration Phase.
NCT00472303 (23) [back to overview]Average Daily Pain Intensity Scores, Averaged Per Week by Treatment, During the Titration Phase in the Morphine Treatment Arm.
NCT00472303 (23) [back to overview]Average Daily Pain Intensity Scores, Averaged Per Week by Treatment, During the Maintenance Phase.
NCT00472303 (23) [back to overview]Use of Rescue Medication in the Titration Phase.
NCT00472303 (23) [back to overview]Number of Participants Using Immediate Release Morphine Rescue Medication in the Maintenance Phase
NCT00472303 (23) [back to overview]Quality of Sleep (Sleep Questionnaire) in the Titration Phase.
NCT00472303 (23) [back to overview]Quality of Sleep (Sleep Questionnaire) During the Maintenance Phase of the Trial.
NCT00472303 (23) [back to overview]Patient Global Impression of Change
NCT00472303 (23) [back to overview]Current Pain Intensity Scores, Averaged Per Week, During the Titration Phase in the Tapentadol Arm.
NCT00472303 (23) [back to overview]Current Pain Intensity Scores, Averaged Per Week by Treatment, During the Maintenance Phase.
NCT00472303 (23) [back to overview]Clinical Opioid Withdrawal Score (COWS) at the End of the Maintenance Phase.
NCT00472303 (23) [back to overview]Changes in the Short Form 36® Health Survey (SF-36®) During the Titration Phase.
NCT00478023 (2) [back to overview]Sum of Pain Intensity Differences Relative to the Baseline Pain Intensity.
NCT00478023 (2) [back to overview]Sum of Pain Intensity Differences Relative to the Baseline Pain Intensity
NCT00487084 (4) [back to overview]Supplemental Analgesia in First 48 Hours
NCT00487084 (4) [back to overview]Supplemental Analgesia in First 90 Minutes
NCT00487084 (4) [back to overview]Verbal Rating Score (0 to 10) for Pain (VRPS)
NCT00487084 (4) [back to overview]Duration of Continuing Analgesia
NCT00492973 (5) [back to overview]Amount of Pain Medication Taken Per Day
NCT00492973 (5) [back to overview]Knee Range of Motion
NCT00492973 (5) [back to overview]Knee Society Scores
NCT00492973 (5) [back to overview]Length of Hospital Stay
NCT00492973 (5) [back to overview]Complications, Such as Infections, Hospital Readmissions, Manipulations Under Anesthesia, Etc.
NCT00505414 (2) [back to overview]Patient Global Impression of Change (PGIC)
NCT00505414 (2) [back to overview]Responder Rates in Maintenance Period
NCT00527332 (1) [back to overview]Duration of Hospital Stay.
NCT00562627 (3) [back to overview]Time to Readiness for Discharge
NCT00562627 (3) [back to overview]Pain at Rest (VAS)
NCT00562627 (3) [back to overview]Opioid Use
NCT00580489 (2) [back to overview]Recording of Instance of Narcotic Side Effects.
NCT00580489 (2) [back to overview]Mean Change in Numeric Pain Score (NPS) From First to Last Dose
NCT00609466 (7) [back to overview]Number of Participants Using Rescue Medication
NCT00609466 (7) [back to overview]Sum of Pain Intensity Differences Over 12 Hours (SPID12) Relative to the Baseline Pain Intensity
NCT00609466 (7) [back to overview]Sum of Pain Intensity Differences Over 6 Hours (SPID6) Relative to the Baseline Pain Intensity
NCT00609466 (7) [back to overview]Sum of Pain Intensity Differences Over 72 Hours (SPID72) Relative to the Baseline Pain Intensity
NCT00609466 (7) [back to overview]Sum of Pain Intensity Differences Relative to the Baseline Pain Intensity.
NCT00609466 (7) [back to overview]Total Pain Relief (TOTPAR)
NCT00609466 (7) [back to overview]Sum of Pain Intensity Differences Over 24 Hours (SPID24) Relative to the Baseline Pain Intensity
NCT00640042 (9) [back to overview]Number of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 Months Post Study Completion.
NCT00640042 (9) [back to overview]Number of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 to 6 Months Post Study Completion.
NCT00640042 (9) [back to overview]Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)
NCT00640042 (9) [back to overview]Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 4 (Week 10)
NCT00640042 (9) [back to overview]Difference From Baseline (Week 0) in the Average Pain Score at Visit 3 (Week 6)
NCT00640042 (9) [back to overview]Difference From Baseline (Week 0) in the Average Pain Score at Visit 4 (Week 10)
NCT00640042 (9) [back to overview]Difference From Baseline (Week 0) in the Average Pain Score at Visit 5 (Week 14 / End of Study)
NCT00640042 (9) [back to overview]Number of Subjects With Treatment Emergent Adverse Events
NCT00640042 (9) [back to overview]Number of Cases in Which Investigators Were Satisfied or Very Satisfied With the Utility of the Risk Minimization Program in This Study.
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Bolus Dose in mg Administered by Patient-controlled Analgesia (PCA)
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Standardised Quality of Life Scores (EORTC - QLQ-C30)
NCT00712712 (22) [back to overview]Standardised Quality of Life Scores (EORTC - QLQ-C30)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Intensity of Pain (Minimum, Average, Maximum)
NCT00712712 (22) [back to overview]Total Intravenous Morphine Dose (mg)
NCT00712712 (22) [back to overview]Percentage of Participants With Maximum Pain Level Decreased by ≥ 2 Points at 2 Months After Radiofrequency Ablation (RFA)
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00712712 (22) [back to overview]Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day
NCT00726999 (4) [back to overview]Number of Ondansetron Doses Administered for Nausea
NCT00726999 (4) [back to overview]Amount of Morphine Consumed (mg/kg/hr)
NCT00726999 (4) [back to overview]Amount of Morphine Consumed (mg/kg/hr)
NCT00726999 (4) [back to overview]Amount of Morphine Consumed (mg/kg/hr)
NCT00737737 (2) [back to overview]Is Placebo Analgesia Associated With a Similar Hormonal Response as Elicited by an Opioid Analgesic?
NCT00737737 (2) [back to overview]Is Chronic Opioid Treatment Associated With Changes in Adrenocorticotropic Hormone (ACTH), Cortisol, Luteinizing Hormone (LH) and Testosterone Secretion?
NCT00743730 (3) [back to overview]Number of Patients Requiring Naloxone for Respiratory Depression
NCT00743730 (3) [back to overview]Parent Satisfaction With the Administration Technique
NCT00743730 (3) [back to overview]Median Pain Score During Shift 1, as Measured With the Face, Legs, Activity, Cry, Consolability Scale
NCT00759356 (4) [back to overview]Time of Maximum Plasma Morphine Concentration
NCT00759356 (4) [back to overview]Mean Maximum Plasma Morphine Concentration
NCT00759356 (4) [back to overview]Area Under the Curve to the Last Measurable Time Point for Plasma Morphine
NCT00759356 (4) [back to overview]Area Under the Curve to Infinity for Plasma Morphine
NCT00759759 (4) [back to overview]Time of Maximum Plasma Morphine Concentration
NCT00759759 (4) [back to overview]Maximum Plasma Morphine Concentration
NCT00759759 (4) [back to overview]Area Under the Curve to the Last Measurable Time Point for Plasma Morphine
NCT00759759 (4) [back to overview]Area Under the Curve to Infinity for Plasma Morphine
NCT00759902 (4) [back to overview]Area Under the Curve to Infinity for Plasma Morphine
NCT00759902 (4) [back to overview]Time of Maximum Plasma Morphine Concentration
NCT00759902 (4) [back to overview]Maximum Plasma Morphine Concentration
NCT00759902 (4) [back to overview]Area Under the Curve to the Last Measurable Time Point for Plasma Morphine
NCT00759915 (4) [back to overview]Time of Maximum Plasma Morphine Concentration
NCT00759915 (4) [back to overview]Maximum Plasma Morphine Concentration
NCT00759915 (4) [back to overview]Area Under the Curve to the Last Measurable Time Point for Plasma Morphine
NCT00759915 (4) [back to overview]Area Under the Curve to Infinity for Plasma Morphine
NCT00759954 (4) [back to overview]Maximum Plasma Morphine Concentration
NCT00759954 (4) [back to overview]Area Under the Curve to the Last Measurable Time Point for Plasma Morphine
NCT00759954 (4) [back to overview]Area Under the Curve to Infinity for Plasma Morphine
NCT00759954 (4) [back to overview]Time of Maximum Plasma Morphine Concentration
NCT00761085 (2) [back to overview]To Determine the Pharmacokinetics of Methadone in Children and Adults With Sickle Cell Disease Experiencing a VOE.
NCT00761085 (2) [back to overview]Pain Relief
NCT00766506 (10) [back to overview]Nurse Ease of Care (EOC) Questionnaire Score
NCT00766506 (10) [back to overview]Participant's Evaluation of Mean Ability to Mobilize After Surgery
NCT00766506 (10) [back to overview]Time to Actual Discharge
NCT00766506 (10) [back to overview]Time to Fit For Discharge (FFD)
NCT00766506 (10) [back to overview]Number of Participants Who Require Concomitant Antiemetic Medication
NCT00766506 (10) [back to overview]Number of Participants Who Require Concomitant Non-opioid Analgesics
NCT00766506 (10) [back to overview]Pain Intensity Numerical Rating Scale (NRS)
NCT00766506 (10) [back to overview]Number of Participants With Patient Global Assessment (PGA) of Method of Pain Control
NCT00766506 (10) [back to overview]Number of Participants Facing Technical Failure of the Device
NCT00766506 (10) [back to overview]Number of Participants Who Require Rescue Medication
NCT00803114 (4) [back to overview]The Number of Women Who Received Systemic Narcotic Analgesics in the First 24 Hours Postpartum
NCT00803114 (4) [back to overview]Maternal Visual Analogue Scale (VAS) Score at Time of Request for First Additional Analgesic
NCT00803114 (4) [back to overview]Maternal Satisfaction With Perineal Pain Management
NCT00803114 (4) [back to overview]Time to First Request for Analgesia
NCT00804609 (1) [back to overview]Maximum Plasma Concentration (Cmax) of Extended Release Epidural Morphine (EREM)
NCT00820027 (9) [back to overview]Percentage of Participants Who Discontinued Study Drug Due to an AE
NCT00820027 (9) [back to overview]Average Change From Baseline for Pain Intensity at Rest Over Days 1 to 3 (Etoricoxib vs. Ibuprofen)
NCT00820027 (9) [back to overview]Average Change From Baseline for Pain Intensity at Rest Over Days 1 to 3 (Etoricoxib vs. Placebo)
NCT00820027 (9) [back to overview]Average Total Daily Dose of Postoperative Morphine Over Days 1 to 3 (Etoricoxib vs. Ibuprofen)
NCT00820027 (9) [back to overview]Average Total Daily Dose of Postoperative Morphine Over Days 1 to 3 (Etoricoxib vs. Placebo)
NCT00820027 (9) [back to overview]Percentage of Participants With at Least One Adverse Event of Congestive Heart Failure, Pulmonary Edema, or Cardiac Failure
NCT00820027 (9) [back to overview]Percentage of Participants With at Least One Edema-Related AE
NCT00820027 (9) [back to overview]Percentage of Participants With at Least One Hypertension-Related AE
NCT00820027 (9) [back to overview]Percentage of Participants With at Least One Opioid-Related AE
NCT00875550 (6) [back to overview]Percentage of Subjects That do Not Require Rescue Midazolam (MDZ) for Sedation Based on Achieving and Maintaining a Target University of Michigan Sedation Scale (UMSS) Score of 1 to 3 While Intubated.
NCT00875550 (6) [back to overview]Time to First Dose of Rescue Medication for Sedation and Analgesia
NCT00875550 (6) [back to overview]Time to Successful Extubation
NCT00875550 (6) [back to overview]Total Amount of Rescue Medication Required for Sedation and Analgesia While Intubated
NCT00875550 (6) [back to overview]Absolute Time on Study Drug That the Subject is in a UMSS Range of 1 to 3 While Intubated
NCT00875550 (6) [back to overview]Absolute Time on Study Drug That the Subject is Out of the Target Sedation Range (UMSS <1 or >3) While Intubated
NCT00880607 (7) [back to overview]Adverse Opioid Effect: Respiratory Depression
NCT00880607 (7) [back to overview]Time Until First PCA Demand Request
NCT00880607 (7) [back to overview]Total IV Morphine Consumption up to 48 Hours Post Surgery
NCT00880607 (7) [back to overview]Post-operative Pain Scores
NCT00880607 (7) [back to overview]Adverse Opioid Effect: Emesis
NCT00880607 (7) [back to overview]Adverse Opioid Effect: Nausea
NCT00880607 (7) [back to overview]Adverse Opioid Effect: Pruritus
NCT00892606 (3) [back to overview]Visual Pain Score
NCT00892606 (3) [back to overview]Opioid Consumption During the 48 Hours After Surgery
NCT00892606 (3) [back to overview]Number of Participants With Post Operative Nausea and Vomiting
NCT00895531 (1) [back to overview]Postoperative Pain
NCT00901628 (6) [back to overview]The Proportion of Patients Who Could Raise Leg With Replaced Knee Extended
NCT00901628 (6) [back to overview]Intravenous Patient Controlled Analgesia(PCA) Consumption During 24 Hours After Surgery
NCT00901628 (6) [back to overview]Maximal Flexion Angle Degree on Postoperative 7 Day
NCT00901628 (6) [back to overview]Pain( Visual Analog Scale )
NCT00901628 (6) [back to overview]Participant Number of Postoperative Nausea and Vomiting During 24 Hours After Surgery
NCT00901628 (6) [back to overview]the Proportion of Patients Who Were Satisfied With the Pain Management
NCT00910208 (6) [back to overview]Need for Supplementary Analgesia
NCT00910208 (6) [back to overview]Safety: Incidence of Adverse Events
NCT00910208 (6) [back to overview]Participants With Short Term Efficacy: Pain Relief by 30 Minutes
NCT00910208 (6) [back to overview]Long Term Efficacy: Pain Relief by 120 Minutes
NCT00910208 (6) [back to overview]Short Term Efficacy: Change in Pain Intensity as Assessed by Patient Self Report on Numerical Rating Scale
NCT00910208 (6) [back to overview]Long Term Efficacy: Total Analgesia Provided Over 2 Hours
NCT00934661 (9) [back to overview]Verbal Pain Scores Post-gait
NCT00934661 (9) [back to overview]Verbal Pain Scores Post-gait
NCT00934661 (9) [back to overview]Verbal Pain Scores Post-gait
NCT00934661 (9) [back to overview]Verbal Pain Scores Post-gait
NCT00934661 (9) [back to overview]Patient Satisfaction Score
NCT00934661 (9) [back to overview]Length of Hospital Stay After Surgery
NCT00934661 (9) [back to overview]Distance Walked at Walking Test
NCT00934661 (9) [back to overview]Distance Walked at Walking Test
NCT00934661 (9) [back to overview]Total Opioid Consumption
NCT00955877 (11) [back to overview]Number of Participants That Were Given Codeine 48hr Post Surgery
NCT00955877 (11) [back to overview]Number of Participants That Were Bradycardia Within 48hr Post Surgery
NCT00955877 (11) [back to overview]Number of Participants With Hemodynamic Instability 48hrs Post op
NCT00955877 (11) [back to overview]Number of Participants That Had Urine Retention for 48hrs Post Foley Catheter Removal.
NCT00955877 (11) [back to overview]Number of Participants That Were Given Zofran 48hr Post Surgery
NCT00955877 (11) [back to overview]Number of Participants With CSF Leaks Within 6 Months Post op.
NCT00955877 (11) [back to overview]Quantity of Fentanyl Administered
NCT00955877 (11) [back to overview]Number of Participants With Respiratory Depression Within 48hrs Post op
NCT00955877 (11) [back to overview]Number of Participants With Pruritis Within 48hrs Post op
NCT00955877 (11) [back to overview]Adequacy of Analgesia as Judged by Age-adjusted Pain Scales
NCT00955877 (11) [back to overview]Number of Participants With Nausea and/or Vomiting 48hrs Post op.
NCT01038609 (7) [back to overview]Number of Participants With Chemistry Values Meeting Potentially Clinically Significant Criteria
NCT01038609 (7) [back to overview]Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analogue Scale (VAS)
NCT01038609 (7) [back to overview]Participants With Adverse Events (AEs)
NCT01038609 (7) [back to overview]Participant's Global Assessment of Study Drug
NCT01038609 (7) [back to overview]Time to Perceptible and Meaningful Pain Relief
NCT01038609 (7) [back to overview]Number of Participants With Vital Signs Values Meeting Potentially Clinically Significant Criteria
NCT01038609 (7) [back to overview]TOTPAR (Total Pain Relief)
NCT01057381 (6) [back to overview]Time to PACU Discharge Readiness
NCT01057381 (6) [back to overview]Morphine Rescue Doses Needed by Participants
NCT01057381 (6) [back to overview]Number of Participants With Postoperative Complications
NCT01057381 (6) [back to overview]Amount of Post-Operative Rescue Morphine Required for Analgesia
NCT01057381 (6) [back to overview]Duration of Oxygen Supplementation
NCT01057381 (6) [back to overview]Number of Participants With Emergence Agitation
NCT01094522 (4) [back to overview]•Amount of Study Drug Administered During the 24-hour Dosing Period
NCT01094522 (4) [back to overview]•Pain Scores (FLACC) During the 24 Hours Study Period
NCT01094522 (4) [back to overview]Maximum Concentration of Methadone Including Its Metabolites (EDDP and EMDP)
NCT01094522 (4) [back to overview]Maximum Concentration of Morphine Including Its Metabolites (Morphine-3-glucuronide and Morphine-6-glucuronide)
NCT01100437 (16) [back to overview]Number of Participants With Clinical Opiate Withdrawal Scale (COWS) Score Greater Than or Equal to (≥) 13 in the Treatment Phase
NCT01100437 (16) [back to overview]Average Numeric Pain Rating Scale (NPRS) in Titration/Stabilization and Maintenance Phases
NCT01100437 (16) [back to overview]Plasma Decay Half-Life (t1/2) During the Treatment Phase
NCT01100437 (16) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) During the Treatment Phase
NCT01100437 (16) [back to overview]Volume of Distribution (Vd/F)During the Treatment Phase
NCT01100437 (16) [back to overview]Area Under the Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last) During the Treatment Phase
NCT01100437 (16) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] During the Treatment Phase
NCT01100437 (16) [back to overview]Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-τ) During the Treatment Phase
NCT01100437 (16) [back to overview]Apparent Oral Clearance (CL/F) During the Treatment Phase
NCT01100437 (16) [back to overview]Time to First Occurrence of a COWS Score ≥ 13 for Each Treatment During the Treatment Phase
NCT01100437 (16) [back to overview]Naltrexone Plasma Concentration at First COWS ≥ 13 in the Treatment Phase
NCT01100437 (16) [back to overview]6-β-Naltrexone Plasma Concentration at First COWS ≥ 13 in Treatment Phase
NCT01100437 (16) [back to overview]Maximum Post-dose COWS in the Treatment Phase
NCT01100437 (16) [back to overview]Morphine Plasma Concentration at First COWS ≥ 13 in the Treatment Phase
NCT01100437 (16) [back to overview]Minimum Observed Plasma Concentration (Cmin) During the Treatment Phase
NCT01100437 (16) [back to overview]Maximum Observed Plasma Concentration (Cmax) During the Treatment Phase
NCT01119222 (2) [back to overview]Average Pain (0-120 Seconds): Cold Pain Test Visual Analog Scale (VAS)
NCT01119222 (2) [back to overview]Interpolated Average Pain (0-8 Hours)
NCT01136356 (3) [back to overview]Mean Daily Peak Pain Ratings Assessed by the Visual Analog Scale (VAS)
NCT01136356 (3) [back to overview]Mean Peak Opioid Withdrawal Assessed by the Clinical Opiate Withdrawal Scale (COWS)
NCT01136356 (3) [back to overview]Mean Peak Sleep Assessed by Pittsburgh Sleep Quality Index (PSQI)
NCT01146457 (1) [back to overview]Rate of Breakthrough Pain
NCT01159262 (9) [back to overview]Total Amount of Rescue Medication Fentanyl Given for Sedation During Dexmedetomidine Infusion (Among Who Used)
NCT01159262 (9) [back to overview]Time to Successful Extubation in DEX-exposed Subjects
NCT01159262 (9) [back to overview]Percentage of Subjects Who Received Rescue Medication Midazolam for Sedation During Dexmedetomidine Infusion
NCT01159262 (9) [back to overview]Percentage of Subjects Who Received Rescue Medication for Analgesia During Dexmedetomidine Infusion
NCT01159262 (9) [back to overview]Total Amount of Rescue Medication Midazolam Given for Sedation During Dexmedetomidine Infusion (Among Who Used)
NCT01159262 (9) [back to overview]Total Amount of Rescue Medication Morphine Given for Sedation During Dexmedetomidine Infusion (Among Who Used)
NCT01159262 (9) [back to overview]Weight-adjusted Total Amount (Per kg) of Rescue Medication Fentanyl Given for Analgesia During Dexmedetomidine Infusion (Among Who Used)
NCT01159262 (9) [back to overview]Weight-adjusted Total Amount (Per kg) of Rescue Medication Midazolam Given for Sedation During Dexmedetomidine Infusion (Among Who Used)
NCT01159262 (9) [back to overview]Weight-adjusted Total Amount (Per kg) of Rescue Medication Morphine Given for Analgesia During Dexmedetomidine Infusion (Among Who Used)
NCT01179191 (14) [back to overview]Duration to Titrate Participants to Stable Dose Stratified by Prior Opioid Therapy
NCT01179191 (14) [back to overview]Duration to Titrate Participants to Stable Dose
NCT01179191 (14) [back to overview]Investigator's Level of Satisfaction With the EMBEDA Conversion Guide
NCT01179191 (14) [back to overview]Number of Participants With Abnormal Urine Drug Test Results
NCT01179191 (14) [back to overview]Number of Participants With Aberrant Behaviors
NCT01179191 (14) [back to overview]Number of Participants With Greater Than or Equal to One Urine Drug Test Results Negative for Expected Opioid
NCT01179191 (14) [back to overview]Number of Participants With Urine Drug Test Results Positive for Illicit Substances
NCT01179191 (14) [back to overview]Number of Titration Steps to Achieve Stable Dose Stratified by Prior Opioid Therapy
NCT01179191 (14) [back to overview]Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase Stratified by Prior Opioid Therapy
NCT01179191 (14) [back to overview]Number of Participants With Urine Drug Test Results Positive for Unaccounted Opioids
NCT01179191 (14) [back to overview]Number of Titration Steps to Achieve Stable Dose
NCT01179191 (14) [back to overview]Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase
NCT01179191 (14) [back to overview]Percentage of Participants With Rescue Medications Usage During Titration
NCT01179191 (14) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) at Visit 3 (First Visit After Successful Titration)
NCT01242644 (8) [back to overview]Number of Narcotic Pills and Morphine Sulfate Used
NCT01242644 (8) [back to overview]Number of Narcotic Pills and Morphine Sulfate Used
NCT01242644 (8) [back to overview]Pain Scale
NCT01242644 (8) [back to overview]Pain Scale
NCT01242644 (8) [back to overview]Pain Scale
NCT01242644 (8) [back to overview]Pain Score 8 Hours Post-operativley
NCT01242644 (8) [back to overview]Number of Narcotic Pills and Morphine Sulfate Used
NCT01242644 (8) [back to overview]Number of Narcotic Pills and Morphine Sulfate Used
NCT01244126 (2) [back to overview]Maximum PAED Score
NCT01244126 (2) [back to overview]Maximum Postoperative Face, Legs, Activity, Cry and Consolability (FLACC) Pain Score.
NCT01249872 (6) [back to overview]Consumption of Levobupivacaine at 24h and 48 h Postoperatively
NCT01249872 (6) [back to overview]Change From Baseline in Pain Scores (Visual Analogue Scale)
NCT01249872 (6) [back to overview]Time to Postoperative Bowel Recovery
NCT01249872 (6) [back to overview]Time to First Postoperative Ambulation
NCT01249872 (6) [back to overview]Cumulative Consumption of Epidural Morphine at 24h and 48h Postoperatively
NCT01249872 (6) [back to overview]Change From Baseline of Spirometric Values
NCT01298778 (8) [back to overview]Pruritus
NCT01298778 (8) [back to overview]Analgesic Consumption
NCT01298778 (8) [back to overview]Severity of Acute Pain
NCT01298778 (8) [back to overview]Pain
NCT01298778 (8) [back to overview]Emetic Symptoms
NCT01298778 (8) [back to overview]Incidence of Persistent Pain
NCT01298778 (8) [back to overview]Incidence of Depression
NCT01298778 (8) [back to overview]Average Pain Over 24 Hours
NCT01309386 (7) [back to overview]Number of Doses of Rescue Medication Over Time
NCT01309386 (7) [back to overview]Number of Participants Who Discontinued Study Treatment Due to Lack of Efficacy
NCT01309386 (7) [back to overview]Percentage of Participants Who Achieved Pain Control
NCT01309386 (7) [back to overview]Total Number of Days of Rescue Medication Over Time
NCT01309386 (7) [back to overview]Change From Baseline in Numerical Rating Scale (NRS) at Week 1, 2, 3, 4, 5, 6, 7 and 8
NCT01309386 (7) [back to overview]Average Change From Baseline in Amount of Rescue Medication Over Time
NCT01309386 (7) [back to overview]Number of Participants With Patient Global Impression of Change (PGIC)
NCT01322360 (2) [back to overview]Number of Subjects Who Experienced Adverse Events That Led to Study Discontinuation
NCT01322360 (2) [back to overview]Number of Subjects Who Experienced Adverse Events of Moderate to Severe Intensity / Grade
NCT01362998 (8) [back to overview]Number of Participants Who Responded Yes to Having Back Pain
NCT01362998 (8) [back to overview]Number of Participants Who Were Observed by Their Nurse to Have Urinary Retention
NCT01362998 (8) [back to overview]Postsurgical Pain
NCT01362998 (8) [back to overview]Number of Participants Who Responded Yes to Having Nausea or Vomiting
NCT01362998 (8) [back to overview]Number of Participants Who Required Additional Pain Medications
NCT01362998 (8) [back to overview]Number of Participants Who Responded Yes to Having Pruritis
NCT01362998 (8) [back to overview]Number of Participants Who Were Observed by Their Nurse to Have Respiratory Depression
NCT01362998 (8) [back to overview]Patient Satisfaction
NCT01380093 (109) [back to overview]Good Effects: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Any Effects: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Any Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Bad Effects: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Bad Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Dizzy: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Dizzy: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Drug Liking: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Drug Liking: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Feel Sick: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Feel Sick: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Good Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]High: Peak Effect (Emax)
NCT01380093 (109) [back to overview]High: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Morphine
NCT01380093 (109) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Naltrexone
NCT01380093 (109) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Nausea: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Nausea: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Overall Drug Liking Effect at 24 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Pupillometry: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Pupillometry: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Sleepy: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Sleepy: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Take Drug Again Effect at 24 Hours
NCT01380093 (109) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Morphine
NCT01380093 (109) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone
NCT01380093 (109) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380197 (2) [back to overview]Number of Participants Who Experienced Pain Relief
NCT01380197 (2) [back to overview]Acute Chest Syndrome
NCT01430182 (1) [back to overview]Opioid Consumption
NCT01447888 (2) [back to overview]Pain Management Improvement at 24 Hours After the Recovery Period
NCT01447888 (2) [back to overview]Immediate Postoperative Pain Control
NCT01452789 (4) [back to overview]Number of Patients Requiring Supplemental Phenobarbital Treatment.
NCT01452789 (4) [back to overview]Number of Participants With Adverse Events as a Measure of Safety and Tolerability
NCT01452789 (4) [back to overview]Length of Treatment
NCT01452789 (4) [back to overview]Length of Hospitalization
NCT01465191 (14) [back to overview]Milligrams of Intravenous Morphine Used by Participant in First 24 Hours Postoperatively
NCT01465191 (14) [back to overview]Visual Analog Scale Pruritus (Itching) at 24 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale Pruritus (Itching) at 18 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale- Nausea/Vomiting at 18 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale Pruritus (Itching) at 12 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale (VAS) Pain at 12 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale- Nausea/Vomiting at 6 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale- Nausea/Vomiting at 24 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale- Nausea/Vomiting at 12 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale Pruritus (Itching) at 6 Hours
NCT01465191 (14) [back to overview]Visual Analog Patient Satisfaction With Analgesia at 24 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale (VAS) Pain at 6 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale (VAS) Pain at 24 Hours
NCT01465191 (14) [back to overview]Visual Analog Scale (VAS) Pain at 18 Hours
NCT01502644 (1) [back to overview]Percent Change in Average Daily Pain Score
NCT01507220 (1) [back to overview]Incidence of Opioid-related Adverse Events
NCT01507246 (4) [back to overview]Incidence of Predefined Opioid-related Adverse Events
NCT01507246 (4) [back to overview]Health Economic Benefits - Length of Stay
NCT01507246 (4) [back to overview]Health Economic Benefits - Total Cost of Hospitalization
NCT01507246 (4) [back to overview]Total Opioid Burden
NCT01508455 (5) [back to overview]Time Spent With a Total N-PASS Score >3 During DEX Infusion
NCT01508455 (5) [back to overview]Percent of Subjects Requiring Rescue Midazolam for Sedation
NCT01508455 (5) [back to overview]Incidence of Rescue Medication (Fentanyl or Morphine) Use for Analgesia During DEX Infusion
NCT01508455 (5) [back to overview]Amount of Rescue Medication for Analgesia During DEX Infusion
NCT01508455 (5) [back to overview]Time to Successful Extubation
NCT01509807 (10) [back to overview]Health Economic Benefit - Length of Stay
NCT01509807 (10) [back to overview]Health Economic Benefits - Total Cost of Hospitalization
NCT01509807 (10) [back to overview]Incidence of Opioid-related Adverse Events
NCT01509807 (10) [back to overview]Make Unplanned VIsit(s) With Any Healthcare Providers
NCT01509807 (10) [back to overview]Patient Discharged From the Hospital for at Least 3 Days
NCT01509807 (10) [back to overview]Patient Satisfaction With Postsurgical Analgesia
NCT01509807 (10) [back to overview]Readmission to Hospital Since Discharge
NCT01509807 (10) [back to overview]Total Opioid Burden
NCT01509807 (10) [back to overview]Contact or Attempt to Contact Surgeon/Doctor to Discuss Recovery After Surgery
NCT01509807 (10) [back to overview]Experienced Any Health Problems or Changed in Health Since Hospital Discharge
NCT01538745 (6) [back to overview]Incidence of Treatment Failure
NCT01538745 (6) [back to overview]Incidence of Side Effects, Including Outlying Vital Signs
NCT01538745 (6) [back to overview]Maximal Change in Numerical Rating Scale (NRS) Pain Score From Baseline NRS Pain Score
NCT01538745 (6) [back to overview]Maximum Deviation From 0 on the Richmond Agitation Sedation Scale (RASS)
NCT01538745 (6) [back to overview]Time to Change in NRS Pain Score
NCT01538745 (6) [back to overview]Time to Maximal Change in NRS Pain Score
NCT01539538 (1) [back to overview]Patient Global Satisfaction
NCT01549002 (3) [back to overview]Score on the Observational Scale of Behavioral Distress Revised (OSBD-R)
NCT01549002 (3) [back to overview]Number of Patients Satisfied With Analgesia Administered
NCT01549002 (3) [back to overview]Score on the Faces Pain Scale Revised (FPS-R)
NCT01549652 (12) [back to overview]Profile of Mood States (POMS) Change in Score From Baseline (Prevention of Opioid Withdrawal)
NCT01549652 (12) [back to overview]Change in Roland-Morris Disability (RMDI) Index From Baseline (Prevention of Physical Dependence)
NCT01549652 (12) [back to overview]Beck Depression Inventory Score (BDIS) Change From Baseline (Prevention of Physical Dependence)
NCT01549652 (12) [back to overview]Profile of Mood States (POMS) Change in Score From Baseline (Prevention of Physical Dependence)
NCT01549652 (12) [back to overview]Change in Roland-Morris Disability Index (RMDI) From Baseline (Prevention of Opioid Withdrawal)
NCT01549652 (12) [back to overview]Change in Pain Visual Analog Scale (VAS) From Baseline (Prevention of Opioid Withdrawal)
NCT01549652 (12) [back to overview]Beck Depression Inventory Score (BDIS) Change From Baseline (Prevention of Opioid Withdrawal)
NCT01549652 (12) [back to overview]Change in Objective Opioid Withdrawal Score From Baseline (Prevention of Physical Dependence)
NCT01549652 (12) [back to overview]Change in Pain Visual Analog Scale (VAS) From Baseline (Prevention of Physical Dependence)
NCT01549652 (12) [back to overview]Change in Objective Opioid Withdrawal Score (OOWS) From Baseline (Prevention of Opioid Withdrawal)
NCT01549652 (12) [back to overview]Change in Subjective Opioid Withdrawal Score (SOWS) From Baseline (Prevention of Opioid Withdrawal)
NCT01549652 (12) [back to overview]Change in Subjective Opioid Withdrawal Score From Baseline (Prevention of Physical Dependence)
NCT01675622 (9) [back to overview]Numerical Rating Scale (NRS)
NCT01675622 (9) [back to overview]Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment
NCT01675622 (9) [back to overview]the Total Dose of Rescue Medicine for Breakthrough Pain.
NCT01675622 (9) [back to overview]Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment
NCT01675622 (9) [back to overview]Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period
NCT01675622 (9) [back to overview]Times of Breakthrough Pain Occurrence
NCT01675622 (9) [back to overview]Degree of Pain Relief Within 24hrs After Treatment
NCT01675622 (9) [back to overview]Average Number of Titrations
NCT01675622 (9) [back to overview]The Average Dose of Study Medicine Used During Double Blind Treatment Period
NCT01675635 (6) [back to overview]Comparison of the Total Amount of Study Drugs Used During the 24 Hours
NCT01675635 (6) [back to overview]Visual Analogue Scale (VAS) in Resting Stage at 6hour (6hour±20 Minutes After Administration of First Dose)
NCT01675635 (6) [back to overview]VAS in Both Resting and Coughing Stage at 0.5h, 2h and 24h After Administration of First Dose
NCT01675635 (6) [back to overview]The Use of Rescue Analgesics During the 24-hour Observation Period
NCT01675635 (6) [back to overview]VAS in Coughing Stage at 6h (6h±20min After Administration of First Dose)
NCT01675635 (6) [back to overview]Sleeping Quality Assessment
NCT01691690 (3) [back to overview]Analgesics Administered After Arrival to Inpatient Ward and Number of Participants Requiring Each
NCT01691690 (3) [back to overview]Time of First Opioid Analgesia in PACU
NCT01691690 (3) [back to overview]FLACC Pain Score Greater Than or Equal to 4
NCT01705288 (3) [back to overview]Hospital Stay
NCT01705288 (3) [back to overview]Pain Medications Used
NCT01705288 (3) [back to overview]Pain Assessment
NCT01734551 (4) [back to overview]Neurobehavioral Performance Summary Scores From the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS)
NCT01734551 (4) [back to overview]Finnegan Neonatal Abstinence Scoring System
NCT01734551 (4) [back to overview]Bayley Scales of Infant and Toddler Development Third Edition
NCT01734551 (4) [back to overview]Duration of Treatment
NCT01794689 (4) [back to overview]Opioid Analgesia as Assessed by Analgesia Index (Seconds)
NCT01794689 (4) [back to overview]Spinal Sensitization as Assessed by Area of Secondary Hyperalgesia (2HA) After Two Nights of Uninterrupted Sleep and Two Nights of 8 Forced Awakenings
NCT01794689 (4) [back to overview]Total Sleep Time
NCT01794689 (4) [back to overview]Mean Change in Percentage of Peripheral Blood Mononuclear Cells Expressing Interleukin-6 After LPS Stimulation
NCT01804075 (2) [back to overview]Days of Treatment With Opioid Medication
NCT01804075 (2) [back to overview]Second Drug for Withdrawal
NCT01809106 (3) [back to overview]Proportion of Full-responder
NCT01809106 (3) [back to overview]Proportion of Non-Responder (NR) Participants
NCT01809106 (3) [back to overview]The Opioid Escalation Index
NCT01816243 (4) [back to overview]Change From Baseline in Pain Intensity Rating at Day 15
NCT01816243 (4) [back to overview]Change From Baseline in Pain Intensity Rating at Day 30
NCT01816243 (4) [back to overview]Number of Participants With Participant's Global Assessment
NCT01816243 (4) [back to overview]Number of Participants With Investigator's Global Assessment
NCT01823497 (2) [back to overview]Revised-Face, Legs, Activity, Cry, Consolability (Revised-FLACC) Scale
NCT01823497 (2) [back to overview]Morphine Consumption
NCT01835262 (1) [back to overview]Numeric Rating Scale of Pain
NCT01871285 (5) [back to overview]"Change From Baseline in Pain Now Over Time Using NRS"
NCT01871285 (5) [back to overview]Change From Baseline in COWS Total Score Over Time
NCT01871285 (5) [back to overview]Number of Responders
NCT01871285 (5) [back to overview]Maximum COWS Total Score
NCT01871285 (5) [back to overview]Change From Baseline in Maximum COWS Total Score
NCT01878006 (8) [back to overview]Subjective Perception of Morphine Effect - Feel Drug
NCT01878006 (8) [back to overview]Subjective Perception of Morphine Effect - Want More
NCT01878006 (8) [back to overview]11C Raclopride Binding Potential in Ventral Pallidum
NCT01878006 (8) [back to overview]11C Raclopride Binding Potential in Putamen
NCT01878006 (8) [back to overview]11C Raclopride Binding Potential in Nucleus Accumbens
NCT01878006 (8) [back to overview]11C Raclopride Binding Potential in Caudate
NCT01878006 (8) [back to overview]Subjective Perception of Morphine Effect - Like Drug
NCT01878006 (8) [back to overview]Subjective Perception of Morphine Effect - Feel High
NCT01900847 (3) [back to overview]Number of Participants With Adverse Events
NCT01900847 (3) [back to overview]Total Amount of Morphine and Other Pain Medications Administered
NCT01900847 (3) [back to overview]Numeric Pain Score
NCT01904071 (5) [back to overview]Pain Score at 480 Minutes
NCT01904071 (5) [back to overview]Pain Score at 60 Minutes
NCT01904071 (5) [back to overview]Pain Score at 120 Minutes
NCT01904071 (5) [back to overview]Pain Score at 240 Minutes
NCT01904071 (5) [back to overview]Pain Score at 30 Minutes
NCT01924182 (4) [back to overview]Clinical Success
NCT01924182 (4) [back to overview]Opioid-Related Side Effects
NCT01924182 (4) [back to overview]Pain Assessment
NCT01924182 (4) [back to overview]Sleep Assessment
NCT01951963 (3) [back to overview]Pain Scale Rating Agreement Among Patient, Parent, and Research Staff
NCT01951963 (3) [back to overview]Adverse Drug Reaction
NCT01951963 (3) [back to overview]Cumulative Narcotic Consumption
NCT01958476 (9) [back to overview]Growth Outcome: Head Circumference at 18 Months
NCT01958476 (9) [back to overview]Growth Outcome: Length at 18 Months
NCT01958476 (9) [back to overview]Growth Outcome: Weight Change From Birth to 18 Months
NCT01958476 (9) [back to overview]Length of Hospital Stay (LOS)
NCT01958476 (9) [back to overview]Length of Hospital Stay (LOS) Due to Neonatal Abstinence Syndrome (NAS)
NCT01958476 (9) [back to overview]Length of Treatment (LOT)
NCT01958476 (9) [back to overview]Number of Infants Needing a Dose Increase
NCT01958476 (9) [back to overview]Number of Infants Needing a Second NAS Medication
NCT01958476 (9) [back to overview]Cognitive, Language, and Motor Development From 18 Month Bayley III Neurodevelopmental Assessment
NCT01964378 (11) [back to overview]Change From Baseline to End-of-Treatment Visit in Chronic Pain Sleep Inventory (CPSI) Scores
NCT01964378 (11) [back to overview]Change in the Physical and Mental Component Scores From the Short Form 12® Health Survey (SF-12)
NCT01964378 (11) [back to overview]Response Rate to Treatment
NCT01964378 (11) [back to overview]Overall Score of the Patient Assessment of Constipation Symptoms (PAC-SYM)
NCT01964378 (11) [back to overview]Average Amount of Daily Rescue Medication at the End of the Maintenance Period (Full Analysis Set)
NCT01964378 (11) [back to overview]Average Amount of Daily Rescue Medication at the End of the Maintenance Period (Per Protocol Set)
NCT01964378 (11) [back to overview]Change in Weekly Mean of the Daily Average Pain Intensity Score From Baseline
NCT01964378 (11) [back to overview]Change in Weekly Mean of the Daily Worst Pain Intensity Score From Baseline
NCT01964378 (11) [back to overview]Overall Score of the Neuropathic Pain Symptom Inventory (NPSI)
NCT01964378 (11) [back to overview]EuroQol-5 Dimension (EQ-5D) Health Questionnaire: Visual Analog Scale (VAS) Score
NCT01964378 (11) [back to overview]EuroQol-5 Dimension (EQ-5D) Health Questionnaire: Weighted EQ-5D Health Status Index
NCT01977898 (7) [back to overview]Repeat Epidural Blood Patch
NCT01977898 (7) [back to overview]Treatment Method for Headache
NCT01977898 (7) [back to overview]Severity of Post Dural Puncture Headache
NCT01977898 (7) [back to overview]Greatest Level of Headache Pain Experienced With the Unintentional Dural Puncture
NCT01977898 (7) [back to overview]Participants Who Report Post Dural Puncture Headaches
NCT01977898 (7) [back to overview]Intrathecal Infusion Volume
NCT01977898 (7) [back to overview]Intrathecal Catheter Dwell Time
NCT02009722 (10) [back to overview]Nausea
NCT02009722 (10) [back to overview]Nausea
NCT02009722 (10) [back to overview]Dose of IT Morphine and IT Hydromorphone for Adequate Analgesia (Pain Score Less Than or Equal to 3) in 90% of Patients
NCT02009722 (10) [back to overview]Pruritus
NCT02009722 (10) [back to overview]Pruritus
NCT02009722 (10) [back to overview]Treatment for Pruritus
NCT02009722 (10) [back to overview]Treatment for Nausea
NCT02009722 (10) [back to overview]Side Effects: Nausea
NCT02009722 (10) [back to overview]Side Effects: Pruritus
NCT02009722 (10) [back to overview]Side Effects: Sedation
NCT02046772 (5) [back to overview]Time of Hospitalization
NCT02046772 (5) [back to overview]Number of Adverse Events
NCT02046772 (5) [back to overview]Measurement of Time to Start the Anaesthetic Effect
NCT02046772 (5) [back to overview]Measurement of the Analgesic Effect After Surgery by VAS From 0 to 10, Where 0 is no Pain and 10 is the Worst Pain Imaginable.
NCT02046772 (5) [back to overview]Greater and Earlier Mobilization Measured by Bromage Scale.
NCT02056301 (3) [back to overview]Rescue Morphine Equivalent Administration During Postoperative Days 0-4
NCT02056301 (3) [back to overview]Total Morphine Equivalent Consumption During Postoperative Days 0-4
NCT02056301 (3) [back to overview]Verbal Pain Scale Scores During Postoperative Days 0-4
NCT02058290 (5) [back to overview]Incidence of Opioid-related Adverse Events
NCT02058290 (5) [back to overview]Total Opioid Burden
NCT02058290 (5) [back to overview]Patient Satisfaction With Pain Treatment After Surgery
NCT02058290 (5) [back to overview]Health Economic Benefits - Total Cost of Hospitalization
NCT02058290 (5) [back to overview]Health Economic Benefits - Length of Stay (LOS)
NCT02064894 (2) [back to overview]Pain Intensity - Percentage of Children Who Achieved VAS < 30 mm
NCT02064894 (2) [back to overview]Serious Adverse Event - Side Effects and Serious Adverse Events
NCT02096003 (4) [back to overview]Pain Score
NCT02096003 (4) [back to overview]Patient Satisfaction Score
NCT02096003 (4) [back to overview]Symptom Scale for Two Specific Side Effects of Nausea and Pruritus
NCT02096003 (4) [back to overview]Post Operative Fentanyl PCA Consumption
NCT02100748 (1) [back to overview]Time Weighted Average (TWA) Change From Baseline in Pain Score Over 48 Hours Between TRV130 and Placebo
NCT02143141 (3) [back to overview]Itching
NCT02143141 (3) [back to overview]Nausea/Vomiting
NCT02143141 (3) [back to overview]Pain
NCT02151682 (14) [back to overview]Tolerability Over the Complete Trial Period
NCT02151682 (14) [back to overview]Time to First Intake of Rescue Medication in the Open-label, Active-controlled Treatment Period (Part 1)
NCT02151682 (14) [back to overview]Number of Participants Classified as Responder (Part 1)
NCT02151682 (14) [back to overview]Change in Pain Intensity in the Open-label, Active-controlled Treatment Period (Part 1)
NCT02151682 (14) [back to overview]Change From Baseline in Subjective Opiate Withdrawal Scale (SOWS)
NCT02151682 (14) [back to overview]Time to Discontinuation (Treatment Emergent Adverse Events) in Part 2
NCT02151682 (14) [back to overview]Time to Discontinuation (Treatment Emergent Adverse Events) in Part 1
NCT02151682 (14) [back to overview]Serum Concentrations of Tapentadol-O-glucuronide (Part 1)
NCT02151682 (14) [back to overview]Time to Discontinuation (Lack of Efficacy) in Part 2
NCT02151682 (14) [back to overview]Use of Rescue Medication in the Open-Label, Active-controlled Treatment Period (Part 1)
NCT02151682 (14) [back to overview]Extent of Constipation (Part 2)
NCT02151682 (14) [back to overview]Extent of Constipation (Part 1)
NCT02151682 (14) [back to overview]Change in Pain Intensity in the Tapentadol Open-label Extension Period (Part 2)
NCT02151682 (14) [back to overview]Serum Concentrations of Tapentadol (Part 1)
NCT02197273 (3) [back to overview]Time to Post-operative Rescue Opioids (Hours)
NCT02197273 (3) [back to overview]Readmission or Emergency Department (ED) Visit Due to Pain Control Within 30 Days
NCT02197273 (3) [back to overview]Length of Stay in Hospital (Days)
NCT02217878 (38) [back to overview]Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VerifyNow
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-12h)
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-6)
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-12h)
NCT02217878 (38) [back to overview]Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-6h)
NCT02217878 (38) [back to overview]Maximum Concentration of AR-C124910XX
NCT02217878 (38) [back to overview]Maximum Concentration of Ticagrelor
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]P2Y12 Reaction Units Assessed by VerifyNow
NCT02217878 (38) [back to overview]Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With MEA
NCT02217878 (38) [back to overview]Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VASP
NCT02217878 (38) [back to overview]Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VerifyNow
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Platelet Reactivity Index Assessed by VASP Assay
NCT02217878 (38) [back to overview]Time to Maximum Concentration for AR-C124910XX
NCT02217878 (38) [back to overview]Time to Maximum Concentration for Ticagrelor
NCT02217878 (38) [back to overview]Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With MEA
NCT02217878 (38) [back to overview]Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VASP
NCT02222246 (2) [back to overview]Change in Pain Visual Analogue Scale (VAS) Scores Over Time
NCT02222246 (2) [back to overview]Difference in Pain Score as Measured by a Visual Analogue Scale (VAS)
NCT02223377 (9) [back to overview]Patients Requesting Oral Analgesia in the Day Surgery Unit
NCT02223377 (9) [back to overview]Mean Dose of Analgesic Used
NCT02223377 (9) [back to overview]Time to Discharge From PACU
NCT02223377 (9) [back to overview]Number of Patients With Severe Itching
NCT02223377 (9) [back to overview]Our Combined Primary Outcome Will be Number of Patients With Same Analgesia Minimal Emesis, as Compared Between the 2 Groups.
NCT02223377 (9) [back to overview]Patient Satisfaction Score
NCT02223377 (9) [back to overview]Severe Respiratory Depression
NCT02223377 (9) [back to overview]Severe Sedation
NCT02223377 (9) [back to overview]Time to Discharge From Hospital
NCT02236130 (2) [back to overview]Total Hydrocodone Dose (mg/kg)
NCT02236130 (2) [back to overview]Patient/Family Satisfaction With Pain Management
NCT02264821 (2) [back to overview]Morphine Consumption
NCT02264821 (2) [back to overview]Duration of Effective Analgesia
NCT02267772 (5) [back to overview]Change in Pain Intensity as Assessed by a Visual Analogue Scale (VAS)
NCT02267772 (5) [back to overview]Number of Participants With Fetal Heart Rate Changes
NCT02267772 (5) [back to overview]Number of Participants With Maternal Side Effects
NCT02267772 (5) [back to overview]Total Amount of Study Drug Administered
NCT02267772 (5) [back to overview]Number of Participants Who Received Rescue Medications
NCT02292082 (11) [back to overview]Numerical Rating Scale (NRS) Pain Scores With Ambulation Postoperative Day 1
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Least Pain for 0-24 Hours Postoperatively
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Most Pain for 24-48 Hours Postoperatively
NCT02292082 (11) [back to overview]Time to Meet Physical Therapy Discharge Criteria
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Most Pain for 0-24 Hours Postoperatively
NCT02292082 (11) [back to overview]Patient Outcome Questionnaire (painOUT) Least Pain for 24-48 Hours Postoperatively
NCT02292082 (11) [back to overview]Opioid Consumption Postoperative Day (POD) 1
NCT02292082 (11) [back to overview]Opioid Consumption POD2
NCT02292082 (11) [back to overview]Knee Society Score (KSS) at 6 Weeks Postoperatively
NCT02292082 (11) [back to overview]Hospital Length of Stay
NCT02292082 (11) [back to overview]NRS Pain Score With Movement POD2
NCT02299349 (2) [back to overview]Pain Scores (Visual Analog Pain Scores)
NCT02299349 (2) [back to overview]MS04 Equivalent Consumption
NCT02300077 (4) [back to overview]Postoperative Opioid Administration
NCT02300077 (4) [back to overview]Intraoperative Opioid Administration
NCT02300077 (4) [back to overview]Opioid Consumption Within First 30 Postoperative Days
NCT02300077 (4) [back to overview]Pain Relief Within First 30 Postoperative Days
NCT02335294 (2) [back to overview]Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Placebo
NCT02335294 (2) [back to overview]Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Morphine
NCT02353754 (3) [back to overview]Total Postsurgical Narcotic Consumption in Morphine Equivalents
NCT02353754 (3) [back to overview]Total Postsurgical Narcotic Consumption in Morphine Equivalents
NCT02353754 (3) [back to overview]Total Postsurgical Narcotic Consumption in Morphine Equivalents
NCT02403830 (3) [back to overview]Platelet Reactivity Measured by VASP
NCT02403830 (3) [back to overview]Platelet Reactivity Measured by VerifyNow P2Y12
NCT02403830 (3) [back to overview]AUC of Ticagrelor Plasma Levels
NCT02430818 (3) [back to overview]Would the Participant Would Consider Using the Drug Given to Them for Pain Relief in the Future
NCT02430818 (3) [back to overview]Number of Participants With an Adverse Effects
NCT02430818 (3) [back to overview]Pain Treatment-VAS (Visual Analog Scale)
NCT02434939 (4) [back to overview]Time to Maximal Analgesic Effect and Duration of Action of Ketamine
NCT02434939 (4) [back to overview]Maximal Change in NRS Pain Scores as a Percentage of Baseline NRS Pain Score.
NCT02434939 (4) [back to overview]Incidence of Treatment Failure by Treatment Group.
NCT02434939 (4) [back to overview]Incidence of Side Effects, Including Outlying Vital Signs
NCT02456909 (3) [back to overview]Patient Satisfaction Questionnaire
NCT02456909 (3) [back to overview]Anxiety (State Anxiety on POD 1 and POD 2)
NCT02456909 (3) [back to overview]Opioid Consumption (Total Amount of Opioid Consumed Post-operatively)
NCT02469077 (13) [back to overview]Mean Change in Morphine Condition Drug Effects, Liking, and Take Again (DELTA) -Drug Effect Subscale Ratings
NCT02469077 (13) [back to overview]Mean Change in Morphine Condition Drug Effects, Liking, and Take Again (DELTA) -Drug Liking Subscale Ratings
NCT02469077 (13) [back to overview]Mean Change in Morphine Condition Drug Effects, Liking, and Take Again (DELTA) -Take Again Subscale Ratings
NCT02469077 (13) [back to overview]Mean Change in 5-day Electronic Diary Ratings of Low Back Pain Intensity
NCT02469077 (13) [back to overview]Mean of the Change in Morphine Dosage (in mg) Required to Achieve 25% Reduction in Thermal Evoked Pain Responses Relative to Baseline (Pre-intervention) Placebo Condition Responses
NCT02469077 (13) [back to overview]Mean Within-participant Changes From Pre- to Post-intervention in Opioid Blockade Effects (Within-participant Difference Between Naloxone and Placebo Conditions) for McGill Pain Questionnaire-2 Total Ratings of Back Pain.
NCT02469077 (13) [back to overview]Mean Within-participant Changes From Pre- to Post-intervention in Opioid Blockade Effects (Within-participant Difference Between Naloxone and Placebo Conditions) for Ratings of Acute Thermal Pain Intensity on the McGill Pain Questionnaire-Short Form
NCT02469077 (13) [back to overview]Mean Change in Positive and Negative Affect Scale-Negative Affect Subscale Ratings.
NCT02469077 (13) [back to overview]Mean Change in Placebo Condition Ratings of Acute Thermal Pain Intensity on the McGill Pain Questionnaire-Short Form
NCT02469077 (13) [back to overview]Mean Change in McGill Pain Questionnaire-2 Total Chronic Back Pain Ratings
NCT02469077 (13) [back to overview]Mean Change in Morphine Condition Visual Analog Scale (VAS) Opioid Effects - Unpleasantness Subscale Ratings
NCT02469077 (13) [back to overview]Mean Change in Morphine Condition Visual Analog Scale (VAS) Opioid Effects Scale-Euphoria Subscale Ratings
NCT02469077 (13) [back to overview]Mean Change in Morphine Condition Visual Analog Scale (VAS) Opioid Effects Scale-Sedation Subscale Ratings
NCT02530151 (3) [back to overview]Opioid Consumption in the Acute Postoperative Period
NCT02530151 (3) [back to overview]Quality of Recovery (QoR-15) Scores for Patient Reported Recovery Following Surgery
NCT02530151 (3) [back to overview]Visual Analog Scale (VAS) Pain Scores
NCT02558010 (1) [back to overview]Post-operative Opioid Consumption (mg/kg)
NCT02600715 (8) [back to overview]Participant Satisfaction With Pain Control
NCT02600715 (8) [back to overview]Number of Participants Declining to Complete Procedure Due to Pain Intolerance
NCT02600715 (8) [back to overview]Pre-analgesia Pain Score
NCT02600715 (8) [back to overview]Change in Bladder Injection Pain
NCT02600715 (8) [back to overview]Post-operative Pain Score
NCT02600715 (8) [back to overview]Post Void Residual (PVR)
NCT02600715 (8) [back to overview]Number of Participants With Evidence of Infection or Positive Urine Culture
NCT02600715 (8) [back to overview]Postoperative Voiding Trial Results
NCT02605187 (12) [back to overview]Patient Overall Satisfaction With Postoperative Analgesia
NCT02605187 (12) [back to overview]Pain Scores
NCT02605187 (12) [back to overview]Opioid Consumption in the 0-48 Hour Study Periods.
NCT02605187 (12) [back to overview]Count of Participants With Presence of Pruritus
NCT02605187 (12) [back to overview]Count of Participants Who Need Medical Treatment of Pruritus
NCT02605187 (12) [back to overview]Nausea Score Score at 24 and 48 After Delivery
NCT02605187 (12) [back to overview]Counts of Participants Who Need Medical Treatment for Nausea
NCT02605187 (12) [back to overview]Average Number of Vomiting Episodes After Delivery
NCT02605187 (12) [back to overview]Time to Discharge
NCT02605187 (12) [back to overview]Counts of Participants With Presence of Nausea
NCT02605187 (12) [back to overview]Pruritus Score at 24 and 48 After Delivery
NCT02605187 (12) [back to overview]Count of Participants Who Need Opioid Use
NCT02625181 (4) [back to overview]PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting
NCT02625181 (4) [back to overview]Time to Discharge From the Postanesthesia Care Unit (PACU)
NCT02625181 (4) [back to overview]The Number of Prophylactic Interventions for PONV
NCT02625181 (4) [back to overview]Adherence to PONV Guidelines
NCT02658149 (5) [back to overview]Pain Score at 3-24 Hours
NCT02658149 (5) [back to overview]Opioid Usage In-hospital at 24 Hours
NCT02658149 (5) [back to overview]Pain Score at 24-48 Hours
NCT02658149 (5) [back to overview]Pain Score at 3 Hours
NCT02658149 (5) [back to overview]Opioid Usage In-hospital at 48 Hours
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Postoperative Opioid Consumption
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Postoperative Diazepam Consumption
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Length of Hospital Stay
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Average Postoperative Pain Levels on Postoperative Day 1.
NCT02659501 (5) [back to overview]The Effect of Liposomal Bupivacaine on Antiemetic Consumption
NCT02660229 (2) [back to overview]Total Dose of IV(IV Infusion+Bolus Injection) Study Drug Administered During the Treatment Duration
NCT02660229 (2) [back to overview]Change in the Mean Pain Score(NRS) From Baseline(Day 0) to Day 5.
NCT02673372 (1) [back to overview]Reduction of Pain Score at 30 Minutes
NCT02678416 (2) [back to overview]Part 1: Change From Baseline in Pain Intensity at Hour 6 Using the Thermal Suprathreshold Pain in the Ultraviolet-B (UVB) Burn Pain Model
NCT02678416 (2) [back to overview]Part 2: Observed Thermal Suprathreshold Pain Intensity in the UVB Burn Area
NCT02741076 (14) [back to overview]Change From Baseline on Sleep Quality Measured by Medical Outcomes Study (MOS)
NCT02741076 (14) [back to overview]Change in Mean Average Pain Intensity Score (PI) Score on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Digit Symbol Substitution Test
NCT02741076 (14) [back to overview]Participant Reported Quality of Life Assessment Using EQ-5D-5L Standardized Instrument
NCT02741076 (14) [back to overview]Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women
NCT02741076 (14) [back to overview]Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women
NCT02741076 (14) [back to overview]Participants Sleep Quantity Measured by Medical Outcomes Study (MOS)
NCT02741076 (14) [back to overview]Participant Reported Quality of Life Assessment Using Visual Analog Scale (EQ-5D-5L Standardized Instrument)
NCT02741076 (14) [back to overview]Number of Suboptimal Responders With Pain Intensity (PI) Score Worsening Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Number of Suboptimal Responders With Pain Intensity (PI) Score Improvement Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Number of Participants Reporting Major or Severe Major Depression Using Patient Health Questionnaire Depression Scale (PHQ-8)
NCT02741076 (14) [back to overview]Change in the Mean Average Pain Intensity (PI) Score on the 0-10 Numerical Ratings Scale (NRS)
NCT02741076 (14) [back to overview]Change From Baseline in the Patient Health Questionnaire Depression Scale (PHQ-8)
NCT02741076 (14) [back to overview]Patient Global Impression of Change (PGIC)
NCT02789410 (3) [back to overview]Pruritus
NCT02789410 (3) [back to overview]NRS Score for Pain (0-10) With Movement 24 Hours After Spinal Administration
NCT02789410 (3) [back to overview]Nausea
NCT02793947 (3) [back to overview]Total Narcotic Consumption
NCT02793947 (3) [back to overview]Number of Participants With Medication-related Side Effects
NCT02793947 (3) [back to overview]Visual Analog Scale Pain Assessment
NCT02815709 (5) [back to overview]Number of Respiratory Safety Events Compared to Morphine.
NCT02815709 (5) [back to overview]Odds Ratio of Patients Who Respond to Study Medication at the 48-hr NRS Assessment Compared to Morphine.
NCT02815709 (5) [back to overview]Number of Patients With Treatment-related Adverse Events.
NCT02815709 (5) [back to overview]Number of Patients Who Respond to Study Medication at the 48-hr Numeric Pain Rating Scale (NRS) Assessment Compared to Placebo.
NCT02815709 (5) [back to overview]Duration of Respiratory Safety Events Compared to Morphine.
NCT02820324 (5) [back to overview]Odds Ratio of Patients Who Respond to Study Medication at the 24-hr NPRS Assessment Compared to Morphine.
NCT02820324 (5) [back to overview]Duration of Respiratory Events Compared to Morphine.
NCT02820324 (5) [back to overview]Number of Patients Who Respond to Study Medication at the 24-hr Numeric Pain Rating Scale (NPRS) Assessment Compared to Placebo.
NCT02820324 (5) [back to overview]Number of Patients With Treatment-related Adverse Events Compared to Placebo and Compared to Morphine.
NCT02820324 (5) [back to overview]Number of Respiratory Safety Events Compared to Morphine.
NCT02848599 (6) [back to overview]Interleukin-6 Concentration in Peripheral Blood.
NCT02848599 (6) [back to overview]Changes in Fibrinogen Concentrations in Peripheral Blood
NCT02848599 (6) [back to overview]Changes in Cognitive Function
NCT02848599 (6) [back to overview]Changes in C-reactive Protein (CRP) Levels
NCT02848599 (6) [back to overview]Changes in Pain Intensity
NCT02848599 (6) [back to overview]Postoperative Hospital Stay
NCT02848729 (4) [back to overview]Maximum Concentration (Cmax) of Acetaminophen
NCT02848729 (4) [back to overview]Time to Maximum Concentration (Tmax) of Acetaminophen
NCT02848729 (4) [back to overview]Area Under the Plasma Concentration-time Curve Over 6 Hours (AUC6) for Acetaminophen
NCT02848729 (4) [back to overview]Area Under the Plasma Concentration-time Curve Over 18 Hours (AUC18) for Acetaminophen After First Morphine Co-administration
NCT02851303 (7) [back to overview]Breastfeeding Initiation and Continuation at Hospital Discharge
NCT02851303 (7) [back to overview]Total Morphine Equivalent Dose Received
NCT02851303 (7) [back to overview]Need for NICU Transfer, as Determined by Chart Review of Discharge Summary.
NCT02851303 (7) [back to overview]Need for Feeding Assistance, Determined by Chart Review of Discharge Summary, Specifically Evaluating for Need for Nasogastric Tube Placement or Peripheral Parenteral Nutrition.
NCT02851303 (7) [back to overview]Need for Additional Agent to Treat Withdrawal, Determined by Chart Review of Medication Administration Record of Administered Medications for Withdrawal Treatment (Example: Clonidine or Phenobarbital)
NCT02851303 (7) [back to overview]Length of Treatment
NCT02851303 (7) [back to overview]Length of Hospital Stay
NCT02856698 (3) [back to overview]Length of Hospital Stay
NCT02856698 (3) [back to overview]Number of Participants That Required Invasive Mechanical Ventilation
NCT02856698 (3) [back to overview]In-hospital Mortality
NCT02880540 (1) [back to overview]Pain Scores (Numerical Rating Scale 0-10) Using the Faces Pain Scale-Revised
NCT02882152 (2) [back to overview]Postoperative Bleeding
NCT02882152 (2) [back to overview]Analgesic Efficacy
NCT02886286 (6) [back to overview]Change From Baseline in the Numerical Rating Pain Scale (NRS)
NCT02886286 (6) [back to overview]Change From Baseline in Treatment Satisfaction
NCT02886286 (6) [back to overview]Change From Baseline in Average Weekly Numeric Pain Rating Score (NRS)
NCT02886286 (6) [back to overview]Change From Baseline in Oswestry Disability Index (ODI)
NCT02886286 (6) [back to overview]Change From Baseline in painDETECT
NCT02886286 (6) [back to overview]Change From Baseline in Patient Global Impression of Change (PGIC)
NCT02912195 (15) [back to overview]Pain Score (NRS 0-10)
NCT02912195 (15) [back to overview]Pain Score (NRS 0-10)
NCT02912195 (15) [back to overview]Pain Score (NRS 0-10)
NCT02912195 (15) [back to overview]Pain Score (NRS 0-10)
NCT02912195 (15) [back to overview]Pain Score (NRS 0-10)
NCT02912195 (15) [back to overview]Patient Satisfaction
NCT02912195 (15) [back to overview]Pain Relief at 10 Minutes Compared to Baseline.
NCT02912195 (15) [back to overview]Pain Score (NRS 0-10)
NCT02912195 (15) [back to overview]Number of Participants Reporting Adverse Events
NCT02912195 (15) [back to overview]Number of Participants Requiring Rescue Medications
NCT02912195 (15) [back to overview]Pain Relief at 60 Minutes Compared to Baseline.
NCT02912195 (15) [back to overview]Pain Relief at 50 Minutes Compared to Baseline.
NCT02912195 (15) [back to overview]Pain Relief at 40 Minutes Compared to Baseline.
NCT02912195 (15) [back to overview]Pain Relief at 30 Minutes Compared to Baseline.
NCT02912195 (15) [back to overview]Pain Relief at 20 Minutes Compared to Baseline.
NCT02967172 (4) [back to overview]Opioid Use in First 24 Hours Post-surgery
NCT02967172 (4) [back to overview]Patients Returning Home Following Surgery
NCT02967172 (4) [back to overview]Post-operative Length of Stay
NCT02967172 (4) [back to overview]Change in Post-operative Visual Analog Pain Scores (VAS)
NCT03036384 (14) [back to overview]Bromage Motor Block Level at End of Surgery
NCT03036384 (14) [back to overview]Number of Participants With Urinary Retention
NCT03036384 (14) [back to overview]Number of Participants With Transient Neurologic Symptoms (TNS)
NCT03036384 (14) [back to overview]Number of Participants With Pruritus
NCT03036384 (14) [back to overview]Success of Anesthesia
NCT03036384 (14) [back to overview]Number of Participants With Nausea or Vomiting
NCT03036384 (14) [back to overview]Number of Participants Needing Vasopressors
NCT03036384 (14) [back to overview]Motor Block Duration
NCT03036384 (14) [back to overview]Newborn Methemoglobinemia (MetHb)
NCT03036384 (14) [back to overview]Number of Participants With Dizziness
NCT03036384 (14) [back to overview]Sensitive Block Duration
NCT03036384 (14) [back to overview]Sensitive Block at End of Surgery
NCT03036384 (14) [back to overview]Number of Satisfied Participants
NCT03036384 (14) [back to overview]Newborn Apgar Score
NCT03078946 (2) [back to overview]The Incidence of Delirium (Number of Patients (in Digits))
NCT03078946 (2) [back to overview]The C-reactive Protein (CRP) Quantitative Titer Daily as Part of the Routine Clinical Care as a Prognostic Factor for Delirium (mg/L)
NCT03088826 (1) [back to overview]Pain Reduction at 60 Minutes (Baseline Pain Score - Pain Score at 60 Minutes)
NCT03098420 (3) [back to overview]Average Opioid Consumption
NCT03098420 (3) [back to overview]Average Pain Score
NCT03098420 (3) [back to overview]First Post-Operative Opioid Administration
NCT03134703 (5) [back to overview]Length of Stay (LOS)
NCT03134703 (5) [back to overview]Maternal Bonding Measured With The Postpartum Bonding Questionnaire (PBQ)
NCT03134703 (5) [back to overview]Maternal Depression Measured With The Edinburgh Postnatal Depression Scale (EPDS)
NCT03134703 (5) [back to overview]Infant Development
NCT03134703 (5) [back to overview]Readmission to Hospital
NCT03241485 (5) [back to overview]Pain Score
NCT03241485 (5) [back to overview]Number of Participants With Respiratory Depression
NCT03241485 (5) [back to overview]Number of Participants With Nausea
NCT03241485 (5) [back to overview]Postoperative Morphine Consumption
NCT03241485 (5) [back to overview]Patient Satisfaction
NCT03254459 (7) [back to overview]Number of Participants With Abnormal Oral Cavity Examinations
NCT03254459 (7) [back to overview]Number of Participants With Abnormal Electrocardiograms (ECGs) Findings at 90 Minutes,12, 24, 48 and 72 Hours
NCT03254459 (7) [back to overview]Percentage of Participants Provided Rescue Medication for Nausea
NCT03254459 (7) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAEs)
NCT03254459 (7) [back to overview]Time to First Use of Rescue Medication for Nausea Following Each Dose of the Investigational Product (IP)
NCT03254459 (7) [back to overview]Total Use of Rescue Medication for Nausea Over 0 to 24 Hours, Over 0 to 48 Hours, Over 0-72 Hours and 0-7 Days
NCT03254459 (7) [back to overview]Pulse Oximetry Levels at 90 Minutes,12, 24, 48 and 72 Hours
NCT03357393 (7) [back to overview]Patients' Satisfaction Using a Likert-type Scale
NCT03357393 (7) [back to overview]Bronchoscopist Evaluation Using a Likert-type Scale
NCT03357393 (7) [back to overview]Assessment of Self-rated Patient Questionaries' Using S-PSR
NCT03357393 (7) [back to overview]Discharge Assessment Using PADSS After 2 Hours Number of Patients Reaching PADSS Score 10 After 2 Hours
NCT03357393 (7) [back to overview]Level of Sedation Using the Observer's Assessment of Alertness/Sedation (OAA/S) Scale
NCT03357393 (7) [back to overview]Number of Participants With Interventions Performed
NCT03357393 (7) [back to overview]Quality of Recovery (QoR-23)
NCT03383588 (1) [back to overview]Amount of Supplemental Oxycodone Used
NCT03435692 (6) [back to overview]Total Perioperative Morphine Equivalents
NCT03435692 (6) [back to overview]Nausea
NCT03435692 (6) [back to overview]Muscle Spasm
NCT03435692 (6) [back to overview]Maximum Pain Score
NCT03435692 (6) [back to overview]Hospital Length of Stay
NCT03435692 (6) [back to overview]Itching
NCT03693404 (3) [back to overview]Score on Visual Analogue Scale (VAS) for Pain
NCT03693404 (3) [back to overview]Ambulation Distance
NCT03693404 (3) [back to overview]Amount (mg) of Narcotics (Oral Morphine mg Equivalents) Used
NCT03761277 (4) [back to overview]Visual Analog Scale (VAS) Pain Intensity at the 6-Month Visit
NCT03761277 (4) [back to overview]Numerical Opioid Side Effect (NOSE) Assessment Tool
NCT03761277 (4) [back to overview]Number of Participants With Systemic Opioid Elimination Through the 6-Month Visit
NCT03761277 (4) [back to overview]Number of Participants With Clinical Success at the 6-Month Visit
NCT03809182 (7) [back to overview]Sedation-agitation Scores in the First 12 Postoperative Hours.
NCT03809182 (7) [back to overview]Plasmatic Insulin Levels (uU/ml).
NCT03809182 (7) [back to overview]Plasmatic Glucose Levels (mg/dl).
NCT03809182 (7) [back to overview]Pain Scores in the First 24 Postoperative Hours.
NCT03809182 (7) [back to overview]Postoperative Nausea and Vomiting.
NCT03809182 (7) [back to overview]Fentanyl Consumption.
NCT03809182 (7) [back to overview]Amount (mg) of Morphine Consumed.
NCT03853694 (4) [back to overview]Total Postsurgical Opioid Consumption Through 72 Hours
NCT03853694 (4) [back to overview]Severity of Itching (Numeric Rating Scale Score)
NCT03853694 (4) [back to overview]Percentage of Opioid-free Subjects
NCT03853694 (4) [back to overview]Opioid Related Symptom Distress Scale Score (ORSDS)
NCT03875274 (1) [back to overview]Duration of Analgesia
NCT03933397 (5) [back to overview]The Change in Pain Score
NCT03933397 (5) [back to overview]Length of Index ED (Emergency Department) Stay
NCT03933397 (5) [back to overview]Length of Care
NCT03933397 (5) [back to overview]Total Number of Hospitalizations for Vaso-Occlusive Episode 7 Days Post Enrollment
NCT03933397 (5) [back to overview]Number of Participants Experiencing Side Effects
NCT04004481 (6) [back to overview]Analgesic Effect of Tramadol Measured by Numeric Rating Scale (NRS)
NCT04004481 (6) [back to overview]Analgesic Effect of Tramadol Measured by Critical Care Pain Observation Tool (CPOT)
NCT04004481 (6) [back to overview]Number of Patients With Respiratory Depression After Tramadol
NCT04004481 (6) [back to overview]Serum Concentration of Tramadol and Tramadol Metabolites With Respect to Metabolic Phenotype
NCT04004481 (6) [back to overview]Number of Participants With Nausea and Vomiting After Tramadol
NCT04004481 (6) [back to overview]Length of ICU Stay
NCT04104646 (7) [back to overview]Duration of Treatment
NCT04104646 (7) [back to overview]Length of Opioid-related Hospital Stay
NCT04104646 (7) [back to overview]Requirement for Rescue Doses (CHF6563 or Morphine)
NCT04104646 (7) [back to overview]Time to First Weaning
NCT04104646 (7) [back to overview]Number of Rescue Doses Administered
NCT04104646 (7) [back to overview]Adjunctive Therapy
NCT04104646 (7) [back to overview]Relapse of NOWS
NCT04138615 (2) [back to overview]Tolerance to Simulated Hemorrhage
NCT04138615 (2) [back to overview]Pain Assessment - Algometer
NCT04298853 (7) [back to overview]Total Cumulative Morphine Exposure
NCT04298853 (7) [back to overview]Peak Morphine Dose
NCT04298853 (7) [back to overview]Number of Study Group Subjects Switched to Standard Arm
NCT04298853 (7) [back to overview]Length of Morphine Treatment
NCT04298853 (7) [back to overview]Length of Hospital Stay From Birth to Discharge
NCT04298853 (7) [back to overview]Enrollment Rate
NCT04298853 (7) [back to overview]Drop Out Rate
NCT04342130 (4) [back to overview]Mean Change in Back Pain Intensity
NCT04342130 (4) [back to overview]Mean Change in Subcortical Brain Structure Volume
NCT04342130 (4) [back to overview]Mean Change in Resting Brain Activity in the Nucleus Accumbens
NCT04342130 (4) [back to overview]Change in Brain Response to Highly Caloric Drink
NCT04368364 (12) [back to overview]Static Pain as Measured by the Numerical Pain Score (NPS)
NCT04368364 (12) [back to overview]Patient Satisfaction as Assessed by Likert Scale
NCT04368364 (12) [back to overview]Time to First Analgesic Request
NCT04368364 (12) [back to overview]Severity of Vomiting as Assessed by a Scale
NCT04368364 (12) [back to overview]Total Narcotic Consumption in Morphine Equivalents (in Milligrams)
NCT04368364 (12) [back to overview]Severity of Pruritus as Assessed by a Scale
NCT04368364 (12) [back to overview]Severity of Nausea as Assessed by a Scale
NCT04368364 (12) [back to overview]Total Narcotic Consumption in Morphine Equivalents (in Milligrams)
NCT04368364 (12) [back to overview]Severity of Sedation as Assessed by a Scale
NCT04368364 (12) [back to overview]Patient Satisfaction as Assessed by Likert Scale
NCT04368364 (12) [back to overview]Patient Satisfaction as Assessed by Likert Scale
NCT04368364 (12) [back to overview]Dynamic Pain as Measured by the Numerical Pain Score (NPS)
NCT04369950 (8) [back to overview]Total Amount of Opioid Used
NCT04369950 (8) [back to overview]Number of Participants Who Had Mild, Moderate or Severe Nausea as Measured by a 3 Point Scale
NCT04369950 (8) [back to overview]Time Until First Opioid Request
NCT04369950 (8) [back to overview]Total Amount of Opioid Used
NCT04369950 (8) [back to overview]Total Amount of Opioid Used
NCT04369950 (8) [back to overview]Total Amount of Opioid Used
NCT04369950 (8) [back to overview]Pain as Measured by a 11 Point Verbal Scale
NCT04369950 (8) [back to overview]Number of Participants Who Had Mild, Moderate or Severe Pruritis as Measured by a 3 Point Scale
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine-3β-D-glucuronide (M3G) (Morphine Metabolite) in Plasma: Cmax
NCT04448561 (24) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 1 Hour Postdose
NCT04448561 (24) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at Predose
NCT04448561 (24) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 8 Hour Postdose
NCT04448561 (24) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 8 Hour Postdose
NCT04448561 (24) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 12 Hour Postdose
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine-6β-D-glucuronide (M6G) (Morphine Metabolite) in Plasma: Cmax
NCT04448561 (24) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at Predose
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine-3β-D-glucuronide(M3G) (Morphine Metabolite) in Plasma: AUCinf
NCT04448561 (24) [back to overview]Number of Participants With At Least One Event of Suicidal Ideation And/or Suicidal Behavior as Assessed by The Columbia-Suicide Severity Rating Scale (C-SSRS)
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine-6β-D-glucuronide (M6G) (Morphine Metabolite) in Plasma: AUClast
NCT04448561 (24) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 4 Hour Postdose
NCT04448561 (24) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 2 Hour Postdose
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of ASP8062 in Plasma: Area Under the Concentration From Time of Dosing to 24 Hours (AUC24)
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of ASP8062 in Plasma: Maximum Plasma Concentration (Cmax)
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine in Plasma: Area Under the Concentration From Time of Dosing Extrapolated to Time Infinity (AUCinf)
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine-6β-D-glucuronide (M6G) (Morphine Metabolite) in Plasma: AUCinf
NCT04448561 (24) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 2 Hour Postdose
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine in Plasma: Area Under the Concentration Time Curve From the Time of Dosing to the Last Measurable Concentration (AUClast)
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine in Plasma: Cmax
NCT04448561 (24) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 1 Hour Postdose
NCT04448561 (24) [back to overview]Pharmacokinetics (PK) of Morphine-3β-D-glucuronide (M3G) (Morphine Metabolite) in Plasma: AUClast
NCT04448561 (24) [back to overview]Number of Participants With Adverse Events (AEs)
NCT04448561 (24) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 4 Hour Postdose

Number of Participants Satisfied With Pain Medication

"Number of participants who were satisfied with pain medication received, based on their response of good to excellent or poor to fair. Participants were asked to pick which response best fit their satisfaction with the pain medication they received 30 minutes after that medication was infused Good to Excellent or Poor to fair." (NCT00305058)
Timeframe: 30 minutes after medication infused

,
InterventionParticipants (Count of Participants)
Good to excellentPoor to fair
Hydromorphone5934
Morphine5634

[back to top]

Number of Participants With a Change in Pain Score

Pain score is a measure of pain intensity using the numerical rating scale (NRS), from 0 (no pain) to 10 (worst pain imaginable). Data is separated into two groups: those with greater than or equal to 50% change in their pain score and those with less than 50% change in their pain score. (NCT00305058)
Timeframe: Baseline to 30 minutes after medication infused

,
InterventionParticipants (Count of Participants)
less than 50% decreasegreater than or equal to 50% decrease
Hydromorphone5340
Morphine5337

[back to top]

Number of Participants With Pain Relief

Pain relief here is a subjective measure indicated by the following categories: No, Slight, Moderate, and Complete. Participants were asked to pick the category that best fit their level of pain relief 30 minutes after medication was infused. (NCT00305058)
Timeframe: 30 minutes after medication infused

,
InterventionParticipants (Count of Participants)
none or slightmoderate to complete
Hydromorphone3261
Morphine3753

[back to top]

Change in Pain Intensity

Pain scores are a measure of pain intensity and are measured on the numerical rating scale (NRS), from 0 (no pain) to 10 (worst pain imaginable). Participants are asked to rate their pain using this scale at baseline before any medication is administered and again 30 minutes after medication is infused (NCT00305058)
Timeframe: Baseline to 30 minutes after medication infused

Interventionunits on a scale (Mean)
Morphine3.3
Hydromorphone3.8

[back to top]

3 Scores on the Addiction Research Center Inventory (ARCI)

The subjective effects of the study drug were evaluated with 3 subscales of the Addiction Research Center Inventory (ARCI). The subscales studied included Morphine-Benzedrine Group which measured euphoria (0-16 with higher numbers indicating more euphoria), the Phenobarbital-Chorpromazine-Alcohol Group which measured sedation (-3 to +11 with higher scores indicating more sedation), and the Lysergic Acid Diethylmide Group which measured dysphoria and agitation (-4 to +10 with higher scores indicating more dysphoria). This inventory consists of 49 true/ false questions which survey major domains of drug effects. The ARCI was measured at six timepoints. Of interest were trough sedation, peak euphoria, and trough dysphoria. (NCT00314340)
Timeframe: 0, 60, 120, 180, 240, or 300 minutes

,,
Interventionscores on a scale (Mean)
trough sedationpeak euphoriatrough agitation
ER Morphine Tablets, 45mg7.63.34.7
Hydrocodone 30 mg Plus N-acetyl-para-aminophenol 975 mg5.44.64.2
Placebo5.23.53.6

[back to top] [back to top]

Pain Intensity Score

"Pain intensity assessed immediately prior and 30 minutes after administration (admin) of study medication, participants categorized their pain intensity at rest and at movement on 0-4 numeric rating scale (NRS):0 (minimum intensity) to 4 (maximum intensity).~Movement defined as sitting up from a lying into a sitting position in bed." (NCT00346268)
Timeframe: 12, 24, 36, and 48 hours post surgery

,
Interventionscores on a scale (Mean)
At rest, prior to admin, 12 hours post surgeryAt rest, post admin, 12 hours post surgeryAt movement, prior to admin, 12 hours post surgeryAt movement, post admin, 12 hours post surgeryAt rest, prior to admin, 24 hours post surgeryAt rest, post admin, 24 hours post surgeryAt movement, prior to admin, 24 hours post surgeryAt movement, post admin, 24 hours post surgeryAt rest, prior to admin, 36 hours post surgeryAt rest, post admin, 36 hours post surgeryAt movement, prior to admin, 36 hours post surgeryAt movement, post admin, 36 hours post surgeryAt rest, prior to admin, 48 hours post surgeryAt rest, post admin, 48 hours post surgeryAt movement, prior to admin, 48 hours post surgeryAt movement, post admin, 48 hours post surgery
Parecoxib and Morphine1.310.532.121.161.000.532.121.450.860.451.591.040.670.291.470.88
Placebo and Morphine1.690.792.631.581.440.672.631.901.040.592.121.510.820.292.311.41

[back to top]

Amount of Blood Loss

Calculated as: ([Hb g/dL]pra + RBCUduring48)-[Hb g/dL]at 48, where [Hb g/dL]pra=blood hemoglobin concentration preoperatively in grams per deciliter (g/dL), [Hb g/dL]at 48=blood hemoglobin concentration 48 hours after skin closure, and RBCUduring48=number of red blood cell units (RBCU) substituted during and after prostatectomy until 48 hours after skin closure. (NCT00346268)
Timeframe: 48 hours post surgery

Interventiong/dL (Mean)
Parecoxib and Morphine4.34
Placebo and Morphine4.41

[back to top]

Number of Participants With Blood Loss Requiring Red Blood Cell (RBC) Transfused Units

(NCT00346268)
Timeframe: 48 hours post surgery

,
Interventionparticipants (Number)
1 RBC transfused unit2 RBC transfused units
Parecoxib and Morphine14
Placebo and Morphine11

[back to top]

Cumulative Amount of Morphine Administered in the First 24 Hours Following Surgery

Total cumulative amount of morphine administered (PCA and/or bolus) in the first 24 hours after the application of the last surgical stitch after prostatectomy. (NCT00346268)
Timeframe: 24 hours post surgery

InterventionmL (Mean)
Parecoxib and Morphine28.84
Placebo and Morphine36.40

[back to top]

Cumulative Amount of Morphine Administered in the First 48 Hours Following Surgery

Total cumulative amount of morphine administered (PCA and/or bolus) in the first 48 hours after the application of the last surgical stitch after prostatectomy. (NCT00346268)
Timeframe: 48 hours post surgery

InterventionmL (Mean)
Parecoxib and Morphine42.13
Placebo and Morphine57.03

[back to top]

Time to Last Administration of Morphine

Time from last surgical stitch after prostatectomy to last administration of morphine (PCA and/or bolus). (NCT00346268)
Timeframe: baseline (end of surgery) to 48 hours post surgery

Interventionhours (Median)
Parecoxib and Morphine46.5
Placebo and Morphine46.5

[back to top]

Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Interference Composite Score

mBPI-sf: participant-rated 11-point Likert rating scale ranging from 0 (does not interfere) to 10 (completely interferes) with functional activities (general activity, mood, walking ability, relations with other people, sleep, coughing, deep breathing, and concentration) in past 24 hours. (NCT00346268)
Timeframe: 24 and 48 hours post surgery

,
Interventionscores on a scale (Mean)
24 hours post surgery (n=49, 50)48 hours post surgery (n=43, 48)
Parecoxib and Morphine1.161.00
Placebo and Morphine2.321.79

[back to top]

Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Severity Composite Score

mBPI-sf: participant-rated 11-point Likert rating scale ranging from 0 (no pain) to 10 (pain as bad as you can imagine). Pain severity index=the mean of item scores 2 to 5 (pain at its worst in past 24 hours, pain at its least in past 24 hours, average pain level, and pain right now). (NCT00346268)
Timeframe: 24 and 48 hours post surgery

,
Interventionscores on a scale (Mean)
24 hours post surgery (n=49, 50)48 hours post surgery (n=43, 48)
Parecoxib and Morphine2.081.60
Placebo and Morphine2.782.31

[back to top]

Number of Participants With Rating of Global Evaluation of Study Medication

"Participants asked, How would you rate the study medication you received for pain since your surgery? choices included: Poor, Fair, Good, and Excellent." (NCT00346268)
Timeframe: 48 hours post surgery

,
Interventionparticipants (Number)
PoorFairGoodExcellent
Parecoxib and Morphine131927
Placebo and Morphine353111

[back to top]

Morphine (Opioid) Consumption Cumulated

"Patients were equipped with a morphine PCA (patient controlled analgesia) for 24 hours after surgery. So they could administrate morphine intravenously by pressing a button. The sum of morphine was registered as cumulated opioid consumption (milligram)" (NCT00353704)
Timeframe: 240 minutes

Interventionmg (Mean)
Pregabalin7.3
Placebo16.0

[back to top]

Mean VAS Pain (Visual Analogue Scale)at Rest (0-100 mm)

The visual analogue scale (VAS) was used for registration of the pain intensity at rest. The score ranges from 0-100, where 0 means no pain and 100 means maximal pain. Higher values represent a worse outcome. (NCT00353704)
Timeframe: 120 minutes after surgery

InterventionUnits on a scale (Mean)
Pregabalin11.7
Placebo22.5

[back to top]

The Number of Patients Who Vomited

(NCT00385541)
Timeframe: 1 hour after surgery, 8 hours after surgery

Interventionparticipants (Number)
Morphine PCA1
Hydromorphone PCA0

[back to top]

Pain Assessment by Patient

Numeric Rating Scale for Pain: (0 = none, 10 = the worst), ordinal. (NCT00385541)
Timeframe: 1 hour after surgery, 8 hours after surgery

InterventionUnits on a scale (Mean)
Morphine PCA7.9
Hydromorphone PCA7.1

[back to top]

Nausea Assessment by Patient

Nausea scale range: (0 = none, 10 = the worst), ordinal. (NCT00385541)
Timeframe: 1 hour after surgery, 8 hours after surgery

InterventionUnits on a scale (Mean)
Morphine PCA4.6
Hydromorphone PCA3.0

[back to top]

Mean Score on the Ramsey Scale of Sedation

The Ramsey scale is used as a measure of sedation from 1 (the patient in anxious and agitated) to 6 (the patient exhibits no response). (NCT00385541)
Timeframe: 1 hour after surgery, 8 hours after surgery

Interventionscore on scale (Mean)
Morphine PCA2.8
Hydromorphone PCA2.8

[back to top]

Mean Score on the Numeric Rating Scare (NRS) Pruritus Scale

The NRS Pruritus Scale was used to measure magnitude of pruritus (0 = none, 10 = the worst). (NCT00385541)
Timeframe: 1 hour after surgery, 8 hours after surgery

InterventionUnits on a scale (Mean)
Morphine PCA2
Hydromorphone PCA2.5

[back to top]

Subjects With Treatment Emergent Adverse Events

Number of subjects with adverse events (any unfavorable and unintended sign, symptom, or disease temporally associated with the use of the product whether or not related to the product). (NCT00415597)
Timeframe: up to 12 months

Interventionparticipants (Number)
ALO-01378

[back to top]

Mean Percent Change From Baseline to 52 Weeks in Brief Pain Inventory Score (BPI) of Average Pain

Percent change in pain intensity scale. Average pain intensity over last 24 hours rated at each visit from 0=no pain to 10=worst pain. (NCT00415597)
Timeframe: 52 weeks

InterventionPercent change (Mean)
ALO-01-41.5

[back to top]

Mean Percent Change From Baseline to 12 Weeks in Brief Pain Inventory Score (BPI) of Average Pain

Percent change in pain intensity scale. Average pain intensity over last 24 hours rated at each visit from 0=no pain to 10=worst pain. (NCT00415597)
Timeframe: 12 weeks

InterventionPercent change (Mean)
ALO-01-31.3

[back to top]

Mean Change From Randomization to 12 Weeks Following Randomization in Diary Brief Pain Inventory Score of Average Pain (Daily Scores of Average Pain Averaged Over 7 Days)

Change in pain intensity scale. Average pain intensity over last 24 hours rated daily from 0=no pain to 10=worst pain. (NCT00420992)
Timeframe: randomization to 12 weeks following randomization

Interventionunits on scale (Mean)
ALO-01-0.2
Placebo0.3

[back to top]

Psychomotor/Cognitive Performance Effects Assessed by Trails B

The Trails B task specifically measures set shifting and executive functioning within the Trail-Making Test. Part B consists of 25 circles distributed over a sheet of paper. Participants are asked to connect the circles in an ascending pattern, alternating between numbers and letters (i.e., 1-A-2-B-3-C, etc.). Results are reported as the number of seconds required to complete the task; therefore, higher scores reveal greater impairment. (NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

Interventionminutes (Mean)
Placebo 0 mg1.58
Morphine 15 mg1.51
Morphine 30 mg1.68
Buprenorphine 8 mg1.57
Buprenorphine 16 mg1.85
Buprenorphine 32 mg1.42
Buprenorphine 48 mg1.49
Buprenorphine 60 mg1.46

[back to top]

Psychomotor/Cognitive Performance Effects Assessed by Digit Symbol Substitution Test (DSST)

Digit Symbol Substitution Test (DSST) is a sub-test within the Wechsler Adult Intelligence Scale and is frequently used to assess psychomotor performance changes associated with drug effects. The higher the percent correct on this measure the better the performance. (NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

Interventionpercentage of correct answers (Mean)
Placebo 0 mg94.03
Morphine 15 mg91.60
Morphine 30 mg89.44
Buprenorphine 8 mg90.91
Buprenorphine 16 mg86.60
Buprenorphine 32 mg83.17
Buprenorphine 48 mg85.86
Buprenorphine 60 mg77.99

[back to top]

Physiologic Effects as Assessed by Pupil Diameter

(NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

Interventionmillimeters (Mean)
Placebo 0 mg4.00
Morphine 15 mg3.33
Morphine 30 mg2.74
Buprenorphine 8 mg2.87
Buprenorphine 16 mg2.73
Buprenorphine 32 mg2.63
Buprenorphine 48 mg2.61
Buprenorphine 60 mg2.64

[back to top]

Physiologic Effects as Assessed by Oxygen Saturation

(NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

Interventionpercentage of saturated hemoglobin (Mean)
Placebo 0 mg97.81
Morphine 15 mg97.57
Morphine 30 mg97.15
Buprenorphine 8 mg96.94
Buprenorphine 16 mg96.73
Buprenorphine 32 mg96.37
Buprenorphine 48 mg96.75
Buprenorphine 60 mg96.49

[back to top]

Physiologic Effects as Assessed by Body Temperature

(NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

InterventionDegrees Fahrenheit (Mean)
Placebo 0 mg85.99
Morphine 15 mg87.43
Morphine 30 mg89.20
Buprenorphine 8 mg89.76
Buprenorphine 16 mg90.33
Buprenorphine 32 mg89.11
Buprenorphine 48 mg90.22
Buprenorphine 60 mg90.62

[back to top]

Physiologic Effects as Assessed by Heart Rate

(NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

Interventionbeats/min (Mean)
Placebo 0 mg70.44
Morphine 15 mg70.56
Morphine 30 mg69.80
Buprenorphine 8 mg71.22
Buprenorphine 16 mg69.41
Buprenorphine 32 mg66.44
Buprenorphine 48 mg69.06
Buprenorphine 60 mg67.51

[back to top]

Peak Change From Baseline in Drug Effect Assessed by Visual Analog Scale (VAS)

Opioid agonist effects measured by peak change from baseline drug effect visual analog scale. Scores range from 0 (not all all) to 100 (extremely); higher scores indicate a stronger drug effect. (NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

Interventionunits on a scale (Mean)
Placebo 0 mg17.75
Morphine 15 mg27.25
Morphine 30 mg29.63
Buprenorphine 8 mg58.25
Buprenorphine 16 mg48.50
Buprenorphine 32 mg40.25
Buprenorphine 48 mg57.63
Buprenorphine 60 mg41.63

[back to top]

Physiologic Effects as Assessed by Blood Pressure

(NCT00460239)
Timeframe: Each experimental test session (8 experimental test sessions assessed for up to 6-7 weeks)

,,,,,,,
InterventionmmHg (Mean)
Systolic Blood PressureDiastolic Blood Pressure
Buprenorphine 16 mg111.4261.82
Buprenorphine 32 mg114.1162.60
Buprenorphine 48 mg119.1865.73
Buprenorphine 60 mg116.7764.39
Buprenorphine 8 mg118.5967.35
Morphine 15 mg114.7164.92
Morphine 30 mg119.2166.72
Placebo 0 mg114.1163.85

[back to top]

Change in the EuroQoL (EQ-5D) Health Status Index (United Kingdom Time Trade-off Value Set) Change From Start of Titration to Endpoint Titration.

"The participant scores the EuroQol-5D. The EuroQoL-5D is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1 = no problems, 2 = some problems, 3 = extreme problems).~The responses to the five EQ-5D dimensions are scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating full health and 0 representing dead. A positive change in the mean indicates that during this phase the health status improved. A positive change indicates an improvement in health. The minimal important difference is 0.074 (range -0.011 to 0.140)." (NCT00472303)
Timeframe: Day 1 (Start of Titration); Day 14 (End of Titration Phase)

Interventionunits on a scale (Mean)
Tapentadol Prolonged Release0.093
Morphine Controlled Release0.131

[back to top]

Change in the EuroQoL (EQ-5D) Health Status Index (United Kingdom Time Trade-off Value Set) Over Time in the Maintenance Phase for Tapentadol and the Placebo Randomized Withdrawal Treatment Arms.

"The participant scores the EuroQol-5D. The EuroQoL-5D is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1 = no problems, 2 = some problems, 3 = extreme problems).~The responses to the five EQ-5D dimensions are scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating full health and 0 representing dead. A negative change in the mean indicates a worsening in health status since the beginning of the maintenance phase. A positive change indicates an improvement in health. The minimal important difference in the Health Status Index is 0.074 (range -0.011 to 0.140)." (NCT00472303)
Timeframe: Day 15 (Start of Maintenance); Day 43 (End of Maintenance Phase)

Interventionunits on a scale (Mean)
Tapentadol Prolonged Release-0.0626
Matching Placebo After Tapentadol in Titration Phase-0.058

[back to top] [back to top] [back to top]

Number of Participants Scored as Responder in Maintenance Phase.

"A responder is a participant in the study that:~completed 28 days of the maintenance phase~had a numeric rating scale score below 5 on the 11 point scale (where 0 indicates no pain and 10 indicates worst possible pain. This twice daily current pain score was averaged over Day 18 to Day 43.~did not use more than 20 mg of rescue medication per day on average in the 28 day maintenance period (from Day 18 to Day 43).~A participant that met all 3 of the above-mentioned criteria is counted as a responder, in other words the participant benefited from the assigned drug treatment. A participant that failed to meet only 1 of the 3 criteria is not counted as a responder." (NCT00472303)
Timeframe: Day 18 through Day 43 (End of Maintenance Phase)

Interventionparticipants (Number)
Tapentadol Prolonged Release (Maintenance Phase)65
Morphine Controlled Release (Maintenance Phase)75
Matching Placebo After Tapentadol in Titration Phase55

[back to top]

The Average Mean Total Daily Dose of Rescue Medication.

Mean total daily dose of rescue medication morphine sulphate immediate release tablets in milligrams per day (mg/day). (NCT00472303)
Timeframe: Day 1 (Start of Titration Phase) through Day 43 (End of Maintenance Phase)

Interventionmilligrams per day of morphine rescue (Mean)
Tapentadol Prolonged Release (Titration Phase)13.31
Morphine Controlled Release Titration Phase8.87
Tapentadol Prolonged Release (Maintenance Phase)11.2
Matching Placebo After Tapentadol in Titration Phase13.65
Morphine Controlled Release Maintenance Phase8.91

[back to top]

Change in the Patient Assessment of Constipation Symptoms (PAC-SYM) During the Titration Phase

"The Constipation Assessment (PAC-SYM) is a 12-item self-report questionnaire that assesses the severity of symptoms of constipation. Participants are asked How severe have each of these symptoms been in the last two weeks? e.g. Pain in your stomach. There are 3 subscales: 4 questions on Abdominal symptoms, 3 questions on rectal symptoms and 5 questions on stool symptoms. Responses are rated on a 5-point Likert Scale ranging from 0 (absence of symptom) to 4 (very severe symptoms). The changes in overall mean and in each of the mean sub-scores vary theoretically from -4 to +4 (where a change of +4 would indicate a change from not present to very severe symptom). If the changes in the overall or subscale mean scores are positive then there is a worsening in symptoms associated with constipation from the start to the end of the titration phase." (NCT00472303)
Timeframe: Day 1 (Start of Titration); Day 14 (End of Titration Phase)

,
Interventionunits on a scale (Mean)
Overall abdominal subscaleOverall rectal subscaleOverall stool subscaleOverall PAC-SYM score
Morphine Controlled Release-0.076-0.0060.130.027
Tapentadol Prolonged Release-0.0620.0590.020.003

[back to top]

Changes in the Short Form 36® Health Survey (SF-36®) During the Maintenance Phase.

The Short Form 36 (SF-36) includes several brief questions on 8 aspects, (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health) that a participant was asked to score over the last week. Low scores on the Physical Component Summary measure indicate limitations in physical functioning, e.g. a high degree of bodily pain and physical limitations etc. For the Mental Component Summary measure, a low score is indicative of frequent psychological distress, social and role disability due to emotional problems etc. The theoretical range for the physical component score is 12.3279 to 59.6503. The theoretical range for the mental component score is 13.5313 to 59.6503. Positive values for changes in the component scores indicate an improvement. (NCT00472303)
Timeframe: Day 15 (Start of Maintenance); Day 43 (End of Maintenance Phase)

,,
Interventionunits on a scale (Mean)
Mental Component SummaryPhysical Component Summary
Matching Placebo After Tapentadol in Titration Phase-1.5-0.9
Morphine Controlled Release-2.164-0.671
Tapentadol Extended Release-0.4-1.1

[back to top]

Change in the Patient Assessment of Constipation Symptoms (PAC-SYM) During the Maintenance Phase

"The Constipation Assessment (PAC-SYM) is a 12-item self-report questionnaire that assesses the severity of symptoms of constipation. Participants are asked How severe have each of these symptoms been in the last two weeks? e.g. Pain in your stomach. There are 3 subscales: 4 questions on Abdominal symptoms, 3 questions on rectal symptoms and 5 questions on stool symptoms. Responses are rated on a 5-point Likert Scale ranging from 0 (absence of symptom) to 4 (very severe symptoms). The changes in overall mean and in each of the mean sub-scores vary theoretically from -4 to +4 (where a change of +4 would indicate a change from not present to very severe symptom). If the changes in the overall or subscale mean scores are positive then there is a worsening in symptoms associated with constipation from the start to the end of the maintenance phase. A negative mean change indicates an improvement." (NCT00472303)
Timeframe: Day 15 (Start of Maintenance); Day 43 (End of Maintenance Phase)

,,
Interventionunits on a scale (Mean)
Overall abdominal subscaleOverall rectal subscaleOverall stool subscaleOverall PAC-SYM score
Matching Placebo After Tapentadol in Titration Phase-0.075-0.033-0.03-0.048
Morphine Controlled Release0.0260.0140.030.024
Tapentadol Prolonged Release-0.1050.017-0.07-0.059

[back to top]

Average Daily Pain Intensity Scores, Averaged Per Week by Treatment, During the Titration Phase in the Tapentadol Treatment Arm.

"Participants were asked to record their average pain over the last 24 hours pain intensity each evening. Average pain scores are the averages of all scores recorded during each week. The participant scored their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine." (NCT00472303)
Timeframe: Day 1 through Day 14 (End of Titration Phase)

Interventionunits on a scale (Mean)
Prior to start of the Titration PhaseEnd of Week 1 of the Titration PhaseEnd of Week 2 of the Titration Phase
Tapentadol Prolonged Release6.3155.3244.021

[back to top]

Current Pain Intensity Scores, Averaged Per Week, During the Titration Phase in the Morphine Arm.

"Participants were asked to record their current pain intensity in the morning and evening. Average pain scores are the averages of all scores recorded during the during each week. The participant scored their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine." (NCT00472303)
Timeframe: Day 1 through Day 14 (End of Titration Phase)

Interventionunits on a scale (Mean)
Start of TitrationEnd of Week 1End of Week 2
Morphine Controlled Release (Titration Phase)6.2584.9373.690

[back to top]

Clinical Opioid Withdrawal Scale (COWS) at the End of the Titration Phase.

"This instrument was developed by the National Institute on Drug Abuse. The physical components of withdrawal are primarily evaluated and based on questions and clinical observations. The possible opioid withdrawal effects are assessed using the Clinical Opioid Withdrawal Score (COWS). The COWS is a clinician rated 11-item scale that primarily evaluates the physical components of opioid withdrawal and is based on questions and clinical observations. Responses are rated on a Likert-type scale ranging from 0 to 4 or 5 depending on the item. The total COWS score is the sum of all individual items.~The following withdrawal categories are based on the total COWS score:~None: total score below 5;~Mild: total score from 5 to 12;~Moderate: total score 13 to 24;~Moderately Severe: total score 25 to 36;~Severe: total score above 36. The investigator completes the COWS after participants discontinued trial medication 2 to less than 5 days after last intake of trial medication." (NCT00472303)
Timeframe: Day 14 (End of Titration Phase)

,,
Interventionparticipants (Number)
NoneMildModerateModerately SevereSevere
Matching Placebo After Tapentadol in Titration Phase81000
Morphine Controlled Release51000
Tapentadol Prolonged Release70000

[back to top]

Average Daily Pain Intensity Scores, Averaged Per Week by Treatment, During the Titration Phase in the Morphine Treatment Arm.

"Participants were asked to record their average pain over the last 24 hours pain intensity each evening. Average pain scores are the averages of all scores recorded during each week. The participant scored their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine." (NCT00472303)
Timeframe: Day 1 through Day 14 (End of Titration Phase)

Interventionunits on a scale (Mean)
Prior to start of the Titration PhaseEnd of Week 1 of the Titration PhaseEnd of Week 2 of the Titration Phase
Morphine Controlled Release6.1624.9063.669

[back to top]

Average Daily Pain Intensity Scores, Averaged Per Week by Treatment, During the Maintenance Phase.

"Participants were asked to record their average pain over the last 24 hours pain intensity each evening. Average pain scores are the averages of all scores recorded during each week. The participant scored their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine." (NCT00472303)
Timeframe: Day 18 through Day 43 (End of Maintenance Phase)

,,
Interventionunits on a scale (Mean)
Prior to start of Maintenance PhaseEnd of Week 1 of the Maintenance PhaseEnd of Week 2 of the Maintenance PhaseEnd of Week 3 of the Maintenance PhaseEnd of Week 4 of the Maintenance Phase
Matching Placebo After Tapentadol in the Titration Phase2.9283.1153.0053.0553.095
Morphine Controlled Release2.9282.9032.8582.7752.768
Tapentadol Prolonged Release (Maintenance Phase)3.1983.2203.2483.1293.121

[back to top]

Use of Rescue Medication in the Titration Phase.

"The number of participants using rescue medication morphine sulfate immediate release 10 mg tablets in the titration phase were counted. This data was captured in an electronic diary.~During the trial, morphine immediate release 10 mg was allowed as required without a maximum dose defined. However, participants were only re-randomized if their mean consumption of rescue medication was less or equal to 2 doses (20 mg) per day during the last 3 days of the titration phase)." (NCT00472303)
Timeframe: Day 1 through Day 14 (End of Titration Phase)

Interventionparticipants (Number)
Tapentadol Prolonged Release241
Morphine Controlled Release91

[back to top]

Number of Participants Using Immediate Release Morphine Rescue Medication in the Maintenance Phase

Participants were issued morphine 10 mg immediate release medication. The number of participants using rescue medication morphine sulfate immediate release 10 mg tablets in the maintenance phase were counted. This use of morphine immediate release was captured in each participant's electronic diary. (NCT00472303)
Timeframe: Day 15 through Day 43 (End of Maintenance Phase)

Interventionparticipants (Number)
Tapentadol Prolonged Release75
Morphine Controlled Release67
Matching Placebo After Tapentadol in Titration Phase80

[back to top]

Quality of Sleep (Sleep Questionnaire) in the Titration Phase.

"Participants were asked the following question: Please rate the overall quality of your sleep last night? The quality of sleep from the start of the titration phase to the end of the titration phase was measured. The participant could choose one of the following options: Excellent, good, fair and poor." (NCT00472303)
Timeframe: Day 1 (Start of Titration); Day 14 (end of Titration Phase)

,
Interventionparticipants (Number)
Excellent at the start of the titration phaseExcellent at the end of the titration phaseGood at the start of the titration phaseGood at the end of the titration phaseFair at the start of the titration phaseFair at the end of the titration phasePoor at the start of the titration phasePoor at the end of the titration phaseNot completed at the start of titrationNot completed at the end of the titration
Morphine Controlled Release434764516141141516
Tapentadol Prolonged Release9127713914212174373629

[back to top]

Quality of Sleep (Sleep Questionnaire) During the Maintenance Phase of the Trial.

"Participants were asked the following question: Please rate the overall quality of your sleep last night? The quality of sleep from the start of maintenance to the completion of treatment is reported. The participant could choose one of the following options: Excellent, good, fair and poor." (NCT00472303)
Timeframe: Day 15 (Start of Maintenance); Day 43 (End of Maintenance Phase)

,,
Interventionparticipants (Number)
Excellent at start of maintenance phaseExcellent at the end of maintenance phaseGood at start of maintenance phaseGood at the end of maintenance phaseFair at start of maintenance phaseFair at the end of maintenance phasePoor at start of maintenance phasePoor at the end of maintenance phase
Matching Placebo After Tapentadol in Titration Phase4860494237413
Morphine Controlled Release295140505355
Tapentadol Prolonged Release8855433538714

[back to top]

Patient Global Impression of Change

"In the Patient Global Impression of Change (PGIC) the participant is asked Since I began study treatment, my overall status is. The participant is asked to circle one of seven categories. Scores range from very much improved to very much worse. The question was asked at the end of the maintenance phase with reference to the start of the maintenance phase where the participant continued at the dose that was effective at the end of the Titration Phase." (NCT00472303)
Timeframe: Day 43 (End of Maintenance Phase)

,,
Interventionparticipants (Number)
Very Much ImprovedMuch ImprovedMinimally ImprovedNo ChangeMinimally WorseMuch WorseVery Much Worse
Matching Placebo After Tapentadol in Titration Phase6313811971
Morphine Controlled Release62338126120
Tapentadol Prolonged Release42933101071

[back to top]

Current Pain Intensity Scores, Averaged Per Week, During the Titration Phase in the Tapentadol Arm.

"Participants were asked to record their current pain intensity in the morning and evening. Average pain scores are the averages of all scores recorded during each week. The participant scored their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine." (NCT00472303)
Timeframe: Day 1 through Day 14 (End of Titration Phase)

Interventionunits on a scale (Mean)
Start of TitrationEnd of Week 1End of Week 2
Tapentadol Prolonged Release (Titration Phase)6.3445.3264.049

[back to top]

Current Pain Intensity Scores, Averaged Per Week by Treatment, During the Maintenance Phase.

"Participants were asked to record their current pain intensity in the morning and evening. Average pain scores are the averages of all scores recorded during the 3 days prior to re-randomization or during each week. The participant scored their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine." (NCT00472303)
Timeframe: Day 15 through Day 43 (End of Maintenance Phase)

,,
Interventionunits on a scale (Mean)
Prior to start of maintenance phaseEnd of Week 1End of Week 2End of Week 3End of Week 4
Matching Placebo After Tapentadol in the Titration Phase2.86863.00732.86832.91222.9220
Morphine Controlled Release2.8322.7802.7902.7332.728
Tapentadol Prolonged Release (Maintenance Phase)3.14443.08693.11483.01373.0002

[back to top]

Clinical Opioid Withdrawal Score (COWS) at the End of the Maintenance Phase.

"This instrument was developed by the National Institute on Drug Abuse. The physical components of withdrawal are primarily evaluated and based on questions and clinical observations. The possible opioid withdrawal effects are assessed using the Clinical Opioid Withdrawal Score (COWS). The COWS is a clinician rated 11-item scale that primarily evaluates the physical components of opioid withdrawal and is based on questions and clinical observations. Responses are rated on a Likert-type scale ranging from 0 to 4 or 5 depending on the item. The total COWS score is the sum of all individual items.~The following withdrawal categories are based on the total COWS score:~None: total score below 5;~Mild: total score from 5 to 12;~Moderate: total score 13 to 24;~Moderately Severe: total score 25 to 36;~Severe: total score above 36. The investigator completes the COWS after participants discontinued trial medication 2 to less than 5 days after last intake of trial medication." (NCT00472303)
Timeframe: Day 43 (End of Maintenance Phase)

,,
Interventionparticipants (Number)
NoneMildModerateModerately SevereSevere
Matching Placebo After Tapentadol in Titration Phase218000
Morphine Controlled Release236000
Tapentadol Prolonged Release197000

[back to top]

Changes in the Short Form 36® Health Survey (SF-36®) During the Titration Phase.

The Short Form 36 (SF-36) includes several brief questions on 8 aspects, (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health) that a participant was asked to score over the last week. Low scores on the Physical Component Summary measure indicate limitations in physical functioning, e.g. a high degree of bodily pain and physical limitations etc. For the Mental Component Summary measure, a low score is indicative of frequent psychological distress, social and role disability due to emotional problems etc. The theoretical range for the physical component score is 12.3279 to 59.6503. The theoretical range for the mental component score is 13.5313 to 59.6503. Positive values for changes in the component scores indicate an improvement. (NCT00472303)
Timeframe: Day 1 (Start of Titration); Day 14 (End of Titration Phase)

,
Interventionunits on a scale (Mean)
Mental Component SummaryPhysical Component Summary
Morphine Controlled Release1.13.1
Tapentadol Prolonged Release1.32.0

[back to top]

Sum of Pain Intensity Differences Relative to the Baseline Pain Intensity.

"Pain Intensity assessed at predefined time points over a 24 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID24) is from -240 (indicative of an increase in pain) to 240 (indicative of a decrease in pain, assuming patients start with a baseline value of 10 and all subsequent values will be 0)." (NCT00478023)
Timeframe: Baseline to 24 hours after first intake of study drug

Interventionunits on scale (Mean)
Morphine48.8
CG5503 50mg49.0
CG5503 75mg52.4
CG5503 100mg52.9
Placebo29.0

[back to top]

Sum of Pain Intensity Differences Relative to the Baseline Pain Intensity

"Pain Intensity assessed at predefined time points over a 48 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID48) is from -480 (indicative of an increase in pain) to 480 (indicative of a decrease in pain, assuming patients start with a baseline value of 10 and all subsequent values will be 0)." (NCT00478023)
Timeframe: Baseline value to 48 hours after first study drug intake.

Interventionunits on scale (Mean)
Morphine116.6
CG5503 50mg112.4
CG5503 75mg120.6
CG5503 100mg123.5
Placebo71.1

[back to top]

Supplemental Analgesia in First 48 Hours

Participants requesting supplemental analgesia in first 48 hours (NCT00487084)
Timeframe: 48 hours

InterventionParticipants (Number)
Morphine - 2 Chloroprocaine - Saline (MCS)12
Saline-2 Chloroprocaine - Morphine (SCM)8
Saline - Lidocaine - Morphine (SLM)12

[back to top]

Supplemental Analgesia in First 90 Minutes

Participants requesting supplemental analgesia in the first 90 minutes following study drug (NCT00487084)
Timeframe: 90 min

Interventionparticipants (Number)
Morphine - 2 Chloroprocaine - Saline (MCS)0
Saline-2 Chloroprocaine - Morphine (SCM)10
Saline - Lidocaine - Morphine (SLM)0

[back to top]

Verbal Rating Score (0 to 10) for Pain (VRPS)

Verbal Rating Pain Score (VRPS) at time of post-anesthesia recovery room entry, where 0 = no pain and 10 = worst pain imaginable (NCT00487084)
Timeframe: At recovery room entry

InterventionScores on a scale (Median)
Morphine - 2 Chloroprocaine - Saline (MCS)2
Saline-2 Chloroprocaine - Morphine (SCM)2
Saline - Lidocaine - Morphine (SLM)0

[back to top]

Duration of Continuing Analgesia

Time to first request for supplemental analgesia (NCT00487084)
Timeframe: 48 hours

Interventionhours (Median)
Morphine - 2 Chloroprocaine - Saline (MCS)28.6
Saline-2 Chloroprocaine - Morphine (SCM)2.2
Saline - Lidocaine - Morphine (SLM)25.8

[back to top]

Amount of Pain Medication Taken Per Day

(NCT00492973)
Timeframe: Average of 3 days after surgery

Interventionmg/day morphine equivalant (Mean)
Control Group47.8
Corticosteroid46.0

[back to top]

Knee Range of Motion

(NCT00492973)
Timeframe: 3 months

Interventiondegrees (Mean)
Control Group112.5
Corticosteroid112.4

[back to top]

Knee Society Scores

The Knee Society Score is on a scale of 0 to 100, with 0 being the worst possible score, and 100 being the best possible score. The Knee Society Score takes into account subjective patient reports of pain and functional ability as well as clinical measures of passive knee range of motion. (NCT00492973)
Timeframe: 3 months postoperative

Interventionunits on a scale (Mean)
Control Group87.1
Corticosteroid83.3

[back to top]

Length of Hospital Stay

(NCT00492973)
Timeframe: days after surgery

Interventiondays (Mean)
Control Group3.5
Corticosteroid2.6

[back to top]

Complications, Such as Infections, Hospital Readmissions, Manipulations Under Anesthesia, Etc.

(NCT00492973)
Timeframe: any point during the first postoperative year

InterventionNumber of participants with complication (Number)
Control Group0
Corticosteroid3

[back to top]

Patient Global Impression of Change (PGIC)

The Patient Global Impression of Change (PGIC) is an instrument where the participant indicates their perceived change at the end of a treatment phase. The overall participant status assessed using Patient Global Impression of Change (PGIC) self-assessment questionnaire which was used by participants to report on 7 categories listed as follows; Very Much Improved, Much Improved, Minimally Improved, No Change, Minimally Worse, Much Worse and Very Much Worse in tapentadol and morphine at Day 15 (Start of Maintenance Phase) and repeated in participants completing the Maintenance Phase in the Matching Placebo, Tapentadol and Morphine (Day 43). (NCT00505414)
Timeframe: Day 15 corresponds with PGIC at end of titration phase; Day 43 corresponds with PGIC at end of maintenance phase

,,,,
Interventionparticipants (Number)
Very Much ImprovedMuch ImprovedMinimally ImprovedNo ChangeMinimally WorseMuch WorseVery Much WorseMissing
Matching Placebo (Maintenance Phase)02410205
Morphine (Maintenance Phase)13440105
Morphine (Titration Phase)014200024
Tapentadol (Maintenance Phase)08411100
Tapentadol (Titration Phase)058342040

[back to top]

Responder Rates in Maintenance Period

"A responder is a participant in the study that:~completed 28 days of the maintenance phase~had a numeric rating scale score below 5 on the 11 point scale (where 0 indicates no pain and 10 indicates worst possible pain. This twice daily current pain score was averaged over Day 18 to Day 43.~did not use more than 30 mg of rescue medication per day on average in the 28 day (excluding the first 3 days) maintenance period (from Day 18 to Day 43).~A participant that met all 3 of the above-mentioned criteria is counted as a responder, in other words the participant benefited from the assigned drug treatment. A participant that fails to meet at least 1 of the 3 criteria is not counted as a responder." (NCT00505414)
Timeframe: End of the 4 week Maintenance Phase (Day 43)

Interventionparticipants (Number)
Morphine (Maintenance Phase)6
Tapentadol (Maintenance Phase)8
Matching Placebo (Maintenance Phase)3

[back to top]

Duration of Hospital Stay.

Duration of hospital stay defined as time from start anesthesia to leaving the hospital (NCT00527332)
Timeframe: Within 6 months after surgery

InterventionHours (Median)
Spinal Anesthesia46
General Anesthesia50

[back to top]

Time to Readiness for Discharge

Each postoperative day, discharge readiness was assessed by an orthopaedic surgeon, a pain nurse, a ward nurse, and a physiotherapist according to the following criteria: no evidence for surgical complications, VAS pain at rest ≤30 mm which is controlled by oral analgesics, ability to eat and drink, ability to walk with elbow crutches, and ability to climb ≥8 stairs. (NCT00562627)
Timeframe: up to 10 days postoperative

Interventiondays (Mean)
LIA IV (Local Infiltration Analgesia, Intravenous)4
LIA IA, (Local Infiltration Analgesia, Intra-articular)3.5
Epidural5.5

[back to top]

Pain at Rest (VAS)

VAS (pain at rest) 0-100 mm. VAS 0 mm means no pain and VAS 100 mm means maximal pain. (NCT00562627)
Timeframe: 48 hours postoperative

InterventionUnits on a scale (Mean)
LIA IV (Local Infiltration Analgesia, Intravenous)18
LIA IA, (Local Infiltration Analgesia, Intra-articular)12
Epidural30

[back to top]

Opioid Use

Morphine used by patient controlled analgesia. Amount of used morphine during the first 48 hours after surgery were documented in the CRF by the pain nurses. (NCT00562627)
Timeframe: 48 hours postoperative

Interventionmg (Mean)
LIA IV (Local Infiltration Analgesia, Intravenous)77
LIA IA, (Local Infiltration Analgesia, Intra-articular)49
Epidural54

[back to top]

Recording of Instance of Narcotic Side Effects.

Instances of narcotic side effects (vital sign derangement, itching, nausea/vomiting) . (NCT00580489)
Timeframe: Groups were observed a mean of 37 minutes in the Morphine Group and a mean of 43 minutes in the Fentanyl group for side effects.

Interventionparticipants (Number)
Arm C Morphine0
Arm D Fentanyl0

[back to top]

Mean Change in Numeric Pain Score (NPS) From First to Last Dose

"Mean difference in the numeric pain score (NPS) from the first dose to the final dose of medication administered.~A significant mean pain score change is defined as greater than or equal to 2~Numeric Pain Score (NPS) 0-10, 0 Least pain, 10 most pain" (NCT00580489)
Timeframe: Medication was administered over a mean transport time of 37 minutes in the Morphine group and 43 minutes in the Fentanyl group.

Interventionscore on a scale (Mean)
Morphine2.2
Fentanyl2.5

[back to top]

Number of Participants Using Rescue Medication

Number of participants who used at least one dose of rescue medication during the 72 hour double blind period. (NCT00609466)
Timeframe: Baseline up to 72 hours after first study drug intake

Interventionparticipants (Number)
CG550362
Morphine46
Placebo82

[back to top]

Sum of Pain Intensity Differences Over 12 Hours (SPID12) Relative to the Baseline Pain Intensity

"Pain Intensity assessed at predefined time points over a 12 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID12) is from -120 (indicative of an increase in pain) to 120 (indicative of a decrease in pain)." (NCT00609466)
Timeframe: Baseline to 12 hours after first study drug intake

Interventionunits (Mean)
CG550314.4
Morphine17.9
Placebo-4.7

[back to top]

Sum of Pain Intensity Differences Over 6 Hours (SPID6) Relative to the Baseline Pain Intensity

"Pain Intensity assessed at predefined time points over a 6 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID6) is from -60 (indicative of an increase in pain) to 60 (indicative of a decrease in pain)." (NCT00609466)
Timeframe: Baseline to 6 hours after intake of first study drug

Interventionunits (Mean)
CG55038.0
Morphine8.0
Placebo-1.2

[back to top]

Sum of Pain Intensity Differences Over 72 Hours (SPID72) Relative to the Baseline Pain Intensity

"Pain Intensity assessed at predefined time points over a 72 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID72) is from -720 (indicative of an increase in pain) to 720 (indicative of a decrease in pain)." (NCT00609466)
Timeframe: Baseline to 72 hours after first intake of study drug

Interventionunits (Mean)
CG550378.4
Morphine174.1
Placebo-19.1

[back to top]

Sum of Pain Intensity Differences Relative to the Baseline Pain Intensity.

"Pain Intensity assessed at predefined time points over a 48 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID48) is from -480 (indicative of an increase in pain) to 480 (indicative of a decrease in pain)." (NCT00609466)
Timeframe: Baseline value to 48 hours after first study drug intake.

Interventionunits (Mean)
CG550346.2
Morphine102.5
Placebo-17.5

[back to top]

Total Pain Relief (TOTPAR)

Total pain relief (TOTPAR) in the 48 hour period from the first dose of study drug. The subject was to indicate pain relief at rest in response to the following question: How much relief have you had from your starting pain? None = 0, A little = 1, Some = 2, A lot = 3 and Complete = 4. The theoretical maximum range of Total pain relief (TOTPAR)48 is from 0 (indicative of no pain relief) to 192. The higher the value the better the pain relief. (NCT00609466)
Timeframe: Baseline to 48 hours after first study drug intake

Interventionunits (Mean)
CG550379.2
Morphine81.6
Placebo41.8

[back to top]

Sum of Pain Intensity Differences Over 24 Hours (SPID24) Relative to the Baseline Pain Intensity

"Pain Intensity assessed at predefined time points over a 24 hour period using an 11-point Numeric Rating Scale (NRS) where a score of zero indicates no pain and a score of ten indicates pain as bad as you can imagine. Differences calculated as [baseline-post baseline] at each predefined time point. The theoretical maximum range of Sum of pain intensity differences (SPID24) is from -240 (indicative of an increase in pain) to 240 (indicative of a decrease in pain)." (NCT00609466)
Timeframe: Baseline to 24 hours after first study drug intake

Interventionunits (Mean)
CG550322.3
Morphine41.3
Placebo-10.7

[back to top]

Number of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 Months Post Study Completion.

The risk minimization tools include SOAPP-R, treatment agreement, urine drug test, pill counts, PPAFT, Investigator Assessment and Plan and prescription card information. (NCT00640042)
Timeframe: 3 months post study

Interventioninvestigators (Number)
Use of at least one toolUse of no tools
Avinza20613

[back to top]

Number of Investigators Who Reported Continued Use of One or More Risk Minimization Tools Within 3 to 6 Months Post Study Completion.

The risk minimization tools include SOAPP-R, treatment agreement, urine drug test, pill counts, PPAFT, Investigator Assessment and Plan and prescription card information. (NCT00640042)
Timeframe: 6 months post study

Interventioninvestigators (Number)
Use of at least one toolUse of no tools
Avinza15613

[back to top]

Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 3 (Week 6)

Risk level was determined by the investigator using the subject's SOAPP-R (Screener and Opioid Assessment for Patients with Pain® - Revised Questionnaire) score, reports/ evidence of aberrant behavior and clinical judgment. Low Risk: SOAPP-R score <= 9 and no signals of aberrant behavior; Moderate Risk: SOAPP-R score <= 9 with positive signals of aberrant behavior OR SOAPP-R score = 10-21 with or without positive signals of aberrant behavior OR SOAPP-R score >= 22; High Risk: SOAPP-R score >= 22 with positive signals of aberrant behavior. (NCT00640042)
Timeframe: Visit 3 (Week 6)

Interventionparticipants (Number)
Low riskModerate riskHigh riskMissing
Avinza43332583

[back to top]

Number of Subjects at Each Level of Risk for Opioid Misuse or Abuse at Visit 4 (Week 10)

Risk level was determined by the investigator using the subject's SOAPP-R score, reports/ evidence of aberrant behavior and clinical judgment. Low Risk: SOAPP-R score <= 9 and no signals of aberrant behavior; Moderate Risk: SOAPP-R score <= 9 with positive signals of aberrant behavior OR SOAPP-R score = 10-21 with or without positive signals of aberrant behavior OR SOAPP-R score >= 22; High Risk: SOAPP-R score >= 22 with positive signals of aberrant behavior. (NCT00640042)
Timeframe: Visit 4 (Week 10)

Interventionparticipants (Number)
Low riskModerate riskHigh riskMissing
Avinza35526774

[back to top]

Difference From Baseline (Week 0) in the Average Pain Score at Visit 3 (Week 6)

Average pain intensity over last 24 hours rated by the subject using an 11 point numeric rating scale (ranging from 0=no pain to 10=worst pain) at Visit 3 (NCT00640042)
Timeframe: Baseline (Week 0) to Visit 3 (Week 6)

Interventionunits on scale (Mean)
Avinza-1.6

[back to top]

Difference From Baseline (Week 0) in the Average Pain Score at Visit 4 (Week 10)

Average pain intensity over last 24 hours rated by the subject using an 11 point numeric rating scale (ranging from 0=no pain to 10=worst pain) at Visit 4 (NCT00640042)
Timeframe: Baseline (Week 0) to Visit 4 (Week 10)

Interventionunits on scale (Mean)
Avinza-1.7

[back to top]

Difference From Baseline (Week 0) in the Average Pain Score at Visit 5 (Week 14 / End of Study)

Average pain intensity over last 24 hours rated by the subject using an 11 point numeric rating scale (ranging from 0=no pain to 10=worst pain) at Visit 5 / End of Study (NCT00640042)
Timeframe: Baseline (Week 0) to Visit 5 (Week 14 / End of Study)

Interventionunits on scale (Mean)
Avinza-1.1

[back to top]

Number of Subjects With Treatment Emergent Adverse Events

Adverse events that occur or worsen after the first dose of Avinza (NCT00640042)
Timeframe: Up to 4 months

Interventionparticipants (Number)
Avinza707

[back to top]

Number of Cases in Which Investigators Were Satisfied or Very Satisfied With the Utility of the Risk Minimization Program in This Study.

After each subject completed participation in the study, investigators reported satisfaction with the utility of the risk minimization program in handling each subject's particular case. The risk minimization program is a set of tools used to assist clinicians in responsibly managing pain patients prescribed Avinza. The tools include SOAPP-R, treatment agreement, urine drug test, pill counts, PPAFT (Pain Patient Follow-up Tool), Investigator Assessment and Plan and prescription card data. These tools were used at each visit to assess subject risk and to aid in the management of subject's pain. (NCT00640042)
Timeframe: Up to 4 months

Interventioncases (Number)
Satisfied / Very SatisfiedNeutralDissatisfied / Very dissatisfiedMissing
Avinza101027856143

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: 3 months after radiofrequency

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases50.0

[back to top]

Bolus Dose in mg Administered by Patient-controlled Analgesia (PCA)

As a reminder, the post-operative analgesic treatment included intravenous paracetamol (4 g / 24h) and patient-controlled analgesia (PCA). (NCT00712712)
Timeframe: 24 hours after radiofrequency

Interventionmg (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases1.0

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: 2 months after radiofrequency

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: 1 month after radiofrequency

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected at the pre-selection visit." (NCT00712712)
Timeframe: First algology assessment at pre-selection visit

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.55.08.0

[back to top]

Standardised Quality of Life Scores (EORTC - QLQ-C30)

"Quality of life Questionnaire -Core 30 (QLQ-C30) developed in 1986 by the European Organization for Research and Treatment of Cancer (EORTC) assesses quality of life across 15 dimensions :~5 functional dimensions : Physical functioning, Role functioning, Emotional, Cognitive functioning, Social functioning; 9 symptomatic dimensions: Fatigue, Nausea and vomiting, Pain, Dyspnea, Insomnia, Appetite loss, Diarrhoea, Financial difficulties;~1 global health dimension: Global health status/QoL~Each dimension is a standardised score ranges from 0 to 100. A low score corresponds to a low functional level, an absence of symptoms or a low level of QoL/ overall health and, conversely, so that a high score corresponds to a high functional level, a high presence of symptoms or a high level of QoL/overall health." (NCT00712712)
Timeframe: Inclusion

Interventionscore on a scale (Median)
Physical functioningRole functioningEmotional functioningCognitive functioningSocial functioningGlobal health status/QoLFatigueNausea and vomitingPainDyspnoeaInsomniaAppetite lossConstipationDiarrhoeaFinancial difficulties
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases46.733.358.366.733.341.766.716.783.333.333.30.033.30.00.0

[back to top]

Standardised Quality of Life Scores (EORTC - QLQ-C30)

"Quality of life Questionnaire -Core 30 (QLQ-C30) developed in 1986 by the European Organization for Research and Treatment of Cancer (EORTC) assesses quality of life across 15 dimensions :~5 functional dimensions : Physical functioning, Role functioning, Emotional, Cognitive functioning, Social functioning; 9 symptomatic dimensions: Fatigue, Nausea and vomiting, Pain, Dyspnea, Insomnia, Appetite loss, Diarrhoea, Financial difficulties;~1 global health dimension: Global health status/QoL~Each dimension is a standardised score ranges from 0 to 100. A low score corresponds to a low functional level, an absence of symptoms or a low level of QoL/ overall health and, conversely, so that a high score corresponds to a high functional level, a high presence of symptoms or a high level of QoL/overall health." (NCT00712712)
Timeframe: 2 months after radiofrequency

Interventionscore on a scale (Median)
Physical functioningRole functioningEmotional functioningCognitive functioningSocial functioningGlobal health status/QoLFatigueNausea and vomitingPainDyspnoeaInsomniaAppetite lossConstipationDiarrhoeaFinancial difficulties
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.050.062.550.050.050.055.60.050.033.333.333.333.30.00.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected one day before radiofrequency (J-1)." (NCT00712712)
Timeframe: Algology assessment one day before radiofrequency (J-1)

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases2.05.07.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected one day after radiofrequency (J+1)." (NCT00712712)
Timeframe: Algology assessment one day after radiofrequency: J+1

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.02.04.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected at the inclusion visit." (NCT00712712)
Timeframe: Second algology assessment at inclusion visit

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases2.05.08.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected at the discharge from hospital visit." (NCT00712712)
Timeframe: Algology assessment at the discharge from hospital visit

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.02.03.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected 7 days after discharge from hospital." (NCT00712712)
Timeframe: Algology assessment 7 days after discharge from hospital

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.02.06.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected 3 months after radiofrequency." (NCT00712712)
Timeframe: Algology assessment 3 months after radiofrequency

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.01.02.5

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected 2 months after radiofrequency." (NCT00712712)
Timeframe: Algology assessment 2 months after radiofrequency

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.02.03.0

[back to top]

Intensity of Pain (Minimum, Average, Maximum)

"According to a discrete 11-points numerical scale which ranges from 0 (low pain) to 11 (intense pain), intensity of pain (Minimum, Average, Maximum) has been evaluated at different time point between pre-selection and up to 3 months after radiofrequency.~Assessment of intensity of pain has been done in this order at:~Pre-selection visit: First algology assessment within a week (± 3 days) after the radiology consultation,~Inclusion visit: Second algology assessment (One week after the first algology assessment)~J-1: one day before radiofrequency~J+1: One day after radiofrequency~Discharge from hospital~7 days after discharge from hospital~1 month after radiofrequency~2 months after radiofrequency~3 months after radiofrequency~Here, are presented only data collected 1 month after radiofrequency." (NCT00712712)
Timeframe: Algology assessment 1 month after radiofrequency

Interventionscore on a scale (Median)
Minimal painAverage painMaximum pain
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases0.02.03.0

[back to top]

Total Intravenous Morphine Dose (mg)

"Total intravenous dose of morphine 24 hours after the radiofrequency was assessed during the patient's hospital stay.~As a reminder, the post-operative analgesic treatment included intravenous paracetamol (4 g / 24h) and patient-controlled analgesia (PCA)." (NCT00712712)
Timeframe: 24 hours after radiofrequency

Interventionmg (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases3.0

[back to top]

Percentage of Participants With Maximum Pain Level Decreased by ≥ 2 Points at 2 Months After Radiofrequency Ablation (RFA)

"Difference in maximum pain scores between inclusion and 2 months after radiofrequency ablation (RFA) according to an 11-point numerical scale~Rate of patients with a decrease of two or more points in their most intense pain, 2 months after the radiofrequency ablation.~This rate is calculated for the evaluable population for the principal outcome measure.~This rate is equal to the ratio of the number of patients with a decrease of two or more points in their maximum pain divided by the size of the evaluable population.~The response rate considered acceptable is 50%, above this threshold the treatment will be considered potentially effective and may be proposed in phase III." (NCT00712712)
Timeframe: 2 months after radiofrequency ablation (RFA)

Interventionpercentage of participants (Number)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases83.6

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: Preselection: First algology visit (within a week (± 3 days) after the radiology consultation)

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: J-1 (One day before radiofrequency)

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: Inclusion: Second algology visit (One week after the first algology visit)

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: Discharge from hospital

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Oral Morphine Consumption or Oral Morphine Equivalent (Immediate and Sustained Release Forms) (mg) Per Day

"Patients were provided with a pain notebook. This notebook allowed the patient to describe the pain specific to the metastasis concerned.~In particular, information about the dose of oral morphine consumption or oral morphine equivalent in mg per day.~This pain notebook has been evaluated between the radiology consultation and three months after radiofrequency." (NCT00712712)
Timeframe: 7 days after discharge

Interventionmg morphine equivalents/day (Median)
Patient Who Has Undergone Radiofrequency Ablation of Bone Metastases60.0

[back to top]

Number of Ondansetron Doses Administered for Nausea

The number of doses of Ondansetron given for nausea to participants in both groups. (NCT00726999)
Timeframe: First 10 days after surgery

Interventiondoses of medication administered (Median)
Gabapentin Group2.0
Placebo Group2.0

[back to top]

Amount of Morphine Consumed (mg/kg/hr)

(NCT00726999)
Timeframe: Day 2

Interventionmg/kg/h (Mean)
Gabapentin/Morphine0.047
Placebo/Morphine0.036

[back to top]

Amount of Morphine Consumed (mg/kg/hr)

Patients are taken to the PARU immediately after surgery, and typically remain for a period of 1 hour. (NCT00726999)
Timeframe: PARU (Postanesthesia Recovery Unit - participants typically remain in PARU for 1 hour)

Interventionmg/kg/h (Mean)
Gabapentin/Morphine0.064
Placebo/Morphine0.044

[back to top]

Amount of Morphine Consumed (mg/kg/hr)

(NCT00726999)
Timeframe: Day 1

Interventionmg/kg/h (Mean)
Gabapentin/Morphine0.055
Placebo/Morphine0.046

[back to top]

Is Placebo Analgesia Associated With a Similar Hormonal Response as Elicited by an Opioid Analgesic?

(NCT00737737)
Timeframe: 4 weeks

Interventionng/ml (Number)
OpioidNA
PlaceboNA

[back to top]

Is Chronic Opioid Treatment Associated With Changes in Adrenocorticotropic Hormone (ACTH), Cortisol, Luteinizing Hormone (LH) and Testosterone Secretion?

(NCT00737737)
Timeframe: 4 weeks

Interventionng/ml (Number)
OpioidNA
PlaceboNA

[back to top]

Number of Patients Requiring Naloxone for Respiratory Depression

Number of patients requiring naloxone for respiratory depression (our most important side effect) (NCT00743730)
Timeframe: Daily, for up to 3 days

InterventionParticipants (Count of Participants)
PNCA With Basal1
PNCA Without Basal0
PRN Intermittent Opioids0

[back to top]

Parent Satisfaction With the Administration Technique

"Parents were asked Overall, how satisfied were you with the pain relief your child received after surgery? Response options were: 1. Very Dissatisfied, 2. Dissatisfied, 3. Satisfied, 4. Very Satisfied. Responses were scored on a 1-4 scale, with Very Dissatisfied = 1; Dissatisfied = 2; Satisfied = 3; Very Satisfied = 4." (NCT00743730)
Timeframe: parents, once at the end of study

Interventionunits on a scale (Mean)
I PNCA With Basal1.32
II PNCA w/o Basal1.48
III PRN Intermittent1.65

[back to top]

Median Pain Score During Shift 1, as Measured With the Face, Legs, Activity, Cry, Consolability Scale

Pain is measured with the Face, Legs, Activity, Cry, Consolability scale (FLACC) is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. The median pain score over the first shift (24 hours) is reported. (NCT00743730)
Timeframe: First 24 hours on study

Interventionunits on a scale (Median)
PNCA With Basal1.0
PNCA Without Basal1.8
Intermittent Opioid on as Needed Basis1.5

[back to top]

Time of Maximum Plasma Morphine Concentration

(NCT00759356)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionhr (Median)
Morphine Sulfate SR 200 mg Capsule12.00
KADIAN® 200 mg Capsule12.00

[back to top]

Mean Maximum Plasma Morphine Concentration

(NCT00759356)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionng/mL (Mean)
Morphine Sulfate SR 200 mg Capsule37.3
KADIAN® 200 mg Capsule32.8

[back to top]

Area Under the Curve to the Last Measurable Time Point for Plasma Morphine

(NCT00759356)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionhr*ng/mL (Mean)
Morphine Sulfate SR 200 mg Capsule691.3
KADIAN® 200 mg Capsule674.1

[back to top]

Area Under the Curve to Infinity for Plasma Morphine

(NCT00759356)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionhr*ng/mL (Mean)
Morphine Sulfate SR 200 mg Capsule800.3
KADIAN® 200 mg Capsule789.2

[back to top]

Time of Maximum Plasma Morphine Concentration

(NCT00759759)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionhr (Median)
Morphine Sulfate 200 mg SR Capsules by Alpharma9.50
KADIAN® 100mg Caps by Alpharma12.00

[back to top]

Maximum Plasma Morphine Concentration

(NCT00759759)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionng/mL (Mean)
Morphine Sulfate 200 mg SR Capsules by Alpharma42.8
KADIAN® 100mg Caps by Alpharma46.8

[back to top]

Area Under the Curve to the Last Measurable Time Point for Plasma Morphine

(NCT00759759)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36, 48 hrs post dose

Interventionhr*ng/mL (Mean)
Morphine Sulfate 200 mg SR Capsules by Alpharma795.0
KADIAN® 100mg Caps by Alpharma772.6

[back to top]

Area Under the Curve to Infinity for Plasma Morphine

(NCT00759759)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionhr*ng/mL (Mean)
Morphine Sulfate 200 mg SR Capsules by Alpharma875.7
KADIAN® 100mg Caps by Alpharma847.5

[back to top]

Area Under the Curve to Infinity for Plasma Morphine

(NCT00759902)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

Interventionhr*ng/mL (Mean)
KADIAN 10 mg Capsules102.1
KADIAN 20 mg Capsules100.0

[back to top]

Time of Maximum Plasma Morphine Concentration

(NCT00759902)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

Interventionhr (Median)
KADIAN 10 mg Capsules7.50
KADIAN 20 mg Capsules7.50

[back to top]

Maximum Plasma Morphine Concentration

(NCT00759902)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

Interventionng/mL (Mean)
KADIAN 10 mg Capsules5.23
KADIAN 20 mg Capsules4.15

[back to top]

Area Under the Curve to the Last Measurable Time Point for Plasma Morphine

(NCT00759902)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

Interventionhr*ng/mL (Mean)
KADIAN 10 mg Capsules84.45
KADIAN 20 mg Capsules82.94

[back to top]

Time of Maximum Plasma Morphine Concentration

(NCT00759915)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

InterventionHr (Median)
KADIAN (2 x 10mg) Capsules12.00
KADIAN 20mg Capsules12.00

[back to top]

Maximum Plasma Morphine Concentration

(NCT00759915)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

Interventionng/mL (Mean)
KADIAN (2 x 10mg) Capsules4.60
KADIAN 20mg Capsules4.29

[back to top]

Area Under the Curve to the Last Measurable Time Point for Plasma Morphine

(NCT00759915)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs

Interventionhr*ng/mL (Mean)
KADIAN (2 x 10mg) Capsules76.44
KADIAN 20mg Capsules76.33

[back to top]

Area Under the Curve to Infinity for Plasma Morphine

(NCT00759915)
Timeframe: 0 (predose), and 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,36,48 hrs

Interventionhr*ng/mL (Mean)
KADIAN (2 x 10mg) Capsules90.09
KADIAN 20mg Capsules92.43

[back to top]

Maximum Plasma Morphine Concentration

calculated from drug concentration over time (NCT00759954)
Timeframe: 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionng/mL (Mean)
Morphine Sulfate 200 mg SR Caps by Alpharma37.5
KADIAN® 2 × 100 mg Caps by Alpharma38.0

[back to top]

Area Under the Curve to the Last Measurable Time Point for Plasma Morphine

calculated from drug concentration over time (NCT00759954)
Timeframe: 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionng*hr/mL (Mean)
Morphine Sulfate 200 mg SR Caps by Alpharma717.3
KADIAN® 2 × 100 mg Caps by Alpharma744.1

[back to top]

Area Under the Curve to Infinity for Plasma Morphine

(NCT00759954)
Timeframe: 0, 2, 4, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 12, 18, 24, 30, 36, and 48 hrs post dose

Interventionng*hr/mL (Mean)
Morphine Sulfate 200 mg SR Caps by Alpharma800.7
KADIAN® 2 × 100 mg Caps by Alpharma814.5

[back to top]

Time of Maximum Plasma Morphine Concentration

calculated from drug concentration over time (NCT00759954)
Timeframe: 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose

Interventionhour (Median)
Morphine Sulfate 200 mg SR Caps by Alpharma10.50
KADIAN® 2 × 100 mg Caps by Alpharma9.25

[back to top]

To Determine the Pharmacokinetics of Methadone in Children and Adults With Sickle Cell Disease Experiencing a VOE.

R-Methadone AUC (NCT00761085)
Timeframe: 96 hr

Intervention(hr*ng/ml) (Mean)
Methadone-Children523
Morphine-Children0
Methadone-Adults637
Morphine-Adults0

[back to top]

Pain Relief

Pain relief score using the 10CM VAS, which has a pain scale of 0-10, with 0=no pain and 10=worst pain experienced (NCT00761085)
Timeframe: 72 hr

Interventionunits on a scale (Mean)
Methadone-Children8
Morphine-Children4
Methadone-Adults5
Morphine-Adults5

[back to top]

Nurse Ease of Care (EOC) Questionnaire Score

Nurse EOC questionnaire had 22 items and covered 3 aspects of care delivery associated with acute care pain management systems: time, bothersome and satisfaction. Items were scored on a 6-point Likert scale, ranging from 'not at all' (Score 0) to 'a very great deal' (score 5). The total score was calculated as the mean of the non-missing items for all the questions. (NCT00766506)
Timeframe: When participant was fit for discharge (FFD) (assessed up to 91 hours)

InterventionUnits on scale (Least Squares Mean)
Fentanyl IONSYS0.28
Morphine IV PCA0.80

[back to top]

Participant's Evaluation of Mean Ability to Mobilize After Surgery

"The ability to mobilize was assessed through a combined analysis of participant's responses to the following 3 questions: 1-Because of the system/device, I had to be careful when I used my hands; 2-The system/device made it difficult for me to adjust my position in bed; 3-The system/device interfered with my ability to get out of bed and walk around. All 3 items were scored on a 6-point Likert scale, ranging from not at all (score 0) to a very great deal (score 5). Total ability to mobilize was assessed as average of 3 scores which range from 0 (best mobility) to 5 (worst mobility)." (NCT00766506)
Timeframe: Hour 72 or early study withdrawal

InterventionUnits on scale (Mean)
Fentanyl IONSYS0.02
Morphine IV PCA2.26

[back to top]

Time to Actual Discharge

The time from baseline to the time at which the participant was actually discharged from ward care was recorded as time to actual discharge. (NCT00766506)
Timeframe: When participant was actually discharged from ward care (assessed up to 258.5 hours)

InterventionHours (Median)
Fentanyl IONSYS91.44
Morphine IV PCA94.61

[back to top]

Time to Fit For Discharge (FFD)

"Participants were assessed for fulfilling the following FFD criteria: 1- Retaining fluids and food; 2- Passing urine without the aid of a catheter; 3- Bowel sounds and/or opening; 4- Cardiovascular stability; 5- Respiratory stability; 6- No post-operative wound complications; 7- Pain adequately controlled with oral analgesia only; 8- Adequately mobile according to locally acceptable standards for mobility for surgery type and pre-operative expectations. The FFD criteria were answered on a Yes or No basis. When all criteria were answered as Yes, participant was considered to be FFD." (NCT00766506)
Timeframe: When participant was FFD (assessed up to 91 hours)

InterventionHours (Median)
Fentanyl IONSYS70.08
Morphine IV PCA71.21

[back to top]

Number of Participants Who Require Concomitant Antiemetic Medication

Antiemetic medicines are the drugs which prevent vomiting. (NCT00766506)
Timeframe: Baseline up to end of study treatment (Hour 72)

,
InterventionParticipants (Number)
DexamethasoneCyclizineMetoclopramideDomperidoneOndansetronGranisetronMentha X Piperita
Fentanyl IONSYS119011120
Morphine IV PCA020301221

[back to top]

Number of Participants Who Require Concomitant Non-opioid Analgesics

Non-opioid analgesics are non morphine like medications used to get relieve from pain. (NCT00766506)
Timeframe: Baseline up to end of study treatment (Hour 72)

,
InterventionParticipants (Number)
ParacetamolNSAID's
Fentanyl IONSYS3931
Morphine IV PCA2820

[back to top]

Pain Intensity Numerical Rating Scale (NRS)

Pain intensity NRS measured pain intensity experienced by the participant on a scale, 0 to 10, where 0 means no pain and 10 mean the worst possible pain. Participant's pain intensity was assessed by asking following question to the participant: on a scale 0 to 10 where 0 means no pain, and 10 means the worst possible pain, rate the pain that you have now. (NCT00766506)
Timeframe: Baseline, Hour 1, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, study treatment discontinuation or withdrawal, and when participant was fit for discharge (FFD) (assessed up to 91 hours)

,
InterventionUnit on Scale (Mean)
Baseline (n = 58, 49)Hour 1 (n = 58, 48)Hour 2 (n = 57, 49)Hour 3 (n = 57, 48)Hour 4 (n = 57, 47)Hour 5 (n = 58, 46)Hour 6 (n = 55, 46)Hour 8 (n = 54, 44)Hour 12 (n = 48, 40)Hour 24 (n = 52, 34)Hour 48 (n = 13, 6)Hour 72 (n = 3, 2)Study discontinuation or withdrawal (n = 53, 50)FFD (n = 44, 38)
Fentanyl IONSYS1.21.62.22.72.93.13.13.02.51.50.60.71.80.6
Morphine IV PCA1.31.52.12.22.92.52.52.31.81.91.50.51.61.3

[back to top]

Number of Participants With Patient Global Assessment (PGA) of Method of Pain Control

"The assessment consist of a categorical evaluation (poor, fair, good or excellent) of the method of pain control by asking following question from the participant: Overall, would you rate this PCA (participant controlled analgesia) method of pain control as being poor, fair, good, or excellent?" (NCT00766506)
Timeframe: Hour 72 or early study withdrawal

,
InterventionParticipants (Number)
PoorFairGoodExcellent
Fentanyl IONSYS512131
Morphine IV PCA162319

[back to top]

Number of Participants Facing Technical Failure of the Device

Technical failure was defined as malfunctioning or failure of device to work appropriately. (NCT00766506)
Timeframe: Baseline up to end of study treatment (Hour 72)

InterventionParticipants (Number)
Fentanyl IONSYS1
Morphine IV PCA1

[back to top]

Number of Participants Who Require Rescue Medication

Rescue medication was defined as a fast-acting medication given besides the study drug that could alleviate pain quickly, but the effects were not long lasting. Morphine was given intravenously as rescue medication for all participants randomly assigned to either treatment group. (NCT00766506)
Timeframe: Baseline up to Hour 3

InterventionParticipants (Number)
Fentanyl IONSYS10
Morphine IV PCA2

[back to top]

The Number of Women Who Received Systemic Narcotic Analgesics in the First 24 Hours Postpartum

(NCT00803114)
Timeframe: 24 hours postpartum

Interventionparticipants (Number)
Epidural Morphine8
Placebo37

[back to top]

Maternal Visual Analogue Scale (VAS) Score at Time of Request for First Additional Analgesic

"Participants were asked to indicate on a 10 cm line the point at which their perineal pain scored between one end anchored with no pain in my bottom to the other end anchored with the worst pain in my bottom that I can imagine" (NCT00803114)
Timeframe: by 24 hours postpartum

Interventionscores on a scale (Mean)
Epidural Morphine0.3
Placebo1.6

[back to top]

Maternal Satisfaction With Perineal Pain Management

"5 point Likert scale asking for agreement with the statement I was satisfied with my pain relief for the pain in my bottom during the first day after delivery. Scale ranged from strongly disagree to strongly agree." (NCT00803114)
Timeframe: at 24 hours postpartum

,
Interventionparticipants (Number)
Strongly DisagreeDisagreeNot sureAgreeStrongly AgreeMissing information
Epidural Morphine19643459
Placebo3118384510

[back to top]

Time to First Request for Analgesia

All participants requested analgesia at least once during their hospitalization (NCT00803114)
Timeframe: Hours

Interventionhours (Mean)
Epidural Morphine22.9
Placebo18.9

[back to top]

Maximum Plasma Concentration (Cmax) of Extended Release Epidural Morphine (EREM)

The primary end point was to evaluate the pharmacokinetic profiles of EREM after either no epidural lidocaine or after an epidural lidocaine top-up for cesarean delivery. (NCT00804609)
Timeframe: a plasma sample at 0, 5, 10, 15, and 30 minutes, and 1, 4, 8, 12, 24, 36, 48, and 72 hours post-dose

Interventionng/mL (Mean)
Epidural DepoDur Following Epidural Lidocaine Administration11.1
Epidural DepoDur Following Spinal Anesthetic8.3

[back to top]

Percentage of Participants Who Discontinued Study Drug Due to an AE

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the study product, is also an AE. (NCT00820027)
Timeframe: Up to 7 days

InterventionPercentage of Participants (Number)
Etoricoxib 90 mg6.3
Etoricoxib 120 mg3.5
Ibuprofen 1800 mg4.5
Placebo5.1

[back to top]

Average Change From Baseline for Pain Intensity at Rest Over Days 1 to 3 (Etoricoxib vs. Ibuprofen)

The pain intensity difference was measured at rest over Days 1 through 3 in participants treated with etoricoxib (120 mg, 90 mg) compared to ibuprofen for the treatment of pain following total knee replacement orthopedic surgery. Pain intensity difference at rest was measured on a numerical rating scale (NRS) from 0 - 10 points (0=no pain, to 10=pain as bad as you can imagine). Comparison to ibuprofen was conducted in a step-down manner (the 90-mg dose was evaluated only if the null hypotheses for co-primary endpoints [Pain Intensity Difference (PID) and morphine] 120-mg doses were rejected). The primary analyses for change from baseline in average pain intensity at rest over Days 1 to 3 was performed using the longitudinal data analysis (LDA) method with the terms for baseline pain intensity (moderate or severe), type of anesthesia (spinal or general), treatment, day, and the interaction of day by treatment. (NCT00820027)
Timeframe: Baseline and Days 1-3

InterventionScore on a scale (Least Squares Mean)
Etoricoxib 90 mg-3.93
Etoricoxib 120 mg-3.87
Ibuprofen 1800 mg-3.83

[back to top]

Average Change From Baseline for Pain Intensity at Rest Over Days 1 to 3 (Etoricoxib vs. Placebo)

The pain intensity difference was measured at rest over Days 1 through 3 in patients treated with etoricoxib (120 mg, 90 mg) compared to placebo for the treatment of pain following total knee replacement orthopedic surgery. Pain intensity difference at rest was measured on a numerical rating scale (NRS) from 0 - 10 points (0=no pain, to 10=pain as bad as you can imagine). Comparison to placebo was conducted in a step-down manner (the 90-mg dose was evaluated only if the null hypotheses for co-primary endpoints [Pain Intensity Difference (PID) and Morphine] 120-mg doses were rejected). The primary analyses for change from baseline in average pain intensity at rest over Days 1 to 3 was performed using the longitudinal data analysis (LDA) method with the terms for baseline pain intensity (moderate or severe), type of anesthesia (spinal or general), treatment, day, and the interaction of day by treatment. (NCT00820027)
Timeframe: Baseline and Days 1-3

InterventionScore on a scale (Least Squares Mean)
Etoricoxib 90 mg-3.93
Etoricoxib 120 mg-3.87
Placebo-3.39

[back to top]

Average Total Daily Dose of Postoperative Morphine Over Days 1 to 3 (Etoricoxib vs. Ibuprofen)

The difference in average total daily dose of morphine used over Days 1 through 3 between participants treated with etoricoxib (120 mg, 90 mg) or ibuprofen 1800 mg (administered as 600 mg three times daily, every 8 hours) in the treatment of pain following total knee replacement orthopedic surgery was assessed. Opioids taken were converted to mg morphine equivalents according to the following conventions:1 mg morphine sulphate = 1 mg morphine, 1 mg morphine hydrochloride = 1.17 mg morphine. A 5 mg oxycodone tablet = 2.5 mg morphine,12.5 mg meperidine = 1.67 mg morphine. (NCT00820027)
Timeframe: Days 1-3

Interventionmilligrams (mg) (Geometric Least Squares Mean)
Etoricoxib 90 mg8.87
Etoricoxib 120 mg9.25
Ibuprofen 1800 mg8.82

[back to top]

Average Total Daily Dose of Postoperative Morphine Over Days 1 to 3 (Etoricoxib vs. Placebo)

The average total dose of morphine was assessed when participant received etoricoxib 120 milligram(mg)/90 mg compared to placebo. Opioids taken were converted to mg morphine equivalents according to the following conventions: 1 mg morphine sulphate=1 mg morphine,1 mg morphine hydrochloride=1.17 mg morphine. A 5 mg oxycodone tablet=2.5 mg morphine,12.5 mg meperidine =1.67 mg morphine. Least-squares mean back-transformed; estimate obtained from longitudinal analysis of variance (ANOVA) model on log-transformed morphine dose with terms for baseline pain intensity(moderate or severe),type of anesthesia (spinal, general), treatment, day, and the interaction of day by treatment. (NCT00820027)
Timeframe: Days 1-3

Interventionmilligrams (mg) (Geometric Least Squares Mean)
Etoricoxib 90 mg8.87
Etoricoxib 120 mg9.25
Placebo13.40

[back to top]

Percentage of Participants With at Least One Adverse Event of Congestive Heart Failure, Pulmonary Edema, or Cardiac Failure

An adverse event (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the study product, is also an AE. (NCT00820027)
Timeframe: Up to 21 days

InterventionPercentage of Participants (Number)
Etoricoxib 90 mg0.5
Etoricoxib 120 mg0.0
Ibuprofen 1800 mg0.0
Placebo0.0

[back to top] [back to top] [back to top] [back to top]

Percentage of Subjects That do Not Require Rescue Midazolam (MDZ) for Sedation Based on Achieving and Maintaining a Target University of Michigan Sedation Scale (UMSS) Score of 1 to 3 While Intubated.

"Clinical Score Level of Sedation 0 Awake/Alert~Minimally Sedated: Tired/sleepy, appropriate response to verbal conversation and/or sounds.~Moderately Sedated: Somnolent/sleeping, easily aroused with light tactile stimulation.~Deeply sedated: Deep sleep, arousable only with significant physical stimulation.~Unarousable" (NCT00875550)
Timeframe: 6 to 24 hours

InterventionPercentage of subjects (Number)
Dexmedetomidine Low Dose44.6
Dexmedetomidine High Dose54.3

[back to top]

Time to First Dose of Rescue Medication for Sedation and Analgesia

(NCT00875550)
Timeframe: 6 to 24 hours

InterventionHours (Median)
Dexmedetomidine Low Dose1.6
Dexmedetomidine High Dose2.0

[back to top]

Time to Successful Extubation

(NCT00875550)
Timeframe: 6 to 24 hours

InterventionHours (Median)
Dexmedetomidine Low Dose23.8
Dexmedetomidine High Dose20.5

[back to top]

Total Amount of Rescue Medication Required for Sedation and Analgesia While Intubated

(NCT00875550)
Timeframe: 6 to 24 hours

,
InterventionMilligram (Mean)
MidazolamFentanylMorphine
Dexmedetomidine High Dose1.24144.3671.141
Dexmedetomidine Low Dose2.22145.2251.446

[back to top]

Absolute Time on Study Drug That the Subject is in a UMSS Range of 1 to 3 While Intubated

(NCT00875550)
Timeframe: 6 to 24 hours

InterventionHours (Median)
Dexmedetomidine Low Dose17.2
Dexmedetomidine High Dose17.3

[back to top]

Absolute Time on Study Drug That the Subject is Out of the Target Sedation Range (UMSS <1 or >3) While Intubated

(NCT00875550)
Timeframe: 6 to 24 hours

Interventionhours (Median)
Dexmedetomidine Low Dose1.0
Dexmedetomidine High Dose0.7

[back to top]

Adverse Opioid Effect: Respiratory Depression

presence of respiratory depression- dichotomous variable (NCT00880607)
Timeframe: every 4 hours up to 48 hours

Intervention% patients with respiratory depression (Number)
Intrathecal Morphine24
EREM15

[back to top]

Time Until First PCA Demand Request

At 4-hour intervals for up to 48 hours IV PCA demands. (NCT00880607)
Timeframe: every 4 hours up to 48 hours

Interventionhours (Median)
Intrathecal Morphine0.99
EREM0.92

[back to top]

Total IV Morphine Consumption up to 48 Hours Post Surgery

Total IV morphine consumption during the first 0- 48 hours after surgery.Postoperative pain was treated with morphine PCA, ketorolac, oral oxycodone, and acetaminophen. (NCT00880607)
Timeframe: Four hour intervals for up to 48 hours

Interventionmg (Median)
Intrathecal Morphine34.0
EREM42.2

[back to top]

Post-operative Pain Scores

"Post-operative pain scores using Bieri faces scale every 4 hours up to 48 hours. Using Bieri faces pain scale. The faces show how much something can hurt. The happy face with a smile is no pain = 0 to faces showing more and more pain up 10. The space between two faces is scored 1, 3,5,7, or 9. to 10 (worst pain) will be used every 4 hours post-op for up to 48 hours.~*Scores were not collected and/or included for all participants at all time points. If a patient was sleeping, there score was not recorded. If a patient completed the pain scale incorrectly (used an even number or included a range), then the data point was not included." (NCT00880607)
Timeframe: every 4 hours up to 48 hours

,
Interventionunits on a scale (Mean)
0 hours4 hours8 hours12 hours16 hours20 hours24 hours32 hours36 hours40 hours44 hours48 hours
EREM6.694.032.882.193.032.803.172.812.863.093.103.77
Intrathecal Morphine3.262.702.252.964.133.613.103.833.853.923.633.41

[back to top]

Adverse Opioid Effect: Emesis

presence of emesis- dichotomous variable (NCT00880607)
Timeframe: every 4 hours up to 48 hours

Interventionpercentage of patients with emesis (Number)
Intrathecal Morphine24
EREM15

[back to top]

Adverse Opioid Effect: Nausea

presence of nausea- dichotomous variable (NCT00880607)
Timeframe: every 4 hours up to 48 hours

Interventionpercentage of patients with nausea (Number)
Intrathecal Morphine46
EREM26

[back to top]

Adverse Opioid Effect: Pruritus

presence of pruritus- dichotomous variable (NCT00880607)
Timeframe: every 4 hours up to 48 hours

Interventionpercentage of patients with pruritus (Number)
Intrathecal Morphine81
EREM62

[back to top]

Visual Pain Score

Patients rated their pain with the numerical VPS from 0 to 10, with 10 being the worst pain possible and 0 being no pain (NCT00892606)
Timeframe: 48 hours

Interventionunits on a scale (Mean)
Methadone5
Control6

[back to top]

Opioid Consumption During the 48 Hours After Surgery

The amount of opioid required for postoperative pain relief (NCT00892606)
Timeframe: 48 hours

Interventionmg (Mean)
Methadone51
Control87

[back to top]

Number of Participants With Post Operative Nausea and Vomiting

rates subjects experienced PONV (NCT00892606)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
Methadone9
Control3

[back to top]

Postoperative Pain

Pain as reported on a verbal rating scale ( VRS) (0-10, 0 = no pain, 10 = worse pain imaginable). (NCT00895531)
Timeframe: 48 hours

Interventionunits on a scale (Mean)
Peripheral Nerve Group5
Depodur Group6

[back to top]

The Proportion of Patients Who Could Raise Leg With Replaced Knee Extended

(NCT00901628)
Timeframe: 24 hours postoperative

Interventionparticipants (Number)
Periarticular Injection Group18
No Injection Group6

[back to top]

Intravenous Patient Controlled Analgesia(PCA) Consumption During 24 Hours After Surgery

Fentanyl based PCA consumption via PCA pump (microgram) (NCT00901628)
Timeframe: 24 hours postoperative

Interventionmicrogram (Mean)
Periarticular Injection Group169.4
No Injection Group262.3

[back to top]

Maximal Flexion Angle Degree on Postoperative 7 Day

An independent investigator measured the maximal flexion angle (degree) of replaced knee with 28 centimeter armed goniometer on postoperative 7 day (NCT00901628)
Timeframe: postoperative 7 day

Interventiondegree (Mean)
Periarticular Injection Group92.3
No Injection Group95.2

[back to top]

Pain( Visual Analog Scale )

An independent investigator who was blinded to randomization assessed pain level using 0 to 10 visual analog scale (VAS) that ranged from 0 (no pain) to 10 (worst imaginable pain)at the night after operation. (NCT00901628)
Timeframe: the night after surgery

Interventionunits on a scale (Mean)
Periarticular Injection Group2.3
No Injection Group6.4

[back to top]

Participant Number of Postoperative Nausea and Vomiting During 24 Hours After Surgery

An independent investigator assessed participant number of postoperative nausea and vomiting during 24 hours after surgery. Nausea was defined as a subjective unpleasant sensation associated with awareness of the urge to vomit; and vomiting, as the forceful expulsion of gastric contents from the mouth. (NCT00901628)
Timeframe: 24 hours after surgery

Interventionparticipants (Number)
Periarticular Injection Group22
No Injection Group15

[back to top]

the Proportion of Patients Who Were Satisfied With the Pain Management

(NCT00901628)
Timeframe: postoperative 7 day

Interventionparticipants (Number)
Periarticular Injection Group38
No Injection Group39

[back to top]

Need for Supplementary Analgesia

count of participants who needed or did not needed additional analgesia (NCT00910208)
Timeframe: 2 hours post treatment

,,
InterventionParticipants (Count of Participants)
Needed supplementary medicationDid not need supplementary medication
Non-PCA Comparison Group2049
PCA 1 mg Demand Dose463
PCA 1.5 mg Demand Dose070

[back to top]

Safety: Incidence of Adverse Events

Adverse Events defined as: oxygen saturation < 92%; respiratory rate <10 breaths/min; systolic blood pressure < 90 mm Hg) (NCT00910208)
Timeframe: 2 hours

,,
InterventionParticipants (Count of Participants)
1 or more adverse eventsNo Adverse events
Non-PCA Comparison Group168
PCA 1 mg Demand Dose067
PCA 1.5 mg Demand Dose169

[back to top]

Participants With Short Term Efficacy: Pain Relief by 30 Minutes

Pain Intensity measured on Likert Scale. Participants self report pain level according to the scale by selecting from No relief, Slight relief, Moderate relief, A lot of relief, and Complete relief) (NCT00910208)
Timeframe: 30 minutes post treatment

,,
InterventionParticipants (Count of Participants)
No reliefSlight reliefModerate reliefA lot of reliefComplete relief
Non-PCA Comparison Group416122512
PCA 1 mg Demand Dose41418247
PCA 1.5 mg Demand Dose41020315

[back to top]

Long Term Efficacy: Pain Relief by 120 Minutes

Participants aksed to and give range (NCT00910208)
Timeframe: 120 minutes

,,
InterventionParticipants (Count of Participants)
No reliefSlight reliefModerate reliefA lot of reliefComplete relief
Non-PCA Comparison Group618131615
PCA 1 mg Demand Dose7992218
PCA 1.5 mg Demand Dose6583416

[back to top]

Short Term Efficacy: Change in Pain Intensity as Assessed by Patient Self Report on Numerical Rating Scale

Participants will complete a survey in which they rate their pain on a Numerical Rating Scale (NRS) of pain ranging from 0 - no pain, to 10 - worst imaginable pain, higher scores indicate worse pain. Change is measured by subtracting the 30 minute NRS score from the Baseline NRS score, thus higher numbers indicate greater decrease in pain, negative numbers indicate increase in pain from baseline to 30 minutes post-baseline. (NCT00910208)
Timeframe: Baseline and 30 minutes post treatment

InterventionUnits on a scale (Mean)
PCA 1 mg Demand Dose3.8
PCA 1.5 mg Demand Dose4.0
Non-PCA Comparison Group3.6

[back to top]

Long Term Efficacy: Total Analgesia Provided Over 2 Hours

"Participants will complete a survey in which they rate their pain on a Numerical Rating Scale (NRS) of pain ranging from 0 - no pain, to 10 - worst imaginable pain, higher scores indicate worse pain~Total analgesia is measured by a summary of change in pain that varies from 0 - no change to" (NCT00910208)
Timeframe: Baseline, 30, 60, 90, 120 post-treatment

Interventionscores on a scale *minutes (Mean)
PCA 1 mg Demand Dose-16.4
PCA 1.5 mg Demand Dose-17.4
Non-PCA Comparison Group-13.6

[back to top]

Verbal Pain Scores Post-gait

Verbal pain scores (0-10), lower scores represent better outcomes. Score will be obtained from patients for 1 day after surgery, post gait active and at rest. (NCT00934661)
Timeframe: 1 day post surgery

,
Interventionunits on a scale (Mean)
Pain Score ActivePain Score at Rest
Extended Release Epidural Morphine3.442.35
Placebo Group7.163.58

[back to top]

Verbal Pain Scores Post-gait

Verbal pain scores (0-10), lower scores represent better outcomes. Score will be obtained from patients for 1 day after surgery, post gait active and at rest. (NCT00934661)
Timeframe: 3 Days Post Surgery

,
Interventionunits on a scale (Mean)
Pain Score ActivePain Score at Rest
Extended Release Epidural Morphine4.182.59
Placebo Group5.062.78

[back to top]

Verbal Pain Scores Post-gait

Verbal pain scores (0-10), lower scores represent better outcomes. Score will be obtained from patients for 1 day after surgery, post gait active and at rest. (NCT00934661)
Timeframe: 4 Days Post Surgery

,
Interventionunits on a scale (Mean)
Pain Score ActivePain Score at Rest
Extended Release Epidural Morphine3.591.88
Placebo Group5.002.94

[back to top]

Verbal Pain Scores Post-gait

Verbal pain scores (0-10), lower scores represent better outcomes. Score will be obtained from patients for 1 day after surgery, post gait active and at rest. (NCT00934661)
Timeframe: 2 Days Post Surgery

,
Interventionunits on a scale (Mean)
Pain Score ActivePain Score at Rest
Extended Release Epidural Morphine5.292.35
Placebo Group5.242.41

[back to top]

Patient Satisfaction Score

Verbal satisfaction scores (0-10), higher scores represent better outcomes. Scores will be obtained from patients for 96 hours after surgery. (NCT00934661)
Timeframe: 96 hours

,
Interventionunits on a scale (Mean)
Total Mean and Standard DeviationPost Day 1 SurgeryPost Day 2 SurgeryPost Day 3 SurgeryPost Day 4 Surgery
Extended Release Epidural Morphine9.039.128.769.069.18
Placebo Group8.588.538.948.338.56

[back to top]

Length of Hospital Stay After Surgery

(NCT00934661)
Timeframe: From surgery day to hospital discharge, up to 4 days

InterventionDays (Mean)
Extended Release Epidural Morphine2.26
Placebo Group2.51

[back to top]

Distance Walked at Walking Test

Distance walked at walking test. Longer distance walked represent better outcomes (NCT00934661)
Timeframe: 96 hours

InterventionSteps (Mean)
Post Surgery Day 1Post Surgery Day 2Post Surgery Day 3Post Surgery Day 4
Placebo Group109.8143.5175.0100.0

[back to top]

Distance Walked at Walking Test

Distance walked at walking test. Longer distance walked represent better outcomes (NCT00934661)
Timeframe: 96 hours

InterventionSteps (Mean)
Post Surgery Day 1Post Surgery Day 2Post Surgery Day 3
Extended Release Epidural Morphine168.1206.7200.0

[back to top]

Total Opioid Consumption

Postoperatively, the patients were observed in the post anesthesia care unit (PACU) until regression of sensory levels is demonstrated. They were provided an intravenous (IV) Patient Controlled Analgesia (PCA) and instructions in its use. Morphine 1mg/ml at standard PCA settings (1.5 ml dose, 10 minute lockout interval, 6 ml hourly limit, no basal infusion) were used for postoperative analgesia until discharge plans were made. (Morphine doses were increased in 0.5ml dose increments if the patients were not achieving adequate analgesia.) (NCT00934661)
Timeframe: 96 hours

Interventionmg (Mean)
Placebo Group10.5

[back to top]

Number of Participants That Were Given Codeine 48hr Post Surgery

Number of participants that were given codeine 48hr post surgery (NCT00955877)
Timeframe: 48hr post surgery

InterventionParticipants (Count of Participants)
DepoDur801
Control2

[back to top]

Number of Participants That Were Bradycardia Within 48hr Post Surgery

Number of participants that were bradycardia within 48hr post surgery (NCT00955877)
Timeframe: 48hr post surgery

InterventionParticipants (Count of Participants)
DepoDur800
DepoDur1200
Control0

[back to top]

Number of Participants With Hemodynamic Instability 48hrs Post op

Number of Participants with Hemodynamic Instability 48hrs post operation (NCT00955877)
Timeframe: 48 hour post-operative period

InterventionParticipants (Count of Participants)
DepoDur800
Control0

[back to top]

Number of Participants That Had Urine Retention for 48hrs Post Foley Catheter Removal.

Number of participants that had urine retention for 48hrs post foley catheter removal. (NCT00955877)
Timeframe: After the Foley catheter has been removed on post-operative day #1 for a 48 hour follow-up period

InterventionParticipants (Count of Participants)
DepoDur800
Control0

[back to top]

Number of Participants That Were Given Zofran 48hr Post Surgery

Number of participants that were given Zofran 48hr post surgery (NCT00955877)
Timeframe: 48hr post surgery

InterventionParticipants (Count of Participants)
DepoDur801
Control1

[back to top]

Number of Participants With CSF Leaks Within 6 Months Post op.

Number of participants with CSF leaks within 6 months post operation. (NCT00955877)
Timeframe: 6 month post-operative period

InterventionParticipants (Count of Participants)
DepoDur800
Control0

[back to top]

Quantity of Fentanyl Administered

Mean and standard deviation of total quantity of fentanyl administered (per patient per day) 48hrs post surgery. (NCT00955877)
Timeframe: 48 hour post-operative period

Interventionmcg (Mean)
DepoDur8011
Control10.7857

[back to top]

Number of Participants With Respiratory Depression Within 48hrs Post op

Number of participants with respiratory depression within 48hrs post operation (NCT00955877)
Timeframe: 48 hour post-operative period

InterventionParticipants (Count of Participants)
DepoDur800
Control0

[back to top]

Number of Participants With Pruritis Within 48hrs Post op

Number of participants with pruritis within 48hrs post operation (NCT00955877)
Timeframe: 48 hour post-operative period

InterventionParticipants (Count of Participants)
DepoDur802
Control0

[back to top]

Adequacy of Analgesia as Judged by Age-adjusted Pain Scales

"Mean and standard deviation for standardized, age-appropriate pain scales (per patient per day) 48hrs post surgery. As is standard of care at St. Louis Children's Hospital, pain level was scored based on age using the Face, Legs, Activity, Cry, Consolability (FLACC) for participants aged 0-3, the FACES scale on participants between the age of 3 and 5, numeric pain rating scale (NRS) on participants between the age of 5 and 8 years, or the Individualized Numeric Rating Scale (INRS) for participants greater than or equal to 8 years of age. All four of the scales were ranged from 0-10 scores, with 0 being no pain at all, and 10 being extreme pain. Each patient had two scores given, one at 24hrs and one at 48hrs post surgery. The output was reported as an average of all scores for all patients within each group." (NCT00955877)
Timeframe: 48 hour post-operative period

Interventionunits on a scale (Mean)
DepoDur800.5454
Control1.8571

[back to top]

Number of Participants With Nausea and/or Vomiting 48hrs Post op.

Number of participants with nausea and or vomiting 48hr post surgery (NCT00955877)
Timeframe: 48 hour post-operative period

InterventionParticipants (Count of Participants)
DepoDur806
DepoDur1200
Control6

[back to top]

Number of Participants With Chemistry Values Meeting Potentially Clinically Significant Criteria

Potentially clinically significant criteria: alanine aminotransferase/aspartate aminotransferase (ALT/AST) ≥3 times upper limit of normal (ULN); calcium ≤1.8 mmol/L. (NCT01038609)
Timeframe: At specified intervals from Screening through 7 days after first dose of study drug

,,,,
Interventionparticipants (Number)
ALT >= 3 * ULNAST >= 3 * ULNCalcium <= 1.8 mmol/L
Acetaminophen110
Hydrocodone/Acetaminophen Extended Release000
Morphine Extended Release220
Morphine Extended Release / Acetaminophen331
Placebo002

[back to top]

Sum of Pain Intensity Difference (SPID) Using the Pain Intensity Visual Analogue Scale (VAS)

"Participants assessed pain intensity on a 100 mm visual analogue scale (VAS) with 0 meaning no pain and 100 meaning the worst pain imaginable. The SPID VAS score for 0 to 48 hours following initial study drug dose measured the cumulative pain intensity difference during treatment with higher mean SPID VAS scores indicating greater improvement from Baseline. The SPID score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule." (NCT01038609)
Timeframe: From time of first study drug administration to 48 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Acetaminophen720.5
Morphine Extended Release239.9
Morphine Extended Release / Acetaminophen614.4
Hydrocodone/Acetaminophen Extended Release450.8
Placebo-57.6

[back to top]

Participants With Adverse Events (AEs)

An adverse event (AE) is defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with treatment. If an adverse event meets any of the following criteria, it is considered a serious adverse event (SAE): results in death or is life-threatening, results in admission or prolongation of hospitalization, results in congenital anomaly or persistent or significant disability/incapacity, or is an important medical event requiring medical or surgical intervention to prevent serious outcome. AEs were categorized by severity (mild, moderate, severe) and relationship to treatment (probably, possibly, probably not, not related). Please see Adverse Events section below for more details. (NCT01038609)
Timeframe: AEs were recorded from study drug administration until 30 days following discontinuation of study drug (total 32 days); SAEs were recorded from the time informed consent was obtained until 30 days following discontinuation of study drug (total 51 days).

,,,,
Interventionparticipants (Number)
Any AE"Any AE at least possibly drug related""Any severe AE"Any SAEAny AE leading to discontinuation of study drugAny AE leading to deathDeath
Acetaminophen282310000
Hydrocodone/Acetaminophen Extended Release332450000
Morphine Extended Release292310000
Morphine Extended Release / Acetaminophen282320100
Placebo281910000

[back to top]

Participant's Global Assessment of Study Drug

The participant's overall impression of the study drug was obtained on a 5-point categorical scale: excellent; very good; good; fair; poor. (NCT01038609)
Timeframe: From time of first study drug administration to 48 hours following first study drug administration

,,,,
Interventionparticipants (Number)
ExcellentVery GoodGoodFairPoor
Acetaminophen91516100
Hydrocodone/Acetaminophen Extended Release7201542
Morphine Extended Release81614311
Morphine Extended Release / Acetaminophen41912113
Placebo31712154

[back to top]

Time to Perceptible and Meaningful Pain Relief

The median time (minutes) from first perceptible pain relief (onset of pain relief) and time until first meaningful pain relief. (NCT01038609)
Timeframe: From time of first study drug administration to 12 hours following first study drug administration

,,,,
Interventionminutes (Median)
Time to Onset of Perceptible Pain ReliefTime to Onset of Meaningful Pain Relief
Acetaminophen25.562.5
Hydrocodone/Acetaminophen Extended Release22.560.5
Morphine Extended Release32.0142.0
Morphine Extended Release / Acetaminophen31.0101.0
Placebo23.0220.0

[back to top]

Number of Participants With Vital Signs Values Meeting Potentially Clinically Significant Criteria

Potentially clinically significant criteria: Systolic blood pressure (BP) ≤90 mm Hg and ≥20 mm Hg decrease (low) or ≥180 mm Hg and ≥20 mm Hg increase (high); Diastolic BP ≤50 mm Hg and ≥15 mm Hg decrease (low) or ≥105 mm Hg and ≥15 mm Hg increase (high). Heart rate ≤50 beats per minute (bpm) and ≥15 bpm decrease (low) or ≥120 bpm and ≥15 bpm increase (high). Respiratory rate <10 respirations per minute (rpm) (low) or >24 rpm (high). (NCT01038609)
Timeframe: At specified intervals from Screening through 7 days after first dose of study drug

,,,,
Interventionparticipants (Number)
Systolic BP decreaseSystolic BP increaseDiastolic BP decreaseDiastolic BP increaseHeart rate decreaseHeart rate increaseRespiratory rate < 10 rpmRespiratory rate > 24 rpm
Acetaminophen31203100
Hydrocodone/Acetaminophen Extended Release20502100
Morphine Extended Release60501000
Morphine Extended Release / Acetaminophen80620000
Placebo51200000

[back to top]

TOTPAR (Total Pain Relief)

TOTPAR was the time-interval weighted sum of pain relief. Pain relief was assessed by participants' responses to how their pain relief was compared with the pain they had just before receiving the first dose of study drug: no relief, a little relief, some relief, a lot of relief, or complete relief. Higher mean TOTPAR scores indicate better pain relief. The TOTPAR score is a measure of the cumulative pain intensity difference during treatment and the area under the curve was estimated using the linear trapezoidal rule. (NCT01038609)
Timeframe: From time of first study drug administration to 48 hours following first study drug administration

Interventionscores on a scale (Least Squares Mean)
Acetaminophen65.9
Morphine Extended Release42.7
Morphine Extended Release / Acetaminophen49.5
Hydrocodone/Acetaminophen Extended Release56.3
Placebo32.9

[back to top]

Time to PACU Discharge Readiness

Patients were considered ready for discharge from the PACU when they attained an Aldrete score of 9 or more and were free from pain, nausea, and vomiting. Aldrete score ranges form 0 to 10 and patients greater than 8 are deemed satisfactory for discharge from the PACU (NCT01057381)
Timeframe: From admission to discharge from PACU, no time limit

Interventionminutes (Mean)
Dexmedetomidine 0.75 mcg/kg115
Dexmedetomidine 1mcg/kg116
Morphine 50 mcg/kg117
Morphine 100mcg/kg122

[back to top]

Morphine Rescue Doses Needed by Participants

"Subjects with a Children's Hospital of Eastern Ontario Pain Scale score greater than 8 received rescue morphine doses of 25 ug/kg IV at 10-minute intervals until the score was less than 8.~Minimum and Maximum values: minimum score: 4 & maximum score: 13. The higher the score ( > 8), the greater the pain appreciated by the patient." (NCT01057381)
Timeframe: From admission to discharge from PACU, up to 1 hour

,,,
InterventionParticipants (Count of Participants)
0 dose1 dose>1 dose
Dexmedetomidine 0.75 mcg/kg6218
Dexmedetomidine 1mcg/kg31410
Morphine 100mcg/kg4148
Morphine 50 mcg/kg11316

[back to top]

Number of Participants With Postoperative Complications

Post-operative complications including emesis, prolonged oxygen requirement or post- tonsillectomy bleed assessed up to 1 hour in PACU (NCT01057381)
Timeframe: From admission to discharge from PACU, up to 1 hour

,,,
InterventionParticipants (Count of Participants)
NauseaVomiting
Dexmedetomidine 0.75 mcg/kg20
Dexmedetomidine 1mcg/kg00
Morphine 100mcg/kg32
Morphine 50 mcg/kg00

[back to top]

Amount of Post-Operative Rescue Morphine Required for Analgesia

(NCT01057381)
Timeframe: From admission to discharge from PACU, up to 1 hour

Interventionug/kg (Mean)
Dexmedetomidine 0.75 mcg/kg45.2
Dexmedetomidine 1mcg/kg37.0
Morphine 50 mcg/kg43.3
Morphine 100mcg/kg36.5

[back to top]

Duration of Oxygen Supplementation

The subjects were then transported to the PACU with supplemental oxygen. Oxygen administration was continued after extubation until the patient was awake and could sustain room air saturations greater than 95% for 5 minutes. Duration of oxygen requirement was recorded as the time from tracheal extubation to cessation of oxygen supplementation in the PACU. (NCT01057381)
Timeframe: From admission to PACU until room air saturations greater than or equal to 95% for 5 minutes

Interventionminutes (Mean)
Dexmedetomidine 0.75 mcg/kg17
Dexmedetomidine 1mcg/kg19
Morphine 50 mcg/kg20
Morphine 100mcg/kg18

[back to top]

Number of Participants With Emergence Agitation

Patients in the PACU who were crying, restless, disoriented, unresponsive to the parent's voice, with non-purposeful thrashing movements requiring additional personnel to prevent bodily harm, and inconsolable even after parental presence, rescue analgesia and additional measures of comfort were considered to have emergence agitation. (NCT01057381)
Timeframe: From admission to discharge from PACU, no time limit

InterventionParticipants (Count of Participants)
Dexmedetomidine 0.75 mcg/kg5
Dexmedetomidine 1mcg/kg4
Morphine 50 mcg/kg4
Morphine 100mcg/kg1

[back to top]

•Amount of Study Drug Administered During the 24-hour Dosing Period

(NCT01094522)
Timeframe: 24 hours

Interventionmg (Mean)
Methadone8.56
Morphine13.77

[back to top]

•Pain Scores (FLACC) During the 24 Hours Study Period

"Average of hourly FLACC score for each subject over 24 hours was calculated, followed by median and full range for total subjects in each arm.~FLACC (Face, Leg, Activity, Cry, Consolability) score ranges from 0-10 with 0 representing no pain" (NCT01094522)
Timeframe: 24 hours

Interventionunits on a scale (Median)
Methadone1.375
Morphine1.917

[back to top]

Maximum Concentration of Methadone Including Its Metabolites (EDDP and EMDP)

(NCT01094522)
Timeframe: 0, 15, 30 minutes, 1, 2, 4, 6 hrs, every 6 hrs up to 24 hrs

Interventionng/mL (Median)
MethadoneEDDPEMDP
Methadone52.353.420.194

[back to top]

Maximum Concentration of Morphine Including Its Metabolites (Morphine-3-glucuronide and Morphine-6-glucuronide)

(NCT01094522)
Timeframe: 0, 15, 30 minutes, 1, 2, 4, 6 hrs, every 6 hrs up to 24 hrs

Interventionng/mL (Median)
MorphineM3GM6G
Morphine27.5522522.95

[back to top]

Number of Participants With Clinical Opiate Withdrawal Scale (COWS) Score Greater Than or Equal to (≥) 13 in the Treatment Phase

COWS is an 11 section clinical assessment of withdrawal symptoms, each section is rated from 0 (no symptom) to 4 or 5 (most severe symptom). Total score is classified into a 4 point rating scale (mild 5-12, moderate 13-24, moderately severe 25-36 and severe more than 36 points). (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 24 hours (hr) post-dose and unscheduled assessment (UA)

Interventionparticipants (Number)
EMBEDA Whole Capsules1
EMBEDA Crushed in Solution3

[back to top]

Average Numeric Pain Rating Scale (NPRS) in Titration/Stabilization and Maintenance Phases

Average pain scores in the previous 24 hours using an 11 point NPRS ranging from no pain (0) to worst pain (10). (NCT01100437)
Timeframe: Baseline up to Day 63

Interventionunits on a scale (Mean)
Titration/Stabilization-Baseline (n=6)Titration/Stabilization-Visit 2b (n=6)Titration/Stabilization-Visit 2c (n=2)Titration/Stabilization-Visit 2d (n=1)Maintenance (n=6)
EMBEDA Capsules5.55.25.53.04.2

[back to top]

Plasma Decay Half-Life (t1/2) During the Treatment Phase

Average plasma decay half-life of morphine, naltrexone and 6-β-Naltrexol. Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionh (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution17.03.010.1
EMBEDA Whole Capsules56.2NA50.9

[back to top]

Time to Reach Maximum Observed Plasma Concentration (Tmax) During the Treatment Phase

Average Tmax for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionhours (h) (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution1.291.461.63
EMBEDA Whole Capsules5.67NA6.13

[back to top]

Volume of Distribution (Vd/F)During the Treatment Phase

Average Vd/F for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionliter (L) (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution1668.2304171.826304.5
EMBEDA Whole Capsules3173.1NA3447244.4

[back to top]

Area Under the Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last) During the Treatment Phase

Average AUC0-last for Morphine, Naltrexone and 6-β-Naltrexol. Area under the plasma concentration time-curve from time zero to the last measured concentration. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng*h/mL (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution542.61300.028891.2
EMBEDA Whole Capsules513.4NA450.3

[back to top]

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] During the Treatment Phase

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Average AUC 0-∞ for Morphine, Naltrexone and 6-β-Naltrexol reported. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng*h/mL (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution887.71330.735297.8
EMBEDA Whole Capsules2023.5NA1469.5

[back to top]

Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-τ) During the Treatment Phase

Average AUC0-τ for Morphine, Naltrexone and 6-β-Naltrexol reported. τ=24 hours (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng times h divided by mL (ng*h/mL) (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution542.61314.728891.2
EMBEDA Whole Capsules513.4NA463.5

[back to top]

Apparent Oral Clearance (CL/F) During the Treatment Phase

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionliters/hour (L/h) (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution77.275151.01758.0
EMBEDA Whole Capsules37.6NA45143.6

[back to top]

Time to First Occurrence of a COWS Score ≥ 13 for Each Treatment During the Treatment Phase

Average time to first occurrence of a COWS score ≥ 13 (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 24 hr post-dose and UA

Interventionh (Mean)
EMBEDA Whole Capsules2.5
EMBEDA Crushed in Solution0.7

[back to top]

Naltrexone Plasma Concentration at First COWS ≥ 13 in the Treatment Phase

(NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

Interventionpicogram/milliliter (pg/mL) (Mean)
EMBEDA Whole CapsulesNA
EMBEDA Crushed in Solution350.50

[back to top]

6-β-Naltrexone Plasma Concentration at First COWS ≥ 13 in Treatment Phase

(NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

Interventionpg/mL (Mean)
EMBEDA Whole CapsulesNA
EMBEDA Crushed in Solution3375.00

[back to top]

Maximum Post-dose COWS in the Treatment Phase

COWS is an 11 section clinical assessment of withdrawal symptoms, each section is rated from 0 (no symptom) to 4 or 5 (most severe symptom). Total score is classified into a 4 point rating scale (mild 5-12, moderate 13-24, moderately severe 25-36 and severe more than 36 points). (NCT01100437)
Timeframe: Between 0.5 and 24 hours post-dose

Interventionunits on a scale (Mean)
EMBEDA Whole Capsules3.7
EMBEDA Crushed in Solution10.7

[back to top]

Morphine Plasma Concentration at First COWS ≥ 13 in the Treatment Phase

(NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

Interventionng/mL (Mean)
EMBEDA Whole Capsules16.00
EMBEDA Crushed in Solution86.30

[back to top]

Minimum Observed Plasma Concentration (Cmin) During the Treatment Phase

Average Cmin for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng/mL (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution11.26.942.7
EMBEDA Whole Capsules13.8NA15.9

[back to top]

Maximum Observed Plasma Concentration (Cmax) During the Treatment Phase

Average Cmax for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionnanogram per milliliter (ng/mL) (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution70.4321.13398.3
EMBEDA Whole Capsules27.5NA24.4

[back to top]

Average Pain (0-120 Seconds): Cold Pain Test Visual Analog Scale (VAS)

"Area under the cold pain test Visual Analog Scale (VAS) time curve (AUCcpt 0 to 120 seconds [sec]) averaged over the 120 sec for each time point assessed. Participant adjusted 100 millimeter (mm) electronic VAS with range of no pain (0) to maximum pain (100) at the anchor endpoints of the scale and moderate pain at the midpoint. Pain reported while non-dominant hand was placed in thermostatically controlled water bath at 2±1°C for a maximum of 120 sec." (NCT01119222)
Timeframe: Pre-dose, 1, 1.5, 2, 4, and 8 hours post-dose

,,,
Interventionmm (Mean)
Pre-dose1 hour1.5 hours2 hours4 hours8 hours
Diphenhydramine45.045.142.340.544.243.8
Gabapentin45.241.939.440.441.944.7
Morphine45.528.626.125.634.736.7
Placebo44.938.440.239.544.344.2

[back to top]

Interpolated Average Pain (0-8 Hours)

Interpolated average pain (0 to 8 hours): area under the curve (AUC) of average pain (0 to 120 seconds) recorded at each of the time points taken over 8 hour time period divided by 8. (NCT01119222)
Timeframe: Pre-dose to 8 hours post-dose

Interventionhours (Least Squares Mean)
Gabpentin42.2
Morphine33.4
Diphenhydramine43.6
Placebo42.8

[back to top]

Mean Daily Peak Pain Ratings Assessed by the Visual Analog Scale (VAS)

"Visual Analog Scale (VAS) measures subjective ratings on pain. The scale on this measurement ranges from 0 being None to 100 being Extremely. The results below reflect the subjective measurements of pain taken from day 0 to day 18 of withdrawal from both morphine and buprenorphine." (NCT01136356)
Timeframe: Average mean daily peak pain ratings assessed from day 0 to day 18 during the 18 day withdrawal period

,
Interventionunits on a scale (Mean)
Day 0 WithdrawalDay 1 WithdrawalDay 2 WithdrawalDay 3 WithdrawalDay 4 WithdrawalDay 5 WithdrawalDay 6 WithdrawalDay 7 WithdrawalDay 8 WithdrawalDay 9 WithdrawalDay 10 WithdrawalDay 11 WithdrawalDay 12 WithdrawalDay 13 WithdrawalDay 14 WithdrawalDay 15 WithdrawalDay 16 WithdrawalDay 17 WithdrawalDay 18 Withdrawal
Buprenorphine26.313.39.48.611.48.68.613.68.66.38.39.112.77.912.911.66.79.4
Morphine6.129.351.633.129.920.120.311.96.717.013.44.111.77.46.915.63.17.75.9

[back to top]

Mean Peak Opioid Withdrawal Assessed by the Clinical Opiate Withdrawal Scale (COWS)

Clinical Opiate Withdrawal Scale (COWS) is an observer-rated tool for quantifying opioid withdrawal. The scale ranges from 0 to 48: Scores 5 to 12 are mild, 13 to 24 are moderate, 25 to 36 are moderately severe, and over 36 are severe withdrawal. The scores on this repeated measure were analyzed by a two-factor ANOVA for mean peak daily COWS ratings. (NCT01136356)
Timeframe: Average mean peak opioid withdrawal thirty minutes before and after injection assessed up to 59 days

Interventionunits on a scale (Mean)
Morphine12.6
Buprenorphine1.3

[back to top]

Mean Peak Sleep Assessed by Pittsburgh Sleep Quality Index (PSQI)

Pittsburgh Sleep Quality Index (PSQI) is a self-report questionnaire that assesses sleep quality, total scores range from 0 (better) to 21(worse). The data that has been reported reflects the peak scores on the PSQI during the withdrawal period from both morphine and buprenorphine. (NCT01136356)
Timeframe: Average mean peak sleep assessed once a week for up to 8 weeks

,
Interventionunits on a scale (Mean)
Week 2 WithdrawalWeek 3 Withdrawal
Buprenorphine5.56.9
Morphine10.311.3

[back to top]

Rate of Breakthrough Pain

Rate of breakthrough pain is the number of episodes of breakthrough pain divided by the number of hours of labor. Time measured from placement of the neuraxial anesthetic, until delivery of the neonate. Because duration of labor is different for all patients, the rate of breakthrough pain per hour is used as the primary outcome. (NCT01146457)
Timeframe: Participants were followed for the duration of delivery, an average of 7 hours

Interventionepisodes of breakthrough pain per hour (Mean)
Control0.25
Morphine 250.28
Morphine 500.25
Morphine 750.23
Morphine 1000.17

[back to top]

Total Amount of Rescue Medication Fentanyl Given for Sedation During Dexmedetomidine Infusion (Among Who Used)

(NCT01159262)
Timeframe: During study drug administration (6 to 24 hours)

InterventionMicrogram (Mean)
Dexmedetomidine 0.05 mcg/kg10.808
Dexmedetomidine 0.1 mcg/kg5.667
Dexmedetomidine 0.2 mcg/kg9.522

[back to top]

Time to Successful Extubation in DEX-exposed Subjects

(NCT01159262)
Timeframe: From start of DEX administration to extubation of each subject up to 7 days post-infusion

Interventionhour (Median)
Dexmedetomidine 0.05 mcg/kg22.9
Dexmedetomidine 0.1 mcg/kg49.3
Dexmedetomidine 0.2 mcg/kg23.7

[back to top]

Percentage of Subjects Who Received Rescue Medication Midazolam for Sedation During Dexmedetomidine Infusion

(NCT01159262)
Timeframe: During study drug administration (6 to 24 hours)

Interventionpercentage of subjects (Number)
Dexmedetomidine 0.05 mcg/kg7.1
Dexmedetomidine 0.1 mcg/kg7.1
Dexmedetomidine 0.2 mcg/kg25

[back to top]

Percentage of Subjects Who Received Rescue Medication for Analgesia During Dexmedetomidine Infusion

(NCT01159262)
Timeframe: During Study drug administration (6 to 24 hours)

Interventionpercentage of subjects (Number)
Dexmedetomidine 0.05 mcg/kg35.7
Dexmedetomidine 0.1 mcg/kg35.7
Dexmedetomidine 0.2 mcg/kg75

[back to top]

Total Amount of Rescue Medication Midazolam Given for Sedation During Dexmedetomidine Infusion (Among Who Used)

(NCT01159262)
Timeframe: During Study drug administration (6 to 24 hours)

InterventionMilligram (Mean)
Dexmedetomidine 0.05 mcg/kg.360
Dexmedetomidine 0.1 mcg/kg.500
Dexmedetomidine 0.2 mcg/kg1.125

[back to top]

Total Amount of Rescue Medication Morphine Given for Sedation During Dexmedetomidine Infusion (Among Who Used)

(NCT01159262)
Timeframe: During study drug administration (6 to 24 hours)

Interventionmilligram (Mean)
Dexmedetomidine 0.1 mcg/kg0.275
Dexmedetomidine 0.2 mcg/kg0.400

[back to top]

Weight-adjusted Total Amount (Per kg) of Rescue Medication Fentanyl Given for Analgesia During Dexmedetomidine Infusion (Among Who Used)

(NCT01159262)
Timeframe: During study drug administration (6 to 24 hours)

Interventionmicrogram/Kg (Mean)
Dexmedetomidine 0.05 mcg/kg5.137
Dexmedetomidine 0.1 mcg/kg1.863
Dexmedetomidine 0.2 mcg/kg2.725

[back to top]

Weight-adjusted Total Amount (Per kg) of Rescue Medication Midazolam Given for Sedation During Dexmedetomidine Infusion (Among Who Used)

(NCT01159262)
Timeframe: During study drug administration (6 to 24 hours)

Interventionmilligrams/Kg (Mean)
Dexmedetomidine 0.05 mcg/kg0.100
Dexmedetomidine 0.1 mcg/kg0.152
Dexmedetomidine 0.2 mcg/kg0.318

[back to top]

Weight-adjusted Total Amount (Per kg) of Rescue Medication Morphine Given for Analgesia During Dexmedetomidine Infusion (Among Who Used)

(NCT01159262)
Timeframe: During study drug administration (6 to 24 hours)

Interventionmilligram/Kg (Mean)
Dexmedetomidine 0.1 mcg/kg0.125
Dexmedetomidine 0.2 mcg/kg0.109

[back to top]

Duration to Titrate Participants to Stable Dose Stratified by Prior Opioid Therapy

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionDays (Mean)
Transdermal Fentanyl (n= 42)IR Hydrocodone (n= 99)IR Hydromorphone (n= 14)IR Oxycodone (n= 77)IR Morphine (n= 33)Methadone (n= 26)ER Oxycodone (n= 45)ER Oxymorphone (n= 14)Excluded Opioid/ Unclassified (n= 1)
EMBEDA17.820.724.319.618.821.020.319.87.0

[back to top]

Duration to Titrate Participants to Stable Dose

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionDays (Mean)
EMBEDA20.0

[back to top]

Investigator's Level of Satisfaction With the EMBEDA Conversion Guide

The conversion assessment survey is a brief questionnaire using multiple choice options and numeric rating scale (NRS) with specified anchored responses ranging on a scale from 0-10 (0 = very dissatisfied, 5 = neutral, and 10=very satisfied) to assess the Investigator's level of satisfaction with the EMBEDA Conversion Guide. (NCT01179191)
Timeframe: Week 6

InterventionUnits on a Scale (Mean)
EMBEDA8.1

[back to top]

Number of Participants With Abnormal Urine Drug Test Results

Urine samples collected were screened using immunoassay techniques for the following types of drugs: opioids, barbiturates, benzodiazepines, amphetamines, ecstasy [3, 4-methylenedioxyamphetamine (MDMA)], cocaine, phencyclidine (PCP) and marijuana [tetrahydrocannabinol (THC)]. Quantitative, confirmatory urine drug testing was performed for positive results using gas chromatography or high-pressure liquid chromatography, for the following analytes: morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone, fentanyl, methadone, benzodiazepines, amphetamines, cocaine, THC, PCP, and MDMA. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionParticipants (Number)
Baseline (n= 684)Visit 3 (n= 351)
EMBEDA160101

[back to top]

Number of Participants With Aberrant Behaviors

Current Opioid Misuse Measure (COMM) is a 17-item self-administered test used to monitor aberrant behavior in participants on opioid therapy. Aberrant behaviors assessed using a 5-point scale [0 = 'never' and 4 = 'very often']. Score range 0-68. Scores greater than or equal to 9 indicated the presence of aberrant behaviors. (NCT01179191)
Timeframe: Day 5

InterventionParticipants (Number)
EMBEDA217

[back to top]

Number of Participants With Greater Than or Equal to One Urine Drug Test Results Negative for Expected Opioid

Urine samples collected were screened using immunoassay techniques for the following types of drugs: opioids, barbiturates, benzodiazepines, amphetamines, ecstasy (3, 4-MDMA), cocaine, PCP and marijuana (THC). Quantitative, confirmatory urine drug testing was performed for positive results using gas chromatography or high-pressure liquid chromatography, for the following analytes: morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone, fentanyl, methadone, benzodiazepines, amphetamines, cocaine, THC, PCP, and MDMA. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionParticipants (Number)
Baseline (n= 684)Visit 3 (n= 351)
EMBEDA12211

[back to top]

Number of Participants With Urine Drug Test Results Positive for Illicit Substances

Urine samples collected were screened using immunoassay techniques for following types of drugs:opioids,barbiturates,benzodiazepines,amphetamines,ecstasy(3,4MDMA),cocaine,PCP,marijuana (THC).Quantitative, confirmatory urine drug testing performed for positive results using gas chromatography or high-pressure liquid chromatography for following analytes: morphine,oxycodone,oxymorphone,hydrocodone,hydromorphone,fentanyl,methadone,benzodiazepines,amphetamines,cocaine,THC,PCP,MDMA. Illicit substances were drugs of categories:marijuana (THC) metabolite,cocaine metabolite,PCP,amphetamine. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionParticipants (Number)
Baseline (n= 684)Visit 3 (n= 351)
EMBEDA5124

[back to top]

Number of Titration Steps to Achieve Stable Dose Stratified by Prior Opioid Therapy

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

Interventiontitration steps (Mean)
Transdermal Fentanyl (n= 42)IR Hydrocodone (n= 99)IR Hydromorphone (n= 14)IR Oxycodone (n= 77)IR Morphine (n= 33)Methadone (n= 26)ER Oxycodone (n= 45)ER Oxymorphone (n= 14)Excluded Opioid/ Unclassified (n= 1)
EMBEDA2.02.62.62.32.32.72.42.51.0

[back to top]

Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase Stratified by Prior Opioid Therapy

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionPercentage of participants (Number)
Transdermal Fentanyl (n= 77)Immediate-release (IR) Hydrocodone (n= 164)IR Hydromorphone (n= 22)IR Oxycodone (n= 160)IR Morphine (n= 53)Methadone (n= 64)Extended-release (ER) Oxycodone (n= 107)ER Oxymorphone (n= 25)Excluded Opioid/ Unclassified (n= 12)
EMBEDA54.560.463.648.162.340.642.156.08.3

[back to top]

Number of Participants With Urine Drug Test Results Positive for Unaccounted Opioids

Urine samples collected were screened using immunoassay techniques for the following types of drugs: opioids, barbiturates, benzodiazepines, amphetamines, ecstasy (3, 4-MDMA), cocaine, PCP and marijuana (THC). Quantitative, confirmatory urine drug testing was performed for positive results using gas chromatography or high-pressure liquid chromatography, for the following analytes: morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone, fentanyl, methadone, benzodiazepines, amphetamines, cocaine, THC, PCP, and MDMA. (NCT01179191)
Timeframe: Visit 3 (up to Week 6)

InterventionParticipants (Number)
EMBEDA85

[back to top]

Number of Titration Steps to Achieve Stable Dose

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

Interventiontitration steps (Mean)
EMBEDA2.4

[back to top]

Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionPercentage of participants (Number)
EMBEDA51.3

[back to top]

Percentage of Participants With Rescue Medications Usage During Titration

Rescue pain medications were used for supplemental analgesia for breakthrough pain during titration phase. Morphine sulfate IR tablet (less than 20 percent of the total daily dose of EMBEDA per IR dose), ibuprofen (up to 400 milligram (mg)/dose; not to exceed 1200 mg/day), and acetaminophen (up to 1000 mg/dose, not to exceed 4000 mg/day) were used as rescue medications. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionPercentage of participants (Number)
EMBEDA79.8

[back to top]

Change From Baseline in Brief Pain Inventory (BPI) at Visit 3 (First Visit After Successful Titration)

BPI is an 11-item self-report questionnaire: consist of 4 questions that assess pain intensity (worst, least, average, relief) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life). Each question answered on a scale range:0-10 (0%-100% for relief), '0=No pain/no relief/no interference and 10=Pain as bad as you can imagine/complete relief/ complete interference'.Measure can be scored by item, with lower scores being indicative of less pain or pain interference. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionUnits on a scale (Mean)
Change at Visit 3 (Average Pain) (n=313)Change at Visit 3 (Worst Pain) (n=313)Change at Visit 3 (Least Pain) (n=321)Change at Visit 3 (Relief) (n=0)Change at Visit 3 (General Activity) (n=0)Change at Visit 3 (Mood) (n=0)Change at Visit 3 (Walking Ability) (n=0)Change at Visit 3 (Normal Work) (n=0)Change at Visit 3(Relationships with Others) (n=0)Change at Visit 3 (Sleep) (n=0)Change at Visit 3 (Enjoyment of Life) (n=0)
EMBEDA-2.23-2.41-1.81NANANANANANANANA

[back to top]

Number of Narcotic Pills and Morphine Sulfate Used

Pill Count (NCT01242644)
Timeframe: Post surgery day 1

InterventionNumber of pills (Mean)
Pain Pump , Injectable Medication3.41
Saline Pain Pump , Injectable Medication3.8
Injectable Medication Only3.8

[back to top]

Number of Narcotic Pills and Morphine Sulfate Used

Pill count (NCT01242644)
Timeframe: In recovery room

InterventionPills (Mean)
Pain Pump , Injectable Medication2.2
Saline Pain Pump , Injectable Medication1.8
Injectable Medication Only1.3

[back to top]

Pain Scale

"Visual Analog Scale. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. no pain on the left end (0 cm) of the scale and the worst pain on the right end of the scale (10 cm)." (NCT01242644)
Timeframe: 24 hours post surgery

Interventionunits on a scale (Mean)
Pain Pump , Injectable Medication1.75
Saline Pain Pump , Injectable Medication3.23
Injectable Medication Only3.06

[back to top]

Pain Scale

"Visual Analog Scale. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. no pain on the left end (0 cm) of the scale and the worst pain on the right end of the scale (10 cm)." (NCT01242644)
Timeframe: 48 hours post-surgery

Interventionunits on a scale (Mean)
Pain Pump , Injectable Medication1.81
Saline Pain Pump , Injectable Medication3.17
Injectable Medication Only2.26

[back to top]

Pain Scale

"Visual Analog Scale. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. no pain on the left end (0 cm) of the scale and the worst pain on the right end of the scale (10 cm)." (NCT01242644)
Timeframe: 72 hours post surgery

Interventionunits on a scale (Mean)
Pain Pump , Injectable Medication3.3
Saline Pain Pump , Injectable Medication4.05
Injectable Medication Only3.13

[back to top]

Pain Score 8 Hours Post-operativley

"Visual Analog Scale. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. no pain on the left end (0 cm) of the scale and the worst pain on the right end of the scale (10 cm)." (NCT01242644)
Timeframe: 8 hours post surgery

Interventionunits on a scale (Mean)
Pain Pump , Injectable Medication2.5
Saline Pain Pump , Injectable Medication1.8
Injectable Medication Only1.06

[back to top]

Number of Narcotic Pills and Morphine Sulfate Used

(NCT01242644)
Timeframe: Post surgery day 2

InterventionNumber of pills (Mean)
Pain Pump , Injectable Medication1.1
Saline Pain Pump , Injectable Medication1.5
Injectable Medication Only0.8

[back to top]

Number of Narcotic Pills and Morphine Sulfate Used

(NCT01242644)
Timeframe: Post surgery day 3

Interventionnumber of pills (Mean)
Pain Pump , Injectable Medication2.1
Saline Pain Pump , Injectable Medication2.7
Injectable Medication Only1.7

[back to top]

Maximum PAED Score

"Maximum score on the Pediatric Anesthesia Emergence delirium scale. This has 5 items ranging from 1-4 and higher scores indicate greater emergence delirium.~1. eye contact with care giver ,score 1-4, purposeful actions 1-4, aware of surrounding 1-4,restless 1-4, inconsolable 1-4, Maximum score 20." (NCT01244126)
Timeframe: Upon arrival in the PACU, and at 5, 10, 15, 30, 45, 60 minutes and at discharge

Interventionunits on a scale (Mean)
IM Morphine6.1
IV Morphine6.3
Fentanyl IN4.6

[back to top]

Maximum Postoperative Face, Legs, Activity, Cry and Consolability (FLACC) Pain Score.

FLACC assigns 0-2 points for each of 5 categories (face, legs, activity, cry, consolability)and sums these points to give a total score where high scores indicate worse pain (Paediatr Anaesth 2006; 16: 258-65) (NCT01244126)
Timeframe: Upon arrival in the PACU, and at 5, 10, 15, 30, 45, 60 minutes and at discharge

Interventionunits on a scale (Mean)
IM Morphine2.9
IV Morphine2.7
Fentanyl IN2.0

[back to top]

Consumption of Levobupivacaine at 24h and 48 h Postoperatively

Cumulative consumption of levobupivacaine administered via patients controlled epidural analgesia pump( PCEA) at 24h and 48 h postoperatively (NCT01249872)
Timeframe: up to 48 hours postoperatively

,,,,,
Interventionmg (Mean)
Levobupivacaine consumption at 24h postoperativelyLevobupivacaine consumption at 48h postoperatively
GROUP A : 0 mg MORPHINE-0.1% LEVOBUPIVACAINE132.9189.8
GROUP B : 1 mg MORPHINE- 0.1% LEVOBUPIVACAINE178.8240.9
GROUP C : 2 mg MORPHINE-0.1% LEVOBUPIVACAINE165.6231.9
GROUP D : 0 mg MORPHINE- 0.2% LEVOBUPIVACAINE325.7435.4
GROUP E : 1 mg MORPHINE-0.2 % LEVOBUPIVACAINE241.9351.3
GROUP F : 2 mg MORPHINE- 0.2% LEVOBUPIVACAINE203.1294.7

[back to top]

Change From Baseline in Pain Scores (Visual Analogue Scale)

Pain scores at rest and on cough using a 10cm Visual Analogue Scale(0=no pain, 10=worst possible pain) were assessed up to 48h postoperatively. (NCT01249872)
Timeframe: up to 48 h postoperatively

,,,,,
Interventionunits on a scale (Mean)
VAS rest at 6h postoperativelyVAS rest at 24h postoperativelyVAS rest at 48h postoperativelyVAS cough at 6h postoperativelyVAS cough at 24h postoperativelyVAS cough at 48h postoperatively
GROUP A : 0 mg MORPHINE-0.1% LEVOBUPIVACAINE1.40.10.04.72.41.3
GROUP B : 1 mg MORPHINE- 0.1% LEVOBUPIVACAINE1.60.40.14.22.62.4
GROUP C : 2 mg MORPHINE-0.1% LEVOBUPIVACAINE1.60.40.44.73.22.3
GROUP D : 0 mg MORPHINE- 0.2% LEVOBUPIVACAINE0.80.00.03.92.01.3
GROUP E : 1 mg MORPHINE-0.2 % LEVOBUPIVACAINE1.11.80.13.93.51.4
GROUP F : 2 mg MORPHINE- 0.2% LEVOBUPIVACAINE0.80.10.02.72.40.8

[back to top]

Time to Postoperative Bowel Recovery

Time to postoperative recovery of bowel function assessed by first flatus or stool, noticed by the patient (NCT01249872)
Timeframe: up to 6 days

Interventionhours (Mean)
GROUP A : 0 mg MORPHINE-0.1% LEVOBUPIVACAINE56.6
GROUP B : 1 mg MORPHINE- 0.1%LEVOBUPIVACAINE70.9
GROUP C : 2 mg MORPHINE-0.1% LEVOBUPIVACAINE67.1
GROUP D : 0 mg MORPHINE- 0.2% LEVOBUPIVACAINE55.6
GROUP E : 1 mg MORPHINE-0.2 % LEVOBUPIVACAINE58.6
GROUP F : 2 mg MORPHINE- 0.2% LEVOBUPIVACAINE63.9

[back to top]

Time to First Postoperative Ambulation

Time to being able to walk without assistance within the room or outside the room (NCT01249872)
Timeframe: up to 6 days

,,,,,
Interventionhours (Mean)
Walking in the room unassistedWalking out of the room unassisted
GROUP A : 0 mg MORPHINE-0.1% LEVOBUPIVACAINE19.033.3
GROUP B : 1 mg MORPHINE- 0.1% LEVOBUPIVACAINE19.947.0
GROUP C : 2 mg MORPHINE-0.1% LEVOBUPIVACAINE19.143.3
GROUP D : 0 mg MORPHINE- 0.2% LEVOBUPIVACAINE20.739.5
GROUP E : 1 mg MORPHINE-0.2 % LEVOBUPIVACAINE21.443.4
GROUP F : 2 mg MORPHINE- 0.2% LEVOBUPIVACAINE20.645.1

[back to top]

Cumulative Consumption of Epidural Morphine at 24h and 48h Postoperatively

Cumulative consumption of epidural morphine administered as loading dose, intraoperatively, of 1mg(groups B and E)or 2mg (groups C and F) and as continuous infusion of 0,2mg/h ( all groups) at 24h and 48h postoperatively.All participants in each Group received the same dose of epidural morphine, as no participant missed a scheduled dose. (NCT01249872)
Timeframe: up to 48 hours postoperatively

,,,,,
Interventionmg (Mean)
Epidural morphine consumption at 24h postoperativeEpidural morphine consumption at 48h postoperative
GROUP A : 0 mg MORPHINE-0.1% LEVOBUPIVACAINE4.89.6
GROUP B : 1 mg MORPHINE- 0.1% LEVOBUPIVACAINE5.810.6
GROUP C : 2 mg MORPHINE-0.1% LEVOBUPIVACAINE6.811.6
GROUP D : 0 mg MORPHINE- 0.2% LEVOBUPIVACAINE4.89.6
GROUP E : 1 mg MORPHINE-0.2 % LEVOBUPIVACAINE5.810.6
GROUP F : 2 mg MORPHINE- 0.2% LEVOBUPIVACAINE6.811.6

[back to top]

Change From Baseline of Spirometric Values

Preoperatively, after a detailed demonstration, baseline spirometry measurements of forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1) and peak expiratory flow rate (PEFR) were measured, using a bedside spirometer (PowerCubeΤΜ, Ganshorn Medizin Electronic, Germany), on-line connected to a PC. Spirometry was standardized with each patient in a 30o head-up position and it was performed at least three times and the best measurement was recorded, according to the criteria of the European Respiratory Society .Postoperatively, spirometric values (FVC= Forced Vital Capacity, FEV1=Forced Expiratory Volume at 1 sec , PEFR= Peak Expiratory Flow Rate)were recorded at 12, 24, 36, 48, 72, 144 hours . Data are expressed as percentage of preoperative values, which are 100%. (NCT01249872)
Timeframe: up to 6th day postoperatively

,,,,,
Interventionpercentage of preoperative values (Mean)
FVC at 12h postoperativelyFVC at 24h postoperativelyFVC at 36h postoperativelyFVC at 48h postoperativelyFVC at 72h postoperativelyFVC at 6th day postoperativelyFEV1 at 12h postoperativelyFEV1 at 24h postoperativelyFEV1 at 36h postoperativelyFEV1 at 48h postoperativelyFEV1 at 72h postoperativelyFEV1 at 6th day postoperativelyPEFR at 12h postoperativelyPEFR at 24h postoperativelyPEFR at 36h postoperativelyPEFR at 48h postoperativelyPEFR at 72h postoperativelyPEFR at 6th day postoperatively
GROUP A : 0 mg MORPHINE-0.1% LEVOBUPIVACAINE63.262.565.763.969.479.055.861.562.964.979.086.862.968.569.670.777.393.8
GROUP B : 1 mg MORPHINE- 0.1% LEVOBUPIVACAINE69.362.261.266.271.383.963.955.252.755.970.281.867.655.657.958.878.198.4
GROUP C : 2 mg MORPHINE-0.1% LEVOBUPIVACAINE68.372.165.267.676.283.160.571.061.068.275.488.061.879.968.879.791.396.4
GROUP D : 0 mg MORPHINE- 0.2% LEVOBUPIVACAINE71.766.863.969.872.484.065.263.858.461.870.283.460.070.159.464.970.776.3
GROUP E : 1 mg MORPHINE-0.2 % LEVOBUPIVACAINE66.463.362.871.177.380.062.056.461.167.175.379.477.957.773.876.480.983.7
GROUP F : 2 mg MORPHINE- 0.2% LEVOBUPIVACAINE66.862.663.266.976.789.262.159.859.364.972.583.867.268.967.974.386.089.6

[back to top]

Pruritus

side effects-percentage of subjects requiring treatment (NCT01298778)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
Standard of Care15
Acetaminophen and Increased Dose of Duramorph21

[back to top]

Analgesic Consumption

total amount of analgesic consumption (NCT01298778)
Timeframe: 24 hour

,
Interventionmg (Median)
IV PCA morphinetotal 24 hr opioid use
Acetaminophen and Increased Dose of Duramorph1515
Standard of Care1521

[back to top]

Severity of Acute Pain

to determine whether an intervention in women predicted to experience severe pain after cesarean delivery reduces acute post-delivery pain (24 hour evoked pain post delivery). The scale utilized was a 100mm sliding VAS, where 0mm=no pain up to 100mm-worst pain imaginable. (NCT01298778)
Timeframe: 24 hour

Interventionmm (Mean)
Standard of Care46
Acetaminophen and Increased Dose of Duramorph31

[back to top]

Pain

resting pain, worst pain (NCT01298778)
Timeframe: 24 hour

,
Interventionunits on a scale, 0 -none, 100-worst (Median)
resting pain score over 24 hrsworst pain score over 24 hrs
Acetaminophen and Increased Dose of Duramorph462
Standard of Care1969

[back to top]

Emetic Symptoms

side effect potential with the increased dose of duramorph-percentage experiencing such symptoms (NCT01298778)
Timeframe: 24hours

InterventionParticipants (Count of Participants)
Standard of Care16
Acetaminophen and Increased Dose of Duramorph18

[back to top]

Incidence of Persistent Pain

to determine whether an intervention in women predicted to experience severe pain after cesarean delivery reduces persistent pain up to 2 months post delivery. (NCT01298778)
Timeframe: 2 months

Interventionpercentage of participants (Number)
Standard of Care13
Acetaminophen and Increased Dose of Duramorph10

[back to top]

Incidence of Depression

to determine whether an intervention in women predicted to experience severe pain after cesarean delivery reduces postpartum depression up to 2 months post delivery. (NCT01298778)
Timeframe: 2 months

InterventionParticipants (Count of Participants)
Standard of Care3
Acetaminophen and Increased Dose of Duramorph4

[back to top]

Average Pain Over 24 Hours

(NCT01298778)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Standard of Care37
Acetaminophen and Increased Dose of Duramorph23

[back to top]

Number of Doses of Rescue Medication Over Time

Number of doses of rescue medication over time were assessed. Rescue medications are medicines that are administered to the participants when the efficacy of the study drug is not satisfactory, or the effect of the study drug is too great and is likely to cause a hazard to the participant, or to manage an emergency situation. Supplemental analgesics (drug used to control pain) were used as rescue medication. (NCT01309386)
Timeframe: Baseline up to Week 8

InterventionMorphine-equivalent doses (Mean)
Tapentadol ER0.7
Morphine SR0.4

[back to top]

Number of Participants Who Discontinued Study Treatment Due to Lack of Efficacy

Number of participants who discontinued the treatment due to lack of efficacy were assessed throughout the study. (NCT01309386)
Timeframe: Baseline up to Week 8

InterventionParticipants (Number)
Tapentadol ER3
Morphine SR1

[back to top]

Percentage of Participants Who Achieved Pain Control

Pain control was considered to be achieved for participants who met both of the following criteria for any consecutive 3 days during the first week of treatment period: a) Change from baseline of mean 24 hour numerical rating scale (NRS) (an 11-point NRS is used to measure the pain level where 0=no pain to 10=pain as bad as you can imagine) score less than +1.5, and b) when the frequency of rescue medication was twice or less per day. (NCT01309386)
Timeframe: Week 1

InterventionPercentage of Participants (Number)
Tapentadol ER84.0
Morphine SR98.0

[back to top]

Total Number of Days of Rescue Medication Over Time

Total number of days of rescue medication over time were assessed. Rescue medications are medicines that are administered to the participants when the efficacy of the study drug is not satisfactory, or the effect of the study drug is too great and is likely to cause a hazard to the participant, or to manage an emergency situation. Supplemental analgesics (drug used to control pain) were used as rescue medication. (NCT01309386)
Timeframe: Baseline up to Week 8

InterventionDays (Mean)
Tapentadol ER15.9
Morphine SR9.2

[back to top]

Change From Baseline in Numerical Rating Scale (NRS) at Week 1, 2, 3, 4, 5, 6, 7 and 8

Average pain intensity was assessed using an 11-point NRS to measure the pain level for the past 24-hours where 0=no pain to 10=pain as bad as you can imagine. (NCT01309386)
Timeframe: Baseline, Week 1, 2, 3, 4, 5, 6, 7, 8

,
InterventionUnit on scale (Mean)
Change at Week 1 (n = 50, 50)Change at Week 2 (n = 45, 44)Change at Week 3 (n= 41, 41)Change at Week 4 (n = 38, 37)Change at Week 5 (n = 36, 34)Change at Week 6 (n = 36, 32)Change at Week 7 (n = 34, 29)Change at Week 8 (n = 29, 29)
Morphine SR-0.2-0.3-0.1-0.3-0.10.10.10.0
Tapentadol ER0.40.30.10.10.10.20.10.0

[back to top]

Average Change From Baseline in Amount of Rescue Medication Over Time

Rescue medications are medicines that are administered to the participants when the efficacy of the study drug is not satisfactory, or the effect of the study drug is too great and is likely to cause a hazard to the participant, or to manage an emergency situation. Supplemental analgesics (drug used to control pain) were used as rescue medication. Average amount was the averages of all doses recorded during the baseline period or during each week (Week 1, 2, 3, 4, 5, 6, 7 and 8). (NCT01309386)
Timeframe: Baseline, Week 1, 2, 3, 4, 5, 6, 7, 8

InterventionMilligram (mg) (Mean)
Tapentadol ER3.02
Morphine SR-0.15

[back to top]

Number of Participants With Patient Global Impression of Change (PGIC)

"The PGIC is a single-item questionnaire designed to provide an overall assessment of treatment from the participant's perspective since the start of the study. It is measured on a 7-point scale, where 1=very much improved and 7=very much worse. A participant is considered a responder if they have a response of very much improved or much improved." (NCT01309386)
Timeframe: Week 1, 4 and 8

,
InterventionParticipants (Number)
Week 1 (very much improved) (n=48,48)Week 1 (much improved) (n=48,48)Week 1 (minimally improved) (n=48,48)Week 1 (not changed) (n=48,48)Week 1 (minimally worse) (n=48,48)Week 1 (much worse) (n=48,48)Week 1 (very much worse) (n=48,48)Week 4 (very much improved) (n=37,37)Week 4 (much improved) (n=37,37)Week 4 (minimally improved) (n=37,37)Week 4 (not changed) (n=37,37)Week 4 (minimally worse) (n=37,37)Week 4 (much worse) (n=37,37)Week 4 (very much worse) (n=37,37)Week 8 (very much improved) (n=28,28)Week 8 (much improved) (n=28,28)Week 8 (minimally improved) (n=28,28)Week 8 (not changed) (n=28,28)Week 8 (minimally worse) (n=28,28)Week 8 (much worse) (n=28,28)Week 8 (very much worse) (n=28,28)
Morphine SR247296003571930032413420
Tapentadol ER1111249201292230003815200

[back to top]

Number of Subjects Who Experienced Adverse Events That Led to Study Discontinuation

"The primary safety endpoints were the percentage of subjects who experienced any AEs that led to study discontinuation, percentage of subjects with SAEs and those with a sedation score of 4. Secondary safety endpoints included the percentage of subjects who experienced any AEs of special interest, which included sedation, respiratory depression, nausea, vomiting, and pruritus of moderate to severe intensity/grade.~Additional secondary endpoints were the incidence, type, relationship to study drug, and severity of AEs, and the percentage of subjects with clinically significant decreases in SpO2 and respiratory rate, as assessed by the investigator." (NCT01322360)
Timeframe: Up to 21 days

Interventionparticipants (Number)
Morphine Sulfate1

[back to top]

Number of Subjects Who Experienced Adverse Events of Moderate to Severe Intensity / Grade

Subjects who experienced any AEs of special interest, which included sedation, respiratory depression, nausea, vomiting, and pruritus of moderate to severe intensity/grade (NCT01322360)
Timeframe: Up to 21 days

Interventionparticipants (Number)
Morphine Sulfate19

[back to top]

Number of Participants Who Responded Yes to Having Back Pain

Participants will be asked whether they have back pain (Yes=1, No=0) (NCT01362998)
Timeframe: At 8, 24, 36 and 48 hours after the Cesarean section

InterventionParticipants (Count of Participants)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion0000

[back to top]

Number of Participants Who Were Observed by Their Nurse to Have Urinary Retention

Participant's nurse will be asked whether >400ml was obtained by straight cath (Y=1, No=0) (NCT01362998)
Timeframe: At 8, 24, 36 and 48 hours after Cesarean section

InterventionParticipants (Count of Participants)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion0000

[back to top]

Postsurgical Pain

Participants will be asked to rate their pain on a 10 point Numerical Rating Pain Scale, where zero is no pain and ten is the most intense pain possible. (NCT01362998)
Timeframe: At 8, 24 36 and 48 hours after the Cesarean section

InterventionUnits on a 10 point scale (Number)
8 hours post Cesarean section24 hours post Cesarean36 hours post Cesarean48 hours post Cesarean
Fentanyl Infusion3037

[back to top]

Number of Participants Who Responded Yes to Having Nausea or Vomiting

The patient will be asked whether she has nausea or vomiting (yes=1, no=0). (NCT01362998)
Timeframe: At 8, 24, 36 and 48 hours after the Cesarean section

InterventionParticipants (Count of Participants)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion0000

[back to top]

Number of Participants Who Required Additional Pain Medications

Participant's nurse will be asked whether the patient required additional pain medications (Yes=1, No=0) (NCT01362998)
Timeframe: At 8, 24, 36 and 48 hours after the Cesarean section

InterventionParticipants (Count of Participants)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion0001

[back to top]

Number of Participants Who Responded Yes to Having Pruritis

Participants will be asked whether they have pruritis (Yes=1, No=0) (NCT01362998)
Timeframe: At 8, 24, 36 and 48 hours after Cesarean section

InterventionParticipants (Count of Participants)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion1111

[back to top]

Number of Participants Who Were Observed by Their Nurse to Have Respiratory Depression

Participant's chart will be examined to determine whether the respiratory rate was <8 per minute (Yes=1, No=0) (NCT01362998)
Timeframe: At 8, 24, 36 and 48 hours after the Cesarean section

InterventionParticipants (Count of Participants)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion0000

[back to top]

Patient Satisfaction

Participants will be asked to rate their satisfaction on a 10 point Numerical Rating Scale (0=worst, 10=best). (NCT01362998)
Timeframe: At 8, 24, 48 and 36 hours after Cesarean section

Interventionscore on a scale (Number)
8 hours after the surgery24 hours after the surgery36 hours after the surgery48 hours after the surgery
Fentanyl Infusion10101010

[back to top]

Good Effects: Peak Effect (Emax)

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.8
EMBEDA32.6
Morphine63.0

[back to top]

Any Effects: Area Under Effect Curve (AUE) From 0-1 Hour

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.8
EMBEDA9.8
Morphine22.6

[back to top]

Any Effects: Area Under Effect Curve (AUE) From 0-12 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo7.8
EMBEDA155.4
Morphine422.5

[back to top]

Any Effects: Area Under Effect Curve (AUE) From 0-2 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.8
EMBEDA26.7
Morphine71.5

[back to top]

Any Effects: Area Under Effect Curve (AUE) From 0-24 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo10.2
EMBEDA176.4
Morphine510.8

[back to top]

Any Effects: Area Under Effect Curve (AUE) From 0-4 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.2
EMBEDA63.8
Morphine172.2

[back to top]

Any Effects: Area Under Effect Curve (AUE) From 0-8 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo6.4
EMBEDA125.6
Morphine331.8

[back to top]

Any Effects: Peak Effect (Emax)

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.9
EMBEDA28.7
Morphine62.4

[back to top]

Any Effects: Time to Maximum (Peak) Effect (TEmax)

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.8
EMBEDA3.1
Morphine2.8

[back to top]

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Morphine

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA551755
Morphine369270

[back to top]

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA3320.90

[back to top]

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA74931.5

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Morphine

AUC (0-1) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA52644.9
Morphine67920.1

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone

AUC (0-1) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA619.24

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-1) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA3934.5

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Morphine

AUC (0-12) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA303428
Morphine288324

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone

AUC (0-12) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA2813.34

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-12) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA33324.9

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Morphine

AUC (0-2) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA112989
Morphine129721

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone

AUC (0-2) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA1270.91

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-2) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA8916.1

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Morphine

AUC (0-24) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA376260
Morphine335357

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone

AUC (0-24) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA3159.91

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-24) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA47809.1

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Morphine

AUC (0-4) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA197745
Morphine199442

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone

AUC (0-4) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA2018.23

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-4) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA16532.5

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Morphine

AUC (0-8) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA269743
Morphine263270

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone

AUC (0-8) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA2577.19

[back to top]

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-8) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA26634.5

[back to top]

Bad Effects: Area Under Effect Curve (AUE) From 0-1 Hour

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.3
EMBEDA0.6
Morphine1.5

[back to top]

Bad Effects: Area Under Effect Curve (AUE) From 0-12 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.1
EMBEDA28.4
Morphine110.3

[back to top]

Bad Effects: Area Under Effect Curve (AUE) From 0-2 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.5
EMBEDA2.6
Morphine7.4

[back to top]

Bad Effects: Area Under Effect Curve (AUE) From 0-24 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.6
EMBEDA36.8
Morphine147.2

[back to top]

Bad Effects: Area Under Effect Curve (AUE) From 0-4 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.9
EMBEDA7.7
Morphine27.1

[back to top]

Bad Effects: Area Under Effect Curve (AUE) From 0-8 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.6
EMBEDA19.7
Morphine74.6

[back to top]

Bad Effects: Peak Effect (Emax)

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.6
EMBEDA6.6
Morphine20.1

[back to top]

Bad Effects: Time to Maximum (Peak) Effect (TEmax)

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.9
EMBEDA2.2
Morphine4.5

[back to top]

Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.4
EMBEDA0.9
Morphine3.0

[back to top]

Dizzy: Area Under Effect Curve (AUE) From 0-12 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.4
EMBEDA27.4
Morphine71.4

[back to top]

Dizzy: Area Under Effect Curve (AUE) From 0-2 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.6
EMBEDA2.8
Morphine9.9

[back to top]

Dizzy: Area Under Effect Curve (AUE) From 0-24 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo4.0
EMBEDA36.0
Morphine85.5

[back to top]

Dizzy: Area Under Effect Curve (AUE) From 0-4 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.0
EMBEDA9.5
Morphine26.1

[back to top]

Dizzy: Area Under Effect Curve (AUE) From 0-8 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.7
EMBEDA20.9
Morphine56.7

[back to top]

Dizzy: Peak Effect (Emax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.7
EMBEDA5.5
Morphine13.7

[back to top]

Dizzy: Time to Maximum (Peak) Effect (TEmax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.5
EMBEDA2.0
Morphine2.4

[back to top]

Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1)." (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo37.8
EMBEDA43.1
Morphine51.8

[back to top]

Drug Liking: Area Under Effect Curve (AUE) From 0-12 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo591.0
EMBEDA658.2
Morphine732.9

[back to top]

Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar visual analogue scale (VAS) anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours (hrs) (0-2)." (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo88.3
EMBEDA100.3
Morphine124.7

[back to top]

Drug Liking: Area Under Effect Curve (AUE) From 0-24 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1192.1
EMBEDA1263.0
Morphine1348.2

[back to top]

Drug Liking: Area Under Effect Curve (AUE) From 0-4 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo188.6
EMBEDA217.9
Morphine265.6

[back to top]

Drug Liking: Area Under Effect Curve (AUE) From 0-8 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo390.3
EMBEDA447.3
Morphine514.4

[back to top]

Drug Liking: Peak Effect (Emax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). Emax = Maximum observed score." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo51.6
EMBEDA65.2
Morphine80.6

[back to top]

Drug Liking: Time to Maximum (Peak) Effect (TEmax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo5.8
EMBEDA4.8
Morphine2.7

[back to top]

Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.3
EMBEDA0.3
Morphine1.0

[back to top]

Feel Sick: Area Under Effect Curve (AUE) From 0-12 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.3
EMBEDA22.5
Morphine80.9

[back to top]

Feel Sick: Area Under Effect Curve (AUE) From 0-2 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.6
EMBEDA1.7
Morphine4.2

[back to top]

Feel Sick: Area Under Effect Curve (AUE) From 0-24 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.9
EMBEDA31.1
Morphine112.8

[back to top]

Feel Sick: Area Under Effect Curve (AUE) From 0-4 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.0
EMBEDA5.2
Morphine16.1

[back to top]

Feel Sick: Area Under Effect Curve (AUE) From 0-8 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.7
EMBEDA14.8
Morphine50.7

[back to top]

Feel Sick: Peak Effect (Emax)

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.7
EMBEDA4.9
Morphine16.4

[back to top]

Feel Sick: Time to Maximum (Peak) Effect (TEmax)

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.9
EMBEDA1.8
Morphine4.3

[back to top]

Good Effects: Area Under Effect Curve (AUE) From 0-1 Hour

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.8
EMBEDA12.2
Morphine27.2

[back to top]

Good Effects: Area Under Effect Curve (AUE) From 0-12 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo7.8
EMBEDA174.6
Morphine417.4

[back to top]

Good Effects: Area Under Effect Curve (AUE) From 0-2 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.8
EMBEDA30.4
Morphine77.4

[back to top]

Good Effects: Area Under Effect Curve (AUE) From 0-24 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo10.2
EMBEDA196.0
Morphine503.8

[back to top]

Good Effects: Area Under Effect Curve (AUE) From 0-4 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.1
EMBEDA70.5
Morphine178.5

[back to top]

Good Effects: Area Under Effect Curve (AUE) From 0-8 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo6.2
EMBEDA141.2
Morphine330.0

[back to top]

Good Effects: Time to Maximum (Peak) Effect (TEmax)

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.7
EMBEDA2.5
Morphine2.6

[back to top]

High: Area Under Effect Curve (AUE) From 0-1 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.9
EMBEDA10.3
Morphine25.5

[back to top]

High: Area Under Effect Curve (AUE) From 0-12 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo8.1
EMBEDA160.7
Morphine412.3

[back to top]

High: Area Under Effect Curve (AUE) From 0-2 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.0
EMBEDA26.9
Morphine77.5

[back to top]

High: Area Under Effect Curve (AUE) From 0-24 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo10.7
EMBEDA180.3
Morphine485.4

[back to top]

High: Area Under Effect Curve (AUE) From 0-4 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.4
EMBEDA63.6
Morphine178.9

[back to top]

High: Area Under Effect Curve (AUE) From 0-8 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo6.5
EMBEDA129.5
Morphine330.5

[back to top]

High: Peak Effect (Emax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.8
EMBEDA29.2
Morphine64.1

[back to top]

High: Time to Maximum (Peak) Effect (TEmax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.8
EMBEDA2.7
Morphine2.5

[back to top]

Maximum Observed Plasma Concentration (Cmax) of Morphine

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionpicogram/milliliter (pg/mL) (Mean)
EMBEDA79308.6
Morphine103621

[back to top]

Maximum Observed Plasma Concentration (Cmax) of Naltrexone

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionpg/mL (Mean)
EMBEDA978.83

[back to top]

Maximum Observed Plasma Concentration (Cmax) of Naltrexone Metabolite (6-beta-naltrexol)

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionpg/mL (Mean)
EMBEDA6226.3

[back to top]

Nausea: Area Under Effect Curve (AUE) From 0-1 Hour

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.4
EMBEDA0.5
Morphine0.8

[back to top]

Nausea: Area Under Effect Curve (AUE) From 0-12 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.2
EMBEDA25.2
Morphine76.9

[back to top]

Nausea: Area Under Effect Curve (AUE) From 0-2 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.7
EMBEDA2.1
Morphine3.7

[back to top]

Nausea: Area Under Effect Curve (AUE) From 0-24 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.8
EMBEDA35.3
Morphine108.3

[back to top]

Nausea: Area Under Effect Curve (AUE) From 0-4 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.0
EMBEDA5.5
Morphine15.3

[back to top]

Nausea: Area Under Effect Curve (AUE) From 0-8 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.6
EMBEDA16.5
Morphine47.1

[back to top]

Nausea: Peak Effect (Emax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.8
EMBEDA5.2
Morphine14.9

[back to top]

Nausea: Time to Maximum (Peak) Effect (TEmax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo1.4
EMBEDA2.5
Morphine4.3

[back to top]

Overall Drug Liking Effect at 24 Hours

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carryover effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm= neither like nor dislike, and 100 mm= strong liking)." (NCT01380093)
Timeframe: 24 hrs post dose

Interventionmm (Mean)
Placebo50.6
EMBEDA58.8
Morphine69.8

[back to top]

Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.0
EMBEDA-0.5
Morphine-1.2

[back to top]

Pupillometry: Area Under Effect Curve (AUE) From 0-12 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.7
EMBEDA-20.8
Morphine-32.6

[back to top]

Pupillometry: Area Under Effect Curve (AUE) From 0-2 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.0
EMBEDA-1.7
Morphine-4.1

[back to top]

Pupillometry: Area Under Effect Curve (AUE) From 0-24 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.5
EMBEDA-34.2
Morphine-51.8

[back to top]

Pupillometry: Area Under Effect Curve (AUE) From 0-4 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo-0.1
EMBEDA-5.4
Morphine-10.3

[back to top]

Pupillometry: Area Under Effect Curve (AUE) From 0-8 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.0
EMBEDA-13.8
Morphine-22.5

[back to top]

Pupillometry: Peak Effect (Emax)

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. Emax = Smallest post-dose pupil size. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo5.6
EMBEDA3.9
Morphine2.8

[back to top]

Pupillometry: Time to Maximum (Peak) Effect (TEmax)

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. TEmax = Time to smallest post-dose pupil size. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo4.8
EMBEDA5.6
Morphine3.2

[back to top]

Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr(0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.4
EMBEDA2.4
Morphine3.6

[back to top]

Sleepy: Area Under Effect Curve (AUE) From 0-12 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo5.3
EMBEDA138.5
Morphine287.5

[back to top]

Sleepy: Area Under Effect Curve (AUE) From 0-2 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.7
EMBEDA9.1
Morphine21.3

[back to top]

Sleepy: Area Under Effect Curve (AUE) From 0-24 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo7.6
EMBEDA175.5
Morphine378.7

[back to top]

Sleepy: Area Under Effect Curve (AUE) From 0-4 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.7
EMBEDA35.9
Morphine74.2

[back to top]

Sleepy: Area Under Effect Curve (AUE) From 0-8 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo4.2
EMBEDA97.6
Morphine199.2

[back to top]

Sleepy: Peak Effect (Emax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.5
EMBEDA27.1
Morphine43.9

[back to top]

Sleepy: Time to Maximum (Peak) Effect (TEmax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo1.1
EMBEDA4.0
Morphine5.3

[back to top]

Take Drug Again Effect at 24 Hours

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would)." (NCT01380093)
Timeframe: 24 hrs post dose

Interventionmm (Mean)
Placebo49.8
EMBEDA58.0
Morphine70.6

[back to top]

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Morphine

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
EMBEDA0.9
Morphine0.7

[back to top]

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
EMBEDA0.8

[back to top]

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone Metabolite (6-beta-naltrexol)

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
EMBEDA1.0

[back to top]

Number of Participants Who Experienced Pain Relief

(NCT01380197)
Timeframe: 2 days

Interventionparticipants (Number)
Randomizing Particiipants to Morphine2
Randomization to Nubain2

[back to top]

Acute Chest Syndrome

Number of Participants with Acute Chest Syndrome or A new pulmonry infiltrate on Chest X-ray (NCT01380197)
Timeframe: 3 days

Interventionparticipants (Number)
Randomizing Particiipants to Morphine2
Randomization to Nubain1

[back to top]

Opioid Consumption

Number of morphine equivalents used by subject during first 24 hours after discharge from Post-Anesthesia Care Unit (NCT01430182)
Timeframe: First 24 hours after discharge from Post-Anesthesia Care Unit

Interventionmg of morphine IV equivalents (Mean)
Methadone 0.2 mg/kg50.9
Morphine 0.2 mg/kg37.5

[back to top]

Pain Management Improvement at 24 Hours After the Recovery Period

We will be assessing if the intervention improved postoperative pain management during the first 24 hours after the recovery period (first 4 hours postoperatively) as compared to the non-intervention group. Measures that will be used to assess success: Verbal pain scores, opioid consumption (doses and frequency), and vital signs. Verbal pain scores were reported using the Wong-Baker FACES pain rating scale which ranges from 0 (no hurt) to 10 (hurts worst). Higher numerical scores on the scale indicate more pain, thus a worse outcome. (NCT01447888)
Timeframe: 24 hours after the recovery period

Interventionscore on a scale (Mean)
150% Oral Morphine Equivalent (OME)5.8
Control6.4

[back to top]

Immediate Postoperative Pain Control

We will be assessing if the intervention improves immediate (4 hours) postoperative pain control as compared to the non-intervention group. Measures that will be used to assess immediate post-operative pain include: Verbal pain scores, opioid consumption, and vital signs. Verbal pain scores were reported using the Wong-Baker FACES pain rating scale which ranges from 0 (no hurt) to 10 (hurts worst). Higher numerical scores on the scale indicate more pain, thus a worse outcome. (NCT01447888)
Timeframe: 4 hours post surgery

Interventionscore on a scale (Mean)
150% Oral Morphine Equivalent (OME)6.6
Control6.8

[back to top]

Number of Patients Requiring Supplemental Phenobarbital Treatment.

This endpoint will compare requirement number of patients who require use of supplemental phenobarbital. (NCT01452789)
Timeframe: Patients will be followed for the duration of hospital stay, an expected average of 5 weeks.

Interventionparticipants (Number)
Sublingual Buprenorphine5
Oral Morphine7

[back to top]

Number of Participants With Adverse Events as a Measure of Safety and Tolerability

Adverse events will be collected, graded by severity, and assessed for causality referent to study drug. (NCT01452789)
Timeframe: Patients will be followed for the duration of hospital stay, an expected average of 5 weeks.

InterventionParticipants (Count of Participants)
Sublingual Buprenorphine7
Oral Morphine8

[back to top]

Length of Treatment

This endpoint will compare length of treatment (in days) using sublingual buprenorphine or oral morphine solution. (NCT01452789)
Timeframe: Patients will be followed for the duration of hospital stay, an expected average of 5 weeks.

Interventiondays (Median)
Sublingual Buprenorphine15
Oral Morphine28

[back to top]

Length of Hospitalization

This endpoint will compare length of stay in the hospital (in days) using sublingual buprenorphine or morphine solution. (NCT01452789)
Timeframe: Duration of hospital stay is an expected average of 5 weeks.

Interventiondays (Median)
Sublingual Buprenorphine21
Oral Morphine33

[back to top]

Milligrams of Intravenous Morphine Used by Participant in First 24 Hours Postoperatively

IV morphine use in milligrams, by participant-controlled analgesia will be assessed every 6 hours for 24 hours postoperatively. (NCT01465191)
Timeframe: 24 hours

InterventionMilligrams (Mean)
50 Micrograms Spinal Morphine18
100 Micrograms Spinal Morphine14
150 Micrograms Spinal Morphine15

[back to top]

Visual Analog Scale Pruritus (Itching) at 24 Hours

"Visual analog pruritus scale measures itching on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Itching Imaginable (100mm)." (NCT01465191)
Timeframe: 24 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine7
100 Micrograms Spinal Morphine12
150 Micrograms Spinal Morphine6

[back to top]

Visual Analog Scale Pruritus (Itching) at 18 Hours

"Visual analog pruritus scale measures itching on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Itching Imaginable (100mm)." (NCT01465191)
Timeframe: 18 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine9
100 Micrograms Spinal Morphine13
150 Micrograms Spinal Morphine5

[back to top]

Visual Analog Scale- Nausea/Vomiting at 18 Hours

"Visual analog nausea/vomiting scale measures nausea and vomiting on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Nausea/Vomiting Imaginable (100mm)." (NCT01465191)
Timeframe: 18 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine0
100 Micrograms Spinal Morphine0
150 Micrograms Spinal Morphine0

[back to top]

Visual Analog Scale Pruritus (Itching) at 12 Hours

"Visual analog pruritus scale measures itching on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Itching Imaginable (100mm)." (NCT01465191)
Timeframe: 12 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine10
100 Micrograms Spinal Morphine23
150 Micrograms Spinal Morphine25

[back to top]

Visual Analog Scale (VAS) Pain at 12 Hours

"Visual analog pain scale measures pain on a 100 millimeter (mm) scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst pain imaginable (100mm). Pain measured at rest and with movement." (NCT01465191)
Timeframe: 12 hours post-operatively

,,
Interventionmm (Mean)
RestMovement
100 Micrograms Spinal Morphine1535
150 Micrograms Spinal Morphine1030
50 Micrograms Spinal Morphine2030

[back to top]

Visual Analog Scale- Nausea/Vomiting at 6 Hours

"Visual analog nausea/vomiting scale measures nausea and vomiting on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Nausea/Vomiting Imaginable (100mm)." (NCT01465191)
Timeframe: 6 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine0
100 Micrograms Spinal Morphine7
150 Micrograms Spinal Morphine0

[back to top]

Visual Analog Scale- Nausea/Vomiting at 24 Hours

"Visual analog nausea/vomiting scale measures nausea and vomiting on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Nausea/Vomiting Imaginable (100mm)." (NCT01465191)
Timeframe: 24 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine0
100 Micrograms Spinal Morphine0
150 Micrograms Spinal Morphine0

[back to top]

Visual Analog Scale- Nausea/Vomiting at 12 Hours

"Visual analog nausea/vomiting scale measures nausea and vomiting on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Nausea/Vomiting Imaginable (100mm)." (NCT01465191)
Timeframe: 12 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine0
100 Micrograms Spinal Morphine0
150 Micrograms Spinal Morphine0

[back to top]

Visual Analog Scale Pruritus (Itching) at 6 Hours

"Visual analog pruritus scale measures itching on a 100mm scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst Itching Imaginable (100mm)." (NCT01465191)
Timeframe: 6 hours post-operatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine21
100 Micrograms Spinal Morphine37
150 Micrograms Spinal Morphine39

[back to top]

Visual Analog Patient Satisfaction With Analgesia at 24 Hours

"Visual analog patient satisfaction scale measures satisfaction with analgesia on a 100mm scale. Participants make a mark on the scale with one end labeled Completely Dissatisfied (0mm) and the other labeled Completely Satisfied (100mm)." (NCT01465191)
Timeframe: 24 hours postoperatively

Interventionmm (Mean)
50 Micrograms Spinal Morphine85
100 Micrograms Spinal Morphine83
150 Micrograms Spinal Morphine84

[back to top]

Visual Analog Scale (VAS) Pain at 6 Hours

"Visual analog pain scale measures pain on a 100 millimeter (mm) scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst pain imaginable (100mm). Pain measured at rest and with movement." (NCT01465191)
Timeframe: 6 hours post-operatively

,,
Interventionmm (Mean)
RestMovement
100 Micrograms Spinal Morphine2543
150 Micrograms Spinal Morphine1530
50 Micrograms Spinal Morphine2043

[back to top]

Visual Analog Scale (VAS) Pain at 24 Hours

"Visual analog pain scale measures pain on a 100 millimeter (mm) scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst pain imaginable (100mm). Pain measured at rest and with movement." (NCT01465191)
Timeframe: 24 hours post-operatively

,,
Interventionmm (Mean)
RestMovement
100 Micrograms Spinal Morphine2141
150 Micrograms Spinal Morphine1841
50 Micrograms Spinal Morphine2443

[back to top]

Visual Analog Scale (VAS) Pain at 18 Hours

"Visual analog pain scale measures pain on a 100 millimeter (mm) scale. Participants make a mark on the scale with one end labeled None (0mm) and the other labeled Worst pain imaginable (100mm). Pain measured at rest and with movement." (NCT01465191)
Timeframe: 18 hours post-operatively

,,
Interventionmm (Mean)
RestMovement
100 Micrograms Spinal Morphine1130
150 Micrograms Spinal Morphine526
50 Micrograms Spinal Morphine1732

[back to top]

Percent Change in Average Daily Pain Score

Participants rated their average lower back pain over the past 24 hours using an 11-point scale (0=no pain to 10=worst possible pain) and recorded it in an electronic diary. The percent change in pain score from baseline is calculated using weekly averages for up to 20 weeks. Linear mixed modeling (LMM) analysis was used to allow for inclusion in the analysis of the majority of participants with any missing data. For the LMM model, group, group × week, average baseline pain, and opioid use at baseline (yes/no) were entered as fixed effects using an autoregressive covariance structure. Participant, intercept, and week were entered as random effects, using a compound symmetry covariance structure. A positive change from baseline indicates an improvement. (NCT01502644)
Timeframe: Baseline and Week 20

Interventionpercent change (Mean)
Low NA38.6
Moderate NA30.0
High NA20.6

[back to top] [back to top] [back to top]

Health Economic Benefits - Length of Stay

Length of stay (LOS), recorded in hours and converted to days with one decimal of precision, defined as the time of completion of the wound closure until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT01507246)
Timeframe: Up to Day 30

Interventiondays (Median)
PCA/Opioid Group4.9
EXPAREL Group2.0

[back to top]

Health Economic Benefits - Total Cost of Hospitalization

Total cost of hospitalization until the time hospital discharge order is written or through Day 30, whichever is sooner. (NCT01507246)
Timeframe: Wound closure to time hospital discharge order written or Day 30, whichever is sooner.

Interventiondollars (Mean)
PCA/Opioid Group11850.28
EXPAREL8766.07

[back to top]

Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT01507246)
Timeframe: Wound closure to time hospital discharge order written or Day 30, whichever is sooner

Interventionmg (Mean)
PCA/Opioid Group115.00
EXPAREL56.76

[back to top]

Time Spent With a Total N-PASS Score >3 During DEX Infusion

The N-PASS score >3 indicates adequately sedated and not manifesting signs of pain/agitation. (NCT01508455)
Timeframe: Predose, loading dose (LD) 5 & 10mins/if LD is 20mins (5, 10, 15 & 20mins); maintenance infusion: 0 min, every 15mins (1st hr); every 30mins (2hrs), then hourly; within 5mins of DEX discontinuation; 5mins pre and post rescue medication

InterventionHours (Mean)
Dexmedetomidine0.44

[back to top]

Percent of Subjects Requiring Rescue Midazolam for Sedation

(NCT01508455)
Timeframe: During the study drug administration (ie., loading dose 10 or 20 minutes and maintenance infusion minimum of 6 hours up to 24 hours) and during the post drug administration (up to 24 hours).

Interventionpercentage of participants (Number)
Dexmedetomidine0

[back to top]

Incidence of Rescue Medication (Fentanyl or Morphine) Use for Analgesia During DEX Infusion

(NCT01508455)
Timeframe: During the study drug administration (ie., loading dose 10 or 20 minutes and maintenance infusion minimum of 6 hours up to 24 hours) and during the post drug administration (up to 24 hours).

Interventionparticipant (Number)
Dexmedetomidine1

[back to top]

Amount of Rescue Medication for Analgesia During DEX Infusion

(NCT01508455)
Timeframe: During the study drug administration (ie., loading dose 10 or 20 minutes and maintenance infusion minimum of 6 hours up to 24 hours) and during the post drug administration (up to 24 hours).

Interventionmcg/kg (Number)
Dexmedetomidine1

[back to top]

Time to Successful Extubation

(NCT01508455)
Timeframe: From the start of study drug infusion to the study completion/withdrawal (Approximately 48 hours)

InterventionHours (Median)
Dexmedetomidine37.3

[back to top]

Health Economic Benefit - Length of Stay

Time from completion of wound closure until hospital discharge written or through Day 30, whichever was sooner (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondays (Median)
Group 15.1
Group 23

[back to top]

Health Economic Benefits - Total Cost of Hospitalization

1) Total cost of hospitalization until the time hospital discharge order is written or through Day 30, whichever is sooner. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondollars (Mean)
Group 19950.47
Group 26728.88

[back to top] [back to top]

Make Unplanned VIsit(s) With Any Healthcare Providers

Yes, if patient made an unplanned visit with a healthcare provider; no, if patient did not make an unplanned visit with a healthcare provider; not reported, if applicable (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 11
Group 20

[back to top]

Patient Discharged From the Hospital for at Least 3 Days

Yes, if patient was discharged from the hospital for at least 3 days; no, if patient was not discharged for at least 3 day; not reported if appropriate (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 111
Group 214

[back to top]

Patient Satisfaction With Postsurgical Analgesia

Responses to question pertaining to patient satisfaction with postsurgical analgesia described by total percentage indicating satisfied or extremely satisfied. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionpercentage of patients (Number)
Group 190.91
Group 287.5

[back to top]

Readmission to Hospital Since Discharge

Yes, if patient was readmitted to hospital since discharge; no, if patient was not readmitted to hospital since discharge; not reported, if appropriate. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 10
Group 20

[back to top]

Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until hospital discharge order is written or through Day 30, whichever is sooner. (NCT01509807)
Timeframe: Wound closure to time the discharge order is written or Day 30, whichever is sooner

Interventionmg morphine equivalent (Mean)
Group 1112.38
Group 219.8

[back to top]

Contact or Attempt to Contact Surgeon/Doctor to Discuss Recovery After Surgery

Yes, if patient contacted or attempted to contact surgeon/doctor to discuss recovery after surgery; no, if patient did not contact or attempt contact; not reported if applicable. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 11
Group 20

[back to top]

Experienced Any Health Problems or Changed in Health Since Hospital Discharge

Yes, if patient experienced any health problems or changes in health since hospital discharge; no, if patient did not experience health problems or changes since hospital discharge; not reported, if applicable. (NCT01509807)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionparticipants (Number)
Group 11
Group 22

[back to top]

Incidence of Treatment Failure

Requiring more than two doses of the study medication provided for adequate pain control (NCT01538745)
Timeframe: 120 minutes

InterventionPercentage of patients (Number)
Ketamine25
Morphine14

[back to top]

Incidence of Side Effects, Including Outlying Vital Signs

The patient will be assessed for vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation), and all side effects at 5,10,20 minutes following medication administration and then every 20 minutes until a total of 120 minutes from the first dose of study medication. All side effects and outlying vital signs will be documented. (NCT01538745)
Timeframe: 5,10,20,40,60,80,100,120 minutes

InterventionPercentage of patients (Number)
Ketamine58
Morphine57

[back to top]

Maximal Change in Numerical Rating Scale (NRS) Pain Score From Baseline NRS Pain Score

Numerical Rating Scale (NRS) pain score is an 11-point rating scale for pain. With 0 being no pain and 10 being the worst pain imaginable. (NCT01538745)
Timeframe: 5,10,20,40,60,80,100,120 minutes post dose

InterventionNRS pain scale score (Mean)
Ketamine-4.9
Morphine-5

[back to top]

Maximum Deviation From 0 on the Richmond Agitation Sedation Scale (RASS)

"Using 0 as the normal/baseline on the RASS, maximal deviation in either direction will be used to demonstrate the effect of the study medications on levels of sedation or agitation. Results will be reported as~Richmond Agitation Sedation Scale (RASS) scores range from:~4 Combative: Overtly combative, violent, immediate danger to staff~3 Very agitated: Pulls or removes tube(s) or catheter(s); aggressive~2 Agitated: Frequent non-purposeful movement~1 Restless: Anxious but movements not aggressive. vigorous 0 Alert and calm~1 Drowsy: Not fully alert, but has sustained awakening (eye-opening/eye contact) to voice (>10 seconds)~2 Light sedation: Briefly awakens with eye contact to voice (<10 seconds)~3 Moderate sedation: Movement or eye opening to voice (but no eye contact)~4 Deep sedation: No response to voice, but movement or eye opening to physical stimulation~5 Unarousable: No response to voice or physical stimulation" (NCT01538745)
Timeframe: 5,10,20,40,60,80,100,120 minutes

Interventionunits on a scale (Mean)
Ketamine0
Morphine0

[back to top]

Time to Change in NRS Pain Score

Following dosage with study medication, the amount of time taken to demonstrate a change in the patient's NRS pain score. Time to Change in NRS Pain Score for the Reporting Group as a whole will be made (NCT01538745)
Timeframe: 5,10, 20,40,60,80,100,120 minutes

Interventionminutes (Mean)
Ketamine5
Morphine5

[back to top]

Time to Maximal Change in NRS Pain Score

Following dosage with study medication, the interval time taken to demonstrate the maximal change in the patient's NRS pain score will be reported for each group. (NCT01538745)
Timeframe: 5, 10, 20 minutes and then every 20 minutes to a total of 120 minutes

Interventionminutes (Median)
Ketamine5
Morphine120

[back to top]

Patient Global Satisfaction

Proportion of patients responding good or excellent at 48-hour global assessment of method of pain control (NCT01539538)
Timeframe: 48 hours

Intervention% patients reporting good or excellent (Number)
Sufentanil NanoTab PCA System/15 mcg78.5
Morphine IV PCA65.6

[back to top]

Score on the Observational Scale of Behavioral Distress Revised (OSBD-R)

Our primary outcome is the Observational Scale of Behavioral Distress - Revised (OSBD-R) to assess observed intra-procedural pain. The total OSBD-R score is a summation of the OSBD-R score of each individual phase. The score in each phase can range from 0 to 23.5. There were four phases in our study, so the range of scores for the total OSBD-R was 0 to 94, with a higher score indicating a greater degree of pain and distress. The four phases in the study are (1) before analgesia administration, (2) ten minutes after analgesia administration but before beginning I&D, (3) immediately post I&D procedure (to ascertain the pain perceived during procedure), and (4) ten minutes after procedure completion. The scores documented here are the total OSBD-R scores. (NCT01549002)
Timeframe: Up to 10 minutes after the procedure completion

Interventionunits on a scale (Mean)
Intranasal Fentanyl5.48
Intravenous Morphine18.92

[back to top]

Number of Patients Satisfied With Analgesia Administered

"Number of patients satisfied with analgesia administered will be evaluated by determining the number of patients who report a Likert scale response of somewhat satisfied, very satisfied, or extremely satisfied (i.e. any patient who selects any of these three responses will be considered to have been satisfied with analgesia administered). Patients will be asked 10 minutes after procedure completion. If the patient is 8 years of age and older, both the patient and the parent or guardian will complete a satisfaction survey. If the patients is younger than 8 years, their parent or guardian will complete the satisfaction survey." (NCT01549002)
Timeframe: 10 minutes after procedure completion

InterventionParticipants (Count of Participants)
Intranasal Fentanyl10
Intravenous Morphine4

[back to top]

Score on the Faces Pain Scale Revised (FPS-R)

"The Faces Pain Scale - Revised (FPS-R) is a self-report measure of pain has strong validity and reliability in children 4 - 17 years of age undergoing painful procedures, and will be used to assess patients' self reported pain. A score of 0 means no pain, a score of 10 means very much pain. Therefore, a lower score indicates that a patient is experiencing a lower degree of pain intensity.~Patients will complete the FPS-R at four times during their medical encounter: (1) before analgesia administration, (2) ten minutes after analgesia administration but before beginning I&D, (3) immediately post I&D procedure (to ascertain the pain perceived during procedure), and (4) ten minutes after procedure completion." (NCT01549002)
Timeframe: Up to 10 minutes after procedure completion

,
Interventionunits on a scale (Median)
Before analgesia administration10 min after analgesia, before I&DImmediately post-I&D10 min after procedure completion
Intranasal Fentanyl6241
Intravenous Morphine44105

[back to top]

Profile of Mood States (POMS) Change in Score From Baseline (Prevention of Opioid Withdrawal)

Profile of Mood States (POMS) is a 65-question survey of how participants have been feeling over the past week, assessing tension, depression, anger, fatigue, confusion and vigor. Each question is on a 5-point scale: 0 (not at all) to 4 (extremely). Overall score range: 0 to 200 (lower scores corresponding to fewer symptoms), calculated by adding total scores for tension, depression, anger, fatigue and confusing, and subtracting that total score from the total score for vigor. Immediately prior to ondansetron or placebo administration a baseline POMS score was taken. 30 minutes later participants received naloxone, then 15 minutes later a POMS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an POMS score was taken. Change from the baseline POMS score to the score assessed following the last naloxone dose is reported. (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in POMS Score (Ondansetron)Change in POMS Score (Placebo)
Prevention of Opioid Withdrawal29.328.3

[back to top]

Change in Roland-Morris Disability (RMDI) Index From Baseline (Prevention of Physical Dependence)

The Roland-Morris Disability Index is a 24-question instrument used to assess level of disability from lower back pain. Scores range from 0-24 with lower scores corresponding to fewer symptoms. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Change in RMDI (Ondansetron)Change in RMDI (Placebo)
Prevention of Physical Dependence-4.6-2.0

[back to top]

Beck Depression Inventory Score (BDIS) Change From Baseline (Prevention of Physical Dependence)

The Beck Depression Inventory (a 21-item self-report multiple-choice inventory) yields a single summed score between 0 and 63; higher scores indicate more severe depression. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Change in BDIS (Ondansetron)Change in BDIS (Placebo)
Prevention of Physical Dependence-0.60.2

[back to top]

Profile of Mood States (POMS) Change in Score From Baseline (Prevention of Physical Dependence)

(Profile of Mood States) POMS is a 65-question survey of how participants have been feeling over the past week, assessing tension, depression, anger, fatigue, confusion and vigor. Each question is on a 5-point scale: 0 (not at all) to 4 (extremely). Overall score range: 0 to 200 (lower scores corresponding to fewer symptoms), calculated by adding total scores for tension, depression, anger, fatigue and confusing, and subtracting that total score from the total score for vigor. Immediately prior to ondansetron or placebo administration a baseline POMS score was taken. 30 minutes later participants received naloxone, then 15 minutes later a POMS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an POMS score was taken. Change from the baseline POMS score to the score assessed following the last naloxone dose is reported. (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in POMS (Ondansetron)Change in POMS (Placebo)
Prevention of Physical Dependence36.129.2

[back to top]

Change in Roland-Morris Disability Index (RMDI) From Baseline (Prevention of Opioid Withdrawal)

The Roland-Morris Disability Index is a 24-question instrument used to assess level of disability from lower back pain. Scores range from 0-24 with lower scores corresponding to fewer symptoms. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Prevention of Opioid Withdrawal-2.59

[back to top]

Change in Pain Visual Analog Scale (VAS) From Baseline (Prevention of Opioid Withdrawal)

The VAS is a 0 to 100 millimeter scale where 0 corresponds to no pain and 100 to extreme pain, used by participants to indicated their level of pain over the last two weeks. Change is from baseline score for average level of pain (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Prevention of Opioid Withdrawal-2.68

[back to top]

Beck Depression Inventory Score (BDIS) Change From Baseline (Prevention of Opioid Withdrawal)

The Beck Depression Inventory (a 21-item self-report multiple-choice inventory) yields a single summed score between 0 and 63; higher scores indicate more severe depression. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Prevention of Opioid Withdrawal-0.44

[back to top]

Change in Objective Opioid Withdrawal Score From Baseline (Prevention of Physical Dependence)

"Originally developed by Handelsman, the OOWS score is a well-characterized measure of opioid withdrawal in humans, calculated as the sum of a 13-item physician assessment documenting physically observable signs of withdrawal, which are rated as present (1) or absent (0) during the observation period. The maximum score is 13 and suggests the patient is showing all signs of opioid withdrawal to the largest extent possible. The minimum score of 0 suggests the patient is not showing any signs of opioid withdrawal.~Immediately prior to ondansetron or placebo administration a baseline OOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an OOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an OOWS score was taken. Change from the baseline OOWS score to the score assessed following the last naloxone dose is reported." (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in OOWS (Ondansetron)Change in OOWS (Placebo)
Prevention of Physical Dependence4.54.2

[back to top]

Change in Pain Visual Analog Scale (VAS) From Baseline (Prevention of Physical Dependence)

The VAS is a 0 to 100 millimeter scale where 0 corresponds to no pain and 100 to extreme pain, used by participants to indicated their level of pain over the last two weeks. Change is from baseline score for average level of pain (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Change in VAS Score (Ondansetron)Change in VAS Score (Placebo)
Prevention of Physical Dependence-2.9-2.8

[back to top]

Change in Objective Opioid Withdrawal Score (OOWS) From Baseline (Prevention of Opioid Withdrawal)

"Originally developed by Handelsman, the Objective Opioid Withdrawal Scale (OOWS) score is a well-characterized measure of opioid withdrawal in humans, calculated as the sum of a 13-item physician assessment documenting physically observable signs of withdrawal, which are rated as present (1) or absent (0) during the observation period. The minimum score of 0 means the patient is not showing any signs of opioid withdrawal. The maximum score of 13 signifies all signs of opioid withdrawal to the largest extent possible.~Immediately prior to ondansetron or placebo administration a baseline OOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an OOWS score was taken. If deemed necessary by the clinician, participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an OOWS score was taken. Change from the baseline OOWS score to the score assessed following the last naloxone dose is reported." (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in OOWS (Ondansetron)Change in OOWS (Placebo)
Prevention of Opioid Withdrawal3.63.6

[back to top]

Change in Subjective Opioid Withdrawal Score (SOWS) From Baseline (Prevention of Opioid Withdrawal)

The Subjective Opioid Withdrawal Score (SOWS) score is calculated as the sum of 16 subjective patient-reported symptom scores rated on a scale of 0 to 4 (0=not at all, 4=extremely) based on what subjects were experiencing at the time of testing. A maximum score of 64 would suggest the patient is experiencing the symptoms of withdrawal to the maximum extent possible while the lowest score of 0 would suggest the patient is not experiencing any of the symptoms of withdrawal. Immediately prior to ondansetron or placebo administration a baseline SOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an SOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an SOWS score was taken. Change from the baseline SOWS score to the score assessed following the last naloxone dose is reported (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in SOWS (Ondansetron)Change in SOWS (Placebo)
Prevention of Opioid Withdrawal12.512.2

[back to top]

Change in Subjective Opioid Withdrawal Score From Baseline (Prevention of Physical Dependence)

The SOWS score is composed of 16 subjective symptoms rated on a scale of 0 to 4 (0=not at all, 4=extremely) based on what subjects were experiencing at the time of testing. A maximum score of 64 would suggest the patient is experiencing the symptoms of withdrawal to the maximum extent possible while the lowest score of 0 would suggest the patient is not experiencing any of the symptoms of withdrawal. Immediately prior to ondansetron or placebo administration a baseline SOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an SOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an SOWS score was taken. Change from the baseline SOWS score to the score assessed following the last naloxone dose is reported (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in SOWS (Ondansetron)Change in SOWS (Placebo)
Prevention of Physical Dependence16.412.0

[back to top]

Numerical Rating Scale (NRS)

The numerical rating scale is the tool to assess pain level using a numerical rating scale. The primary outcome measurement is the average change of NRS score after double blind treatment between the two treatment groups. The NRS evaluates the pain level using number scale from 0 to 10. 0 means not painful and 10 means extremely painful. 1 to 3 is lightly pain, 4-6 is moderate pain and 7 to 10 is severe pain. There is no subscales used for NRS reporting. (NCT01675622)
Timeframe: baseline up to 5-8 days (double blind period)

Interventionscores on a scale (Mean)
Oxycodone Capsules for Cancer Pain3.91
Morphine Tablets for Cancer Pain3.87

[back to top]

Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment

For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%). (NCT01675622)
Timeframe: baseline up to 19-22 days (open label treatment)

Interventionpercentage of pain relief (Mean)
Oxycodone Capsules for Cancer Pain32.31
Morphine Tablets for Cancer Pain31.64

[back to top]

the Total Dose of Rescue Medicine for Breakthrough Pain.

the total dose of rescue medicine for breakthrough pain during double blind phase between the two treatment groups (NCT01675622)
Timeframe: baseline up to 22 days (double blind period)

,
Interventionmg (Mean)
the total dose of rescue medicine -day1the total dose of rescue medicine -day2the total dose of rescue medicine-day3the total dose of rescue medicine-day4the total dose of rescue medicine-day5the total dose of rescue medicine -day6the total dose of rescue medicine after day6
Morphine Tablets for Cancer Pain7.006.006.827.866.675.005.00
Oxycodone Capsules for Cancer Pain10.6310.0010.6320.0011.0005.00

[back to top]

Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment

The secondary outcome measurement is the change of BPI score from baseline to the end of open label treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items. (NCT01675622)
Timeframe: baseline up to 19-22 days (open label treatment)

,
Interventionscores on a scale (Mean)
Highest pain intensity in 24 hrsLowest pain intensity in 24 hrsAverage pain intensity in 24 hrsCurrent Pain intensity
Morphine Tablets for Cancer Pain3.952.643.483.71
Oxycodone Capsules for Cancer Pain3.982.573.333.62

[back to top]

Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period

The secondary outcome measurement is the change between BPI score at baseline and after completion of double blind treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in the passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items. (NCT01675622)
Timeframe: baseline up to 5-8 days (double blind period)

,
Interventionscores on a scale (Mean)
Highest pain intensity in 24 hrsLowest pain intensity in 24 hrsAverage pain intensity in 24 hrsCurrent Pain intensity
Morphine Tablets for Cancer Pain4.032.533.353.70
Oxycodone Capsules for Cancer Pain4.252.623.393.78

[back to top]

Times of Breakthrough Pain Occurrence

the times of breakthrough pain occurrence during double blind treatment phase between the two treatment groups (NCT01675622)
Timeframe: Within 8 days after baseline

Interventionbreakthrough pain events (Number)
Oxycodone Capsules for Cancer Pain15
Morphine Tablets for Cancer Pain20

[back to top]

Degree of Pain Relief Within 24hrs After Treatment

Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period. The BPI is the average number of above 4 BPI Pain Items. For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%). (NCT01675622)
Timeframe: baseline up to 5-8 days (double blind period)

Interventionpercentage of pain relief (Mean)
Oxycodone Capsules for Cancer Pain35.23
Morphine Tablets for Cancer Pain34.19

[back to top]

Average Number of Titrations

the average times to change the dose in order to find the proper dose between two treatment groups (NCT01675622)
Timeframe: baseline up to 1-3 days(double blind period)

Interventiondose changes (Mean)
Oxycodone Capsules for Cancer Pain8.25
Morphine Tablets for Cancer Pain7.89

[back to top]

The Average Dose of Study Medicine Used During Double Blind Treatment Period

the average dose of study medicine used during double blind treatment period between the two treatment groups. (NCT01675622)
Timeframe: baseline up to 5-8 days (double blind period)

,
Interventionmg (Mean)
Average total dosage during double-blind titrationAve. total dosage during double-blind maintenance
Morphine Tablets for Cancer Pain141.61308.63
Oxycodone Capsules for Cancer Pain83.29167.41

[back to top]

Comparison of the Total Amount of Study Drugs Used During the 24 Hours

"To calculate the total amount of study drugs used during the 24 hours and to conduct inter-group comparison~The study drug administration is average 6 hours,so the maximal is use 4 times in 24 hours. The investigate to evaluate if the subject need to take the 2nd, 3rd and 4th dose after the mandatory the 1st dose." (NCT01675635)
Timeframe: 24 hours after administration of first dose

Interventionmg (Mean)
OxyNorm Capsules18.50
Morphine Tablet39.82

[back to top]

Visual Analogue Scale (VAS) in Resting Stage at 6hour (6hour±20 Minutes After Administration of First Dose)

"To measure resting VAS at 6h(±20min) after administration of first dose, assessing the intensity of pain, and to conduct inter-group comparison~Visual Analogue Scale~0 10 20 30 40 50 60 70 80 90 100~0 means no pain; 100 means pain as bad as you can image at resting stage" (NCT01675635)
Timeframe: Baseline and 6h (±20min)

,
Interventionunits on a scale (Mean)
baseline of Visual Analogue Scale6th hours Visual Analogue Scale
Morphine Tablet45.4819.94
OxyNorm Capsules46.2120.21

[back to top]

VAS in Both Resting and Coughing Stage at 0.5h, 2h and 24h After Administration of First Dose

To measure the resting and coughing VAS as 0.5h (±5min), 2h (±10min) and 24h (±20min) after administration of first dose, assessing the intensity of pain and to conduct inter-group comparison (NCT01675635)
Timeframe: Baseline,0.5h (±5min), 2h (±10min) and 24h (±20min)

,
Interventionunits on a scale (Mean)
Resting baseline of Visual Analogue ScaleResting visual analogue scale before first doseResting VAS 0.5 hour after first doseResting VAS 2 hours after first doseResting VAS 24 hours after first doseCoughing baseline of Visual Analogue ScaleCoughing visual analogue scale before first doseCoughing VAS 0.5 hour after first doseCoughing VAS 2hours after first doseCoughing VAS 24hours after first dose
Morphine Tablet45.4845.4829.8020.899.7553.9153.9137.9629.3016.27
OxyNorm Capsules46.2146.2129.8720.589.7355.1655.2039.2129.6817.11

[back to top]

The Use of Rescue Analgesics During the 24-hour Observation Period

To calculate the subject who used rescue analgesics during the 4 dose interval within the 24-hour observation period and to conduct inter-group comparison (NCT01675635)
Timeframe: 24 hours after the first dose.

,
InterventionParticipants (Count of Participants)
First dose interval(0-6h)Second dose interval(7-12h)Third dose interval(13-18)Fourth dose interval(19-24h)
Morphine Tablet5202
OxyNorm Capsules7813

[back to top]

VAS in Coughing Stage at 6h (6h±20min After Administration of First Dose)

"To measure coughing VAS at 6h (±20min) after administration of first dose, assessing the intensity of pain, and to conduct inter-group comparison~Visual Analogue Scale~0 10 20 30 40 50 60 70 80 90 100~0 means no pain; 100 means pain as bed as you can image applicable for both resting and coughing stage" (NCT01675635)
Timeframe: Baseline and 6h (±20min)

,
Interventionunits on a scale (Mean)
Visual Analogue Scale of baseline coughingVisual Analogue Scale after 6hours coughing
Morphine Tablet53.9128.15
OxyNorm Capsules55.1628.81

[back to top]

Sleeping Quality Assessment

"To assess Sleeping quality assessment during 24 hours after administration of first dose and to conduct inter-group comparison~Sleeping quality scale~Very Good~Good~Fair~Bad~Very Bad" (NCT01675635)
Timeframe: 24 hours after administration of first dose

,
InterventionParticipants (Count of Participants)
Very GoodGoodFairBadVery Bad
Morphine Tablet36482621
OxyNorm Capsules31383851

[back to top]

Analgesics Administered After Arrival to Inpatient Ward and Number of Participants Requiring Each

Analgesics administered after arrival to the inpatient ward included hydrocodone/acetaminophen, oxycodone, NSAIDS, acetaminophen, and morphine. (NCT01691690)
Timeframe: 8-12 hours post-operatively

,
InterventionParticipants (Count of Participants)
hydrocodone/acetaminophenoxycodoneNSAIDSacetaminophenmorphine
IV Acetaminophen68311531
Saline Placebo Infused Intraoperatively57392220

[back to top]

Time of First Opioid Analgesia in PACU

Mean time to first drug administration among patients requiring opioid analgesia in the PACU. (NCT01691690)
Timeframe: 0-90 minutes post-operatively

Interventionminutes (Mean)
IV Acetaminophen56.80
Saline Placebo Infused Intraoperatively60.46

[back to top]

FLACC Pain Score Greater Than or Equal to 4

The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain. 5 pain measurements were performed at 0, 5, 15, 30, and 60 minutes after PACU arrival. This is the number of participants who reached a FLACC score >/= 4 at one or more time points. (NCT01691690)
Timeframe: 0-60 mins post-operatively

InterventionParticipants (Count of Participants)
IV Acetaminophen58
Saline Placebo69

[back to top]

Hospital Stay

Length of hospital stay for patients undergoing laparotomy on the gynecologic oncology service measured as whole days from the day of surgery until discharge (NCT01705288)
Timeframe: 1 Month

InterventionDays (Median)
Control Group (Standard Laparotomy)3.0
Rapid Recovery Group3.0

[back to top]

Pain Medications Used

Total daily narcotic pain medication used by patients. Narcotic use was standardized by conversion to morphine equivalents using the methods of Korff et al. (NCT01705288)
Timeframe: Post operative - day 2

InterventionMorphine equivalents (Median)
Control Group (Standard Laparotomy)10.0
Rapid Recovery Group7.5

[back to top]

Pain Assessment

Secondary outcome is to determine if rapid recovery can improve Visual Analogue Scale (VAS) for pain assessment. VAS scales are a horizontal line 100 mm in length with the left end labeled 'No pain' and the right end labeled 'Very severe pain'. The subject marks a point on the line that represents their perception of their current state. VAS score is determined by measuring the distance (mm) from the left end of the line to the point on the line marked by the subject. The range of possible values for this pain score is 0 to 100 mm. (NCT01705288)
Timeframe: Day 0

InterventionScore on a scale (Median)
Control Group (Standard Laparotomy)4.33
Rapid Recovery Group3.13

[back to top]

Neurobehavioral Performance Summary Scores From the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS)

The summary scores from the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) give a measure of infant neurobehavior in the following areas (score range): habituation (1-9), regulation (2.20-7.50), attention (1.29 -8.4), Handling (0 - 1), quality of movement (1.20 - 6.20), Non-optimal reflexes (0-12), Asymmetric reflexes (0-7), arousal (2.43 - 6.67), hypertonicity (0- 8), hypotonicity (0 - 5.0), excitability (0-11), lethargy (0 - 11.0). and stress/abstinence (0. - 0.57). A higher score for each item means a higher level of the construct. For example, a higher score for hypertonicity means the infant is more hypertonic and higher score on hypotonicity means the infant is more hypotonic. No cut-off score published for normal or abnormal behavioral performance. Reference: Lester BM et al. Summary Statistics of Neonatal Intensive Care Unit Network Neurobehavioral Scale Scores From the Maternal Lifestyle Study: A Quasinormative Sample, in Pediatrics 2004; 113,668. (NCT01734551)
Timeframe: 5-10 days after treatment starts

,
Interventionscores on a scale (Mean)
AttentionHandlingQuality of movementRegulationNon-optimal reflexesAsymmetric reflexesStress/abstinenceArousalHypertonicityHypotonicityExcitabilityLethargy
Clonidine4.510.424.925.264.130.000.083.950.250.192.385.13
Morphine5.060.364.775.23.730.200.073.910.400.132.63.6

[back to top]

Finnegan Neonatal Abstinence Scoring System

Mean of total Finnegan Scores obtained every 3 hours on days 2, 7, and 14 following start of treatment; A score is a number representing the total score or sum from 21 items or symptoms or manifestations of opiate withdrawal in newborn infants. The total score ranges from 0 to 43. Reference: 1. Finnegan LP, Connaughton JF, Jr., Kron RE, et al. Neonatal abstinence syndrome: assessment and management. Addict Dis 1975;2(1-2):141-58. Although normal newborn may manifest mild symptoms that will give scores in the range of 0 to 7. A score of 8 consecutively obtained times 3 indicate that infant will benefit from treatment, in this study morphine or clonidine. A decrease in scores especially to less than 8 is suggestive of a good response to treatment. (NCT01734551)
Timeframe: 14 days

,
Interventionscores on a scale (Mean)
Finnegan scores day 2 of treatmentFinnegan scores day 7 of treatmentFinnegan scores day 14 of treatment
Clonidine8.55.76.7
Morphine7.56.67.1

[back to top]

Bayley Scales of Infant and Toddler Development Third Edition

Scores obtained Bayley Scales of Infant and Toddler Development Third Edition in the developmental domains of motor, cognitive, and language. This tool for measures of motor, cognitive and language development is a series of standardized measurements and for each domain, the standardized scores have a mean of 100 and standard deviation of 15. Scores below 1 standard deviation (= or less than 84) is considered below normal. Scores above 1 standard deviation (over 115) represent higher than normal functioning in each domain The score for each domain (motor, cognitive, and language functioning) represents the full-scale score (NCT01734551)
Timeframe: 1 year of life

,
Interventionscores on a scale (Mean)
Bayley III motorCognitiveLanguage totalLanguage ReceptiveLanguage Expressive
Clonidine95.893.395.895.099.2
Morphine97.692.998.0101.1100.0

[back to top]

Duration of Treatment

Total number days of treatment (NCT01734551)
Timeframe: 120 days

Interventiondays (Median)
Morphine39
Clonidine27

[back to top]

Opioid Analgesia as Assessed by Analgesia Index (Seconds)

After 2 nights of forced awakenings and after two nights of uninterrupted sleep, opioid analgesia will be assessed by an analgesia index. The analgesia index is calculated using withdrawal latency during cold pressor testing (lasting maximum of 300 seconds). Cold Pressor Testing is done before and after morphine or placebo injection. The difference in withdrawal time before and after morphine or placebo injection is the analgesia index with a minimum score of -300 seconds and maximum score of 300 seconds. These data were log transformed. Mean analgesia index was then calculated for each group. Higher means represent greater analgesia. (NCT01794689)
Timeframe: Next day after 2 nights of forced awakenings or uninterrupted sleep

Interventionseconds (log transformed) (Mean)
Morphine US0.315
Morphine FA0.156
Placebo US-0.124
Placebo FA-0.006

[back to top]

Spinal Sensitization as Assessed by Area of Secondary Hyperalgesia (2HA) After Two Nights of Uninterrupted Sleep and Two Nights of 8 Forced Awakenings

The area of secondary hyperalgesia (2HA) to mechanical stimulation was quantified by stimulating along eight linear paths near the capsaicin treated site using a 15 gram nonpainful von Frey filament. Stimulation occurred until the participant reported a change in sensation from which a border was marked on the skin. The degree of 2HA was assessed by measuring the total surface area (mm^2) of the marked borders. Data were collapsed by group to analyze the effects of FA vs US, irrespective of randomization group. Our Primary Secondary Hyperalgesia outcome was measured prior to injection of either morphine or placebo. (NCT01794689)
Timeframe: Next day during quantitative sensory testing after 2 nights of forced awakenings or uninterrupted sleep

Interventionmm^2 (Mean)
Morphine US1276.25
Morphine FA1582.67
Placebo US1302.93
Placebo FA1447.9

[back to top]

Total Sleep Time

The degree of sleep deprivation will be assessed by total sleep time (TST) in minutes during the uninterrupted sleep condition compared to the forced awakenings conditions. (NCT01794689)
Timeframe: Next day during quantitative sensory testing after 2 nights of forced awakenings or uninterrupted sleep.

,,,
Interventionminutes (Mean)
TST: Uninterrupted Sleep-Night 1TST: Uninterrupted Sleep-Night 2TST: Forced Awakenings-Night 1TST: Forced Awakenings-Night 2
Morphine FA425.0280420.1375225.4192258.1083
Morphine US442.8909435.2045217.4556270.3333
Placebo FA435.1467441.1400252.0950261.9941
Placebo US443.2375439.0417235.1727267.7714

[back to top]

Mean Change in Percentage of Peripheral Blood Mononuclear Cells Expressing Interleukin-6 After LPS Stimulation

After 2 nights of forced awakenings, and two nights of uninterrupted sleep, blood is drawn (approximately every 60 minutes) during quantitative sensory testing; 4 hours pre-morphine/placebo administration and 2 hours post-morphine/placebo administration to examine markers of inflammation. Two blood samples for each participant are analyzed at 7 separate time points. The marker of inflammation assessed is the number of peripheral blood mononuclear cells expressing Interleukin-6 (IL-6), and the outcome measure represents the mean change in IL-6 levels pre and post stimulation with lipopolysaccharide (LPS). Cellular IL-6 expression was was quantified via flow cytometry. (NCT01794689)
Timeframe: Next day after 2 nights of forced awakenings or uninterrupted sleep, every 60 minutes up to 7 hours

,,,
Interventionpercentage of IL-6 expression (Mean)
Timepoint 1Timepoint 2Timepoint 3Timepoint 4Timepoint 5Timepoint 6Timepoint 7
Morphine FA51.8251.8448.9946.9443.4539.1539.92
Morphine US41.9845.4445.9943.9638.6736.8336.47
Placebo FA43.3243.7941.6541.3434.6336.2835.25
Placebo US42.9142.9340.7639.0638.7135.6435.49

[back to top]

Days of Treatment With Opioid Medication

The length of time in days that the treatment opioid was used on a measured taper to ameliorate withdrawal signs (NCT01804075)
Timeframe: From date of randomization until the date of last opioid dose or date of death from any cause, whichever came first, assessed up to 12 months

Interventiondays (Mean)
Methadone-treated13.9
Morphine-treated22.9

[back to top]

Second Drug for Withdrawal

Number of infants treated with a second drug to treat their withdrawal (NCT01804075)
Timeframe: From date of randomization until the date of last opioid dose or date of death from any cause or date of discharge, whichever came first, assessed up to 12 months

InterventionParticipants (Count of Participants)
Methadone Treated5
Morphine Treated9

[back to top]

Proportion of Full-responder

Evaluation of the proportion of subjects who report full analgesia (full responders: FR). FR is operationally defined as a patient with a P.I.D. =/> 30% from visit 6 and visit 1 (NRS 0 to 10). (NCT01809106)
Timeframe: 28 days

Interventionparticipants (Number)
Morphine89
Oxycodone90
Buprenorphine95
Fentanyl88

[back to top]

Proportion of Non-Responder (NR) Participants

"Evaluation of the proportion of Non-Responder (NR) participants. NR correspond to the subjects who do not report any analgesic effects, with a P.I.D. (pain intensity difference) from visit 6 and visit 1 =/< 0%, (using a 0-10 NRS ). It includes the situations of average pain intensity stable or worsened at day 28 compared with baseline values." (NCT01809106)
Timeframe: 28 days

Interventionparticipants (Number)
Morphine14
Oxycodone18
Buprenorphine14
Fentanyl11

[back to top]

The Opioid Escalation Index

The proportion of subjects with an increase of opioid daily dose > 5% compared with the basal dosage (OEI%). (NCT01809106)
Timeframe: 28 days

Interventionparticipants (Number)
Morphine13
Oxycodone24
Buprenorphine18
Fentanyl45

[back to top]

Change From Baseline in Pain Intensity Rating at Day 15

Pain intensity was assessed on 11-point Numeric Rating Scale (NRS); score ranges from 0 to 10 where 0=no pain and 10=worst pain. (NCT01816243)
Timeframe: Baseline and Day 15

InterventionUnits on a scale (Mean)
Transdermal Therapeutic System (TTS) - Fentanyl-1.56

[back to top]

Change From Baseline in Pain Intensity Rating at Day 30

Pain intensity was assessed on 11-point NRS; score ranges from 0 to 10 where 0=no pain and 10=worst pain. (NCT01816243)
Timeframe: Baseline and Day 30

InterventionUnits on a scale (Mean)
Transdermal Therapeutic System (TTS) - Fentanyl-1.95

[back to top]

Number of Participants With Participant's Global Assessment

Participants global assessment with respect to pain control using a 9-point scale (-4 to 4; where, -4=100% worse, 0=unchanged and 4=100% improvement), safety using 5-point scale (1 to 5; where, 1=no, 2=mild, 3=moderate, 4=severe and 5=most severe side effects) and 5-point overall satisfaction scale (1-5; where, 1=no, 2=mild, 3=moderate, 4=good, 5=excellent). Number of participants with participant's global assessment with respect to efficacy, safety and overall satisfaction were reported. (NCT01816243)
Timeframe: Day 30

InterventionParticipants (Number)
Efficacy, 100% Worse (n=34)Efficacy, 75% Worse (n=34)Efficacy, 50% Worse (n=34)Efficacy, 25% Worse (n=34)Efficacy, Unchanged (n=34)Efficacy, 25% Improve (n=34)Efficacy, 50% Improve (n=34)Efficacy, 75% Improve (n=34)Efficacy, 100% Improve (n=34)Safety, No (n=27)Safety, Mild (n=27)Safety, Moderate (n=27)Safety, Severe (n=27)Safety, Most severe (n=27)Overall Satisfaction, No (n=27)Overall Satisfaction, Mild (n=27)Overall Satisfaction, Moderate (n=27)Overall Satisfaction, Severe (n=27)Overall Satisfaction, Most Severe (n=27)
Transdermal Therapeutic System (TTS) - Fentanyl1021413111116920017685

[back to top]

Number of Participants With Investigator's Global Assessment

Investigator would complete a global assessment of the participants treatment with respect to pain control using a 9-point scale (-4 to 4; where, -4=100 percent (%) worse, 0=unchanged and 4=100% improvement), safety using 5-point scale (1 to 5; where, 1=no, 2=mild, 3=moderate, 4=severe and 5=most severe side effects) and 5-point overall satisfaction scale (1-5; where, 1=no, 2=mild, 3=moderate, 4=good, 5=excellent). Number of participants with Investigator's assessment with respect to efficacy, safety and overall satisfaction were reported. (NCT01816243)
Timeframe: Day 30

InterventionParticipants (Number)
Efficacy, 100% WorseEfficacy, 75% WorseEfficacy, 50% WorseEfficacy, 25% WorseEfficacy, UnchangedEfficacy, 25% ImproveEfficacy, 50% ImproveEfficacy, 75% ImproveEfficacy, 100% ImproveSafety, NoSafety, MildSafety, ModerateSafety, SevereSafety, Most severeOverall Satisfaction, NoOverall Satisfaction, MildOverall Satisfaction, ModerateOverall Satisfaction, SevereOverall Satisfaction, Most Severe
Transdermal Therapeutic System (TTS) - Fentanyl00107264716920017685

[back to top]

Revised-Face, Legs, Activity, Cry, Consolability (Revised-FLACC) Scale

The investigators will report the average pain score per POD, for 4 days (PODs 0,1,2,3). Higher scores mean worse outcome. Good pain control will be defined as pain less than 4 on a 0-10 scale. Pain is scored by observers on a minimum of 0 (no pain) to a maximum of 10 (worst pain) on this scale. The median and inter-quartile range of the average pain score per post-operative day is reported. The timeframe includes the post-operative day (POD 0), and 3 days post-surgery (POD 1-3), for a total of 4 post-operative days. (NCT01823497)
Timeframe: 4 days post surgery

,
Interventionunits on a scale (Median)
Post-operative Day 0Post-operative Day 1Post-operative Day 2Post-operative Day 3
Continuous Opioid Infusion1.671.0831.831.25
Parent/Nurse Controlled Analgesia1.251.792.171.00

[back to top]

Morphine Consumption

The investigators will measure amount of morphine consumed post-surgery in mg/kg/hour (NCT01823497)
Timeframe: 5 days post surgery

Interventionmg/kg/hr (Median)
Parent/Nurse Controlled Analgesia0.014
Continuous Opioid Infusion0.036

[back to top]

Numeric Rating Scale of Pain

"We will compare efficacy as a difference between 2 groups in pain score at 30 minutes post-analgesic administration. The primary outcome is the difference between 2 groups in pain score at 30 minutes.~Pain will be measured via Numeric rating scale from 0 to 10 with 0 being no pain, 5 being moderate pain, and 10 being severe pain" (NCT01835262)
Timeframe: 30 minutes

InterventionUnits on a scale (Mean)
Morphine3.93
Ketamine Group4.07

[back to top]

"Change From Baseline in Pain Now Over Time Using NRS"

Subject rating of pain intensity using 11-point numerical rating scale (NRS) where 0=no pain and 10=pain as bad as you can imagine. (NCT01871285)
Timeframe: Pre-dose (-0.5; baseline), 0.5, 1, 2, 4, 9, 12, 12.5, 13, 14, 16, and 24 (or end of study visit) hours post 1st study drug dose on each day of administration (period 1 [day 1] and period 2 [day 2]) in each treatment sequence

,,,
Interventionunits on a scale (Mean)
Hour 0.5Hour 1Hour 2Hour 4Hour 9Hour 12Hour 12.5Hour 13Hour 14Hour 16Hour 24
MSE Dose Group 1 - ATC Opioid-0.6-1.1-1.2-1.0-0.10.3-0.4-0.7-1.2-1.4-0.2
MSE Dose Group 1 - Buprenorphine-0.3-0.5-0.7-0.9-0.50.50.0-0.4-0.7-0.9-0.2
MSE Dose Group 2 - ATC Opioid-1.3-1.5-1.3-1.8-0.8-0.3-0.3-0.8-1.0-1.30.0
MSE Dose Group 2 - Buprenorphine-0.50.30.80.51.01.51.00.81.00.30.8

[back to top]

Change From Baseline in COWS Total Score Over Time

Investigator-rated COWS scores range 0 to 4 or 5 on 11 items related to opiate withdrawal signs or symptoms; total score range 0 to 48 where 0-4 = no withdrawal and 5-12 = mild, 13-24 = moderate, 25-36 = moderately severe, more than 36 = severe withdrawal. (NCT01871285)
Timeframe: Pre-dose (-0.5; baseline), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 9, 12, 12.5, 13, 13.5, 14, 16, and 24 (or end of study visit) hours post 1st study drug dose on each day of administration (period 1 [day 1] and period 2 [day 2]) in each treatment sequence

,,,
Interventionscore (Mean)
Hour 0.5Hour 1Hour 1.5Hour 2Hour 2.5Hour 3Hour 3.5Hour 4Hour 6Hour 9Hour 12Hour 12.5Hour 13Hour 13.5Hour 14Hour 16Hour 24
MSE Dose Group 1 - ATC Opioid-0.30.00.20.20.30.20.30.40.61.41.50.50.50.40.2-0.10.7
MSE Dose Group 1 - Buprenorphine0.10.30.40.30.60.60.90.80.60.92.11.00.91.00.70.51.8
MSE Dose Group 2 - ATC Opioid-1.3-1.0-1.0-1.0-1.0-1.0-0.8-1.00.01.00.31.30.0-0.3-0.3-0.32.8
MSE Dose Group 2 - Buprenorphine0.00.80.51.81.30.31.51.01.01.33.33.03.31.83.31.82.0

[back to top]

Number of Responders

A responder is defined as a subject whose maximum (across all time points) clinical opiate withdrawal scale (COWS) total score is ≥13. COWS scores range 0 to 4 or 5 on 11 items related to opiate withdrawal signs or symptoms; total score range 0 to 48 where 0-4 = no withdrawal and 5-12 = mild, 13-24 = moderate, 25-36 = moderately severe, more than 36 = severe withdrawal. (NCT01871285)
Timeframe: Pre-dose (-0.5), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 9, 12, 12.5, 13, 13.5, 14, 16, and 24 (or end of study visit) hours post 1st study drug dose on each day of administration (period 1 [day 1] and period 2 [day 2]) in each treatment sequence

Interventionparticipants (Number)
MSE Dose Group 1 - Buprenorphine1
MSE Dose Group 1 - ATC Opioid2
MSE Dose Group 2 - Buprenorphine0
MSE Dose Group 2 - ATC Opioid0

[back to top]

Maximum COWS Total Score

Investigator-rated COWS scores range 0 to 4 or 5 on 11 items related to opiate withdrawal signs or symptoms; total score range 0 to 48 where 0-4 = no withdrawal and 5-12 = mild, 13-24 = moderate, 25-36 = moderately severe, more than 36 = severe withdrawal. The maximum COWs total score is defined as the maximum COWs total score across all time points during the corresponding treatment period after study drug administration for each subject. (NCT01871285)
Timeframe: Pre-dose (-0.5), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 9, 12, 12.5, 13, 13.5, 14, 16, and 24 (or end of study visit) hours post 1st study drug dose on each day of administration (period 1 [day 1] and period 2 [day 2]) in each treatment sequence

Interventionscore (Mean)
MSE Dose Group 1 - Buprenorphine4.6
MSE Dose Group 1 - ATC Opioid5.3
MSE Dose Group 2 - Buprenorphine5.5
MSE Dose Group 2 - ATC Opioid6.3

[back to top]

Change From Baseline in Maximum COWS Total Score

Investigator-rated COWS scores range 0 to 4 or 5 on 11 items related to opiate withdrawal signs or symptoms; total score range 0 to 48 where 0-4 = no withdrawal and 5-12 = mild, 13-24 = moderate, 25-36 = moderately severe, more than 36 = severe withdrawal. The change from baseline in maximum COWS total score is determined as the difference between the maximum COWs total score and the baseline COWs total score. (NCT01871285)
Timeframe: Pre-dose (-0.5; baseline), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 9, 12, 12.5, 13, 13.5, 14, 16, and 24 (or end of study visit) hours post 1st study drug dose on each day of administration (period 1 [day 1] and period 2 [day 2]) in each treatment sequence

Interventionscore (Mean)
MSE Dose Group 1 - Buprenorphine4.0
MSE Dose Group 1 - ATC Opioid3.9
MSE Dose Group 2 - Buprenorphine4.5
MSE Dose Group 2 - ATC Opioid4.3

[back to top]

Subjective Perception of Morphine Effect - Feel Drug

"Area under the curve of the subjective perception-time course - Feel Drug. Subjective responses as measured by the Drug Effects Questionnaire [DEQ]. The DEQ consists of simple, face-valid, visual analog scale (VAS) questions on which people report their subjective states after ingesting a substance. The analog scale of responses ranges from not at all to extremely, and the numeric scale ranges from 0 to 100. Due to skewness of individual time points; areas under the curve (AUC) for these ratings across individual time points (0, 10, 20, 30, 40, 50 and 60 min) were compared. AUC is computed using the trapezoidal rule and has a range of values from 0 to 5500, where 0 reflects no subjective perception at any time point and 5500 reflects maximal subjective perception (score of 100) at all time points after drug administration." (NCT01878006)
Timeframe: 60 minutes following injection

InterventionUnits on a scale * min (Mean)
Morphine3942.8
Placebo176

[back to top]

Subjective Perception of Morphine Effect - Want More

"Area under the curve of the subjective perception-time course - Want More. Subjective responses as measured by the Drug Effects Questionnaire [DEQ]. The DEQ consists of simple, face-valid, visual analog scale (VAS) questions on which people report their subjective states after ingesting a substance. The analog scale of responses ranges from not at all to extremely, and the numeric scale ranges from 0 to 100. Due to skewness of individual time points; areas under the curve (AUC) for these ratings across individual time points (0, 10, 20, 30, 40, 50 and 60 min) were compared. AUC is computed using the trapezoidal rule and has a range of values from 0 to 5500, where 0 reflects no subjective perception at any time point and 5500 reflects maximal subjective perception (score of 100) at all time points after drug administration." (NCT01878006)
Timeframe: 60 minutes following injection

InterventionUnits on a scale * min (Mean)
Morphine1601.1
Placebo1277

[back to top]

11C Raclopride Binding Potential in Ventral Pallidum

Binding potential measured using regions-of-interest analysis of PET data. Parametric Binding Potential (BPND) images were obtained using the Simple Reference Tissue Model 2 (SRTM2), with cerebellum as the reference region. BPND is computed in units of mCi/ml reflecting the radioactivity (milliCuries or mCi) per unit volume (milliliters or ml) in specific brain regions. Reduction in raclopride binding is attributed to competition with endogenous dopamine, and has been shown to be proportional to the magnitude of Dopamine (DA) release. (NCT01878006)
Timeframe: 90 minutes following injection

InterventionmCi/ml (Mean)
Morphine2.68
Placebo2.94

[back to top]

11C Raclopride Binding Potential in Putamen

Binding potential measured using regions-of-interest analysis of PET data. Parametric Binding Potential (BPND) images were obtained using the Simple Reference Tissue Model 2 (SRTM2), with cerebellum as the reference region. BPND is computed in units of mCi/ml reflecting the radioactivity (milliCuries or mCi) per unit volume (milliliters or ml) in specific brain regions. Reduction in raclopride binding is attributed to competition with endogenous dopamine, and has been shown to be proportional to the magnitude of Dopamine (DA) release. (NCT01878006)
Timeframe: 90 minutes following injection

InterventionmCi/ml (Mean)
Morphine3.9
Placebo4.11

[back to top]

11C Raclopride Binding Potential in Nucleus Accumbens

Binding potential measured using regions-of-interest analysis of PET data. Parametric Binding Potential (BPND) images were obtained using the Simple Reference Tissue Model 2 (SRTM2), with cerebellum as the reference region. BPND is computed in units of mCi/ml reflecting the radioactivity (milliCuries or mCi) per unit volume (milliliters or ml) in specific brain regions. Reduction in raclopride binding is attributed to competition with endogenous dopamine, and has been shown to be proportional to the magnitude of Dopamine (DA) release. (NCT01878006)
Timeframe: 90 minutes following injection

InterventionmCi/ml (Mean)
Morphine2.68
Placebo2.84

[back to top]

11C Raclopride Binding Potential in Caudate

Binding potential measured using regions-of-interest analysis of PET data. Parametric Binding Potential (BPND) images were obtained using the Simple Reference Tissue Model 2 (SRTM2), with cerebellum as the reference region. BPND is computed in units of mCi/ml reflecting the radioactivity (milliCuries or mCi) per unit volume (milliliters or ml) in specific brain regions. Reduction in raclopride binding is attributed to competition with endogenous dopamine, and has been shown to be proportional to the magnitude of Dopamine (DA) release. (NCT01878006)
Timeframe: 90 minutes following injection

InterventionmCi/ml (Mean)
Morphine3.25
Placebo3.45

[back to top]

Subjective Perception of Morphine Effect - Like Drug

"Area under the curve of the subjective perception-time course - Like Drug. Subjective responses as measured by the Drug Effects Questionnaire [DEQ]. The DEQ consists of simple, face-valid, visual analog scale (VAS) questions on which people report their subjective states after ingesting a substance. The analog scale of responses ranges from not at all to extremely, and the numeric scale ranges from 0 to 100. Due to skewness of individual time points; areas under the curve (AUC) for these ratings across individual time points (0, 10, 20, 30, 40, 50 and 60 min) were compared. AUC is computed using the trapezoidal rule and has a range of values from 0 to 5500, where 0 reflects no subjective perception at any time point and 5500 reflects maximal subjective perception (score of 100) at all time points after drug administration." (NCT01878006)
Timeframe: 60 minutes following injection

InterventionUnits on a scale * min (Mean)
Morphine3078.9
Placebo2628.5

[back to top]

Subjective Perception of Morphine Effect - Feel High

"Area under the curve of the subjective perception-time course - Feel High. Subjective responses as measured by the Drug Effects Questionnaire [DEQ]. The DEQ consists of simple, face-valid, visual analog scale (VAS) questions on which people report their subjective states after ingesting a substance. The analog scale of responses ranges from not at all to extremely, and the numeric scale ranges from 0 to 100. Due to skewness of individual time points; areas under the curve (AUC) for these ratings across individual time points (0, 10, 20, 30, 40, 50 and 60 min) were compared. AUC is computed using the trapezoidal rule and has a range of values from 0 to 5500, where 0 reflects no subjective perception at any time point and 5500 reflects maximal subjective perception (score of 100) at all time points after drug administration." (NCT01878006)
Timeframe: 60 minutes following injection

InterventionUnits on a scale * min (Mean)
Morphine3729.4
Placebo175

[back to top]

Number of Participants With Adverse Events

(NCT01900847)
Timeframe: Data collected from the duration of the patient's Emergency Department stay (expected average 5 hours)

InterventionParticipants (Count of Participants)
Morphine and Placebo4
Morphine and Ketamine4

[back to top]

Total Amount of Morphine and Other Pain Medications Administered

(NCT01900847)
Timeframe: Data collected from the duration of the patient's Emergency Department stay (expected average 5 hours)

Interventionmg (Mean)
Morphine and Placebo9
Morphine and Ketamine10.3

[back to top]

Numeric Pain Score

Pain 0-10 with 0 being no pain and 10 being the worst pain (NCT01900847)
Timeframe: Baseline (zero minutes), 30 minutes and 1 hour after receiving study drug

,
Interventionscore on a scale (Mean)
time 030 min60 min
Morphine and Ketamine7.33.74.9
Morphine and Placebo6.97.76.8

[back to top]

Pain Score at 480 Minutes

Pain score at 480 minutes post administration of pain control treatment. Pain Scale: Scores range from 0 (no pain) to 10 (sever pain). A score of 5 is moderate pain (NCT01904071)
Timeframe: 480 minutes

Interventionunits on a scale (Mean)
UFNB3.20
UFIB2.35
IVMS3.74

[back to top]

Pain Score at 60 Minutes

Pain score at 60 minutes post-administration of pain control treatment. Pain Scale: Scores range from 0 (no pain) to 10 (sever pain). A score of 5 is moderate pain (NCT01904071)
Timeframe: 60 minutes

Interventionunits on a scale (Mean)
UFNB2.58
UFIB1.90
IVMS4.40

[back to top]

Pain Score at 120 Minutes

Pain score at 120 minutes post-administration of pain control treatment. Pain Scale: Scores range from 0 (no pain) to 10 (sever pain). A score of 5 is moderate pain (NCT01904071)
Timeframe: 120 minutes

Interventionunits on a scale (Mean)
UFNB2.65
UFIB1.30
IVMS4.00

[back to top]

Pain Score at 240 Minutes

Pain Score at 240 minutes post administration of pain control treatment. Pain Scale: Scores range from 0 (no pain) to 10 (sever pain). A score of 5 is moderate pain (NCT01904071)
Timeframe: 240 minutes

Interventionunits on a scale (Mean)
UFNB3.15
UFIB1.72
IVMS4.83

[back to top]

Pain Score at 30 Minutes

Pain Score at 30 minutes post-administration of pain control treatment. Pain Scale: Scores range from 0 (no pain) to 10 (sever pain). A score of 5 is moderate pain (NCT01904071)
Timeframe: 30 minutes

Interventionunits on a scale (Mean)
UFNB1.94
UFIB2.05
IVMS5.13

[back to top]

Clinical Success

Determine the proportion of subjects with clinical success based on changes in pain intensity (Numerical Pain Rating Scale: NPRS) and opioid-related Common Toxicity Criteria for Adverse Events (CTCAE) from the National Cancer Institute (NCI). (NCT01924182)
Timeframe: 3 Month

Interventionparticipants (Number)
IT Group (SynchroMed/Intrathecal Morphine Sulfate)1

[back to top] [back to top]

Pain Assessment

Compare changes from Baseline to Month 3 between the IT group and CMM group in Numeric Pain Rating Scale (NPRS). The scale measures pain intensity. Using NPRS, a pain score ranging from 0 (no pain) to 10 (pain as bad as you can imagine) is recorded on a subject diary twice daily for 5 days before a study visit. The score for each visit is calculated as the mean pain of the 5 diary days morning and evening scores. For each subject, the change in pain will be calculated as the mean pain score at Month 3 minus the mean pain score at Baseline. A negative change value represents a lowering of the pain score (an improvement, or reduction in pain). (NCT01924182)
Timeframe: 3 Month

Interventionunits on a scale (Mean)
IT Group (SynchroMed/Intrathecal Morphine Sulfate)-3.3

[back to top]

Sleep Assessment

Compare changes from Baseline to Month 3 between the IT group and CMM group for Apnea-Hypopnea Index (AHI). The AHI was collected via overnight sleep lab polysomnography. The AHI is an index used to indicate the severity of sleep apnea. It is represented by the number of apnea and hypopnea events per hour of sleep. The AHI values for adults are categorized as Normal: AHI<5, Mild sleep apnea: 5≤AHI<15, Moderate sleep apnea: 15≤AHI<30, Severe sleep apnea: AHI≥30. For each subject, the change in AHI will be calculated as the AHI at Month 3 minus the AHI at Baseline. A negative change value represents a lowering of the subjects AHI (an improvement, or reduction in sleep apnea). (NCT01924182)
Timeframe: 3 Month

Interventionunits on a scale (Mean)
IT Group (SynchroMed/Intrathecal Morphine Sulfate)-10.4

[back to top]

Pain Scale Rating Agreement Among Patient, Parent, and Research Staff

"FLACC scores were assessed on the patient using the FLACC scale (0-10) by the parent, treating RN/trained research assistant.~FLACC - Parents 30 Minutes Post dose~FLACC - Staff 30 Minutes Post dose~Wong-Baker Faces scale is a self-assessment of pain Scale of 1-10 pain." (NCT01951963)
Timeframe: Up to 3 hours post pain medication administration

,
InterventionScores on a scale (Mean)
FLACC - Staff 30 Minutes Post doseFLACC - Parents 30 Minutes Post doseWong-Baker Faces pain scale changes
Ketamine1.12.0-3.5
Morphine1.11.9-3.7

[back to top]

Adverse Drug Reaction

Rate of pain medication related adverse events during their ED stay and at 24 hours post discharge from the ED. the research team will complete the Adverse Event case report form to determine any adverse events occurring during the study period. Family members will be contacted via telephone 24 hours (±8 hours) following their visit in the Emergency Department to complete the Discharge Adverse Event case report form. (NCT01951963)
Timeframe: 3 hours post study drug administration

InterventionParticipants (Count of Participants)
Ketamine2
Morphine3

[back to top]

Cumulative Narcotic Consumption

All opioids administered were converted to morphine equivalents in milligrams (eq. mg) via standard equianalgesic calculations. Pre-study drug opioids information was also collected.The number of subjects who received a morphine dose after administration of the study drug, both within one hour or at all was included in the outcome measure results. (NCT01951963)
Timeframe: 3 hours post study drug administration

InterventionParticipants (Count of Participants)
Ketamine19
Morphine14

[back to top]

Growth Outcome: Head Circumference at 18 Months

Average head circumference growth outcome at 18 month follow-up visit. (NCT01958476)
Timeframe: 18 month follow-up visit

Interventioncm (Mean)
Methadone47.8
Neonatal Morphine Solution48.2

[back to top]

Growth Outcome: Length at 18 Months

Average length (cm) at 18 month follow-up visit. (NCT01958476)
Timeframe: 18 month follow-up visit

Interventioncm (Mean)
Methadone82.1
Neonatal Morphine Solution81.7

[back to top]

Growth Outcome: Weight Change From Birth to 18 Months

Growth outcome weight (lbs) depicted as difference in averaged weights from birth to 18 month follow-up visit. Standard deviations were averaged between birth and 18 mo time points. (NCT01958476)
Timeframe: Birth to 18 month follow-up visit

Interventionlbs (Mean)
Methadone19.1
Neonatal Morphine Solution18.7

[back to top]

Length of Hospital Stay (LOS)

Participants were monitored for the duration of their hospitalization, an expected mean of 22 days. (NCT01958476)
Timeframe: Participants will be monitored during their entire hospitalization, expected mean 22 days.

Interventiondays (Mean)
Methadone21.8
Neonatal Morphine Solution23.2

[back to top]

Length of Hospital Stay (LOS) Due to Neonatal Abstinence Syndrome (NAS)

Participants were monitored for the duration of their hospitalization attributable to NAS only. (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization, expected mean 22 days.

Interventiondays (Mean)
Methadone18.9
Neonatal Morphine Solution21.1

[back to top]

Length of Treatment (LOT)

Total number of days infant treated with replacement opioids while admitted to the hospital. (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization.

Interventiondays (Mean)
Methadone14.7
Neonatal Morphine Solution16.6

[back to top]

Number of Infants Needing a Dose Increase

"One Finnegan score ≥12, or two consecutive scores ≥8 affirms the requirement for pharmacological treatment or increasing treatment dosage. If the infant continued to have two consecutive Finnegan Scores ≥8 two times consecutively, or one ≥12, the dose was increased to the next level. (Level I: 0.3 mg/kg/day) (Level II: 0.5 mg/kg/day) (Level III: 0.7 mg/kg/day)~A higher Finnegan score indicates greater severity of NAS (min 0, max 50)." (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization, an average of 22 days.

InterventionParticipants (Count of Participants)
Methadone22
Neonatal Morphine Solution28

[back to top]

Number of Infants Needing a Second NAS Medication

Number of infants treated with a second medication following protocol, phenobarbital. If the Finnegan Score remained elevated (still scored ≥8 two times consecutively, or still scored once ≥12) despite increasing to a predetermined maximal opioid dose (methadone or morphine), phenobarbital was administered (20-mg/kg loading dose followed by 4-5 mg/kg daily). (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization, an average of 22 days.

InterventionParticipants (Count of Participants)
Methadone10
Neonatal Morphine Solution17

[back to top]

Cognitive, Language, and Motor Development From 18 Month Bayley III Neurodevelopmental Assessment

The Bayley Scales of Infant and Toddler Development (BSID-III) assesses the development of infants and children (1-42 months) through a series of developmental play tasks, identifying children with developmental delay. Raw scores of completed items are summarized within three distinct scale scores (Cognitive Scale, Language Scale, Motor Scale). Scale scores are each converted to composite scores to determine the child's performance compared with scores of age-matched children of typical development (percentile rank). A higher composite score indicates more ideal developmental outcome (range 40-160). At 18 month follow-up visit, participants were assessed using the BSID-III for cognitive, language and motor scale composite score outcomes. (NCT01958476)
Timeframe: Assessment at 18 month follow-up visit

,
Interventionscores on a scale (Composite) (Mean)
Cognitive CompositeLanguage CompositeMotor Composite
Methadone100.196.0103.6
Neonatal Morphine Solution98.194.299.1

[back to top]

Change From Baseline to End-of-Treatment Visit in Chronic Pain Sleep Inventory (CPSI) Scores

The CPSI measures 5 items on 100-mm visual analog scales: trouble falling asleep (CPSI1), needing sleep medication (CPSI2), awakened by pain during the night (CPSI3) and in the morning (CPSI4) [all with anchors for 0 = never and 100 = always], and overall quality of sleep (CPSI5) [with anchors of 0 = very poor and 100 = excellent]. The sleep problem index is the sum of items CPSI1, CPSI3 and CPSI4. The minimum sleep problem index is 0 mm, the maximum 300 mm, the higher the worse. For the overall quality of sleep, minimum and maximum are 0 and 100 mm, the higher the better. A decrease in the sleep problem index indicates an improvement as does an increase in the overall quality of sleep. Changes from baseline to the End-of-Treatment Visit of the Maintenance Phase (scheduled for Week 6) were calculated. (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (6 weeks)

,
Interventionunits on a scale (Mean)
Sleep Problem IndexOverall Quality of Sleep
Cebranopadol-62.720.5
Morphine Prolonged Release-53.78.1

[back to top]

Change in the Physical and Mental Component Scores From the Short Form 12® Health Survey (SF-12)

"The Physical and Mental Component Scores are calculated from the responses by participants to 12 questions. These 12 questions cover 8 domains, (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role participation with emotional health problems, and mental health) that a participant was asked to rate over the last week. Questions are scored on a Likert-scale.~The Physical and Mental Component Scores were not derived as the trial was terminated.~Changes in the individual item scores are therefore reported. A higher score indicates a better participant perceived state of health. All domains were scored on a scale from 0 (lowest level of health) to 100 (highest level of health), with 100 representing the best possible health state.~If the values are positive there was an improvement. The higher the value the greater the improvement." (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (6 weeks)

,
Interventionunits on a scale (Mean)
Physical functionRole physicalBodily painGeneral healthVitalitySocial functionRole emotionalMental health
Cebranopadol7.15.110.25.40.07.13.33.1
Morphine Prolonged Release9.96.49.09.210.45.20.26.1

[back to top]

Response Rate to Treatment

Pain intensity will be recorded daily by each participant in the morning on an 11-point Numerical Rating Scale, ranging from 0 (no pain) to 10 (worst imaginable pain). From this, the weekly average 24-hour pain intensity will be calculated. The number of participants with a 0, 10, 20, 30, up to a 100% reduction in weekly mean pain intensity will be reported over each week and over the last 2 weeks of the maintenance period. (NCT01964378)
Timeframe: Baseline; last 2 weeks of the expected 6-week treatment period

,
InterventionParticipants (Count of Participants)
Non-responder>= 0% pain reduction>= 10% pain reduction>= 20% pain reduction>= 30% pain reduction>= 40% pain reduction>= 50% pain reduction>= 60% pain reduction>= 70% pain reduction>= 80% pain reduction>= 90% pain reduction100% pain reduction
Cebranopadol1351504439312619131053
Morphine Prolonged Release95252504237271811822

[back to top]

Overall Score of the Patient Assessment of Constipation Symptoms (PAC-SYM)

The PAC-SYM is a 12-item self-administered questionnaire that assesses the severity of constipation-related symptoms during past 2 weeks. Items are rated on a 5-point Likert scale, where 0 = absent, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe.The PAC-SYM contains 3 subscales: stool symptoms (5 items), abdominal symptoms (4 items), rectal symptoms (3 items). If at least 6 items are assessed, the PAC-SYM overall score is calculated as the sum of the scores of all non-missing items divided by number of non-missing items. The minimum overall score is 0, the maximum overall score is 4. If more than 6 items are missing, no overall score is calculated. Changes from baseline for the overall score are presented. If the changes in the overall (or subscale) scores are positive then there is a worsening in symptoms associated with constipation. (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (6 weeks)

Interventionunits on a scale (Mean)
Cebranopadol0.07
Morphine Prolonged Release0.07

[back to top]

Average Amount of Daily Rescue Medication at the End of the Maintenance Period (Full Analysis Set)

Morphine sulfate IR 10 mg tablets were supplied as rescue medication to trial participants. No dose adjustments of the morphine prolonged release or cebranopadol were allowed during the maintenance period. The daily use of morphine sulfate 10 mg IR tablets was documented by each participant in the trial. The total daily amount of morphine IR was subject to an upper limit recommendation. The primary endpoint is the average amount of daily rescue medication intake over the last 2 weeks of the maintenance period. (NCT01964378)
Timeframe: The last 2 weeks of the expected 6-week treatment period.

Interventionmilligram(s)/24 hours (Least Squares Mean)
Cebranopadol3.46
Morphine Prolonged Release10.94

[back to top]

Average Amount of Daily Rescue Medication at the End of the Maintenance Period (Per Protocol Set)

Morphine sulfate immediate release (IR) 10 mg tablets were supplied as rescue medication to trial participants. No dose adjustments of the morphine prolonged release or cebranopadol were allowed during the maintenance period. The daily use of morphine sulfate 10 mg IR tablets was documented by each participant in the trial. The total daily amount of morphine IR was subject to an upper limit recommendation. The primary endpoint is the average amount of daily rescue medication intake over the last 2 weeks of the maintenance period. (NCT01964378)
Timeframe: The last 2 weeks of the expected 6-week treatment period.

Interventionmilligram(s)/24 hours (Least Squares Mean)
Cebranopadol4.25
Morphine Prolonged Release8.92

[back to top]

Change in Weekly Mean of the Daily Average Pain Intensity Score From Baseline

"Participants will be asked: Please rate your pain by selecting the one number that best describes your pain on average during the last 24 hours. every day in the morning. They will score their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine. The weekly mean value of the 24-h average pain intensity will be calculated as a mean score of these daily entries of average pain intensity for each trial week." (NCT01964378)
Timeframe: Baseline; last 2 weeks of the expected 6-week treatment period

Interventionunits on a scale (Mean)
Cebranopadol-3.4
Morphine Prolonged Release-3.2

[back to top]

Change in Weekly Mean of the Daily Worst Pain Intensity Score From Baseline

"Participants will be asked: Please rate your pain by selecting the one number that best describes your pain at its worst during the last 24 hours. every day in the morning. They will score their pain intensity on an 11-point Numerical Rating Scale (NRS) where a score of 0 indicated no pain and a score of 10 indicated pain as bad as you can imagine. The weekly mean value of the 24 h worst pain intensity will be calculated as a mean score of these daily entries of worst pain intensity for each trial week. A positive change from baseline will indicate a worsening, whilst a negative change will indicate an improvement of pain." (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (6 weeks)

Interventionunits on a scale (Mean)
Cebranopadol-3.3
Morphine Prolonged Release-3.3

[back to top]

Overall Score of the Neuropathic Pain Symptom Inventory (NPSI)

"Participants with neuropathic pain (determined by the completion of the Douleur Neuropathique En 4 Questions [DN4] questionnaire at allocation) rated their symptoms of neuropathic pain on the Neuropathic Pain Symptom Inventory (NPSI). Ten out of 12 questions were answered on an 11-point scale 0 (no symptom present) to 10 (worst imaginable); 2 out of 12 questions assessed the duration of spontaneous pain and the number of pain attacks and were answered by selecting 1 of 5 possible responses.~Mean scores of NPSI were calculated. The overall NPSI score was calculated by the summation of all responses in the ranges between 0 (all symptoms absent) and 1 (all symptoms present and at the worst intensity). A negative change indicates that the intensity of all the neuropathic symptom components have decreased since the start of treatment." (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (Week 6)

Interventionunits on a scale (Mean)
Cebranopadol-0.15
Morphine Prolonged Release-0.10

[back to top]

EuroQol-5 Dimension (EQ-5D) Health Questionnaire: Visual Analog Scale (VAS) Score

The EuroQol-5 Dimension Health Questionnaire is a generic health related quality of life instrument. EuroQoL-5D Health State Visual Analog Scale (VAS) is a participant rated questionnaire to assess health-related quality of life in terms of a single index value. The VAS component rates current health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state); higher scores indicate a better health state. The values indicated represent the change from the baseline, a positive value indicates an improvement. (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (6 weeks)

Interventionunits on a scale (Mean)
Cebranopadol-0.1
Morphine Prolonged Release15.1

[back to top]

EuroQol-5 Dimension (EQ-5D) Health Questionnaire: Weighted EQ-5D Health Status Index

"The EuroQol-5 Dimension Health Questionnaire is a generic health related quality of life instrument. The participants will answer 5 questions on 5 dimensions of their health related quality of life: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each question has 3 possible answers reflecting 3 levels of impact on the quality of life. The weighted EQ-5D health status index values are derived and reported as change from baseline. The responses to the 5 EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score (with 1 indicating full health and 0 representing dead). The higher the values (the closer the value is to 1) the better the health status in a treatment group.~A positive change indicates an improvement." (NCT01964378)
Timeframe: Baseline; End-of-Treatment Visit (6 weeks)

Interventionunits on a scale (Mean)
Cebranopadol0.1
Morphine Prolonged Release0.2

[back to top]

Repeat Epidural Blood Patch

Repeated epidural blood patch for headache pain after unintentional dural puncture. (NCT01977898)
Timeframe: After first epidural blood patch to 5 days after delivery

InterventionParticipants (Count of Participants)
Morphine1
Saline1

[back to top]

Treatment Method for Headache

Treatment method completed for unintentional dural puncture headache. (NCT01977898)
Timeframe: Unintentional dural puncture - Postpartum day 5

,
InterventionParticipants (Count of Participants)
Epidural blood patchOral analgesicsHydration
Morphine1191
Saline10161

[back to top]

Severity of Post Dural Puncture Headache

Severity of post dural puncture headache on a numerical rating scale 0= no pain and 10= worst pain imaginable from the time of delivery to postpartum day 5. (NCT01977898)
Timeframe: Time of unintentional dural puncture to postpartum day 5

Interventionscore on a scale (Median)
Morphine7
Saline7.5

[back to top]

Greatest Level of Headache Pain Experienced With the Unintentional Dural Puncture

Greatest reported headache pain associated with unintentional dural puncture reported on a scale of 0= no pain to 10= worst pain imaginable. (NCT01977898)
Timeframe: 5 days

InterventionScore on a scale (0=no pain to 10 worst) (Median)
Morphine7
Saline7.5

[back to top]

Participants Who Report Post Dural Puncture Headaches

Participants who report post dural puncture headaches from delivery to postpartum day 5 (NCT01977898)
Timeframe: 5 days

InterventionParticipants (Count of Participants)
Morphine21
Saline27

[back to top]

Intrathecal Infusion Volume

Intrathecal infusion volume in milliliters (NCT01977898)
Timeframe: Time of insertion of catheter to time catheter removed

InterventionMilliters (Median)
Morphine12.9
Saline16.2

[back to top]

Intrathecal Catheter Dwell Time

Intrathecal catheter dwell time(time from insertion to time of removal in minutes). (NCT01977898)
Timeframe: Insertion time to removal in minutes

InterventionInsertion to removal time in minutes (Median)
Morphine418
Saline427

[back to top]

Nausea

Patients will be evaluated by a member of the study team at 24 hours after spinal administration. The number of patients with moderate or severe nausea will be recorded. (NCT02009722)
Timeframe: 24 hours after spinal

Interventionparticipants (Number)
Intrathecal Hydromorphone1
Intrathecal Morphine4

[back to top]

Nausea

Patients will be evaluated by a member of the study team at 12 hours after spinal administration. The number of patients with moderate or severe nausea will be recorded. (NCT02009722)
Timeframe: 12 hours after spinal

Interventionparticipants (Number)
Intrathecal Hydromorphone7
Intrathecal Morphine5

[back to top]

Dose of IT Morphine and IT Hydromorphone for Adequate Analgesia (Pain Score Less Than or Equal to 3) in 90% of Patients

Each patient will be interviewed by a member of the study team 12 hours after receiving their spinal anesthetic (which will include either hydromorphone or morphine). Patients will be asked to rate their current level of pain on a scale of 0 (no pain) to 10 (worst pain imaginable). A pain score <4 will be considered a success. The up-down sequential allocation method will be used to determine the dose (mcg) of IT hydromorphone and IT morphine for subsequent patients (NCT02009722)
Timeframe: 12 hours after administration of spinal anesthesia

Interventionmicrograms (Number)
Intrathecal Hydromorphone75
Intrathecal Morphine150

[back to top]

Pruritus

Patients will be evaluated by a member of the study team at 24 hours after spinal administration. The number of patients with moderate or severe pruritus will be recorded. (NCT02009722)
Timeframe: 24 hours after spinal

Interventionparticipants (Number)
Intrathecal Hydromorphone8
Intrathecal Morphine8

[back to top]

Pruritus

Patients will be evaluated by a member of the study team at 12 hours after spinal administration. The number of patients with moderate or severe pruritus will be recorded. (NCT02009722)
Timeframe: 12 hours after spinal

Interventionparticipants (Number)
Intrathecal Hydromorphone10
Intrathecal Morphine9

[back to top]

Treatment for Pruritus

The number of patients needing medical treatment for pruritus in first 24 hours after surgery (NCT02009722)
Timeframe: First 24 hours after spinal

Interventionparticipants (Number)
Intrathecal Hydromorphone8
Intrathecal Morphine4

[back to top]

Treatment for Nausea

number of patients needing medication treatment for nausea in first 24 hours (NCT02009722)
Timeframe: First 24 hours

Interventionparticipants (Number)
Intrathecal Hydromorphone13
Intrathecal Morphine17

[back to top]

Side Effects: Nausea

Patients will be evaluated by a member of the study team at 6 hours after spinal administration. Patients with moderate or severe nausea will be recorded. (NCT02009722)
Timeframe: 6 hours after spinal

Interventionparticipants (Number)
Intrathecal Hydromorphone11
Intrathecal Morphine16

[back to top]

Side Effects: Pruritus

Patients will be evaluated by a member of the study team at 6 hours after spinal administration. The number of patients with moderate or severe pruritus will be recorded. (NCT02009722)
Timeframe: 6 hours after spinal administration

Interventionparticipants (Number)
Intrathecal Hydromorphone23
Intrathecal Morphine19

[back to top]

Side Effects: Sedation

Patients will be evaluated by a member of the study team at 6, 12, and 24 hours after spinal administration. The presence of sedation will be graded by the Richmond Agitation Sedation Scale. Patients with a score of (-)2 or lower on the Richmond were classified as being positive for sedation. (NCT02009722)
Timeframe: 6, 12, and 24 hours after spinal administration

Interventionparticipants (Number)
Intrathecal Hydromorphone0
Intrathecal Morphine0

[back to top]

Time of Hospitalization

To see if the hospitalization time is shortened or not by the experimental treatment. (NCT02046772)
Timeframe: Up to 72 hours after the intervention

,
Interventionparticipants (Number)
1 day of hospitalization2 days of hospitalization3 days of hospitalization
Bupivacaine + Morphine Chloride2631
Bupivacaine Standard Dose3021

[back to top]

Number of Adverse Events

To assess if the experimental treatment causes less, equal or more adverse events than the comparator treatment. (NCT02046772)
Timeframe: Up to 72 hours from the intervention and the hopitalary stay and during the next 7 days after discharge

,
Interventionparticipants (Number)
PruritusUrinary retentionNausea/VomitsFever
Bupivacaine + Morphine Chloride2701
Bupivacaine Standard Dose0310

[back to top]

Measurement of Time to Start the Anaesthetic Effect

To compare whether the addition of morphine chloride to a low dose intradural solution of the local anaesthetic bupivacaine is as effective as an administration of a single dose of bupivacaine. (NCT02046772)
Timeframe: First 20 minutes between administration and beginning of surgery

,
Interventionminutes (Mean)
Time to sensitive blockingTime to motor blocking
Bupivacaine + Morphine Chloride2.17.7
Bupivacaine Standard Dose1.64.7

[back to top]

Measurement of the Analgesic Effect After Surgery by VAS From 0 to 10, Where 0 is no Pain and 10 is the Worst Pain Imaginable.

To compare whether the addition of morphine chloride to a low dose solution of bupivacaine and improves the analgesic treatment than a single administration of bupivacaine. (NCT02046772)
Timeframe: Up to 72 hours from the end of the surgery in the hospital stay and during the next 7 days at home, after discharge

,
Interventionunits on a scale (Mean)
VAS at the enter in the reanimation unitVAS after 10 minutes in reanimation unitVAS after 30 minutes in reanimation unitVAS day 1 after surgeryVAS day 2 after surgeryVAS day 3 after surgeryVAS day 4 after surgeryVAS day 5 after surgeryVAS day 6 after surgeryVAS day 7 after surgery
Bupivacaine + Morphine Chloride0.0300.061.53.83.73.63.63.22.5
Bupivacaine Standard Dose0.150.30.723.344.54.443.53

[back to top]

Greater and Earlier Mobilization Measured by Bromage Scale.

"To assess whether the administration of morphine chloride in addition to a low dose solution of local intradural anaesthetic (bupivacaine) improves the mobilization of the patients after surgery more than the single intradural administration of bupivacaine.~Total Score in the Bromage Scale goes from 1 to 5, where:~1: complete motor blocking - 2: capable to move the feet - 3: moves the feet and bends the knee - 4: raise the leg straight more or less than 30 degrees but no against resistance - 5: raise the leg straight more than 30 degrees against resistance (no motor blocking)" (NCT02046772)
Timeframe: During the first 24 hours after surgery and at the entry and exit of the resuscitation unit

,
Interventionunits on a scale (Mean)
Bromage at the exit of surgeryBromage at the enter in the reanimation unitBromage at the exit of the reanimation unit
Bupivacaine + Morphine Chloride44.14.7
Bupivacaine Standard Dose3.73.84.8

[back to top]

Rescue Morphine Equivalent Administration During Postoperative Days 0-4

This outcome measures the amount of rescue morphine administered due to breakthrough pain in mg/kg by post-operative day 0-4. This captures additional opioids that were administered by a nurse through an IV. Opioids other than morphine that were administered for pain were multiplied by their equianalgesic conversion factor to calculate the IV Morphine equivalent. (NCT02056301)
Timeframe: Postoperative days 0-4

,
Interventionmg/kg (Mean)
Day 0Day 1Day 2Day 3Day 4
Epidural Catheter0.570.260.700.390.10
Patient Controlled Analgesia1.260.230.130.070.05

[back to top]

Total Morphine Equivalent Consumption During Postoperative Days 0-4

This outcome measures total amount of morphine administered in mg/kg by post-operative day 0-4. This captures all standard of care opioids delivered via their assigned cohort route (Epidural vs. IV PCA). Opioids other than morphine that were administered for pain were multiplied by their equianalgesic conversion factor to calculate the IV Morphine equivalent. (NCT02056301)
Timeframe: Postoperative days 0-4

,
Interventionmg/kg (Mean)
Day 0Day 1Day 2Day 3Day 4
Epidural Catheter0.140.230.610.920.45
Patient Controlled Analgesia0.750.900.670.570.39

[back to top]

Verbal Pain Scale Scores During Postoperative Days 0-4

The aim of this study is to compare the efficacy of epidural and IV analgesia in controlling pain in patients undergoing Nuss repair of pectus excavatum. The primary end point will be the mean pain scores during postoperative days (POD) 0-4. Pain was measured using the verbal pain scale. The scale ranges from 0-10. A score of 0 means the patient is in no pain. (NCT02056301)
Timeframe: Postoperative days 0-4

,
Interventionunits on a scale (Mean)
Post-Operative Day 0Post-Operative Day 1Post-Operative Day 2Post-Operative Day 3Post-Operative Day 4
Epidural Catheter2.281.112.142.732.14
Patient Controlled Analgesia3.692.772.252.692.24

[back to top] [back to top]

Total Opioid Burden

Total opioid consumed (IV and PO) postsurgically until hospital discharge order is written or through Day 30, whichever is sooner. (NCT02058290)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventionmg (Mean)
IV Morphine Sulfate or Sponsor-approved Equivalent96.47
EXPAREL32.06

[back to top]

Patient Satisfaction With Pain Treatment After Surgery

Responses to question pertaining to patient satisfaction with pain treatment (NCT02058290)
Timeframe: Wound closure at time hospital discharge order is written or Day 30, whichever is sooner.

,
Interventionparticipants (Number)
Extremely SatisfiedSatisfiedNeither Satisfied nor DissatisfiedDissatisfiedExtremely DissatisfiedNot Reported
EXPAREL1752002
IV Morphine Sulfate or Sponsor-approved Equivalent30190313

[back to top]

Health Economic Benefits - Total Cost of Hospitalization

Total cost of hospitalization until the time hospital discharge order is written or through Day 30, whichever was sooner. (NCT02058290)
Timeframe: Wound closure to time hospital discharge order is written or Day 30, whichever is sooner.

Interventiondollars (Mean)
IV Morphine Sulfate or Sponsor-approved Equivalent15158.79
EXPAREL14802.70

[back to top]

Health Economic Benefits - Length of Stay (LOS)

Length of stay, recorded in days, defined as the time of completion of the wound closure until the hospital discharge order is written or through Day 30, whichever is sooner. (NCT02058290)
Timeframe: Wound closure at time hospital discharge order is written or Day 30, whichever is sooner

Interventiondays (Median)
IV Morphine Sulfate or Sponsor-approved Equivalent4.0
EXPAREL3.0

[back to top]

Pain Intensity - Percentage of Children Who Achieved VAS < 30 mm

"Percentage of participants which pain intensity has decreased under 30 mm on the VAS at 60 minutes.~The Visual Analogue Scale is a 0 to 100 mm continuous scale measuring the pain intensity. Score of 0=No Pain; Score of 100=Worst imaginable pain" (NCT02064894)
Timeframe: 60 minutes post-analgesia

InterventionPercentage of participants (Number)
Oral Morphine and Oral Ibuprofen33.0
Morphine and Placebo of Ibuprofen29.3
Ibuprofen and Placebo of Morphine29.9

[back to top]

Serious Adverse Event - Side Effects and Serious Adverse Events

To verify the occurence of any serious adverse event, such as respiratory depression or deep sedation, during all the time-periods of the study (NCT02064894)
Timeframe: 60, 90 and 120 minutes

,,
InterventionParticipants (Count of Participants)
Side effectsSerious adverse event
Ibuprofen and Placebo of Morphine380
Morphine and Placebo of Ibuprofen390
Oral Morphine and Oral Ibuprofen60

[back to top]

Pain Score

Assess pain scores on a scale of 1-5, with higher score indicating more pain. (NCT02096003)
Timeframe: at 24 hours

Interventionscore on a scale (Mean)
Intrathecal Morphine4.8
Intrathecal Hydromorphone4.7

[back to top]

Patient Satisfaction Score

Patient satisfaction score - total scale of 1-5, with higher score indicating more satisfaction (NCT02096003)
Timeframe: at 24 hours

Interventionscore on a scale (Mean)
Intrathecal Morphine4.8
Intrathecal Hydromorphone4.6

[back to top]

Symptom Scale for Two Specific Side Effects of Nausea and Pruritus

Symptom scale for nausea and pruritus. Full scale from 1-5, with higher score indicating more symptoms. (NCT02096003)
Timeframe: up to 24 hours

,
Interventionscore on a scale (Mean)
NauseaPruritus
Intrathecal Hydromorphone4.74
Intrathecal Morphine4.43.8

[back to top]

Post Operative Fentanyl PCA Consumption

Total dose of fentanyl patient controlled analgesia (pca) used in 24 hours post-op. (NCT02096003)
Timeframe: at 24 hours

Interventionµg (Mean)
Intrathecal Morphine300
Intrathecal Hydromorphone446

[back to top]

Time Weighted Average (TWA) Change From Baseline in Pain Score Over 48 Hours Between TRV130 and Placebo

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 48 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (48 hours) to yield values on the 0-10 NPRS. (NCT02100748)
Timeframe: 48 hours

Interventionscore on a scale (Mean)
Part A - TRV130 1 mg-3.1
Part A - TRV130 2 mg-3.1
Part A - TRV130 3 mg-2.6
Part A - TRV130 4 mg-3.3
Part A - Morphine-4.1
Part A - Placebo-3.2
Part B - TRV130 0.5 mg-3.0
Part B - TRV130 1 mg-2.9
Part B - TRV130 2 mg-3.7
Part B - TRV130 3 mg-5.0
Part B - Placebo-2.8
Part B - Morphine-4.0

[back to top]

Itching

The itching assessment is made using a Visual Analog Scale (VAS). VAS is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. Scale ranges from 0 indicating no itching to 100 indicating the most severe itching. (NCT02143141)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Duramorph55.3
no Duramorph1.3

[back to top]

Nausea/Vomiting

The nausea/vomiting assessment is made using a Visual Analog Scale (VAS). VAS is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. Scale ranges from 0 indicating no nausea/vomiting to 100 indicating the most severe nausea/vomiting. (NCT02143141)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Duramorph37
no Duramorph6.2

[back to top]

Pain

Pain assessment is made using a Visual Analog Scale (VAS). VAS is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. Scale ranges from 0 indicating no pain to 100 indicating the most severe pain. (NCT02143141)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Duramorph56
no Duramorph21

[back to top]

Tolerability Over the Complete Trial Period

"Tolerability was assessed by the number of participants with exactly 1 to more than 5 treatment emergent adverse events (TEAE) by treatment group during the different trial periods, on a participant level.~In addition, tolerability was assessed by the number of participants with TEAEs which were considered by the investigator to be at least possibly related to the treatment the participant received." (NCT02151682)
Timeframe: Part 1: Day 1 (Start of Part 1) to Day 14; Part 2: Day 15 to Day 379 (End of Part 2)

,,
Interventionparticipants (Number)
Participants without any TEAEParticipants with at least 1 TEAEParticipants with exactly 1 TEAEParticipants with exactly 2 TEAEsParticipants with exactly 3 TEAEsParticipants with exactly 4 TEAEsParticipants with exactly 5 TEAEsParticipants with more than 5 TEAEsParticipants with related TEAEs
Morphine Prolonged-release (Part 1)12121222146
Tapentadol Prolonged-release (Part 1)192675413612
Tapentadol Prolonged-release (Part 2)630522431413

[back to top]

Time to First Intake of Rescue Medication in the Open-label, Active-controlled Treatment Period (Part 1)

"Morphine oral solution could be given during Part 1 as rescue medication in both treatment groups. The dose per rescue medication intake was 1/6 of the total daily dose of the scheduled tapentadol or morphine PR intakes. Rescue medication administration times and doses were recorded.~18 Participants in the morphine PR group and 27 participants in the tapentadol PR group had no documented intake of rescue medication between Day 1 and Day 14.~Summary statistics were calculated based on participants with any intake, i.e., those that took at least 1 dose of rescue medication. The mean (standard deviation) time (hours) to first dose of rescue medication following the first dose of the IMP (on Day 1) is presented." (NCT02151682)
Timeframe: From Day 1 up to Day 14 (End of Part 1)

,
Interventionhours (Mean)
Participants with rescue medication intakeParticipants with no rescue medication intake
Morphine Prolonged-release (Part 1)39.7NA
Tapentadol Prolonged-release (Part 1)74.6NA

[back to top]

Number of Participants Classified as Responder (Part 1)

"The proportion of participants classified as responders was assessed and compared between the treatment groups.~A participant was defined as responder if both of the following criteria were met:~Completion of the 14-day Treatment Period (Part 1).~One of the following calculated from the scheduled pain assessments (pain right now) documented during the last 3 days of the Treatment Period:~Average pain less than 50 on a visual analog scale (VAS, range 0 [no pain] to 100 [pain as bad as it could be]) for participants aged 12 years to less than 18 years; or less than 5 on the Faces Pain Scale-revised (FPS-R, range 0 [no pain] and 10 [very much pain]) for participants aged 6 years to less than 12 years.~Average reduction from baseline of pain greater than or equal to 20 on a VAS for participants aged 12 years to less than 18 years; or greater than or equal to 2 on the FPS-R for participants aged 6 years to less than 12 years." (NCT02151682)
Timeframe: From Day 1 up to Day 14 (End of Part 1)

InterventionParticipants (Count of Participants)
Morphine Prolonged-release (Part 1)19
Tapentadol Prolonged-release (Part 1)32

[back to top]

Change in Pain Intensity in the Open-label, Active-controlled Treatment Period (Part 1)

"Pain intensity was assessed by scoring Pain right now twice daily up to Day 14 by every participant using the Visual Analog Scale (VAS) as well as the Faces Pain Scale-Revised (FPS-R) in an electronic diary. Pain intensity was first documented using the VAS and directly thereafter the FPS-R. If required, pain intensity diary entry could be assisted by the legal guardian or a health care provider.~The VAS is scored from 0, equivalent to no pain, to 100, equivalent to pain as bad as it could be.~The FPS-R is a validated self-reported 6-point scale with 0 representing no pain and 10 representing very much pain. Facial representations were used to indicate how much the pain hurts.~The pain right now scores at baseline (last evaluation before starting IMP) and the mean of last 6 assessments collected up to the time point of last IMP intake in Part 1 (i.e., Day 14 or the day of early discontinuation) were used for the calculation of the change in pain intensity from baseline." (NCT02151682)
Timeframe: From Baseline up to Day 14 (End of Part 1) or early discontinuation

,
Interventionunits on a scale (Mean)
Pain intensity change from Baseline (FPS-R)Pain intensity change from Baseline (VAS)
Morphine Prolonged-release (Part 1)-2.0-23.4
Tapentadol Prolonged-release (Part 1)-1.9-18.8

[back to top]

Change From Baseline in Subjective Opiate Withdrawal Scale (SOWS)

"Opiate withdrawal symptoms were assessed using the Subjective Opiate Withdrawal Scale (SOWS) questionnaire. The SOWS is designed to reflect common motoric, autonomic, musculoskeletal, and psychic signs and symptoms of opiate withdrawal. Each participant was requested to rate the first 15 items of the 16-item questionnaire for 7 days after last IMP intake. Participants rated the intensity of specific signs and symptoms on a scale of 0 (not at all) to 4 (extremely). The minimum overall score is 0, the maximum score is 64.~SOWS Total Score at baseline (i.e., for Part 1 = Day 14-17, for Part 2 = Day 352-380, or the day after an early termination visit (Part 1/2)), and changes from baseline 2-7 days after last intake of IMP in Part 1 (= up to Day 23) and in Part 2 (= up to Day 386) are presented." (NCT02151682)
Timeframe: From Day 1 to Day 386 (End of Part 2 + 7 days)

,,
Interventionunits on a scale (Mean)
Total score at baselineChange Day 2 after last IMP intakeChange Day 3 after last IMP intakeChange Day 4 after last IMP intakeChange Day 5 after last IMP intakeChange Day 6 after last IMP intakeChange Day 7 after last IMP intake
Morphine Prolonged-release (Part 1)4.0-0.4-1.6-1.7-1.6-2.3-2.7
Tapentadol Prolonged-release (Part 1)6.9-1.7-2.3-3.9-3.8-3.6-5.1
Tapentadol Prolonged-release (Part 2)6.1-0.7-0.3-0.10-0.6-1.4

[back to top]

Time to Discontinuation (Treatment Emergent Adverse Events) in Part 2

The time to discontinuation from IMP due to treatment emergent adverse events (TEAEs) was analyzed for tapentadol PR treatment in Part 2 of the study. (NCT02151682)
Timeframe: From first day in Part 2 (Day 15) to last day in Part 2 (Day 379)

Interventionweeks (Mean)
Tapentadol Prolonged-release (Part 2)5.3

[back to top]

Time to Discontinuation (Treatment Emergent Adverse Events) in Part 1

"The time to discontinuation from IMP due to treatment emergent adverse events (TEAEs) was analyzed for both treatment arms (tapentadol PR and morphine PR) in Part 1 of the study.~Note that no participant discontinued due to a TEAE in the morphine PR arm, and 2 participants in the tapentadol PR arm." (NCT02151682)
Timeframe: From first day in Part 1 (Day 1) to last day in Part 1 (Day 14)

Interventiondays (Mean)
Morphine Prolonged-release (Part 1)NA
Tapentadol Prolonged-release (Part 1)3.0

[back to top]

Serum Concentrations of Tapentadol-O-glucuronide (Part 1)

"Tapentadol-O-glucuronide is a metabolite of tapentadol. The body transforms tapentadol into its metabolites so that it can be more easily/quickly removed from the body. Tapentadol-O-glucuronide serum concentrations were measured in participants who received tapentadol PR in Part 1.~All participants who had quantifiable serum concentrations were included in the descriptive pharmacokinetic analysis. Data from participants who vomited within 6 hours of administration of IMP during Part 1 were carefully assessed to decide if they should be included in the pharmacokinetic analysis." (NCT02151682)
Timeframe: From Day 1 to Day 14 (End of Part1)

,,
Interventionnanograms per milliliter (Mean)
Day 1Day 14
Tapentadol Prolonged-release (12 Years to Less Than 18 Years)786.71700.3
Tapentadol Prolonged-release (6 Years to Less Than 12 Years)603.21223.8
Tapentadol Prolonged-release (All Participants)731.71557.3

[back to top]

Time to Discontinuation (Lack of Efficacy) in Part 2

The time to discontinuation from IMP due to lack of efficacy was analyzed for tapentadol PR treatment in Part 2 of the trial. (NCT02151682)
Timeframe: From first day in Part 2 (Day 15) to last day in Part 2 (Day 379)

Interventionweeks (Mean)
Tapentadol Prolonged-release (Part 2)30.9

[back to top]

Use of Rescue Medication in the Open-Label, Active-controlled Treatment Period (Part 1)

"Due to an overall low intake of rescue medication, it was not appropriate to present the number of doses of oral morphine solution used at different dose levels of investigational medicinal product (IMP) but the average daily dose (milligrams per kilogram body weight) for the treatment period and a modified average daily dose. Average daily dose and modified average daily dose were both calculated based on drug accountability.~For the modified average daily doses, implausible values were excluded from the analysis, i.e., the amount of rescue medication that was lost due to a broken bottle was excluded from the analysis and negative amounts of rescue medication intakes due to measurement inaccuracies for bottle weights were considered as no intake." (NCT02151682)
Timeframe: From Day 1 up to Day 14 (End of Part 1)

,
Interventionmilligrams per kilogram per day (Mean)
Average daily doseModified average daily dose
Morphine Prolonged-release (Part 1)0.070.08
Tapentadol Prolonged-release (Part 1)0.460.11

[back to top]

Extent of Constipation (Part 2)

"Constipation was assessed using the modified constipation assessment scale (mCAS). This is an 8-item questionnaire where the observer has scored constipation on a nominal scale (no problem [score 0], some problem [score 1] or severe problem [score 2]). The response to an item could also be scored as unable to assess.~The Total Score can vary from 0-16; the higher the Total Score the higher the extent of constipation. A positive change from baseline to last assessment indicates a worsening, a negative change an improvement." (NCT02151682)
Timeframe: From baseline (Day 15 or switch) to last assessment (up to Day 379 of Part 2)

,,,
Interventionunits on a scale (Mean)
BaselineLast assessmentChange from baseline
Observation Period After Morphine in Part 12.50.4-1.6
Observation Period After Tapentadol in Part 11.80.4-1.4
Observation Period After Tapentadol in Part 21.50.8-1.4
Tapentadol in Part 2 After Tapentadol or Morphine in Part 12.31.8-0.7

[back to top]

Extent of Constipation (Part 1)

"Constipation was assessed using the modified constipation assessment scale (mCAS). This is an 8-item questionnaire where the observer has scored constipation on a nominal scale (no Problem [score 0], some problem [score 1] or severe Problem [score 2]). The response to an item could also be scored as unable to assess.~The Total Score can vary from 0-16; the higher the Total Score the higher the extent of constipation. A positive change from Day 1 to Day 14 indicates a worsening, a negative change an improvement." (NCT02151682)
Timeframe: From Day 1 to Day 14 (End of Part 1)

,
Interventionscore on a scale (Mean)
Day 1Day 14Change from Day 1
Morphine Prolonged-release (Part 1)2.72.7-0.1
Tapentadol Prolonged-release (Part 1)1.51.80.4

[back to top]

Change in Pain Intensity in the Tapentadol Open-label Extension Period (Part 2)

"Pain intensity was assessed by scoring Pain right now using the Visual Analog Scale (VAS) as well as the Faces Pain Scale-Revised (FPS-R) at each visit. The pain intensity was first documented using the VAS and directly thereafter the FPS-R. If required, pain intensity assessments could be assisted by the legal guardian or a health care provider.~The VAS is scored from 0, equivalent to no pain, to 100, equivalent to pain as bad as it could be. The FPS-R is a validated self-reported 6-point scale with 0 representing no pain and 10 representing very much pain. Facial representations were used to indicate how much the pain hurts.~The pain right now score at the tapentadol baseline (last evaluation before or at Day 15) and at the last assessment for those subjects who completed the 12 months treatment of Part 2 were used for the calculation of the change in pain intensity from the tapentadol baseline." (NCT02151682)
Timeframe: From Day 15 to Day 379 (End of Part 2)

Interventionunits on a scale (Mean)
Pain intensity change (FPR-S) from Day 15Pain intensity change (VAS) from Day 15
Tapentadol Prolonged-release (Part 2)0-11.7

[back to top]

Serum Concentrations of Tapentadol (Part 1)

"Tapentadol serum concentrations were measured in participants in the tapentadol treatment arm (Part 1).~All participants who had quantifiable serum concentrations during the Treatment Period were included in the descriptive pharmacokinetic analysis. Data from participants who vomited within 6 hours of administration of IMP during the Treatment Period were carefully assessed to decide if the data should be included in the pharmacokinetic analysis." (NCT02151682)
Timeframe: From Day 1 to Day 14 (End of Part 1)

,,
Interventionnanograms per milliliter (Mean)
Day 1Day 14
Tapentadol Prolonged-release (12 Years to Less Than 18 Years)19.948.5
Tapentadol Prolonged-release (6 Years to Less Than 12 Years)17.235.6
Tapentadol Prolonged-release (All Participants)19.144.7

[back to top]

Time to Post-operative Rescue Opioids (Hours)

(NCT02197273)
Timeframe: Immediately following discharge from operating room until the participant was discharged from the hospital, an expected average of 3 days

Interventionhours (Median)
Standard of Care Analgesia7.7
Liposomal Bupivacaine11.8

[back to top]

Readmission or Emergency Department (ED) Visit Due to Pain Control Within 30 Days

(NCT02197273)
Timeframe: Date of discharge through 30 days following discharge

Interventionparticipants (Number)
Standard of Care Analgesia2
Liposomal Bupivacaine4

[back to top]

Length of Stay in Hospital (Days)

(NCT02197273)
Timeframe: Participants were followed for the duration of hospital stay, an expected average of 3 days

Interventiondays (Median)
Standard of Care Analgesia2.0
Liposomal Bupivacaine2.0

[back to top]

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VerifyNow

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity (HPR) Evaluated With VerifyNow (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine1.0
Placebo0.5

[back to top]

Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-12h)

Exposure to ticagrelor metabolite during the first 12 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h, 12h post dose

Interventionng*h/mL (Mean)
Morphine1503
Placebo2388

[back to top]

Area Under the Plasma Concentration-time Curve for AR-C124910XX (AUC 0-6)

Exposure to ticagrelor metabolite during the first 6 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h post dose

Interventionng*h/mL (Median)
Morphine472
Placebo1001

[back to top]

Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-12h)

Exposure to ticagrelor during the first 12 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h, 12h post dose

Interventionng*h/mL (Mean)
Morphine6307
Placebo9791

[back to top]

Area Under the Plasma Concentration-time Curve for Ticagrelor (AUC 0-6h)

Exposure to ticagrelor during the first 6 hours after ticagrelor loading dose (NCT02217878)
Timeframe: prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h post dose

Interventionng*h/mL (Median)
Morphine2491
Placebo5587

[back to top]

Maximum Concentration of AR-C124910XX

Maximum concentration (Cmax) of AR-C124910XX (NCT02217878)
Timeframe: 12 hours

Interventionng/mL (Median)
Morphine1085
Placebo1043

[back to top]

Maximum Concentration of Ticagrelor

Maximum concentration (Cmax) of ticagrelor (NCT02217878)
Timeframe: 12 hours

Interventionng/mL (Mean)
Morphine1156
Placebo1683

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 1 hour post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine206.5
Placebo117.0

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 12 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine9.0
Placebo7.5

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 2 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine137.0
Placebo44.0

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 3 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine113.0
Placebo15.0

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 30 minutes post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine268.5
Placebo210.5

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 4 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine50.5
Placebo9.0

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: 6 hours post ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine44.5
Placebo8.0

[back to top]

P2Y12 Reaction Units Assessed by VerifyNow

P2Y12 Reaction Units (PRU) Assessed by VerifyNow (cut-off value for high platelet reactivity: PRU >208) (NCT02217878)
Timeframe: prior to the initial ticagrelor dose

InterventionP2Y12 Reaction Units (Median)
Morphine232.5
Placebo238.5

[back to top]

Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With MEA

Percentage of Patients With High Platelet Reactivity (HPR) After the Loading Dose of Ticagrelor Assessed With MEA (NCT02217878)
Timeframe: 2 hours

InterventionPercentage of Patients With HPR (Number)
Morphine40
Placebo14

[back to top]

Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VASP

Percentage of Patients With High Platelet Reactivity (HPR) After the Loading Dose of Ticagrelor Assessed With VASP (NCT02217878)
Timeframe: 2 hours

InterventionPercentage of Patients With HPR (Number)
Morphine57
Placebo29

[back to top]

Percentage of Patients With High Platelet Reactivity After the Loading Dose of Ticagrelor Assessed With VerifyNow

Percentage of Patients With High Platelet Reactivity (HPR) After the Loading Dose of Ticagrelor Assessed With VerifyNow (NCT02217878)
Timeframe: 2 hours

InterventionPercentage of Patients With HPR (Number)
Morphine36
Placebo19

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 1 hour post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine59
Placebo23

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 12 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine19
Placebo11

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 2 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine31
Placebo23

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 3 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine27
Placebo17

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 30 minutes post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine86
Placebo48

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 4 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine29
Placebo13

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: 6 hours post ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine19
Placebo11

[back to top]

Platelet Arbitrary Aggregation Units Assessed by Multiple Electrode Aggregometry

Platelet reactivity assessed by Multiple Electrode Aggregometry (cut-off value for high platelet reactivity: AUC >46 Platelet Arbitrary Aggregation Units) (NCT02217878)
Timeframe: prior to the initial ticagrelor dose

InterventionPlatelet Arbitrary Aggregation Units (Median)
Morphine85
Placebo77

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 1 hour post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine70.2
Placebo42.0

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 12 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine27.5
Placebo15.6

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 2 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine52.1
Placebo26.2

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 3 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine37.8
Placebo26.0

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 30 minutes post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine83.2
Placebo73.9

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 4 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine36.9
Placebo23.2

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: 6 hours post ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine27.9
Placebo19.7

[back to top]

Platelet Reactivity Index Assessed by VASP Assay

Platelet Reactivity Index (PRI) evaluated by VASP assay (cut-off value for high platelet reactivity: PRI >50%) (NCT02217878)
Timeframe: prior to the initial ticagrelor dose

InterventionPlatelet Reactivity Index (%) (Median)
Morphine88.5
Placebo88.3

[back to top]

Time to Maximum Concentration for AR-C124910XX

Time to maximum concentration (Tmax) for AR-C124910XX (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine4
Placebo4

[back to top]

Time to Maximum Concentration for Ticagrelor

Time to maximum concentration (Tmax) for ticagrelor (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine4
Placebo2

[back to top]

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With MEA

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity (HPR) Evaluated With MEA (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine2.0
Placebo1.0

[back to top]

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity Evaluated With VASP

Time to Reach Platelet Reactivity Below the Cut-off Value for High Platelet Reactivity (HPR) Evaluated With VASP (NCT02217878)
Timeframe: 12 hours

Interventionhours (Median)
Morphine2.0
Placebo1

[back to top]

Change in Pain Visual Analogue Scale (VAS) Scores Over Time

"Pain severity was assessed at arrival and every 30 minutes until discharge from the ED using a 100 mm visual analogue scale (VAS). The VAS range is 0 to 100 with 0 indicating no pain and 100 indicating pain as bad as it could be or worst imaginable pain. Discharge was defined by which one of the following occurred first: (a) decision to admit to hospital; (b) patient physically leaves the ED to home; or (c) after six hours of observation in the ED.~A hierarchical random coefficients regression model for repeated measurements (type of mixed hierarchical mixed-effect model) was conducted on the pain scores collected at six time points (arrival, post-placement 30-min, 60-min, 90-min,120-min, discharge) to evaluate the trajectory of change in pain. Discharge occurred at 120 minutes or later during each visit, with the exception of one discharge at 54 minutes." (NCT02222246)
Timeframe: Every 30 minutes from arrival in ED to discharge from the ED, up to 6 hours

,
InterventionUnits on a 100 mm VAS (Mean)
Emergency Department ArrivalPost-placement 30 minutesPost-placement 60 minutesPost-placement 90 minutesPost-placement 120 minutesEmergency Department Discharge
Patient Specific Dose of Morphine Sulfate or Hydromorphone82.279.677.274.772.240.9
Standard Dose of Morphine Sulfate or Hydromorphone82.280.679.077.475.955.7

[back to top]

Difference in Pain Score as Measured by a Visual Analogue Scale (VAS)

"Each ED study visit was the unit of analysis for the statistical methods addressing the primary outcome. The primary outcome was change in pain score from arrival to discharge. Pain severity was assessed at arrival and discharge from ED using a 100 mm visual analogue scale (VAS). The VAS range is 0 to 100 with 0 indicating no pain and 100 indicating pain as bad as it could be or worst imaginable pain.Discharge was defined by which one of the following occurred first: (a) decision to admit to hospital; (b) patient physically leaves the ED to home; or (c) after six hours of observation in the ED. Thus, the difference in pain scores were calculated as the arrival minus discharge VAS scores, with higher positive pain difference or change scores indicating greater pain reduction." (NCT02222246)
Timeframe: Arrival in ED to discharge from the ED, up to 6 hours

InterventionUnits on a 100 mm VAS (Mean)
Standard Dose of Morphine Sulfate or Hydromorphone26.4
Patient Specific Dose of Morphine Sulfate or Hydromorphone43.0

[back to top]

Patients Requesting Oral Analgesia in the Day Surgery Unit

Use of rescue drug for pain (NCT02223377)
Timeframe: At 2hrs or at the time of discharge from PACU

InterventionParticipants (Count of Participants)
Morphine128
Hydromorphone135

[back to top]

Mean Dose of Analgesic Used

For a day surgery case, from the time of hospital admittance to discharge from hospital is an average 5 hours. (NCT02223377)
Timeframe: 5 hours post-admit to hospital

InterventionEquivalent morphine unit (Mean)
Morphine5.7
Hydromorphone4.9

[back to top]

Time to Discharge From PACU

For a day surgery case, from the time out of operating room to discharge from PACU is an average 2 hours. (NCT02223377)
Timeframe: At 2hrs or at the time of discharge from PACU

InterventionMinutes (Mean)
Morphine91.2
Hydromorphone92.8

[back to top]

Number of Patients With Severe Itching

Severe itching measured as visual analog scale score > 5 on a 0-10 Visual Analog Scale, where 0 = no itching, and 10 = worst itching imaginable (NCT02223377)
Timeframe: At 2hrs or at the time of discharge from PACU

InterventionParticipants (Count of Participants)
Morphine2
Hydromorphone5

[back to top]

Our Combined Primary Outcome Will be Number of Patients With Same Analgesia Minimal Emesis, as Compared Between the 2 Groups.

Our combined primary outcome will be number of patients with SAME, as compared between the 2 groups. Analgesia will be based on Numerical Analogue Scale for Pain 0-10 (appendix 3), and Post-operative nausea and vomiting will be based on Verbal Descriptive Scale 0-5 (appendix 3). These observations will be made at the end of 2 hrs or before (corresponding to the time of discharge from PACU), by the PACU nurse. (NCT02223377)
Timeframe: At 2hrs or at the time of discharge from PACU

InterventionParticipants (Count of Participants)
Morphine172
Hydromorphone175

[back to top]

Patient Satisfaction Score

Patient satisfaction is measured on a 0-10 visual analogue scale, where 0=completely unsatisfied; 10=extremely satisfied (NCT02223377)
Timeframe: At 5 hours post-admit to hospital

Interventionscore on a scale (Mean)
Morphine9.1
Hydromorphone9.3

[back to top]

Severe Respiratory Depression

Presence of Respiratory Rate below 10 and/or Presence of Oxygen Saturation <90 (NCT02223377)
Timeframe: At 2hrs or at the time of discharge from PACU

InterventionParticipants (Count of Participants)
Morphine11
Hydromorphone10

[back to top]

Severe Sedation

Ramsay Sedation Scale 0-6 (NCT02223377)
Timeframe: At 2hrs or at the time of discharge from PACU

InterventionParticipants (Count of Participants)
Morphine5
Hydromorphone8

[back to top]

Time to Discharge From Hospital

For a day surgery case, from the time of hospital admittance to discharge from hospital is an average 5 hours. (NCT02223377)
Timeframe: At 5 hours post-admit to hospital

InterventionHours (Mean)
Morphine3.2
Hydromorphone3.3

[back to top]

Total Hydrocodone Dose (mg/kg)

(NCT02236130)
Timeframe: day 2 and day 8 after the surgery

,
Interventionmg/kg (Mean)
Day 2 Total hydrocodone use in mg/kgDay 8 Total hydrocodone use in mg/kg
General1.221.45
Regional1.362.15

[back to top]

Patient/Family Satisfaction With Pain Management

Patient/family satisfaction on a scale of 1 to 10 with 1 least satisfied and 10 completely satisfied. Family will complete the form and return to the primary investigator at the end of day 8 after surgery in the prepaid envelope provided to them at the time of the surgery. (NCT02236130)
Timeframe: one week after the surgery

InterventionParticipants (Count of Participants)
General10
Regional11

[back to top]

Morphine Consumption

Morphine consumption with PCAIV (NCT02264821)
Timeframe: 30 hours after spinal injection T0

Interventionmilligrammes (Median)
Ropivacaine Infiltration8
Rachi Morphine4
Placebo20.5

[back to top]

Duration of Effective Analgesia

T0 until first request of morphine PCAIV (NCT02264821)
Timeframe: 30 hours after spinal injection T0

Interventionminutes (Median)
Ropivacaine Infiltration351
Rachi Morphine380
Placebo247

[back to top]

Change in Pain Intensity as Assessed by a Visual Analogue Scale (VAS)

The visual analogue scale (VAS) ranges from 0mm to 140mm. The subject will be asked to mark with a pen on the scale to rate their pain. Negative differences in scores indicated a pain score worse than baseline and positive differences indicated an improved pain score from baseline. (NCT02267772)
Timeframe: baseline, 120 minutes after administration

,
Interventionscore on a scale (Mean)
pre-labor groupfirst stage of labor group
IV Acetaminophen2.67-18.2
IV Morphine3.2-4.8

[back to top]

Number of Participants With Fetal Heart Rate Changes

Changes in fetal heart rate tracing include acceleration, decelerations, and variability. (NCT02267772)
Timeframe: 1 hour after administration

,
InterventionParticipants (Count of Participants)
absence of accelerationslate decelerationsminimal or absent variability
IV Acetaminophen414
IV Morphine1213

[back to top]

Number of Participants With Maternal Side Effects

Maternal side effects include nausea, vomiting, headache, pruritus, insomnia, and drowsiness. (NCT02267772)
Timeframe: 1 hour after administration

,
InterventionParticipants (Count of Participants)
nauseavomitingheadachepruritusinsomniadrowsiness
IV Acetaminophen2052517
IV Morphine2364715

[back to top]

Total Amount of Study Drug Administered

(NCT02267772)
Timeframe: 24 hours after administration

,
Interventionmilligrams (Mean)
pre-labor group1st stage of labor group
IV Acetaminophen16001055
IV Morphine6.42.3

[back to top]

Number of Participants Who Received Rescue Medications

(NCT02267772)
Timeframe: 24 hours after administration

InterventionParticipants (Count of Participants)
IV Acetaminophen30
IV Morphine19

[back to top]

Numerical Rating Scale (NRS) Pain Scores With Ambulation Postoperative Day 1

Patient reported pain scores on postoperative day 1 from 0-10. 0 being no pain, 10 being the worst pain imaginable. (NCT02292082)
Timeframe: 24 hours after operating room discharge

Interventionscore on a scale (Mean)
Peri-Articular Injections Only4.3
Peri-Articular Injections and Adductor Canal Block3.9

[back to top]

Patient Outcome Questionnaire (painOUT) Least Pain for 0-24 Hours Postoperatively

Measures: least pain in the last 24 hours. Scores are measured from 0-10. 0 being no pain to 10 being the worst pain imaginable. (NCT02292082)
Timeframe: Participants will be followed for the duration of 2 days post operatively in the hospital

Interventionscore on a scale (Mean)
Peri-Articular Injections Only1.5
Peri-Articular Injections and Adductor Canal Block0.8

[back to top]

Patient Outcome Questionnaire (painOUT) Most Pain for 24-48 Hours Postoperatively

Painout most pain experienced 24-48 hours postoperatively measured on a scale from 0-10. Higher scores indicate higher pain levels. (NCT02292082)
Timeframe: 24-48 hours postoperative

Interventionscore on a scale (Mean)
Peri-Articular Injections Only6.9
Peri-Articular Injections and Adductor Canal Block6.6

[back to top]

Time to Meet Physical Therapy Discharge Criteria

Time to reach physical therapy (PT) goals (NCT02292082)
Timeframe: First 3 days post-operatively

InterventionMinutes (Mean)
Peri-Articular Injections Only2109.3
Peri-Articular Injections and Adductor Canal Block1883.1

[back to top]

Patient Outcome Questionnaire (painOUT) Most Pain for 0-24 Hours Postoperatively

Painout most pain experienced 0-24 hours postoperatively, measured from 0-10. 0 being no pain to 10 being the worst pain imaginable (NCT02292082)
Timeframe: 0-24 hours postoperatively

Interventionscore on a scale (Mean)
Peri-Articular Injections Only6.7
Peri-Articular Injections and Adductor Canal Block5.3

[back to top]

Patient Outcome Questionnaire (painOUT) Least Pain for 24-48 Hours Postoperatively

Least pain experienced from 24-48 hours postoperative on a scale from 0-10. 0 being no pain at all to 10 being the worst pain imaginable (NCT02292082)
Timeframe: 24-48 hours postoperative

Interventionscore on a scale (Mean)
Peri-Articular Injections Only1.7
Peri-Articular Injections and Adductor Canal Block1.8

[back to top]

Opioid Consumption Postoperative Day (POD) 1

Opioid consumption for patients from 0-24 hours postoperative, measured in mg OME (oral morphine equivalents) (NCT02292082)
Timeframe: 0-24 hours postoperatively

Interventionmg OME (Mean)
Peri-Articular Injections Only58.4
Peri-Articular Injections and Adductor Canal Block47.5

[back to top]

Opioid Consumption POD2

Opioid consumption over hours 24-48 postoperatively. Measured in mg OME (oral morphine equivalents). Higher equates to more opioids consumed. (NCT02292082)
Timeframe: 24-48 hours postoperative

Interventionmg OME (Mean)
Peri-Articular Injections Only67.9
Peri-Articular Injections and Adductor Canal Block60.1

[back to top]

Knee Society Score (KSS) at 6 Weeks Postoperatively

KSS (Knee Society Score) score measured at 6 weeks postoperatively. The scale is from 0-100. Scores below 60 indicate poor function, 60-69 indicate fair, 70-79 indicate good, and 80-100 indicate excellent functional scores. KSS measures knee pain, flexion contracture,extension lag, alignment, stability, and total range of flexion and generates an associated score correlating to knee function. Higher is better. There is no sub score - only the cumulative Knee Society Score. (NCT02292082)
Timeframe: Post operatively at approximately 6 weeks after surgery

Interventionscore on a scale (Mean)
Peri-Articular Injections Only85.2
Peri-Articular Injections and Adductor Canal Block75.2

[back to top]

Hospital Length of Stay

Measured in minutes. (NCT02292082)
Timeframe: Average of 3 days

InterventionMinutes (Mean)
Peri-Articular Injections Only3491
Peri-Articular Injections and Adductor Canal Block3394.4

[back to top]

NRS Pain Score With Movement POD2

NRS pain with movement as reported by the patient. Rated from 0-10. 0 being no pain, 10 being the worst pain imaginable. (NCT02292082)
Timeframe: 48 hours after surgery

Interventionscore on a scale (Mean)
Peri-Articular Injections Only4.7
Peri-Articular Injections and Adductor Canal Block5.2

[back to top]

Pain Scores (Visual Analog Pain Scores)

visual analog pain scores (scale 0=no pain; 10=worst pain imaginable) (NCT02299349)
Timeframe: 1 day following surgery

Interventionunits on a scale (Mean)
Bupivacaine Liposome Suspension2.6
Concentrated Multi Drug Injection3.3

[back to top]

MS04 Equivalent Consumption

in hospital total MS04 equivalent consumption (NCT02299349)
Timeframe: 1 day following surgery

Interventionmg (Median)
Bupivacaine Liposome Suspension10.0
Concentrated Multi Drug Injection15.0

[back to top]

Postoperative Opioid Administration

Data on opioids administered postoperatively will be collected from the subject's EMR. Pain severity will be assessed using Numeric Rating Scale and colored-visual analogue scale. Pain relief postoperatively will be assessed using a 5 point scale [0-no relief, 4-complete relief] (NCT02300077)
Timeframe: EMR reviewed at 24 hours post-administration or at hospital discharge

Interventionmorphine equivalents mg (Median)
Control10
Treatment Methadone 0.1 mg/kg5.4
Treatment Methadone 0.15 mg/kg3.3

[back to top]

Intraoperative Opioid Administration

Data on opioids administered intraoperatively will be collected from the subject's EMR. (NCT02300077)
Timeframe: Administered at induction of anesthesia

Interventionmorphine equivalents mg (Median)
Control25
Treatment Methadone 0.1 mg/kg5.6
Treatment Methadone 0.15 mg/kg8.6

[back to top]

Opioid Consumption Within First 30 Postoperative Days

Daily opioid consumption for approx 30 days following surgery (from hospital discharge until postop clinic visit). (NCT02300077)
Timeframe: 30 days

Interventiontotal postdischarge opioid pills used (Median)
Control10
Treatment Methadone 0.1 mg/kg7
Treatment Methadone 0.15 mg/kg5

[back to top]

Pain Relief Within First 30 Postoperative Days

"Daily pain self-assessments using a numeric (0-10) rating scale were recorded in a home diary for approx 30 days following surgery (from hospital discharge until postop clinic visit). Zero was no pain and 10 was the worst possible pain.~Patient's 30-day post-discharge scores were averaged individually and compared in between groups.~In addition, participants recorded pain interference with 7 activities of daily living - mood, ability to walk or move, sleep, normal work outside the home, normal work at home, recreational activities, and enjoyment of life on a 5-point Likert scale. Questions were based on the Patient-Reported Outcomes Measurement Information System Pain Behavior and Pain Interference item banks. Patients also recorded opioid and nonopioid analgesic use, sedation, and time to return to work." (NCT02300077)
Timeframe: 30 days

Interventionscore on a scale (Median)
Control1
Treatment Methadone 0.1 mg/kg1
Treatment Methadone 0.15 mg/kg0

[back to top]

Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Placebo

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 24 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (24 hours) to yield values on the 0-10 NPRS. (NCT02335294)
Timeframe: 24-hours

Interventionscore on a scale (Mean)
Protocol v1-4 TRV130 0.1 mg-3.8
Protocol v1-4 Placebo-1.7
Protocol v5 TRV130 0.35 mg-3.5
Protocol v5 Placebo-1.2

[back to top]

Time Weighted Average (TWA) Change From Baseline in Pain Score Over 24 Hours Between TRV130 and Morphine

Pain intensity will be evaluated using an 11-point (0-10) Numeric Pain Rating Scale (NPRS), with higher numbers indicating a higher pain intensity, administered over 24 hours. Time weighted average change from baseline is calculated using the following: time weighted sum of pain intensity differences (SPID) divided by a constant (24 hours) to yield values on the 0-10 NPRS. (NCT02335294)
Timeframe: 24-hours

Interventionscore on a scale (Mean)
Protocol v1-4 TRV130 0.1 mg-3.8
Protocol v1-4 Morphine-3.4
Protocol v5 TRV130 0.35 mg-3.5
Protocol v5 Morphine-3.6

[back to top]

Total Postsurgical Narcotic Consumption in Morphine Equivalents

Outcome measure data refer to 7 participants who received rescue medication (NCT02353754)
Timeframe: Through 72 hours postdose

InterventionMUEs (Mean)
Standard of Care6.1

[back to top]

Total Postsurgical Narcotic Consumption in Morphine Equivalents

Outcome measure data refer to 7 participants who received rescue medication (NCT02353754)
Timeframe: Through 48 hours

InterventionMUEs (Mean)
Standard of Care6.1

[back to top]

Total Postsurgical Narcotic Consumption in Morphine Equivalents

Outcome measure data refer to 6 participants who received rescue medication (NCT02353754)
Timeframe: Through 24 hours

InterventionMUEs (Mean)
Standard of Care4.9

[back to top]

Platelet Reactivity Measured by VASP

Platelet reactivity measured by VASP 2 hours after ticagrelor loading dose and reported as platelet reactivity index (PRI) (NCT02403830)
Timeframe: 2 hours

InterventionPRI (Least Squares Mean)
Methylnaltrexone47
Placebo40

[back to top]

Platelet Reactivity Measured by VerifyNow P2Y12

Platelet reactivity measured by VerifyNow P2Y12 2 hours after ticagrelor loading dose and reported as P2Y12 reaction units (PRU) (NCT02403830)
Timeframe: 2 hours

InterventionPRU (Least Squares Mean)
Methylnaltrexone130
Placebo97

[back to top]

AUC of Ticagrelor Plasma Levels

The area under the plasma concentration vs. time curve from time 0 to the last measurable concentration (AUC) was calculated based on ticagrelor plasma levels (NCT02403830)
Timeframe: 6 hours

Interventionng*hr/mL (Geometric Mean)
Methylnaltrexone2952
Placebo2276

[back to top]

Would the Participant Would Consider Using the Drug Given to Them for Pain Relief in the Future

Patients will be assessed to determine whether the participant would consider using the drug given to them for pain relief in the future. It was measured on a likert scale from 1-5 with 1 being did not like and would not use the drug again to 5 being like and would definitely receive the medication again. There are no units. The numbers below are the total number of patients that completed this answer. This was only asked on patients that received medication as if they did not receive medication the answer would not make sense. The median value is the likert value on a scale of 1-5 with the standard deviation. (NCT02430818)
Timeframe: 60 minutes

Interventionunits on a scale (Median)
Ketamine4
Morphine4

[back to top]

Number of Participants With an Adverse Effects

We will monitor for adverse effects and record for changes in vital signs including nausea and vomiting, hypotension, respiratory depression, laryngospasm, and emotional and psychological effects (emergence reactions). (NCT02430818)
Timeframe: 60 minutes

Interventionparticipants (Number)
Ketamine1
Morphine1

[back to top]

Pain Treatment-VAS (Visual Analog Scale)

Study outcomes involve change in participants' pain as measured by a visual analog scale. The scale is a 10 inch line from 0 to 10 inches with 10 being the most pain and 0 being no pain. There are no units on the scale; it is just a straight line from no pain (0) to the worst pain (10). We assessed at o, 15, and 60 minutes but only scored the VAS at 60 minutes. (NCT02430818)
Timeframe: At 0 minutes and 60 minutes

Interventionscore on a scale (Median)
Ketamine4
Morphine4

[back to top]

Time to Maximal Analgesic Effect and Duration of Action of Ketamine

"Following dosage with study medication, the amount of time taken to demonstrate the maximal change in the patient's NRS pain score.~Maximal change in NRS pain score is to be defined as the largest change from patient's baseline pain score. Duration of maximal change is how long the patient's pain score remained at this level." (NCT02434939)
Timeframe: 5, 10, 20, 40, 60, 80, 100, 120 minutes post drug administration

,
Interventionminutes (Mean)
time to maximal effectduration of maximal effect
Low Dose Ketamine19.860
Morphine34.158.5

[back to top]

Maximal Change in NRS Pain Scores as a Percentage of Baseline NRS Pain Score.

Our primary outcome measurement was the maximum change on the verbal NRS pain scale compared with their initial score (baseline). The NRS was used to measure a patient's subjective level of pain on a scale from 0 (representing no pain at all) to 10 (the worst pain imaginable) using whole numbers. The NRS score was documented just prior to the administration of the study drug (time zero). After infusion of the study drug was complete, NRS scores were documented at 5, 10, 20, and then every 20 minutes thereafter up to 120 minutes. We stopped recording NRS scores prior to 120 minutes if the patient requested a third dose of the study drug, withdrew consent or developed a severe adverse effect. (NCT02434939)
Timeframe: 5, 10, 20,25,30, 40,45,50 60, 80, 100, 120 minutes post drug adminstration

,
Interventionpercent change from baseline NRS score. (Mean)
OverallExcluding Treatment failuresAmong Treatment failuresThose still at maximal effect at 120
Low Dose Ketamine-66.4-81.1-33.8-80
Morphine-61.3-79.8-33.9-81.7

[back to top]

Incidence of Treatment Failure by Treatment Group.

Requiring more than two doses of the study medication provided for adequate pain control (NCT02434939)
Timeframe: 120 minutes

Interventionparticipants (Number)
Low Dose Ketamine34
Morphine48

[back to top]

Incidence of Side Effects, Including Outlying Vital Signs

The patient will be assessed for vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation), Ramsay Sedation Scale (RSS) score at 5,10,20 minutes following medication administration and then every 20 minutes until a total of 120 minutes from the first dose of study medication. outlying vital signs recorded.( systolic Blood pressure less than 90mmHg or greater than 150mmHg, Heart rate less than 50bpm or greater than 150bpm, oxygen saturation below 90%, respiratory rate below 9breaths/minute or greater than 40breaths/minute and RSS of 1 or greater than 3) The RSS was used to asses the level of agitation or sedation caused by the intervention .the scale ranges from 1(anxious/agitated) to 6( no response to stimulus-deep sedation) with 2 being the optimal (cooperative, oriented and tranquil).A checklist for side effects like airway problems, allergic reactions, salivation, dysphoria,nystagmus, respiratory/cardiac arrest, awakening hallucinations, nausea/vomiting was used (NCT02434939)
Timeframe: 5, 10, 20, 40, 60, 80, 100, 120 minutes post drug administration

Interventionparticipants (Number)
Low Dose Ketamine45
Morphine4

[back to top]

Patient Satisfaction Questionnaire

Patient satisfaction with their PCA pump. Satisfaction was measured on a 0 to 10 scale, with higher numbers indicating greater satisfaction. (NCT02456909)
Timeframe: Up to 72 hours

Interventionunits on a scale (Median)
Cues8
No Cues7.5

[back to top]

Anxiety (State Anxiety on POD 1 and POD 2)

State anxiety on POD 1 and POD 2. The total score is presented as a T-score, which ranges from 0 to 100, with higher scores indicating greater levels of state anxiety. With a T-score, the mean is always 50, and the standard deviation is always 10. (NCT02456909)
Timeframe: Up to 72 hours

,
Interventionunits on a scale (Median)
POD 1POD 2
Cues5553.5
No Cues5552

[back to top]

Opioid Consumption (Total Amount of Opioid Consumed Post-operatively)

Total amount of opioid consumed post-operatively in mg/kg/hour. (NCT02456909)
Timeframe: Post-op Days [POD] 0 - 2, up to 72 hours

,
Interventionmg/kg/hr (Median)
Post-op Day 0Post-op Day 1Post-op Day 2
Cues0.02520.02140.0162
No Cues0.02480.01630.0125

[back to top]

Mean Change in Morphine Condition Drug Effects, Liking, and Take Again (DELTA) -Drug Effect Subscale Ratings

Mean change in morphine condition Drug Effects, Liking, and Take Again (DELTA) -Drug Effect subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 1-5 where 1 represents no effect and 5 represents very strong effect. Positive values indicate decreased overall drug effects post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention2.720.10
Normal Exercise (Control)2.52-0.12

[back to top]

Mean Change in Morphine Condition Drug Effects, Liking, and Take Again (DELTA) -Drug Liking Subscale Ratings

Mean change in morphine condition Drug Effects, Liking, and Take Again (DELTA) -Drug Liking subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 0-100 where 0 represents dislike a lot and 100 represents like a lot. Positive values indicate decreased drug liking post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention52.034.13
Normal Exercise (Control)52.891.04

[back to top]

Mean Change in Morphine Condition Drug Effects, Liking, and Take Again (DELTA) -Take Again Subscale Ratings

Mean change in morphine condition Drug Effects, Liking, and Take Again (DELTA) -Take Again subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 0-100 where 0 represents definitely would not take again and 100 represents definitely would take again. Positive values indicate decreased desire to take the drug again post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention54.494.40
Normal Exercise (Control)55.041.70

[back to top]

Mean Change in 5-day Electronic Diary Ratings of Low Back Pain Intensity

Mean change in 5-day electronic diary ratings of low back pain intensity from pre intervention baseline to post intervention. 9 point pain scale assessing pain intensity with 0 represents no pain and 8 represents worst possible pain. Positive values indicate reduced pain post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention2.750.72
Normal Exercise (Control)2.820.18

[back to top]

Mean of the Change in Morphine Dosage (in mg) Required to Achieve 25% Reduction in Thermal Evoked Pain Responses Relative to Baseline (Pre-intervention) Placebo Condition Responses

"At a laboratory testing day pre and post intervention each participant received morphine sulphate (0.3mg/kg in 20ml saline vehicle initially, followed by 3 incremental doses of 0.02 mg/kg each with testing for thermal evoked pain response. Weight adjusted dosing was used by multiplying the weight of each patient in kg by 0.3mg (dose 1 only) or by .02mg (doses 2-4), with all doses infused in 20mL saline vehicle.~Mean of the change in morphine dosage required to achieve 25 % reduction in thermal evoked pain responses on testing day at baseline (pre-intervention) and post intervention. Positive values for the change in the mean between pre and post intervention indicated decreased morphine requirements post intervention." (NCT02469077)
Timeframe: At pre-intervention baseline laboratory assessment and again post-intervention (an expected average of 6 weeks later)

,
Interventionmg (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention4.17-1.62
Normal Exercise (Control)6.340.92

[back to top]

Mean Within-participant Changes From Pre- to Post-intervention in Opioid Blockade Effects (Within-participant Difference Between Naloxone and Placebo Conditions) for McGill Pain Questionnaire-2 Total Ratings of Back Pain.

"Between-participant (aerobic exercise vs. control group) comparison of mean changes from pre- to post-intervention in opioid blockade effects for McGill Pain Questionnaire-2 Total ratings of back pain based on 3 laboratory testing days at baseline (pre intervention) and post intervention. The score ranges from 0-10 where 0 represents no pain and 10 represents most intense pain. Positive values indicate increased endogenous opioid analgesia post intervention.~This measure will test the effects of the exercise (versus control) intervention on clinical outcomes as indexed by changes in opioid blockade effects (the difference in laboratory evoked pain response evoked between placebo and naloxone drug conditions).~This is a mixed within-between subject design. Per the study protocol, the intent of outcome measures 4 and 6 was to capture opioid blockade effects (within-participant placebo-naloxone condition difference scores) at both the pre- and post-intervention lab assessments, an" (NCT02469077)
Timeframe: At pre-intervention baseline laboratory assessment and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention0.11-0.12
Normal Exercise (Control)0.18-0.24

[back to top]

Mean Within-participant Changes From Pre- to Post-intervention in Opioid Blockade Effects (Within-participant Difference Between Naloxone and Placebo Conditions) for Ratings of Acute Thermal Pain Intensity on the McGill Pain Questionnaire-Short Form

"Between-participant (aerobic exercise vs. control group) comparison of mean changes from pre- to post-intervention in opioid blockade effects for ratings of acute thermal pain intensity on the McGill Pain Questionnaire-Short Form based on 3 laboratory testing days at baseline (pre-intervention) and post intervention. The score ranges from 0-33 where 0 represents no pain and 33 represents more intense pain. Positive values indicate increased endogenous opioid analgesia post intervention.~This measure will test for endogenous opioid mechanisms of the exercise (versus control) intervention as indexed by changes in opioid blockade effects (the difference in laboratory evoked pain response evoked between placebo and naloxone drug conditions).~This is a mixed within-between subject design. Per the study protocol, the intent of outcome measures 4 and 6 was to capture opioid blockade effects (within-participant placebo-naloxone condition difference scores) at both the pre- and post-in" (NCT02469077)
Timeframe: At pre-intervention baseline laboratory assessment and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention-0.331.97
Normal Exercise (Control)0.92-0.61

[back to top]

Mean Change in Positive and Negative Affect Scale-Negative Affect Subscale Ratings.

Mean change in Positive and Negative Affect Scale-Negative Affect subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. . Scale ratings range from 10 to 50 where 10 represents lowest negative affect possible and 50 represents highest negative affect possible. Positive values indicate decreased negative affect post intervention. (NCT02469077)
Timeframe: At pre intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention16.380.45
Normal Exercise (Control)15.43-2.14

[back to top]

Mean Change in Placebo Condition Ratings of Acute Thermal Pain Intensity on the McGill Pain Questionnaire-Short Form

Mean change in placebo condition ratings of acute thermal pain intensity using the McGill Pain Questionnaire-Short Form on 3 testing days at baseline (per intervention) and post intervention. The score ranges from 0-33 where 0 represents no pain and 33 represents most intense pain. Positive change values indicate decreased pain responsiveness post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline laboratory assessment and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention10.230.45
Normal Exercise (Control)7.83-2.14

[back to top]

Mean Change in McGill Pain Questionnaire-2 Total Chronic Back Pain Ratings

Mean change in McGill Pain Questionnaire-2 total chronic back pain ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 0-10 where 0 represents no pain and 10 represents most intense pain. Positive values indicate decreased back pain post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline laboratory assessment and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention2.661.60
Normal Exercise (Control)3.011.36

[back to top]

Mean Change in Morphine Condition Visual Analog Scale (VAS) Opioid Effects - Unpleasantness Subscale Ratings

Mean change in morphine condition VAS Opioid Effects - Unpleasantness subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 0-300 where 0 represents no unpleasantness and 300 represents most unpleasantness possible. Positive values indicate decreased unpleasantness post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention33.58-3.21
Normal Exercise (Control)16.521.86

[back to top]

Mean Change in Morphine Condition Visual Analog Scale (VAS) Opioid Effects Scale-Euphoria Subscale Ratings

Mean change in morphine condition VAS Opioid Effects-Euphoria subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 0-300 where 0 means no euphoria and 300 means most euphoria possible. Positive values indicate decreased euphoria post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention100.603.19
Normal Exercise (Control)108.240.75

[back to top]

Mean Change in Morphine Condition Visual Analog Scale (VAS) Opioid Effects Scale-Sedation Subscale Ratings

Mean change in morphine condition VAS Opioid Effects-Sedation subscale ratings on 3 testing days at baseline (pre intervention) and post intervention. The score ranges from 0-300 where 0 means no sedation and 300 means most sedation possible. Positive values indicate decreased sedation post intervention. (NCT02469077)
Timeframe: At pre-intervention baseline and again post-intervention (an expected average of 6 weeks later)

,
Interventionunits on a scale (Mean)
Baseline (pre intervention)Change after 6 week intervention period
6 Week Aerobic Exercise Intervention66.5812.89
Normal Exercise (Control)30.63-9.95

[back to top]

Opioid Consumption in the Acute Postoperative Period

The total usage of opioid medication (mEq) for pain relief in the intraoperative period and again through the postoperative recovery period from arrival in the PACU through 7 days post op (NCT02530151)
Timeframe: Recorded intraoperatively, during PACU stay, 6 hours post discharge, 18 hours post discharge, 24 hours post discharge, 48 hours post discharge, and at 7 days post discharge

,
Interventionmilligram morphine equivalents (mEq) (Mean)
IntraoperativePACU6 hours Post Discharge18 hours Post Discharge24 hours Post Discharge48 hours Post Discharge7 days Post Discharge
Morphine With Clonidine57.337.05.514.519.527.750.7
Normal Saline56.040.15.313.820.035.673.8

[back to top]

Quality of Recovery (QoR-15) Scores for Patient Reported Recovery Following Surgery

The Quality of Recovery questionnaire (QoR-15) is a 15 question patient reported outcome measure used to evaluate the quality of recovery following surgical anesthesia concerning pain, physical function, and psychological factors; reported as a summative score with each question graded between 0-10 (Range:0-150) with higher scores indicating improved physical/psychological recovery or infrequent symptoms (NCT02530151)
Timeframe: Preoperative to 24 hrs. post operatively

,
Interventionscore on a scale (Mean)
Preoperative QoR-15 ScoreChange in QoR-15 Score at 24 hrs. Post Op
Morphine With Clonidine123-22
Normal Saline131-20

[back to top]

Visual Analog Scale (VAS) Pain Scores

Patients will rate their pain (0-10) on the Visual Analog Scale with higher scores for the VAS indicated elevated pain intensity reported by the patient for the indicated time point (NCT02530151)
Timeframe: Immediately preoperative (5-10 minutes before surgery), immediately postoperative (5-10 minutes after surgery), 1 hr post operatively

,
Interventionscore on a scale (Mean)
Preoperative VAS Pain ScoreImmediate Post Op VAS Pain Score1 hr. Post Op VAS Pain Score
Morphine With Clonidine234
Normal Saline245

[back to top]

Post-operative Opioid Consumption (mg/kg)

Total amount of opioids consumed during the first 72 hours after surgery. (NCT02558010)
Timeframe: 72 hours

Interventionmg/kg (Median)
Methadone Group0.267
Control Group0.340

[back to top]

Participant Satisfaction With Pain Control

Measured using one question Likert scale. This will be a 4-level scale ranging from 'not at all satisfied,' 'slightly satisfied,' 'mostly satisfied,' and 'very much satisfied.' (NCT02600715)
Timeframe: Postoperative (within 10 minutes of the end of the BoNT procedure)

,,
InterventionParticipants (Count of Participants)
Not at all satisfiedSlightly satisfiedMostly satisfiedVery much satisfied
Active B&O Suppository of Belladonna0229
Placebo Suppository1156
Total13715

[back to top]

Number of Participants Declining to Complete Procedure Due to Pain Intolerance

Number of patients that decline to proceed with entire procedure (20 injections) due to pain or discomfort. (NCT02600715)
Timeframe: Intraoperative

InterventionParticipants (Count of Participants)
Active B&O Suppository of Belladonna0
Placebo Suppository0
Total0

[back to top]

Pre-analgesia Pain Score

Measured using NRS. Scale is one question and has a range from a score of 0 (no pain) to 10 (worst possible pain). (NCT02600715)
Timeframe: Baseline

Interventionunits on a scale (Median)
Active B&O Suppository of Belladonna0
Placebo Suppository0
Total0

[back to top]

Change in Bladder Injection Pain

The primary outcome will be calculated difference in numeric rating scale (NRS) pain score prior to procedure and midway through procedure. Scale is one question and has a range from a score of 0 (no pain) to 10 (worst possible pain). Measure will be reported as the intraoperative pain score minus the preoperative pain score. (NCT02600715)
Timeframe: Baseline and intraoperative

Interventionunits on a scale (Median)
Active B&O Suppository of Belladonna5
Placebo Suppository4
Total5

[back to top]

Post-operative Pain Score

Measured using NRS. Scale is one question and has a range from a score of 0 (no pain) to 10 (worst possible pain). (NCT02600715)
Timeframe: Postoperative (within 10 minutes of the end of the BoNT procedure)

Interventionunits on a scale (Median)
Active B&O Suppository of Belladonna2
Placebo Suppository3
Total2

[back to top]

Post Void Residual (PVR)

Distribution of patients with volume in ml of post-void residual urine obtained via catheter greater than 200 ml at 2-week follow-up appointment. (NCT02600715)
Timeframe: 2 Weeks

InterventionParticipants (Count of Participants)
Active B&O Suppository of Belladonna2
Placebo Suppository3
Total5

[back to top]

Number of Participants With Evidence of Infection or Positive Urine Culture

Urinalysis results showing evidence of infection or positive urine culture at 2-week follow-up appointment. (NCT02600715)
Timeframe: 2 Weeks

InterventionParticipants (Count of Participants)
Active B&O Suppository of Belladonna2
Placebo Suppository4
Total6

[back to top]

Postoperative Voiding Trial Results

Distribution of patients with postoperative volume in ml of post-void residual urine obtained via catheter greater than 200ml. (NCT02600715)
Timeframe: Postoperative (before leaving the clinic, within 3 hours of the end of the BoNT procedure)

InterventionParticipants (Count of Participants)
Active B&O Suppository of Belladonna3
Placebo Suppository5
Total8

[back to top]

Patient Overall Satisfaction With Postoperative Analgesia

Score was rated on a scale from 0 to 100, where 0=completely unsatisfied and 100=completely satisfied. (NCT02605187)
Timeframe: 24 and 48 hours after delivery

,,,
Interventionunits on a scale (Mean)
24 hours after delivery48 hours after delivery
Choice: High Protocol93.389.3
Choice: Low Protocol90.392.6
Choice: Medium Protocol94.191.2
No Choice87.289.9

[back to top]

Pain Scores

Pain scores at rest and at movement post-cesarean delivery. Score was rated on a scale from 0 to 10, where 0=no pain and 10=worst imaginable pain. (NCT02605187)
Timeframe: 3, 6, 12, 24, 36 and 48 hours after delivery

,,,
Interventionunits on a scale (Mean)
Pain at rest at 3 hoursPain at movement at 3 hoursPain at rest at 6 hoursPain at movement at 6 hoursPain at rest at 12 hoursPain at movement at 12 hoursPain at rest at 24 hoursPain at movement at 24 hoursPain at rest tat 36 hoursPain at movement at 36 hoursPain at rest at 48 hoursPain at movement at 48 hours
Choice: High Protocol2.24.11.53.81.73.22.33.63.14.83.34.8
Choice: Low Protocol1.83.42.74.42.14.71.94.11.74.02.03.9
Choice: Medium Protocol1.93.22.23.81.93.62.24.32.64.52.03.6
No Choice1.63.22.34.01.53.02.24.51.53.51.73.5

[back to top]

Opioid Consumption in the 0-48 Hour Study Periods.

Opioid consumption was measured in milligram morphine equivalents in the 0-24 and 24-48 hour study periods. (NCT02605187)
Timeframe: 0-24 and 24-48 hour postoperative periods

,,,
Interventionmilligram morphine equivalents (MMEQ) (Median)
0-24 hours24-48 hours
Choice: High Protocol530
Choice: Low Protocol50
Choice: Medium Protocol105
No Choice1010

[back to top]

Count of Participants With Presence of Pruritus

Count of participants with pruritus through 48 hours after delivery. (NCT02605187)
Timeframe: 0-24 and 24-48 hours after delivery

,,,
InterventionParticipants (Count of Participants)
0-24 hours after delivery24-48 hours after delivery
Choice: High Protocol137
Choice: Low Protocol113
Choice: Medium Protocol6329
No Choice2712

[back to top]

Count of Participants Who Need Medical Treatment of Pruritus

Count of participants who need medical treatment of pruritus during first 48 hours after delivery. (NCT02605187)
Timeframe: 0-24 and 24-48 hours after delivery

,,,
InterventionParticipants (Count of Participants)
0-24 hours after delivery24-48 hours after delivery
Choice: High Protocol30
Choice: Low Protocol20
Choice: Medium Protocol122
No Choice72

[back to top]

Nausea Score Score at 24 and 48 After Delivery

Score was rated on a scale from 0 to 10, where 0=no nausea and 10=most nausea. (NCT02605187)
Timeframe: 0-24 and 24-48 hours after delivery

,,,
Interventionunits on a scale (Mean)
0-24 hours after delivery24-48 hours after delivery
Choice: High Protocol1.80.2
Choice: Low Protocol1.10.2
Choice: Medium Protocol1.50.2
No Choice1.30.3

[back to top]

Counts of Participants Who Need Medical Treatment for Nausea

Counts of participants who need medical treatment of nausea through 48 hours after delivery. (NCT02605187)
Timeframe: 0-24 and 24-48 hours after delivery

,,,
InterventionParticipants (Count of Participants)
0-24 hours after delivery24-48 hours after delivery
Choice: High Protocol90
Choice: Low Protocol91
Choice: Medium Protocol200
No Choice80

[back to top]

Average Number of Vomiting Episodes After Delivery

(NCT02605187)
Timeframe: 0-24 and 24-48 hours after delivery

,,,
Interventionvomiting episodes (Mean)
0-24 hours after delivery24-48 hours after delivery
Choice: High Protocol1.30
Choice: Low Protocol0.30
Choice: Medium Protocol0.50
No Choice0.60

[back to top]

Time to Discharge

Minutes from delivery until discharge. (NCT02605187)
Timeframe: Delivery through discharge (average 4 days)

Interventionminutes (Mean)
No Choice4771.9
Choice: Low Protocol4652.1
Choice: Medium Protocol5278.9
Choice: High Protocol5722.3

[back to top]

Counts of Participants With Presence of Nausea

Count of participants with nausea through 48 hours after delivery. (NCT02605187)
Timeframe: 0-48 hours after delivery

InterventionParticipants (Count of Participants)
No Choice11
Choice: Low Protocol7
Choice: Medium Protocol33
Choice: High Protocol10

[back to top]

Pruritus Score at 24 and 48 After Delivery

Score was rated on a scale from 0 to 10, where 0=no itching and 10=most itching. (NCT02605187)
Timeframe: 24 and 48 hours following delivery

,,,
Interventionunits on a scale (Mean)
24 hours after delivery48 hours after delivery
Choice: High Protocol4.51.1
Choice: Low Protocol1.70.2
Choice: Medium Protocol3.71.0
No Choice4.20.8

[back to top]

Count of Participants Who Need Opioid Use

Count of participants who need opioid use through 48 hours after delivery. (NCT02605187)
Timeframe: 0-24 and 24-48 hours after delivery

,,,
InterventionParticipants (Count of Participants)
0-24 hours after delivery24-48 hours after delivery
Choice: High Protocol1314
Choice: Low Protocol148
Choice: Medium Protocol5042
No Choice2723

[back to top]

PONV Incidence: Number of Participants With Postoperative Nausea and Vomiting

The occurrence of PONV, as defined by the administration of antiemetics in the PACU between admission to PACU and discharge from PACU. (NCT02625181)
Timeframe: PACU recovery period

InterventionParticipants (Count of Participants)
Baseline Measurement139
CDS Email Recommendations1323
CDS Email + Real TIme Recommenations1343

[back to top]

Time to Discharge From the Postanesthesia Care Unit (PACU)

This is the number of minutes from admission to the PACU until discharge, assessed up to 2 days (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU

Interventionminutes (Mean)
Baseline Measurement266
CDS Email Recommendations264
CDS Email + Real TIme Recommenations266

[back to top]

The Number of Prophylactic Interventions for PONV

the absolute number of prophylactic interventions applied between the admission of the patient in the holding room until admission to the PACU. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: from the start of admission at the holding room to the end of the anesthetic case

Interventionprophylactic antiemetics administered (Mean)
Baseline Measurement2.196
CDS Email Recommendations2.176
CDS Email + Real TIme Recommenations2.129

[back to top]

Adherence to PONV Guidelines

PONV guideline adherence: percentage of patients who received the exact number of prophylactic interventions for PONV that were recommended by the decision support. (NCT02625181)
Timeframe: A specific time frame on the day of surgery: the start of admission at the holding room to the end of the anesthetic case

InterventionParticipants (Count of Participants)
Baseline Measurement666
CDS Email Recommendations5260
CDS Email + Real TIme Recommenations5863

[back to top]

Pain Score at 3-24 Hours

Visual Analog Scale 0-10; 0 = no pain, 10 = worst pain (NCT02658149)
Timeframe: measured once during time frame 3 hours-24 hours postoperative

Interventionunits on a scale (Mean)
Psoas Compartment Block1.9
Periarticular Local Anesthetic1.3

[back to top]

Opioid Usage In-hospital at 24 Hours

Total amount of opioids used per patient (measured with Morphine Equivalent Units) (NCT02658149)
Timeframe: 24 hours postoperatively

InterventionMorphine Equivalent Units (Oral) (Mean)
Psoas Compartment Block19.5
Periarticular Local Anesthetic16.7

[back to top]

Pain Score at 24-48 Hours

Visual Analog Scale 0-10; 0 = no pain, 10 = worst pain (NCT02658149)
Timeframe: measured once during time froma 24-48 hours postoperative

Interventionunits on a scale (Mean)
Psoas Compartment Block1.9
Periarticular Local Anesthetic1.7

[back to top]

Pain Score at 3 Hours

Visual Analog Scale 0-10; 0 = no pain, 10 = worst pain (NCT02658149)
Timeframe: 3 hours postoperative

Interventionunits on a scale (Mean)
Psoas Compartment Block4.0
Periarticular Local Anesthetic2.9

[back to top]

Opioid Usage In-hospital at 48 Hours

Total amount of opioids used per patient (measured with Morphine Equivalent Units) (NCT02658149)
Timeframe: 48 hours postoperatively

InterventionMorphine Equivalent Units (Oral) (Mean)
Psoas Compartment Block22.3
Periarticular Local Anesthetic20.8

[back to top]

The Effect of Liposomal Bupivacaine on Postoperative Opioid Consumption

Postoperative opioid consumption will be determined in each group. Opioid consumption post-operatively will be determined for patients in each group in standardized units of morphine milligram dosing equivalents per hour. (NCT02659501)
Timeframe: 24 hours

InterventionMorphine equivalent dosage per hour (Mean)
Bupivacaine With Epinephrine Injections1.31
Liposomal Bupivacaine.76

[back to top]

The Effect of Liposomal Bupivacaine on Postoperative Diazepam Consumption

Benzodiazepine consumption, in mg of diazepam, was recorded for all patients and compared over the first 24 hours post-operatively. (NCT02659501)
Timeframe: 24 hours

Interventionmg of diazepam/hr (Mean)
Bupivacaine With Epinephrine Injections0.35
Liposomal Bupivacaine0.18

[back to top]

The Effect of Liposomal Bupivacaine on Length of Hospital Stay

Length of hospital stay will be determined for patients in each group, in total hours. (NCT02659501)
Timeframe: 24-60 hours

Interventionhrs (Mean)
Bupivacaine With Epinephrine Injections46.7
Liposomal Bupivacaine29.8

[back to top]

The Effect of Liposomal Bupivacaine on Average Postoperative Pain Levels on Postoperative Day 1.

Postoperative pain levels were determined with a numeric rating scale (NRS), rating pain from 0 - 10, where 0 = no pain, 10 = worst possible pain. Higher scores indicate a worse outcome. Pain levels were determined during routine vital signs every 4 hours post-operatively. (NCT02659501)
Timeframe: Average Pain Scores 24 hours Post-Operatively

Interventionscore on a scale (Mean)
Bupivacaine With Epinephrine Injections3.66
Liposomal Bupivacaine3.68

[back to top]

The Effect of Liposomal Bupivacaine on Antiemetic Consumption

The effect of liposomal bupivacaine on antiemetic consumption was assessed in mg of ondansetron consumed over first 24 hours post-operatively. (NCT02659501)
Timeframe: 24 hours

Interventionmg of ondansetron (Mean)
Bupivacaine With Epinephrine Injections7.33
Liposomal Bupivacaine5.75

[back to top]

Total Dose of IV(IV Infusion+Bolus Injection) Study Drug Administered During the Treatment Duration

"The dose of the study drugs intravenously administered was checked and recorded every day. The information on the dose administered from baseline to each assessment time point was collected based on records on the chart, and in the event of dose change/end of treatment, pertinent date and time, and dose were recorded accurately on the chart.~‡ Total administered dose of the study drugs (mg)= IV infusion (mg/hr) * [(End date - start date) * 24 + (end time - start time)] + bolus injection (mg)" (NCT02660229)
Timeframe: 5 days

Interventionmg (Mean)
Oxycodone Hydrochloride226.80
Morphine Sulphate226.64

[back to top]

Change in the Mean Pain Score(NRS) From Baseline(Day 0) to Day 5.

"For the pain assessment value for efficacy assessment, Subjects perform pain grading through Numeric rating score(NRS) from 1 to 10 for the mean pain intensity over the past 7 days at Screening, and mean pain intensity over the past 24 hours at Baseline (Day 0), Day 1, Day 2, Day 3, Day 4, Day 5.~Verbal measurement can be conducted by subjects without using visual data. '0' indicates 'no pain', and as the number increases, the pain gets more severe, and '10' indicates the worst pain." (NCT02660229)
Timeframe: 5 days

Interventionunits on a scale (Mean)
Oxycodone Hydrochloride-3.52
Morphine Sulphate-3.13

[back to top]

Reduction of Pain Score at 30 Minutes

The primary outcome will be the comparative reduction of NRS pain scores between the 2 groups at 30 minutes. The NRS Pain scale ranges from 0 to 10 (0 being no pain at all to 10 being very severe pain; 5 is moderate pain) (NCT02673372)
Timeframe: 30 minutes

Interventionscore on a scale (Mean)
Morphine Group4.4
Ketamine Group4.2

[back to top]

Part 1: Change From Baseline in Pain Intensity at Hour 6 Using the Thermal Suprathreshold Pain in the Ultraviolet-B (UVB) Burn Pain Model

The UVB burn pain model is a validated screening tool for pain killers in clinical drug development. A temperature of 50 degrees centigrade (°C) is used to burn the participant for 5 seconds. Then the participant rates his pain on a scale from 0 (no pain) to 10 (most intense pain). That score is recorded as baseline. Then the participant rates his pain again six hours after taking the assigned medication. The average at baseline is subtracted from the average at hour 6. Because this is a measure of reduction in pain intensity, a higher score is better (it means there is more pain relief). (NCT02678416)
Timeframe: within 6 hours

Interventionscore on a scale (Mean)
IV Acetaminophen0.73
Oral Acetaminophen-0.64
Placebo-0.36
Morphine0.36

[back to top]

Part 2: Observed Thermal Suprathreshold Pain Intensity in the UVB Burn Area

Participants rated their pain intensity on a scale of 0 (no pain) to 10 (most intense pain). The observed mean and standard deviation are disclosed through Hour 6 (NCT02678416)
Timeframe: within 6 hours

,,,
Interventionscores on a scale (Mean)
Baseline0.25 Hours0.5 Hours0.75 Hours1 Hour2 Hours3 Hours4 Hours6 Hours
Part 2: IV Acetaminophen5.45.25.05.05.05.35.45.55.6
Part 2: IV Morphine5.64.94.74.74.65.15.05.25.4
Part 2: Oral Acetaminophen5.55.35.15.14.95.15.25.45.5
Part 2: Placebo5.55.55.35.45.25.65.55.55.5

[back to top]

Change From Baseline on Sleep Quality Measured by Medical Outcomes Study (MOS)

"The MOS Sleep Scale is a 12-item questionnaire which measures sleep quality in 7 scales over the past 4 weeks: sleep disturbance, snoring, sleep short of breath or headache, sleep adequacy, sleep somnolence, and 2 sleep problems indexes. In addition, the average hours of sleep over the past 4 weeks is recorded as a raw measure and also coded as an optimal sleep index.~The MOS is scored and the sleep scales calculated according to the MOS Sleep Scale User's Manual v1.0 (Spritzer and Hays, 2003). The scores on the dimensions and the sleep indices were converted to a 0-100 scale, with higher scores reflecting more of the attribute implied by the name (e.g. greater sleep disturbance, greater sleep adequacy of sleep)." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionScore on a scale (Mean)
Sleep Disturbance Week 12Snoring Week 12Awaken Short of Breath or Headache Week 12Sleep Adequacy Week 12Sleep Somnolence Week 12Sleep Problems Index I Week 12Sleep Problems Index II Week 12Sleep Quantity Week 12Sleep Disturbance Week 24Snoring Week 24Awaken Short of Breath or Headache Week 24Sleep Adequacy Week 24Sleep Somnolence Week 24Sleep Problems Index I Week 24Sleep Problems Index II Week 24Sleep Quantity Week 24
Continuation of Opioid Therapy Optimal Responder2.81315.0010.005.008.33330.83331.80560.5-10.00013.340.000.00-11.1111-2.2222-2.22220.0
Continuation of Opioid Therapy Suboptimal Responder-5.0010.000.000.82.7778-0.2778-2.222-0.1-10.3130.010.013.8-4.1667-9.1667-6.8056-0.1
Structured Discontinuation Opioid Therapy Optimal Responder-0.4170.0013.33.36.66674.44442.0370-2.3-5.0040.0020.025.016.6667-6.6667-2.22220.5
Structured Discontinuation Opioid Therapy Suboptimal Responder-5.6730.003.110.00-4.6154-4.1026-5.42740.15.3750.010.00.06.00006.66674.8333-0.8

[back to top]

Change in Mean Average Pain Intensity Score (PI) Score on the 0-10 Numerical Ratings Scale (NRS)

"Baseline is defined as the mean of the available Average PI scores on the 0-10 Numerical Ratings Scale (NRS) over the 7-day Baseline Period. For the scheduled post-randomization visits, mean Average Pain Intensity is defined as the means of the respective PI scores over the 7 days preceding the visit. If there is only one daily PI score available, the mean is not calculated, and the data point is considered missing.~PI = Pain Intensity. Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10." (NCT02741076)
Timeframe: From baseline to weeks 4, 8, 16, 20, and 24

,,,
InterventionScore on a scale (Mean)
4 weeks8 weeks16 weeks20 weeks24 weeks
Continuation of Opioid Therapy Optimal Responder0.31430.14130.4508-0.30951.5
Continuation of Opioid Therapy Suboptimal Responder-0.14130.0984-0.5714-0.6873-0.1532
Structured Discontinuation Opioid Therapy Optimal Responder0.49400.3393-0.6964-0.48210.2857
Structured Discontinuation Opioid Therapy Suboptimal Responder-0.1123-0.3671-0.3462-0.4153-0.5000

[back to top]

Digit Symbol Substitution Test

Overall neuropsychological function is assessed using the DSST, a test that is sensitive to brain damage, dementia, age, and depression, and is a widely used instrument for measuring the neuropsychological effects of opioid therapy. The digits (1-9) are paired with symbols, and the test consists of matching the symbol for a series of digits as fast as possible. Score is number of correct symbols in 90 seconds. A decrease from baseline detects deterioration in processing speed. An increase from baseline detects improvement in processing speed. (NCT02741076)
Timeframe: Change from Baseline to 12 and 24 week visit

,,,
InterventionScore on a test (Mean)
Week 12 from baselineWeek 24 from baseline
Continuation of Opioid Therapy Optimal Responder0.00-3.3
Continuation of Opioid Therapy Suboptimal Responder6.10.1
Structured Discontinuation Opioid Therapy Optimal Responder3.3-6.0
Structured Discontinuation Opioid Therapy Suboptimal Responder7.88.9

[back to top]

Participant Reported Quality of Life Assessment Using EQ-5D-5L Standardized Instrument

The EQ-5D-5L is a self-administered general measure of health outcome applicable to a wide range of health conditions and treatments.The EQ-5D-5L measures quality of life in 5 dimensions: Mobility, Self-care, Usual activities, Pain/discomfort, and Anxiety/depression. Each is rated in 5 levels from no problems/pain/anxiety to being unable/extreme pain/extreme anxiety. The responses for each category are summarized by treatment and visit with frequencies and percentages reporting each level. (NCT02741076)
Timeframe: Baseline and weeks 12, 24

,,,
InterventionParticipants (Count of Participants)
No problem Walking BaselineSlight Problem Walking BaselineModerate Problem Walking BaselineSevere Problem Walking BaselineUnable to Walk BaselineNo problem washing or dressing BaselineSlight problem washing or dressing baselineModerate problem washing or dressing baselineSevere problem washing or dressing baselineUnable to wash or dress baselineNo problem doing usual activities BaselineSlight problem doing usual activities BaselineModerate problem doing usual activities baselineSevere problem doing usual activities baselineUnable to do usual activities baselineNo pain or discomfort baselineSlight pain or discomfort baselineModerate pain or discomfort baselineSevere pain or discomfort baselineExtreme pain or discomfort baselineNot anxious or depressed baselineSlightly anxious or depressed baselineModerately anxious or depressed baselineSeverely anxious or depressed baselineExtremely anxious or depressed baselineNo problem Walking Week 12Slight Problem Walking Week 12Moderate Problem Walking Week 12Severe Problem Walking Week 12Unable to Walk Week 12No problem washing or dressing Week 12Slight problem washing or dressing Week 12Moderate problem washing or dressing week 12Severe problem washing or dressing Week 12Unable to wash or dress Week 12No problem doing usual activities Week 12Slight problem doing usual activities Week 12Moderate problem doing usual activities Week 12Severe problem doing usual activities Week 12Unable to do usual activities Week 12No pain or discomfort Week 12Slight pain or discomfort Week 12Moderate pain or discomfort Week 12Severe pain or discomfort Week 12Extreme pain or discomfort Week 12Not anxious or depressed Week 12Slightly anxious or depressed Week 12Moderately anxious or depressed Week 12Severely anxious or depressed Week 12Extremely anxious or depressed Week 12No problem Walking Week 24Slight Problem Walking Week 24Moderate Problem Walking Week 24Severe Problem Walking Week 24Unable to Walk Week 24No problem washing or dressing Week 24Slight problem washing or dressing Week 24Moderate problem washing or dressing Week 24Severe problem washing or dressing Week 24Unable to washing or dressing Week 24No problem doing usual activities Week 24Slight problem doing usual activities Week 24Moderate problem doing usual activities Week 24Severe problem doing usual activities Week 24Unable to do usual activities Week 24No pain or discomfort Week 24Slight pain or discomfort Week 24Moderate pain or discomfort Week 24Severe pain or discomfort Week 24Extreme pain or discomfort Week 24Not anxious or depressed Week 24Slightly anxious or depressed Week 24Moderately anxious or depressed Week 24Severely anxious or depressed Week 24Extremely anxious or depressed Week 24
Continuation of Opioid Therapy Optimal Responder211003100012100022002200012100301001120001210301001200021000111001110021000
Continuation of Opioid Therapy Suboptimal Responder027213351001560006603450003720363000363001911741001411124020051200413050300
Structured Discontinuation Opioid Therapy Optimal Responder120003000002100012001200010200102000111000210102000110010100101000110011000
Structured Discontinuation Opioid Therapy Suboptimal Responder118301110100010300067045400128202452014440001120724002251033310124210154043300

[back to top]

Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women

For the International Index of Erectile Function (IIEF)(15-items) each question is scored on a scale of 0 or 1 to 5, with 0 as no sexual attempts, 1 as the highest frequency, and 5 as the lowest, except where 1=1-2, 2=3-4, 3=5-6, 4=7-10 attempts, and 5=11 or more attempts. Missing responses are scored as 0. For the Female Sexual Function Index (FSFI)(19 items) each question is scored on a scale of 0-5 or 1-5. The FSFI examines the following 6 domains with minimum and maximum scores as indicated: desire(1.2-6.0), arousal(0-6.0), lubrication(0-6.0), orgasm(0-6.0), satisfaction(0.8-6.0), and pain(0-6.0). A computational formula sums the scores within each domain and multiplies that sum by a prescribed weighting factor: desire 0.6, arousal 0.3, lubrication 0.3, orgasm 0.4, satisfaction 0.4, pain 0.4. Higher scores indicate greater functionality. The single final score range is 2.0 to 36, which is reported as an average for each group of female study participants as change from baseline. (NCT02741076)
Timeframe: Change from Baseline to 12 and 24 week visit

,,
InterventionScore on a scale (Mean)
Male Erectile Function Week 12Male Erectile Function Week 24Male Orgasmic Function Week 12Male Orgasmic Function Week 24Male Sexual Desire Week 12Male Sexual Desire Week 24Male Intercourse Satisfaction Week 12Male Intercourse Satisfaction Week 24Male Overall Satisfaction Week 12Male Overall Satisfaction Week 24Female Desire Week 12Female Desire Week 24Female Arousal Week 12Female Arousal Week 24Female Lubrication Week 12Female Lubrication Week 24Female Orgasm Week 12Female Orgasm Week 24Female Satisfaction Week 12Female Satisfaction Week 24Female Pain Week 12Female Pain Week 24
Continuation of Opioid Therapy Suboptimal Responder-4.6-0.4-1.00.41.00.8-1.40.41.42.2-0.86-1.40-0.47-0.900.940.300.910.27-0.40-0.672.690.80
Continuation of Opioid Therapy Optimal Responder2.004.51.52.00.00.00.01.50.50.00.300.001.350.900.3000.20-0.400.00.00-0.400.40
Structured Discontinuation Opioid Therapy Suboptimal Responder2.01.4-1.0-0.62.21.8-1.0-1.01.83.40.230.480.381.800.000.30-0.050.40-0.10-0.720.650.88

[back to top]

Sexual Function Measured Using the International Index of Erectile Function (IIEF) for Men and the Female Sexual Function Index (FSFI) for Women

For the International Index of Erectile Function (IIEF)(15-items) each question is scored on a scale of 0 or 1 to 5, with 0 as no sexual attempts, 1 as the highest frequency, and 5 as the lowest, except where 1=1-2, 2=3-4, 3=5-6, 4=7-10 attempts, and 5=11 or more attempts. Missing responses are scored as 0. For the Female Sexual Function Index (FSFI)(19 items) each question is scored on a scale of 0-5 or 1-5. The FSFI examines the following 6 domains with minimum and maximum scores as indicated: desire(1.2-6.0), arousal(0-6.0), lubrication(0-6.0), orgasm(0-6.0), satisfaction(0.8-6.0), and pain(0-6.0). A computational formula sums the scores within each domain and multiplies that sum by a prescribed weighting factor: desire 0.6, arousal 0.3, lubrication 0.3, orgasm 0.4, satisfaction 0.4, pain 0.4. Higher scores indicate greater functionality. The single final score range is 2.0 to 36, which is reported as an average for each group of female study participants as change from baseline. (NCT02741076)
Timeframe: Change from Baseline to 12 and 24 week visit

InterventionScore on a scale (Mean)
Male Erectile Function Week 12Male Erectile Function Week 24Male Orgasmic Function Week 12Male Orgasmic Function Week 24Male Sexual Desire Week 12Male Sexual Desire Week 24Male Intercourse Satisfaction Week 12Male Intercourse Satisfaction Week 24Male Overall Satisfaction Week 12Male Overall Satisfaction Week 24Female Desire Week 12Female Arousal Week 12Female Lubrication Week 12Female Orgasm Week 12Female Satisfaction Week 12Female Pain Week 12
Structured Discontinuation Opioid Therapy Optimal Responder4.07.00.51.50.0-1.50.52.01.50.00.00-6.00-3.60-4.40-0.40-3.20

[back to top]

Participants Sleep Quantity Measured by Medical Outcomes Study (MOS)

Optimal Sleep Index is based on the average number of hours of sleep each night during the past 4 weeks. Index=1 represents 7-8 hours and Index=0 represents < 7 hours or > 8 hours. (NCT02741076)
Timeframe: 4 weeks prior to baseline and prior to 12 and 24 week visits

,,,
InterventionParticipants (Count of Participants)
Index=0 BaselineIndex=1 BaselineIndex=0 Week 12Index=1 Week 12Index=0 Week 24Index=1 Week 24
Continuation of Opioid Therapy Optimal Responder311321
Continuation of Opioid Therapy Suboptimal Responder9310271
Structured Discontinuation Opioid Therapy Optimal Responder212111
Structured Discontinuation Opioid Therapy Suboptimal Responder10311291

[back to top]

Participant Reported Quality of Life Assessment Using Visual Analog Scale (EQ-5D-5L Standardized Instrument)

The EQ-5D-5L is a self-administered general measure of health outcome applicable to a wide range of health conditions and treatments. The visual analog scale (VAS) rates the subject's health on a 0-100 scale from the worst imaginable health state to the best imaginable health state. (NCT02741076)
Timeframe: Baseline to 12 and 24 week visit

,,,
InterventionScore on a scale (Mean)
Week 12 visitWeek 24 visit
Continuation of Opioid Therapy Optimal Responder-6.30.3
Continuation of Opioid Therapy Suboptimal Responder3.28.4
Structured Discontinuation Opioid Therapy Optimal Responder-17.7-4.5
Structured Discontinuation Opioid Therapy Suboptimal Responder5.54.5

[back to top]

Number of Suboptimal Responders With Pain Intensity (PI) Score Worsening Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)

"Percent pain intensity difference (PID) relative to baseline is defined as 100* ((baseline Average PI - mean Average PI at visit)/baseline Average PI). The percentages are based on number of subjects in the Intent-to-Treat set per treatment group. PI is measured on the Numerical Ratings Scale (NRS). Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10.~This outcome measure applies only to Optimal Responders." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionParticipants (Count of Participants)
greater than or equal to 40% Week 12Greater than or equal to 30% Week 12greater than or equal to 20% Week 12Greater than or equal to 10% Week 12Equal to 0% (any worsening) Week 12Greater than or equal to 40% week 24greater than or equal to 30% Week 24greater than or equal to 20% Week 24Greater than or equal to 10% Week 24Greater than 0% (any worsening) Week 24
Continuation of Opioid Therapy Optimal Responder0022201111
Continuation of Opioid Therapy Suboptimal Responder0000000000
Structured Discontinuation Opioid Therapy Optimal Responders1111100011
Structured Discontinuation Opioid Therapy Suboptimal Responder0000000000

[back to top]

Number of Suboptimal Responders With Pain Intensity (PI) Score Improvement Relative to Baseline PI Measured on the 0-10 Numerical Ratings Scale (NRS)

"Percent pain intensity difference (PID) relative to baseline is defined as 100* ((baseline Average PI - mean Average PI at visit)/baseline Average PI). The percentages are based on number of subjects in the Intent-to-Treat set per treatment group. PI is measured on the Numerical Ratings Scale (NRS). Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10.~This outcome measure applies only to Suboptimal Responders." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionParticipants (Count of Participants)
greater than or equal to 30% Week 12greater than or equal to 20% Week 12greater than or equal to 10% Week 12>0% (any improvement) Week 12greater than or equal to 30% Week 24greater than or equal to 20% Week 24greater than or equal to 10% Week 24>0% (any improvement) Week 24
Continuation of Opioid Therapy Optimal Responder00000000
Continuation of Opioid Therapy Suboptimal Responder01350133
Structured Discontinuation Opioid Therapy Optimal Responder00000000
Structured Discontinuation Opioid Therapy Suboptimal Responder11370158

[back to top]

Number of Participants Reporting Major or Severe Major Depression Using Patient Health Questionnaire Depression Scale (PHQ-8)

"The PHQ-8 is an 8-item questionnaire that aims at assessing the level of depression of a subject. Each item is scored from 0 = not at all to 3= nearly every day; the total score, which is the sum of the scores for each item, can be from 0 to 24. A score >= 10 is considered major depression and >= 20 is severe major depression." (NCT02741076)
Timeframe: Baseline, 12 and 24 week visit

,,,
InterventionParticipants (Count of Participants)
Major Depression BaselineSevere Major Depression BaselineMajor Depression Week 12Severe Major Depression Week 12Major Depression Week 24Severe Major Depression Week 24
Continuation of Opioid Therapy Optimal Responder001000
Continuation of Opioid Therapy Suboptimal Responder503000
Structured Discontinuation Opioid Therapy Optimal Responder001000
Structured Discontinuation Opioid Therapy Suboptimal Responder201020

[back to top]

Change in the Mean Average Pain Intensity (PI) Score on the 0-10 Numerical Ratings Scale (NRS)

"Baseline is defined as the mean of the available Average PI scores on the 0-10 Numerical Ratings Scale (NRS) over the 7-day Baseline Period. For the scheduled post-randomization visits, mean Average Pain Intensity is defined as the means of the respective PI scores over the 7 days preceding the visit. If there is only one daily PI score available, the mean is not calculated, and the data point is considered missing.~PI = Pain Intensity. Higher scores indicate more pain intensity; lower scores less pain intensity. Scale range 0-10." (NCT02741076)
Timeframe: From baseline to the 1 week period prior to the Week 12 visit

InterventionScore on a scale (Mean)
Structured Discontinuation Opioid Therapy Suboptimal Responder-0.2198
Continuation of Opioid Therapy Suboptimal Responder-0.3328
Structured Discontinuation Opioid Therapy Optimal Responder0.3750
Continuation of Opioid Therapy Optimal Responder1.00

[back to top]

Change From Baseline in the Patient Health Questionnaire Depression Scale (PHQ-8)

"The PHQ-8 is an 8-item questionnaire that aims at assessing the level of mood of a subject. Each item is scored from 0 = not at all to 3= nearly every day; the total score, which is the sum of the score for each item, can be from 0 to 24. A score ≥10 is considered major depression and ≥20 is severe major depression." (NCT02741076)
Timeframe: Weeks 12 and 24

,,,
InterventionScore on a scale (Mean)
12 Weeks24 Weeks
Continuation of Opioid Therapy Optimal Responder3.3-1.3
Continuation of Opioid Therapy Suboptimal Responder-0.8-1.1
Structured Discontinuation Opioid Therapy Optimal Responder3.30.00
Structured Discontinuation Opioid Therapy Suboptimal Responder-1.20.7

[back to top]

Patient Global Impression of Change (PGIC)

The Patient Global Impression of Change (PGIC) is a self-administered questionnaire that assesses the participant's level of improvement/worsening from the beginning to the end of treatment. Participants are asked to select the category of change that most closely describes any change experienced in the pain of their painful areas from the beginning of the Blinded Structured Opioid Discontinuation Period to Week 12 and to Week 24. The scale has levels describing change as: very much improved, much improved, minimally improved, no change, minimally worse, much worse, very much worse. (NCT02741076)
Timeframe: Baseline to 12 and 24 week visit

,,,
InterventionParticipants (Count of Participants)
Very much improved Week 12Much improved Week 12Minimally improved Week 12No change Week 12Minimally Worse Week 12Much Worse Week 12Very Much Worse Week 12Very much improved Week 24Much improved Week 24Minimally improved Week 24No change Week 24Minimally Worse Week 24Much Worse Week 24Very Much Worse Week 24
Continuation of Opioid Therapy Optimal Responder01101100200010
Continuation of Opioid Therapy Suboptimal Responder01531200141200
Structured Discontinuation Opioid Therapy Optimal Responder00101010020000
Structured Discontinuation Opioid Therapy Suboptimal Responder03811000333100

[back to top]

Pruritus

The number of subjects who experienced and self-reported pruritus within the first 24 hours after administration of spinal anesthesia. (NCT02789410)
Timeframe: 24 hours after administration of spinal anesthesia

InterventionParticipants (Count of Participants)
Intrathecal Hydromorphone27
Intrathecal Morphine28

[back to top]

NRS Score for Pain (0-10) With Movement 24 Hours After Spinal Administration

Each patient will be interviewed by a member of the study team 24 hours after receiving their spinal anesthetic. Patients will be asked to rate their current level of pain on a Numeric Rating Scale (NRS) of 0 (no pain) to 10 (worst pain imaginable). (NCT02789410)
Timeframe: 24 hours after administration of spinal anesthesia

Interventionscore on a scale (Median)
Intrathecal Hydromorphone4
Intrathecal Morphine3

[back to top]

Nausea

The number of subjects who experienced and self-reported nausea within the first 24 hours after administration of spinal anesthesia. (NCT02789410)
Timeframe: 24 hours after administration of spinal anesthesia

InterventionParticipants (Count of Participants)
Intrathecal Hydromorphone28
Intrathecal Morphine32

[back to top]

Total Narcotic Consumption

Parenteral and oral narcotic agents will be utilized by patients for post-operative pain control per the standard of care. No alterations in narcotic prescription behavior will be observed for this study. (NCT02793947)
Timeframe: Narcotic consumption will be recorded every 8 hours for the first two post-operative days.

Interventionmg of morphine (Mean)
Peri-incisional Injection5.0
Control (no Injection)9.7

[back to top] [back to top]

Visual Analog Scale Pain Assessment

"Patients will describe their current level of comfort on a 10 point scale while at rest. Zero corresponds to no pain and ten corresponds to the most extreme possible pain. Visual analog scores will be collected by nursing staff who are blinded to the treatment allocation." (NCT02793947)
Timeframe: Pain assessment will be collected immediately prior to surgery (pre-op), immediately following surgery in the post-anesthesia care unit (PACU), and every 4 hours following surgery for the first two post-operative days (48 hours total; 4H-48H)

,
Interventionunits on a scale (Median)
Pre-opPACU4H8H12H16H20H24H28H32H36H40H44H48H
Control (no Injection)5.03.25.05.05.04.04.04.03.55.04.03.54.03.0
Peri-incisional Injection5.01.61.02.03.53.54.03.03.03.04.03.03.03.0

[back to top]

Number of Respiratory Safety Events Compared to Morphine.

(NCT02815709)
Timeframe: 48 hours

InterventionRespiratory Safety Events (Number)
Treatment 1 Oliceridine1
Treatment 2 Oliceridine7
Treatment 3 Oliceridine11
Placebo0
Morphine14

[back to top]

Odds Ratio of Patients Who Respond to Study Medication at the 48-hr NRS Assessment Compared to Morphine.

Odds ratio of 48-hour responder analysis versus morphine. Number of patients who responded to study medication at the 48-hr NRS assessment is captured in the primary outcome measure. (NCT02815709)
Timeframe: 48 hours

Interventionodds ratio (Number)
Treatment 1 Oliceridine1.5
Treatment 2 Oliceridine2.54
Treatment 3 Oliceridine2.89

[back to top] [back to top]

Number of Patients Who Respond to Study Medication at the 48-hr Numeric Pain Rating Scale (NRS) Assessment Compared to Placebo.

(NCT02815709)
Timeframe: 48 hours

InterventionParticipants (Count of Participants)
Treatment 1 Oliceridine38
Treatment 2 Oliceridine49
Treatment 3 Oliceridine52
Placebo12
Morphine54

[back to top]

Duration of Respiratory Safety Events Compared to Morphine.

(NCT02815709)
Timeframe: 48 hours

Interventionhours (Mean)
Treatment 1 Oliceridine2.21
Treatment 2 Oliceridine3.44
Treatment 3 Oliceridine3.34
Placebo2.94
Morphine5.14

[back to top]

Odds Ratio of Patients Who Respond to Study Medication at the 24-hr NPRS Assessment Compared to Morphine.

Odds ratio of 24-hour responder analysis versus morphine. Number of patients who responded to study medication at the 24-hr NPRS assessment is captured in the primary outcome measure. (NCT02820324)
Timeframe: 24 hours

Interventionodds ratio (Number)
Treatment 1 Oliceridine0.88
Treatment 2 Oliceridine2.11
Treatment 3 Oliceridine1.73

[back to top]

Duration of Respiratory Events Compared to Morphine.

Respiratory Safety Events were defined as a clinically relevant worsening of respiratory status. (NCT02820324)
Timeframe: 24 hours

Interventionhours (Mean)
Treatment 1 Oliceridine2.27
Treatment 2 Oliceridine2.97
Treatment 3 Oliceridine3.43
Treatment 4 Placebo4.12
Treatment 5 Morphine3.17

[back to top]

Number of Patients Who Respond to Study Medication at the 24-hr Numeric Pain Rating Scale (NPRS) Assessment Compared to Placebo.

"The NPRS is an 11-point scale from 0-10 where 0 = no pain and 10 = the most intense pain imaginable. A patient was a responder if: their final time-weighted Sum of Pain Intensity Difference (SPID)-24 corresponded to a ≥30% improvement without rescue pain medication during the Randomized Treatment Period, without early discontinuation of study medication for any reason, and without reaching the study medication dosing limit." (NCT02820324)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
Treatment 1 Oliceridine47
Treatment 2 Oliceridine61
Treatment 3 Oliceridine56
Treatment 4 Placebo37
Treatment 5 Morphine65

[back to top] [back to top]

Number of Respiratory Safety Events Compared to Morphine.

Respiratory Safety Events were defined as a clinically relevant worsening of respiratory status. (NCT02820324)
Timeframe: 24 hours

InterventionRespiratory Safety Events (Number)
Treatment 1 Oliceridine6
Treatment 2 Oliceridine17
Treatment 3 Oliceridine18
Treatment 4 Placebo5
Treatment 5 Morphine22

[back to top]

Interleukin-6 Concentration in Peripheral Blood.

Measurement will be done before and 24 and 72 hours after the surgery. (NCT02848599)
Timeframe: Before, 24 and 72 hours after the surgery

,
Interventionpg/ml (Median)
Before surgery24h after surgery72h after surgery
Levobupivacaine26.697.730.5
Morphine27.210450

[back to top]

Changes in Fibrinogen Concentrations in Peripheral Blood

Measurement will be done before and 24,72 and 120 hours after the surgery. (NCT02848599)
Timeframe: Before, 24,72 and 120 hours after the surgery

,
Interventiong/L (Median)
Before surgery24 h after surgery72 h after surgery120 h after surgery
Levobupivacaine4.54.75.25
Morphine5.55.35.75.4

[back to top]

Changes in Cognitive Function

"Assessment of cognitive function will be done using the Mini-mental state examination (MMSE) rating scales before and 24,48,72,96 and 120 hours after the surgery at the same time every morning.~Mini-Mental State Examination Scale: minimum score is 0 and maximum score is 30; the severity of cognitive impairment: no cognitive impairment=25-30; mild cognitive impairment=19-24; moderate cognitive impairment=10-18; and severe cognitive impairment<9. Higher scores mean a better and lower scores mean a worse outcome." (NCT02848599)
Timeframe: Before, 24,48,72,96 and 120 hours after the surgery

,
Interventionscore on a scale (Median)
Before surgery24 h after surgery48 h after surgery72 h after surgery96 h after surgery120 h after surgery
Levobupivacaine222221212122
Morphine212020202020

[back to top]

Changes in C-reactive Protein (CRP) Levels

Measurement will be done before and 24,72 and 120 hours after the surgery. (NCT02848599)
Timeframe: Before, 24,72 and 120 hours after the surgery

,
Interventionmg/L (Median)
Before surgery24 h after surgery72 h after surgery120 h after surgery
Levobupivacaine57.898.19554.6
Morphine57.2106.2118.566.9

[back to top]

Changes in Pain Intensity

"Assessment will be done using Numeric Rating Scale (NRS). During the first 72 hours after the surgery assessment will be done every 3 hours, after that assessment will be done 3 times daily. Median of 8 time points measurements during the first 24, 48 and 72 hours after the surgery will be reported. After that, median of 3 time points will be reported from the 4. to 6. postoperative day and on the day of discharge.~Minimum score 0 and maximum score 10 ( 0-No Pain; 1-3 Mild Pain; 4-6 Moderate Pain; 7-10 Severe Pain ). Higher scores mean a worse and lower scores mean a better outcome." (NCT02848599)
Timeframe: During the first 72 hours after the surgery assessment will be done every 3 hours, after that assessment will be done 3 times daily until discharge

,
Interventionscore on a scale (Median)
3,6,9,12,15,18,21 and 24h after surgery27,30,33,36,39,42,45 and 48h after surgery51,54,57,60,63,66,69 and 72h after surgery4. postoperative day (every 8 hours)5. postoperative day (every 8 hours)6. postoperative day (every 8 hours)Day of discharge
Levobupivacaine0.60.50.50.3000
Morphine1.41.51.41.41.41.31

[back to top]

Postoperative Hospital Stay

Duration of postoperative hospital stay in days (NCT02848599)
Timeframe: 14 days

Interventiondays (Median)
Morphine7
Levobupivacaine7

[back to top]

Maximum Concentration (Cmax) of Acetaminophen

Following the administration of drugs, the plasma concentration generally reaches a single, well-defined peak which is the most drug that is available for the body to use (Cmax). Cmax is reported for the 6-hour dosing periods before (hours -6 to 0), during (hours 0-6 and 6-12), and after (hours 12-18) morphine co-administration for each route of acetaminophen administration. (NCT02848729)
Timeframe: hours -6 to 0, 0-6, 6-12, and 12-18 during treatment with each mode of acetaminophen administration

,,,
Interventionmcg/mL (Mean)
Treatment A: Oral AcetaminophenTreatment B: IV Acetaminophen
First Dose - Before Morphine Co-administration11.622.6
Fourth Dose - After Morphine Co-administration13.528.5
Second Dose - During Morphine Co-administration7.2917.0
Third Dose - During Morphine Co-administration7.2517.5

[back to top]

Time to Maximum Concentration (Tmax) of Acetaminophen

Following the administration of drugs, the time at which the plasma concentration reaches Cmax is called Tmax. Tmax is reported for the 6-hour dosing periods before (hours -6 to 0), during (hours 0-6 and 6-12) and after (hours 12-18) morphine co-administration for each route of acetaminophen administration. (NCT02848729)
Timeframe: hours -6 to 0, 0-6, 6-12 and 12-18 during treatment with each mode of acetaminophen administration

,,,
Interventionhours (Mean)
Oral AcetaminophenIV Acetaminophen
First Dose - Before Morphine Co-administration1.480.25
Fourth Dose - After Morphine Co-administration2.840.25
Second Dose - During Morphine Co-administration1.640.50
Third Dose - During Morphine Co-administration3.260.51

[back to top]

Area Under the Plasma Concentration-time Curve Over 6 Hours (AUC6) for Acetaminophen

The area under the plasma drug concentration-time curve (AUC) is an estimate of how much drug remains available for the body to use, within a certain amount of time after the drug is administered. AUC6 is reported for each of the 6-hour dosing periods of acetaminophen before (hours -6 to 0), during (hours 0-6 and 6-12) and after (hours 12-18) morphine co-administration for each route of acetaminophen administration (NCT02848729)
Timeframe: hours -6 to 0, 0-6, 6-12, and 12-18 during treatment with each mode of acetaminophen administration

,,,
Interventionhour*microgram per milliliter (h*mcg/mL) (Mean)
Treatment A: Oral AcetaminophenTreatment B: IV Acetaminophen
First Dose - Before Morphine Co-administration31.0042.56
Fourth Dose - After Morphine Co-administration52.3849.05
Second Dose - During Morphine Co-administration28.5144.37
Third Dose - During Morphine Co-administration25.3143.59

[back to top]

Area Under the Plasma Concentration-time Curve Over 18 Hours (AUC18) for Acetaminophen After First Morphine Co-administration

AUC18 is reported for the 18-hour treatment period after first morphine co-administration, for each route of acetaminophen administration (NCT02848729)
Timeframe: hours 0-18 during treatment with each mode of acetaminophen administration

Interventionhour*microgram per milliliter (h*mcg/mL) (Mean)
Treatment A: Oral AcetaminophenTreatment B: IV Acetaminophen
After First Dose of Morphine Co-administration82.5063.58

[back to top]

Breastfeeding Initiation and Continuation at Hospital Discharge

Assessed through chart review of discharge summary documentation of method of infant feeding at time of discharge (NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine5
Methadone5

[back to top]

Total Morphine Equivalent Dose Received

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

Interventionmorphine equivalents mg (Mean)
Morphine9.86
Methadone33.0

[back to top]

Need for NICU Transfer, as Determined by Chart Review of Discharge Summary.

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine0
Methadone3

[back to top]

Need for Feeding Assistance, Determined by Chart Review of Discharge Summary, Specifically Evaluating for Need for Nasogastric Tube Placement or Peripheral Parenteral Nutrition.

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine11
Methadone6

[back to top]

Need for Additional Agent to Treat Withdrawal, Determined by Chart Review of Medication Administration Record of Administered Medications for Withdrawal Treatment (Example: Clonidine or Phenobarbital)

clonidine (NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine1
Methadone0

[back to top]

Length of Treatment

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

Interventiondays (Mean)
Morphine14.7
Methadone12.8

[back to top]

Length of Hospital Stay

Number of days in hospital after birth (NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

Interventiondays (Mean)
Morphine17.9
Methadone16.1

[back to top]

Length of Hospital Stay

Length of hospital stay (NCT02856698)
Timeframe: Up to 30 days

Interventiondays (Median)
Midazolam7
Morphine6

[back to top]

Number of Participants That Required Invasive Mechanical Ventilation

(NCT02856698)
Timeframe: Up to 1 week

Interventionparticipants (Number)
Midazolam3
Morphine1

[back to top]

In-hospital Mortality

In hospital mortality (NCT02856698)
Timeframe: 28 days after of the hospitalization

InterventionParticipants (Count of Participants)
Midazolam7
Morphine10

[back to top]

Pain Scores (Numerical Rating Scale 0-10) Using the Faces Pain Scale-Revised

"Average pain scores during the day of surgery using the FPS-R rates pain on a scale from 1-10, with 0 representing no pain and 10 very much pain. Each level accompanies a facial expression, ranging from content to distress." (NCT02880540)
Timeframe: From surgery until discharge from the hospital, an average of 48 hours.

InterventionUnits on a scale (Median)
Control Group5
Dexmedetomidine Treated3.4

[back to top]

Postoperative Bleeding

Postoperative bleeding volume (ml) (NCT02882152)
Timeframe: baseline (discharge of post-anesthesia care unit-PACU), 24hs, 48hs, 72 hours

,
InterventionmL (Mean)
Zero hour (discharge of PACU)24 hours48 hours72 hours
Femoral Blockade136.5180.569.220.0
Morphine271.8334.7111.9155.3

[back to top]

Analgesic Efficacy

Pain with verbal numeric rating scale (VNRS). VNRS has 11 points, from zero to 10 (zero= no pain, 1-3 = mild pain, 4-5 = moderate pain, 7-9 = severe pain, 10 = unbearable pain). (NCT02882152)
Timeframe: baseline (zero hour: discharge of post-anesthesia care unit-PACU), 24hs, 48hs, 72 hours

,
Interventionunits on a scale (Mean)
Zero hour (discharge of PACU)24 hours48 hours72 hours
Femoral Blockade00.60.30.1
Morphine0.13.03.52.6

[back to top]

Change From Baseline in the Numerical Rating Pain Scale (NRS)

"Patients will be provided with a diary to record pain scores just before a PTM bolus and the lowest pain score within half an hour after a PTM bolus.~Numerical Rating Pain Scale (NRS): scale from 0-10 0 = no pain 10 = worst imaginable pain" (NCT02886286)
Timeframe: Before self-administered bolus using Patient Therapy Manager device (PTM) and within 30 minutes of PTM bolus

Interventionunits on a scale (Mean)
Bupivacaine + Opioid1.87
Opioid1.81

[back to top]

Change From Baseline in Treatment Satisfaction

A 5-point qualitative Likert scale was used to report measures of patient satisfaction (i.e., not satisfied at all, not satisfied, somewhat, satisfied, very satisfied). To quantify satisfaction, these responses were transformed to a scale of 0-4, with higher numbers representing greater levels of satisfaction. (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid2.36
Opioid1.94

[back to top]

Change From Baseline in Average Weekly Numeric Pain Rating Score (NRS)

"Average Weekly Numeric Pain Rating Score (NRS) over the past week~Numerical Rating Pain Scale (NRS): scale from 0-10 0 = no pain 10 = worst imaginable pain" (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid-0.47
Opioid-0.38

[back to top]

Change From Baseline in Oswestry Disability Index (ODI)

"Oswestry Disability Index (ODI): calculated as a percentage based on scores from 0-5 in 10 categories (pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, travelling). 0 signifies no pain interference while 5 signifies maximum possible pain interference in the 10 categories. Scores from 0-5 for 10 categories are added and divided by total possible score (50) X 100 to give percentage.~Interpretation of percentage scores:~0 - 20% minimal disability 21-40% moderate disability 41-60% severe disability 61-80% crippled 81-100% either bed bound or patient is exaggerating symptoms" (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid.88
Opioid2.67

[back to top]

Change From Baseline in painDETECT

painDETECT is a nine-item questionnaire that consists of seven sensory symptom items for pain that are graded from 0= never to 5= strongly, one temporal item on pain-course pattern graded -1 to +1, and one spatial item on pain radiation graded 0 for no radiation or +2 for radiating pain. A total score that ranges from -1 to 38 can be calculated from the nine items, with higher scores indicating higher levels of pain. (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid0.69
Opioid0.25

[back to top]

Change From Baseline in Patient Global Impression of Change (PGIC)

"Patient Global Impression of Change (PGIC): reflects patient's belief about the efficacy of treatment~= very much improved~= much improved~= minimally improved~= no change~= worse~= much worse~= very much worse" (NCT02886286)
Timeframe: Day 0, 7, 14, score at day 7 or day 14 reported

Interventionunits on a scale (Mean)
Bupivacaine + Opioid-0.06
Opioid1.25

[back to top]

Pain Score (NRS 0-10)

Pain score is rated on the Numeric Rating Scale from 0-10. 0 represents no pain and 10 represents the worst possible pain. (NCT02912195)
Timeframe: At 60 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine5.1
Morphine4.2

[back to top]

Pain Score (NRS 0-10)

Pain score recorded on the numeric rating scale 0-10. (NCT02912195)
Timeframe: At 30 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine7.0
Morphine5.6

[back to top]

Pain Score (NRS 0-10)

Pain score recorded on the numeric rating scale 0-10. (NCT02912195)
Timeframe: At 10 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine8.1
Morphine8.9

[back to top]

Pain Score (NRS 0-10)

Pain score recorded on the numeric rating scale 0-10. (NCT02912195)
Timeframe: At 50 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine5.6
Morphine4.6

[back to top]

Pain Score (NRS 0-10)

Pain score recorded on the numeric rating scale 0-10. 0 represents no pain and 10 represents the worst pain. (NCT02912195)
Timeframe: At 20 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine7.4
Morphine6.2

[back to top]

Patient Satisfaction

"The proportion of patients saying, Yes to Would you have this pain medication again for similar pain?" (NCT02912195)
Timeframe: 60 minutes

InterventionParticipants (Count of Participants)
Intravenous Lidocaine13
Morphine14

[back to top]

Pain Relief at 10 Minutes Compared to Baseline.

Pain NRS at 0 minutes minus pain NRS at 10 minutes (NCT02912195)
Timeframe: At 10 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine1.1
Morphine2.0

[back to top]

Pain Score (NRS 0-10)

Pain score recorded on the numeric rating scale 0-10. (NCT02912195)
Timeframe: At 40 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine6.3
Morphine4.7

[back to top]

Number of Participants Reporting Adverse Events

Participants will be observed for the following adverse events and side effects: seizure, bradyarrhythmias, hyper or hypotension, perioral numbness, tinnitus, metallic taste, other, hypotension, hypoxia, nausea, vomiting, itching, or other side effects. Participants have the opportunity to report other side effects during the study (NCT02912195)
Timeframe: 0-60 minutes

InterventionParticipants (Count of Participants)
Intravenous Lidocaine2
Morphine6

[back to top]

Number of Participants Requiring Rescue Medications

The percentage of patients requiring rescue IV morphine at 20 and 40 minutes (NCT02912195)
Timeframe: At 20 and 40 minutes

InterventionParticipants (Count of Participants)
Intravenous Lidocaine5
Morphine4

[back to top]

Pain Relief at 60 Minutes Compared to Baseline.

Pain numeric rating scale (NRS) at 0 minutes minus pain NRS at 60 minutes. NRS is a scale ranging from 0, no pain, to 10 worst pain. (NCT02912195)
Timeframe: At 60 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine4.1
Morphine4.8

[back to top]

Pain Relief at 50 Minutes Compared to Baseline.

Pain numeric rating scale (NRS) at 0 minutes minus pain NRS at 50 minutes. NRS is a scale ranging from 0, no pain, to 10 worst pain. (NCT02912195)
Timeframe: At 50 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine3.6
Morphine4.4

[back to top]

Pain Relief at 40 Minutes Compared to Baseline.

Pain numeric rating scale (NRS) at 0 minutes minus pain NRS at 40 minutes. NRS is a scale ranging from 0, no pain, to 10 worst pain. (NCT02912195)
Timeframe: At 40 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine2.9
Morphine4.2

[back to top]

Pain Relief at 30 Minutes Compared to Baseline.

Pain numeric rating scale (NRS) at 0 minutes minus pain NRS at 30 minutes NRS is a scale ranging from 0, no pain, to 10 worst pain. (NCT02912195)
Timeframe: at 30 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine2.2
Morphine3.4

[back to top]

Pain Relief at 20 Minutes Compared to Baseline.

Pain numeric rating scale (NRS) at 0 minutes minus pain NRS at 20 minutes. NRS is a scale ranging from 0, no pain, to 10 worst pain. (NCT02912195)
Timeframe: at 20 minutes

Interventionunits on a scale (Mean)
Intravenous Lidocaine1.8
Morphine2.8

[back to top]

Opioid Use in First 24 Hours Post-surgery

Total opioid consumption expressed in morphine equivalent dose will be recorded, including IV and oral opioids, in the first 24 hours post-surgery. (NCT02967172)
Timeframe: At 24 hours post-surgery & during the total time of inpatient stay to dischage

,
InterventionMilligrams (Median)
Opioid use 24hr post-surgeryTotal inpatient opioid use
Control28.332.7
Peri-incisional Injection25.529.0

[back to top]

Patients Returning Home Following Surgery

Number of patients returning to their home following discharge, vs. going to a rehabilitation or skilled nursing facility (NCT02967172)
Timeframe: Following hospital discharge from surgery

InterventionParticipants (Count of Participants)
Peri-incisional Injection49
Control46

[back to top]

Post-operative Length of Stay

Number of days in the hospital following surgery (NCT02967172)
Timeframe: From immediately following surgery to 90 days after.

InterventionHours (Median)
Peri-incisional Injection22.3
Control22.5

[back to top]

Change in Post-operative Visual Analog Pain Scores (VAS)

The primary outcome was VAS pain over the first 48 hours postoperatively. Patients reported pain with use of a 100-mm VAS, with 0-mm being no pain and 100-mm being the most extreme pain imaginable. A higher score indicates worse pain. Scores were reported as mean values at 24 hours post-surgery and 48 hours post-surgery. (NCT02967172)
Timeframe: Immediately following surgery, then every 4 hours following surgery for 48 hours post-surgery.

,
Intervention0 to 100 score on a scale (Mean)
Mean VAS score 24hr post-opMean VAS score 48hr post-op
Control5250
Peri-incisional Injection4241

[back to top]

Bromage Motor Block Level at End of Surgery

Bromage scale (1 = no motor block; 2 = hip blocked; 3 = hip and knee blocked; and 4 = hip, knee, and ankle blocked) was used to evaluate the motor block every 15 min after spinal anaesthesia (T0) and until the end of surgery. (NCT03036384)
Timeframe: Until complete release of motor block (average 4 hours)

Interventionscore on a scale (Mean)
45mg HB Prilocaine3.56
50mg HB Prilocaine4.00

[back to top]

Number of Participants With Urinary Retention

All parturients will be questioned for urinary retention (yes or no) (NCT03036384)
Timeframe: Up to 24 hours after surgery

InterventionParticipants (Count of Participants)
45mg HB Prilocaine0
50mg HB Prilocaine0

[back to top]

Number of Participants With Transient Neurologic Symptoms (TNS)

TNS are defined as pain and/or dysesthesia occurred after complete release of sensory block at the gluteal level, at the thighs and at the legs. At Day 0, Day 1, Day 3 and Day 5 (NCT03036384)
Timeframe: up to 5 Days

InterventionParticipants (Count of Participants)
45mg HB Prilocaine0
50mg HB Prilocaine0

[back to top]

Number of Participants With Pruritus

from 15 minutes after spinal anesthesia and every 4 hours for 24 hours (score 0=no symptoms; 1=symptoms with no treatment necessary; 2=symptoms present and treated) (NCT03036384)
Timeframe: Up to 24 hours after surgery

InterventionParticipants (Count of Participants)
45mg HB Prilocaine0
50mg HB Prilocaine0

[back to top]

Success of Anesthesia

The nerve blockade will be considered as success when a bilateral T4 level will reach in 15 minutes after intrathecal injection without additional epidural injection needed within 45 minutes peri-operative ; no pain at the skin incision, no pain during 45 minutes after the skin incision (NCT03036384)
Timeframe: during surgery (average 1 hour)

,,,,,,,,,
InterventionParticipants (Count of Participants)
SuccessFailure
Cohort 140
Cohort 1031
Cohort 240
Cohort 340
Cohort 413
Cohort 540
Cohort 640
Cohort 740
Cohort 840
Cohort 931

[back to top]

Number of Participants With Nausea or Vomiting

from 15 minutes after spinal anesthesia and every 4 hours for 24 hours (score 0=no symptoms; 1=symptoms with no treatment necessary; 2=symptoms present and treated) (NCT03036384)
Timeframe: up to 24 hours after surgery

InterventionParticipants (Count of Participants)
45mg HB Prilocaine3
50mg HB Prilocaine0

[back to top]

Number of Participants Needing Vasopressors

"Arterial blood pressure will be measured at every 2.5 minute during surgery, then at every 20 minutes in the PACU (Post Anesthesia Care Unit). Vasopressors were given for patients with low blood pressure.~A low blood pressure is defined as a blood pressure lower than 20% or more than the basal blood pressure (Systolic blood pressure before spinal anesthesia)." (NCT03036384)
Timeframe: during surgery (average 1 hour)

InterventionParticipants (Count of Participants)
45mg HB Prilocaine15
50mg HB Prilocaine2

[back to top]

Motor Block Duration

Bromage scale (1 = no motor block; 2 = hip blocked; 3 = hip and knee blocked; and 4 = hip, knee, and ankle blocked) was used to evaluate the motor block every 15 minutes after spinal anaesthesia (T0) and until the end of surgery. Duration was defined from the time of the spinal injection until Bromage scale = 1. (NCT03036384)
Timeframe: Until complete release of motor block (Bromage scale = 1; average 4 hours)

Interventionhours (Mean)
45mg HB Prilocaine2.75
50mg HB Prilocaine3.50

[back to top]

Newborn Methemoglobinemia (MetHb)

Newborn Methemoglobinemia (MetHb) will be assessed at delivery by cordal blood sample, as a routine control, and expressed as a percentage of total hemoglobinemia. (NCT03036384)
Timeframe: average 1 hour

Interventionpercentage of MetHb (Mean)
45mg HB Prilocaine1.59
50mg HB Prilocaine1.60

[back to top]

Number of Participants With Dizziness

All parturients will be questioned for dizziness (yes or no) (NCT03036384)
Timeframe: Up to 24 hours after surgery

InterventionParticipants (Count of Participants)
45mg HB Prilocaine5
50mg HB Prilocaine2

[back to top]

Sensitive Block Duration

Level of Sensory block assessed as loss of sensation to cold, every 2 minutes after spinal anesthesia during 15 minutes, then every 5 minutes until the end of surgery, thereafter, once 30 minutes until total regression of sensory block (T12-S1). (NCT03036384)
Timeframe: Until complete release of sensory block (T12-S1) (average 4 hours)

Interventionhours (Mean)
45mg HB Prilocaine2.31
50mg HB Prilocaine3.25

[back to top]

Sensitive Block at End of Surgery

Level of Sensory block assessed as loss of sensation to cold, every 2 minutes after spinal anesthesia during 15 minutes, then every 5 minutes until the end of surgery, thereafter, once 30 minutes until total regression of sensory block (T12-S1). For this study, dermatome levels are depicted on a scale ranging from 1 to 18. (1 to 12 = T1-T12 thoracic levels; 13 to 17 = L1-L5 lumbar levels; 18 = S1 sacral level) (NCT03036384)
Timeframe: Until complete release of sensory block (T12-S1) (average 4 hours)

InterventionDermatome level (Median)
45mg HB Prilocaine3.88
50mg HB Prilocaine3.00

[back to top]

Number of Satisfied Participants

Maternal satisfaction (yes or no) will be assessed 1 hour after surgery in the PACU (Post Anesthesia Care Unit) (NCT03036384)
Timeframe: up to 1 hour after surgery

InterventionParticipants (Count of Participants)
45mg HB Prilocaine16
50mg HB Prilocaine4

[back to top]

Newborn Apgar Score

"Newborn Apgar score assessed at 1, 5, 10 minutes after baby extraction. The Apgar score is determined by evaluating the newborn baby on five simple criteria on a scale from 0 to 2, then summing up the five values thus obtained. The overall resulting score ranges from 0 to 10 ( 0-3 : severely depressed, 4-6 : Moderately depressed and 7-10 : Excellent condition).~The five criteria are summarized using words chosen to form an abbreviation (Appearance, Pulse, Grimace, Activity, Respiration)." (NCT03036384)
Timeframe: up to 10 minutes after baby extraction

,
Interventionscore on a scale (Mean)
Apgar at 1 minuteApgar at 5 minutesApgar at 10 minutes
45mg HB Prilocaine8.479.639.84
50mg HB Prilocaine9.009.7510

[back to top]

The Incidence of Delirium (Number of Patients (in Digits))

(NCT03078946)
Timeframe: Delirium was reported on day 7 post-surgery

Interventionparticipants (Number)
Dexmedetomidine Group (N=30)1
Morphine With Midazolam (N=30)2

[back to top]

The C-reactive Protein (CRP) Quantitative Titer Daily as Part of the Routine Clinical Care as a Prognostic Factor for Delirium (mg/L)

(NCT03078946)
Timeframe: The maximum serum CRP level during the ICU stay was designated as max-CRP on day 7 post-surgery

Interventionmg/L (Mean)
Dexmedetomidine Group (N=30)127.1
Morphine With Midazolam (N=30)101

[back to top]

Pain Reduction at 60 Minutes (Baseline Pain Score - Pain Score at 60 Minutes)

The reduction of pain at 60 minutes from baseline: The pain scale ranges from 0 to 10 with 0 being no pain, 5 being moderate pain and 10 being very severe pain. (NCT03088826)
Timeframe: 60 minutes

Interventionunits on a scale (Mean)
MSIR and Acetaminophen Group3.95
Oxycodone and Acetaminophen Group3.95

[back to top]

Average Opioid Consumption

Average opioid consumption 48 hrs postoperatively between the study group and the control (NCT03098420)
Timeframe: from the time of delivery to 48hrs postoperatively

Interventionmg of morphine equivalents (Mean)
Control Group37.93
2mg Dexamethasone47.11
4mg Dexamethasone42.38

[back to top]

Average Pain Score

Average pain score (VAS) 48 hrs postoperatively between the study group and the control. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. 0 represents no pain, whereas 10 represents unbearable pain. (NCT03098420)
Timeframe: 48 hours postoperatively

Interventionunits on a scale (Mean)
Control Group1.49
2mg Dexamethasone1.40
4mg Dexamethasone1.62

[back to top]

First Post-Operative Opioid Administration

Time until first dose post-operative opioid administration between the study group and the control (NCT03098420)
Timeframe: baseline to 48 hrs postoperatively

InterventionHours (Mean)
Control Group22.43
2mg Dexamethasone12.56
4mg Dexamethasone18.25

[back to top]

Length of Stay (LOS)

Compare the LOS of Neonatal Intensive Care Unit (NICU) infants with Neonatal Abstinence Syndrome (NAS) treated with methadone with historical data and a comparison group of NICU NAS infants treated with a different narcotic agent. (NCT03134703)
Timeframe: 25 days

Interventiondays (Mean)
Methadone Treatment Group11.3
Comparison Group16.2

[back to top]

Maternal Bonding Measured With The Postpartum Bonding Questionnaire (PBQ)

"The Postpartum Bonding Questionnaire (PBQ) is a self-rating questionnaire designed to detect disorders of the mother-infant relationship. The questionnaire has 25 statements, each with six alternative responses ranging from 0 (always) to 5 (never). For the PBQ, scores are summated for each factor, with a high score indicating concern for bonding. The PBQ yields a total score between 0 to 125. Positive responses are scored from 0 ('always') to 5 ('never'). Negative responses, are scored from 5 ('always') to 0 ('never').~Factor 1 (impaired bonding) is based on 12 questions, with a score range 0-60 (0-11=normal; 12 & above=high).~Factor 2 (rejection & anger) is based on 7 questions with a score range 0-35 (0-16=normal; 17 & above=high).~Factor 3 (anxiety about care) is based on 4 questions with a score range 0-20 (0-9=normal; 10 & above =high).~Factor 4 (risk of abuse) is based on 2 questions, with a score range 0-10 (0-2=normal; 3 & above =high)." (NCT03134703)
Timeframe: inpatient and at 6-8 weeks of age

,
Interventionscore on a scale (Mean)
Factor 1 inpatientFactor 2 inpatientFactor 3 inpatientFactor 4 inpatientFactor 1 6-8 weeksFactor 2 6-8 weeksFactor 3 6-8 weeksFactor 4 6-8 weeks
Comparison Group0.40100.512.50
Methadone Treatment Group000.601000

[back to top]

Maternal Depression Measured With The Edinburgh Postnatal Depression Scale (EPDS)

"The Edinburgh Postnatal Depression Scale (EPDS) was developed for screening postpartum women in outpatient, home visiting settings, or at the 6-8 week postpartum examination. The EPDS is a 10-item questionnaire with responses scored 0, 1, 2, or 3 according to increased severity of the symptom. The maximum total score is 30 while the minimum score is 0. A score of 10 or greater, as well as any answer choice other than never on question #10 (suicidal thoughts) of the EPDS are indicative of depressive symptomatology." (NCT03134703)
Timeframe: While inpatient and at 6-8 weeks of age

,
Interventionscore on a scale (Mean)
EPDS inpatientEPDS 6-8 weeks
Comparison Group7.25.3
Methadone Treatment Group0.310

[back to top]

Infant Development

"Assess the age appropriate infant development at 4, 8 and 12 months of age among the methadone treatment group using the Ages and Stages-based questionnaires (ASQ). The questionnaires are screening tools designed to identify infants at risk for developmental delays through caregivers' provision of quantitative information regarding their infant's development. In the ASQ, higher scores indicate more positive outcomes. The ASQ covers 5 areas of development: communication, gross motor, fine motor, problem solving, and personal-social. Scores for each area should fall between 0-60.~Scoring:~0-30 = further assessment with a professional may be needed 30-40 = learning activities & monitoring are indicated 45-60 = child development appears to be on schedule" (NCT03134703)
Timeframe: 4, 8 and 12 months of age

Interventionscore on a scale (Mean)
Communication at 4mGross motor at 4mFine motor at 4mProblem solving at 4mPersonal-social at 4mCommunication at 8mGross motor at 8mFine motor at 8mProblem solving at 8mPersonal-social at 8mCommunication at 12mGross motor at 12mFine motor at 12mProblem solving at 12mPersonal-social at 12m
Methadone Treatment Group51.756.756.756.76060505055505040605040

[back to top]

Readmission to Hospital

Number of hospital readmissions (NCT03134703)
Timeframe: Within 30 days of discharge

InterventionParticipants (Count of Participants)
Methadone Treatment Group0
Comparison Group0

[back to top]

Pain Score

Patients will score their pain on a visual analog scale of 0-10. The higher the score, the worse the patients reported pain is at that time . (NCT03241485)
Timeframe: First 48 hours after surgery

Interventionscore on a scale (Median)
Placebo6
Morphine1.2

[back to top]

Number of Participants With Respiratory Depression

Opioid related respiratory depression, post-operatively throughout the subjects hospital stay. (NCT03241485)
Timeframe: During hospital stay

InterventionParticipants (Count of Participants)
Placebo0
Morphine0

[back to top]

Number of Participants With Nausea

Daily evaluation of nausea post-operatively throughout the subjects hospital stay. (NCT03241485)
Timeframe: Until discharge, 2-3 days after surgery

InterventionParticipants (Count of Participants)
Placebo (Nausea)3
Morphine12

[back to top]

Postoperative Morphine Consumption

We anticipate that patients in the intervention groups will require less postoperative morphine for pain control. (NCT03241485)
Timeframe: 24 hours after surgery

InterventionMiligram (Median)
Placebo59
Morphine28

[back to top]

Patient Satisfaction

Patients will take a satisfaction survey prior to discharge, this is measured by calculating a score on a scale. This survey consist of questions that asks about the subjects post-operative experience with pain. Higher reported scores represent worse post-operative subject experience. These are ranked from a 0-10 scale, where 0 is the best experience and 10 meaning the worst experience. Questions being asked how satisfied they were with the results of the pain treatment while hospitalized, least pain in prior 24 hours, worst pain in prior 24 ours, percent time in severe pain, how much pain interfered with different activities, how much pain caused anxiety, depression, fright, helplessness, how severe were symptoms of nausea, drowsiness, itching, dizziness, and percentage pain relief in prior 24 hours. (NCT03241485)
Timeframe: 1-3 days after surgery, prior to discharge.

Interventionscore on a scale (Median)
Placebo9
Morphine9.5

[back to top]

Number of Participants With Abnormal Oral Cavity Examinations

Study staff will perform a sublingual (under the tongue) assessment, noting the color of mucosa and whether inflammation is present. (NCT03254459)
Timeframe: Pre-dose and 90 minutes, 12, 24, 48 and 72 hours after first dose on Days 1 to 4 and End of Study Day 8

,
InterventionParticipants (Count of Participants)
Pre-dose90 minutes12 hours24 hours48 hours72 hours
Buprenorphine Sublingual Spray 0.5 mg000010
Standard of Care Narcotic Therapy000000

[back to top]

Number of Participants With Abnormal Electrocardiograms (ECGs) Findings at 90 Minutes,12, 24, 48 and 72 Hours

A standard 12-lead ECG will be performed after the participant is in the supine (lying face up) position for 5 minutes. (NCT03254459)
Timeframe: Pre-dose and 90 minutes, 12, 24, 48 and 72 hours after first dose

,
InterventionParticipants (Count of Participants)
Pre-dose90 minutes12 hours24 hours48 hours72 hours
Buprenorphine Sublingual Spray 0.5 mg323034292518
Standard of Care Narcotic Therapy263331231814

[back to top]

Percentage of Participants Provided Rescue Medication for Nausea

Zofran was used at the clinician's discretion as rescue medication for nausea. (NCT03254459)
Timeframe: Days 1 to7

Interventionpercentage of participants (Number)
Standard of Care Narcotic Therapy12
Buprenorphine Sublingual Spray 0.5 mg35

[back to top]

Number of Participants With Treatment Emergent Adverse Events (TEAEs)

An adverse event (AE) is defined as any untoward medical occurrence in a participant administered a pharmaceutical product during the course of a clinical investigation. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of an investigational product, whether or not thought to be related to the investigational product. A TEAE is an AE with onset that occurs after receiving study drug. (NCT03254459)
Timeframe: Days 1 to 8

InterventionParticipants (Count of Participants)
Standard of Care Narcotic Therapy33
Buprenorphine Sublingual Spray 0.5 mg47

[back to top]

Time to First Use of Rescue Medication for Nausea Following Each Dose of the Investigational Product (IP)

"Zofran was used at the clinician's discretion as rescue medication for nausea. Time 0 is defined as the time of the administration of study drug." (NCT03254459)
Timeframe: Days 1 to 7

Interventionhours (Median)
Standard of Care Narcotic TherapyNA
Buprenorphine Sublingual Spray 0.5 mg11.25

[back to top]

Total Use of Rescue Medication for Nausea Over 0 to 24 Hours, Over 0 to 48 Hours, Over 0-72 Hours and 0-7 Days

Zofran was used at the clinician's discretion as rescue medication for nausea. The total use of rescue medication was calculated for the following 4 time-frames: 0 to 24 hours, 0 to 48 hours, 0 to 72 hours and 0 to 7 days. (NCT03254459)
Timeframe: 0 to 24 hours, 0 to 48 hours, 0 to 72 hours and 0 to 7 days

,
Interventioncumulative number of rescue doses (Number)
0 to 24 hours0 to 48 hours0 to 72 hours0 to 7 days
Buprenorphine Sublingual Spray 0.5 mg6892110152
Standard of Care Narcotic Therapy9182242

[back to top]

Pulse Oximetry Levels at 90 Minutes,12, 24, 48 and 72 Hours

Pulse oximetry is a non-invasive method to measure a person's oxygen saturation. (NCT03254459)
Timeframe: 90 Minutes,12, 24, 48 and 72 Hours

,
Interventionpercentage of oxygen saturation (Mean)
90 minutes12 hours24 hours48 hours72 hours
Buprenorphine Sublingual Spray 0.5 mg96.095.896.696.096.2
Standard of Care Narcotic Therapy96.396.096.996.597.3

[back to top]

Patients' Satisfaction Using a Likert-type Scale

overall satisfaction with the procedure using the Likert-type scale (1. Very dissatisfied, 2. Dissatisfied, 3. Neither satisfied nor dissatisfied, 4. Satisfied, 5. Very satisfied). The patient may comment any cause which made the satisfaction score high or low and if the patient would like to receive the same method of sedation during a future bronchoscopy. (NCT03357393)
Timeframe: After patient has recovered after bronchoscopy and before discharge home, estimated period of time 0-24 hours.

Interventionunits on a scale (Median)
Midazolam and Morphine-scopolamine5
PCS (Propofol) With Morphine-scopolamine5
PCS (Propofol) With Glycopyrronium Bromide5

[back to top]

Bronchoscopist Evaluation Using a Likert-type Scale

the bronchoscopist assess their perception of cough, bronchial secretion respectively circumstances for a smooth performance of the bronchoscopy of procedure using the Likert-type scale (1. Very dissatisfied, 2. Dissatisfied, 3. Neither satisfied nor dissatisfied, 4. Satisfied, 5. Very satisfied). (NCT03357393)
Timeframe: Directly after completion of the procedure.

Interventionunits on a scale (Median)
Midazolam and Morphine-scopolamine5
PCS (Propofol) With Morphine-scopolamine4
PCS (Propofol) With Glycopyrronium Bromide4

[back to top]

Assessment of Self-rated Patient Questionaries' Using S-PSR

"Post-discharge Surgical Recovery Scale (S-PSR) The modified Swedish version S-PSR is based on the Post-discharge Surgical Recovery Scale and is a 14-item questionnaire to assess the recovery post-discharge regarding the patients' health status and activity (see further appendix 2). Each item is rated using a semantic differential scale and the total sum is multiplied by 100. The possible range is 10-100, with higher score indicating a more favourable postoperative recovery." (NCT03357393)
Timeframe: The assessment is done by the patient at home (or at ward if pro-longed hospital stay is necessary) in the evening on the day of bronchoscopy. It takes approximately 2 minutes to complete the questionnaire.

Interventionunits on a scale (Median)
Midazolam and Morphine-scopolamine55
PCS (Propofol) With Morphine-scopolamine56
PCS (Propofol) With Glycopyrronium Bromide54

[back to top]

Discharge Assessment Using PADSS After 2 Hours Number of Patients Reaching PADSS Score 10 After 2 Hours

Post Anaesthetic Discharge Scoring System (PADSS).A measurement of the PADSS score is done by pulmonary nurse every 15 min after bronchoscopy is finished (when bronchoscope is removed) for 2 hours. The PADSS is used to clinically assess if the patient is ready to be discharged after anaesthesia/sedation and consist of five criteria: vital signs, ambulation, nausea and/or vomiting, pain and surgical bleeding. Each criterion is given a score ranging from 0 to 2. Only patients who achieve a total score of 10 are considered ready for discharge after 2 hours. (NCT03357393)
Timeframe: 2 hours after bronchoscopy is finished

InterventionParticipants (Count of Participants)
Midazolam and Morphine-scopolamine19
PCS (Propofol) With Morphine-scopolamine30
PCS (Propofol) With Glycopyrronium Bromide45

[back to top]

Level of Sedation Using the Observer's Assessment of Alertness/Sedation (OAA/S) Scale

"Level of sedation is assessed every 5th minute during the procedure by the nurse anaesthetist using The Observer's Assessment of Alertness/Sedation (OAA/S) scale whereby a higher score represent a lighter sedation. Below is the scale descriped, Observation/score:~Responds readily to name spoken in normal tone/5 Lethargic response to name spoken in normal tone/4 Responds only after name is called loudly and/or repeatedly/3 Responds only after mild prodding or shaking/2 Does not respond to mild prodding or shaking/1" (NCT03357393)
Timeframe: Assessement are done every 5th minute from procedure start until end of procedure (extraction of bronchoscope), estimated period of time 0-60 minutes.

Interventionunits on a scale (Median)
Midazolam and Morphine-scopolamine3
PCS (Propofol) With Morphine-scopolamine2
PCS (Propofol) With Glycopyrronium Bromide2

[back to top]

Number of Participants With Interventions Performed

Number of participants with interventions performed to maintain cardiovascular (if atropine or ephidrine has been given) and respiratory stability (if assisted ventilation, chin lift or painful stimulation has been performed). Assesed every five minutes during the procedure. (NCT03357393)
Timeframe: From procedure start until end of procedure (extraction of bronchoscope), estimated period of time 0-60 minutes.

InterventionParticipants (Count of Participants)
Midazolam and Morphine-scopolamine1
PCS (Propofol) With Morphine-scopolamine4
PCS (Propofol) With Glycopyrronium Bromide3

[back to top]

Quality of Recovery (QoR-23)

"Modified version of Quality of Recovery (QoR-23) Minimum value 23. Maximum value 115. A higher score indicate a better quality of recovery.~The questionnaire Quality of Recovery (QoR-23) is a 23 item questionnaire to assess recovery after day surgery regarding the patients' emotional state, physical comfort and physical independence (see further appendix 4). Each item is rated on a five-point scale (1-5) and the scores are summed." (NCT03357393)
Timeframe: The assessment is done by the patient at home (or at ward if pro-longed hospital stay is necessary) in the morning the day after bronchoscopy. It takes less than 1 minute to complete the assessment.

Interventionscore on a scale (Median)
Midazolam and Morphine-scopolamine100
PCS (Propofol) With Morphine-scopolamine102
PCS (Propofol) With Glycopyrronium Bromide100

[back to top]

Amount of Supplemental Oxycodone Used

Cumulative opioid pain medication used in the first 24 hours postoperatively as recorded in the medical record (NCT03383588)
Timeframe: 4-24 hours post operative

Interventionmg of supplemental oxycodone (Mean)
Bupivacaine 0.25%19
Bupivacaine 0.25% + Epinephrine25
Saline Solution23

[back to top]

Total Perioperative Morphine Equivalents

All administered opioids measured as morphine equivalents (mg/kg) (NCT03435692)
Timeframe: Post-Operative Days 0-2

Interventionmg/kg (Mean)
Lumbar Epidural Catheter (< 6 Years Old)0.54
Lumbar Plexus Catheter (< 6 Years Old)0.7
Lumbar Epidural Catheter (6 Years and Older)0.85
Lumbar Plexus Catheter (6 Years and Older)0.83
Patient Controlled Analgesia (6 Years and Older)2.23

[back to top]

Nausea

% of patients with nausea (NCT03435692)
Timeframe: Post-Operative Days 0-2

Interventionpercentage of participants (Number)
Lumbar Epidural Catheter (< 6 Years Old)40
Lumbar Plexus Catheter (< 6 Years Old)33.3
Lumbar Epidural Catheter (6 Years and Older)71.4
Lumbar Plexus Catheter (6 Years and Older)55.6
Patient Controlled Analgesia (6 Years and Older)71.4

[back to top]

Muscle Spasm

% of patients w/ muscle spasm (NCT03435692)
Timeframe: Post-Operative days 0-2

Interventionpercentage of participants (Number)
Lumbar Epidural Catheter (< 6 Years Old)80
Lumbar Plexus Catheter (< 6 Years Old)55.6
Lumbar Epidural Catheter (6 Years and Older)100
Lumbar Plexus Catheter (6 Years and Older)44.4
Patient Controlled Analgesia (6 Years and Older)71.4

[back to top]

Maximum Pain Score

"Mean of Maximum Pain Score POD 0-2~Face, Legs, Activity, Cry, Consolability Pain Scale (FLACC) for children 1-3 years of age, Faces Pain Scale - Revised (FPS-R) for children over age 3 and the Numeric scale (0-10) for children over age 7.~minimum value = 0, maximum value 10 (higher score is worse)" (NCT03435692)
Timeframe: Post-Operative Days 0-2

Interventionscore on a scale (Mean)
Lumbar Epidural Catheter (< 6 Years Old)5.5
Lumbar Plexus Catheter (< 6 Years Old)4.3
Lumbar Epidural Catheter (6 Years and Older)6.4
Lumbar Plexus Catheter (6 Years and Older)5.5
Patient Controlled Analgesia (6 Years and Older)6.5

[back to top]

Hospital Length of Stay

Total hospital length of stay (NCT03435692)
Timeframe: Through hospital stay, an average of 2-3 days.

Interventiondays (Mean)
Lumbar Epidural Catheter (< 6 Years Old)1.9
Lumbar Plexus Catheter (< 6 Years Old)2
Lumbar Epidural Catheter (6 Years and Older)2.9
Lumbar Plexus Catheter (6 Years and Older)2.5
Patient Controlled Analgesia (6 Years and Older)3.2

[back to top]

Itching

% of patients with itching (NCT03435692)
Timeframe: Post-Operative Days 0-2

Interventionpercentage of participants (Number)
Lumbar Epidural Catheter (< 6 Years Old)40
Lumbar Plexus Catheter (< 6 Years Old)33.3
Lumbar Epidural Catheter (6 Years and Older)28.6
Lumbar Plexus Catheter (6 Years and Older)22.2
Patient Controlled Analgesia (6 Years and Older)42.9

[back to top]

Score on Visual Analogue Scale (VAS) for Pain

VAS is a tool widely used to measure pain. A patient is asked to indicate his/her perceived pain intensity (most commonly) along a 100 mm horizontal line, and this rating is then measured from the left edge (=VAS score). The total score range is 0 (no pain) to 10 (worst pain imaginable); the higher the score, the worse the pain. (NCT03693404)
Timeframe: Hour 24

Interventionscore on a scale (Mean)
General Anesthesia3.3
Spinal Anesthesia2.5

[back to top]

Ambulation Distance

Ambulation is the ability to walk without the need for any kind of assistance. It is most often used when describing the goals of a patient after a surgery or physical therapy. (NCT03693404)
Timeframe: Post-operative Day 3

InterventionFeet (Mean)
General Anesthesia48.7
Spinal Anesthesia88.9

[back to top]

Amount (mg) of Narcotics (Oral Morphine mg Equivalents) Used

Number of mgs taken of oral morphine (NCT03693404)
Timeframe: Post-Operative Day 0

Interventionmorphine milligram equivalents (MME) (Mean)
General Anesthesia16
Spinal Anesthesia10

[back to top]

Visual Analog Scale (VAS) Pain Intensity at the 6-Month Visit

"To demonstrate pain intensity scores (Visual Analog Scale, VAS) at the 6-Month Visit is non-inferior to VAS at Baseline, with a non-inferiority margin of 10mm. Pain was assessed using a Visual Analog Scale, ranging from 0-100, where 0 is no pain and 100 is the worst pain. The VAS is a 100mm line, with No pain on the left side of the line and Worst pain imaginable on the right side of the line. Subjects made a perpendicular mark on the VAS line that best describes their average pain in the last 24 hours. Change in VAS is calculated as 6-Months - Baseline, with a negative change indicating a reduction (i.e., improvement) in pain intensity." (NCT03761277)
Timeframe: Baseline to 6-Month Visit

Interventionunits on a scale (Mean)
Targeted Drug Delivery Subjects-15

[back to top]

Numerical Opioid Side Effect (NOSE) Assessment Tool

"To characterize the change in opioid-related side effects scores (NOSE) from Baseline to the 6-Month Visit. The Numerical Opioid Side Effect (NOSE) Assessment Tool is a tool to evaluate 10 opioid-related side effects using a 11-point numerical scale. Subjects are asked to evaluate each of the 10 opioid-related side effects on a scale of 0 - 10 with 0 being not present and 10 being as bad as you can imagine. A total sum score can range from 0 - 100, where 0 is no opioid-related side effects and 100 is the worst opioid-related side effects. Change in NOSE is calculated as 6-Months - Baseline, with a negative change indicating a reduction (i.e., improvement) in opioid-related side effects." (NCT03761277)
Timeframe: Baseline to 6-Month Visit

Interventionscore on a scale (Mean)
Targeted Drug Delivery Subjects-9.4

[back to top]

Number of Participants With Systemic Opioid Elimination Through the 6-Month Visit

To characterize the number of subjects who eliminate systemic opioids through the 6-Month Visit. Four drug tests for systemic opioid use are administered from intrathecal therapy initiation through the 6-Month Visit. If all of the available drug tests are negative for systemic opioid use, the subject is counted as eliminating systemic opioids through the 6-Month Visit. The number of subjects who eliminated systemic opioids through the 6-Month Visit is presented. (NCT03761277)
Timeframe: Baseline to 6-Month Visit

InterventionParticipants (Count of Participants)
Targeted Drug Delivery Subjects31

[back to top]

Number of Participants With Clinical Success at the 6-Month Visit

To characterize the number of subjects with Clinical Success at the 6-Month Visit. Clinical Success is defined as any of the following: 1) Reduced opioid-related side effects (at least a 20% reduction) with equal pain (less than 20% increase or decrease) 2) Reduced pain (at least a 20% reduction) with equal opioid-related side effects (less than 20% increase or decrease) 3) Reduced pain and reduced opioid-related side effects (at least a 20% reduction in both). The number of subjects with Clinical Success at the 6-Month Visit is presented. (NCT03761277)
Timeframe: Baseline to 6-Month Visit

InterventionParticipants (Count of Participants)
Targeted Drug Delivery Subjects25

[back to top]

Sedation-agitation Scores in the First 12 Postoperative Hours.

Sedation-agitation scale (SAS), ranging from 1 to 7 (1=unarousable, 2=very sedated, 3=sedated, 4=calm and cooperative, 5=agitated, 6=very agitated and 7=dangerous agitation). (NCT03809182)
Timeframe: At postoperative hours 2(T1), 4(T2), 6(T3), 8(T4), 10(T5) and 12(T6).

,
Interventionscore on a scale (Median)
Hour 2 (T1)Hour 4 (T2)Hour 6 (T3)Hour 8 (T4)Hour 10 (T5)Hour 12 (T6)
0.9% Sodium-chloride444444
Dexmedetomidine344444

[back to top]

Plasmatic Insulin Levels (uU/ml).

Change of baseline insulin levels within the first 12 postoperative hours. (NCT03809182)
Timeframe: Baseline levels(T0) and at hour 2(T1), 4(T2), 6(T3), 8(T4), 10(T5), and 12(T6) after the onset of bolus and infusion of dexmedetomidine

,
InterventionuU/dl (Mean)
Baseline level (T0)Hour 2 (T1)Hour 4 (T2)Hour 6 (T3)Hour 8 (T4)Hour 10 (T5)Hour 12 (T6)
0.9% Sodium-chloride11.219.930.32321.52425.9
Dexmedetomidine10.511.816.716.816.61616.6

[back to top]

Plasmatic Glucose Levels (mg/dl).

Change of baseline glucose levels within the first 12 postoperative hours. (NCT03809182)
Timeframe: Baseline levels(T0) and at hour 2(T1), 4(T2), 6(T3), 8(T4), 10(T5), and 12(T6) after the onset of bolus and infusion of dexmedetomidine

,
Interventionmg/dl (Mean)
Baseline level (T0)Hour 2 (T1)Hour 4 (T2)Hour 6 (T3)Hour 8 (T4)Hour 10 (T5)Hour 12 (T6)
0.9% Sodium-chloride82111129120118117117
Dexmedetomidine80114124131122130125

[back to top]

Pain Scores in the First 24 Postoperative Hours.

Visual analogue scale (VAS), provided by patients, ranging from 0 to 10 (0= no pain and 10= worst possible pain). We considered a pain score between 1-3, 4-6 and 7-10 as mild, moderate and severe pain, respectively. (NCT03809182)
Timeframe: At postoperative hours 2(T1), 4(T2), 6(T3), 8(T4), 10(T5), 12(T6) and 24(T7).

,
Interventionunits on a scale (Median)
Hour 2 (T1) Pain at restHour 2 (T1) Pain at movementHour 4 (T2) Pain at restHour 4 (T2) Pain at movementHour 6 (T3) Pain at restHour 6 (T3) Pain at movementHour 8 (T4) Pain at restHour 8 (T4) Pain at movementHour 10 (T5) Pain at restHour 10 (T5) Pain at movementHour 12 (T6) Pain at restHour 12 (T6) Pain at movementHour 24 (T7) Pain at restHour 24 (T7) Pain at movement
0.9% Sodium-chloride00342414131303
Dexmedetomidine00453434353323

[back to top]

Postoperative Nausea and Vomiting.

Number of patients with postoperative nausea and vomiting in the first 12 postoperative hours. (NCT03809182)
Timeframe: Postoperative nausea and vomiting during the first 12 postoperative hours.

InterventionParticipants (Count of Participants)
Dexmedetomidine16
0.9% Sodium-chloride19

[back to top]

Fentanyl Consumption.

Amount of fentanyl (ug/kg) intraoperatively administered. (NCT03809182)
Timeframe: Since the beginning of anesthesia until the end of it, an average of one hour and a half.

Interventionmcg/kg (Mean)
Dexmedetomidine6.0
0.9% Sodium-chloride7

[back to top]

Amount (mg) of Morphine Consumed.

Morphine consumption in the first 24 postoperative hours. (NCT03809182)
Timeframe: At 24h postoperative hours.

Interventionmg (Mean)
Dexmedetomidine26
0.9% Sodium-chloride18.4

[back to top]

Total Postsurgical Opioid Consumption Through 72 Hours

To Compare total opioid consumption through 72 hours following EXPAREL infiltration into the Transversus abdominus plane (TAP) with SOC in subjects undergoing an elective C-section (NCT03853694)
Timeframe: Through 72 hours post-surgery

InterventionOMED mg (Least Squares Mean)
Group 1 (Standard of Care Group)69.3
Group 2 (Duramorph + EXPAREL TAP)36.1
Group 3 (EXPAREL TAP)22.1

[back to top]

Severity of Itching (Numeric Rating Scale Score)

Severity of itching (Numeric Rating Scale score from 0(being none)-10(being the worst)) (NCT03853694)
Timeframe: through 72 hours after surgery

Interventionscore on a scale (Least Squares Mean)
Group 1 (Standard of Care Group)1.48
Group 2 (Duramorph + EXPAREL TAP)0.94
Group 3 (EXPAREL TAP)0.61

[back to top]

Percentage of Opioid-free Subjects

Percentage of opioid-free subjects. LS Means probability from the logistic regression with treatment, site, age, and height as explanatory variables. (NCT03853694)
Timeframe: through 72 hours or hospital discharge, whichever came first

Interventionpercentage of participants, opioid free (Number)
Group 1 (Standard of Care Group)22.4
Group 2 (Duramorph + EXPAREL TAP)28.8
Group 3 (EXPAREL TAP)30

[back to top] [back to top]

Duration of Analgesia

The period in minutes when the patient is free of pain (NCT03875274)
Timeframe: 24 hours

Interventionminutes (Mean)
Ropivacaine Group541
Ropivacaine and Morphine Group634

[back to top]

The Change in Pain Score

Pain is measured by having the patient mark pain on a scale of 0 to 100, with 0 being no pain and 100 being the worst pain ever. Pain scores were initially measured using a 0-100 millimeter visual analog scale with higher (closer to 100 being worse); however during the COVID-19 pandemic, one site removed paper forms from the emergency department as an infection control measure. The protocol was amended to add collection of a 0-100 verbal numerical rating scale and sites were ask to obtain both a vision and verbal score if possible collecting the visual score first. For the analysis, the visual score was used if available for the primary outcome. if not available, the verbal score was used. (NCT03933397)
Timeframe: baseline (bed placement), to disposition decision or a maximum treatment duration of 6 hours, whichever came first

Interventionscore on a scale (Mean)
Patient-Specific Protocol-27.0
Weight-based Protocol-27.6

[back to top]

Length of Index ED (Emergency Department) Stay

Length of index ED stay in hours from bed placement to discharge (NCT03933397)
Timeframe: From bed placement to discharge or 6 hours whichever comes first

Interventionhours (Mean)
Patient-Specific Protocol3.4
Weight-based Protocol4.2

[back to top]

Length of Care

Length of care from bed placement to last drug dose in hours. (NCT03933397)
Timeframe: up to 6 hours

Interventionhours (Mean)
Patient-Specific Protocol2.5
Weight-based Protocol2.6

[back to top]

Total Number of Hospitalizations for Vaso-Occlusive Episode 7 Days Post Enrollment

Number of hospitalizations for Vaso-Occlusive Episode (VOE) within 7 days following enrollment (NCT03933397)
Timeframe: Up to 7 days post enrollment

Interventionhospitalizations (Number)
Patient-Specific Protocol11
Weight-based Protocol14

[back to top]

Number of Participants Experiencing Side Effects

Side effects and safety at any time during the emergency department visit (NCT03933397)
Timeframe: Bed placement to discharge or 6 hours, whichever comes first

,
InterventionParticipants (Count of Participants)
NauseavomitingpruritusSPO2<95% requiring supplemental oxygen via nasal cannula due to opioid therapyModerate to severe sedation (sedation score of >=3Drowsinessrespiratory depression not requiring intubationLow blood pressure (SBP,90mmHg and/or DBP<50mmHg
Patient-Specific Protocol19731441503
Weight-based Protocol1963675911

[back to top]

Analgesic Effect of Tramadol Measured by Numeric Rating Scale (NRS)

The analgesic effect of tramadol will be measured in awake patients with Numeric Rating Scale (NRS, 0 - without pain, 10 - the worst pain) 30 minutes before and 30 minutes after tramadol administration. The NRS value of 3 or less will be considered as adequate analgesia. In case of inadequate analgesia morphine will be used according to the local protocol. (NCT04004481)
Timeframe: Before each dose of tramadol and 30 minutes after tramadol dose, up to 24 hours

,
Interventionscore on scale (Median)
1st pain assessment2nd pain assessment3rd pain assessment4th pain assessment5th pain assessment
Median NRS Score After Tramadol Administration53222
Median NRS Score Before Tramadol Administration753.543

[back to top]

Analgesic Effect of Tramadol Measured by Critical Care Pain Observation Tool (CPOT)

In unconsciousness patents, the analgesic effect of tramadol will be tested by Critical Care Pain Observation Tool (CPOT). Highest score on a scale is 8 (worst pain) and lowest is 0 (no pain). The CPOT value of less than 2 will be considered as adequate analgesia. (NCT04004481)
Timeframe: Pain was assessed before and 30 minutes after each tramadol dose, up to 24 hours.

,
Interventionscore on a scale (Median)
1st assessment point2nd assessment point3rd assessment point4th assessment point5th assessment point
Median CPOT Score After Tramadol Administration00000
Median CPOT Score Before Tramadol Administration00000

[back to top]

Number of Patients With Respiratory Depression After Tramadol

Respiratory depression after tramadol is considered to be any drop in saturation below 90% or drop in respiratory rate below 10/min. (NCT04004481)
Timeframe: Respiratory depression was observed up to 30 minutes after tramadol administration

InterventionParticipants (Count of Participants)
Number of Patients With Postoperative Respiratory Depression0

[back to top]

Serum Concentration of Tramadol and Tramadol Metabolites With Respect to Metabolic Phenotype

The plasma concentrations of tramadol, O-desmethyltramadol (ODT) and N-desmethyltramadol (NDT) will be measured 1, 2 and 4 hours after the first dose of 100 mg tramadol i.v., and immediately before the 2nd, 3rd and 5th dose. There will therefore be 6 measurements of tramadol and its metabolites. (NCT04004481)
Timeframe: 1, 2, and 4 hours after first dose and immediately before 2nd, 3rd, and 5th dose, up to 24 hours

,,,,,,,,
Interventionmcg/L (Median)
1st measurement2nd measurement3rd measurement4th measurement5th measurement6th measurement
NDT Concentration in Extensive Metabolizers (EM)4.765.28.59.71934.4
NDT Concentration in Intermediate Metabolizers (IM)4.56.19.19.620.234.9
NDT Concentration in Poor Metabolizers (PM)11.715.328.931.271.4180.5
NDT Concentration in Ultrafast Metabolizers (UM)3.53.53.53.59.818.1
ODT Concentration in Extensive Metabolizers (EM)40.946.746.438.175.197.4
ODT Concentration in Intermediate Metabolizers (IM)17.115.720.219.136.651.7
ODT Concentration in Poor Metabolizers (PM)7.057.61012.419.129.7
ODT Concentration in Ultrafast Metabolizers (UM)13.819.42625.158.261.9
Tramadol Concentration372.7270.6232.1181.2300.1408.5

[back to top]

Number of Participants With Nausea and Vomiting After Tramadol

Nausea and/or vomiting during treatment with tramadol in ICU will be recorded. (NCT04004481)
Timeframe: Nausea and vomiting was assessed during first 30 minutes after tramadol administration

InterventionParticipants (Count of Participants)
PONV in EM12
PONV in IM4

[back to top]

Length of ICU Stay

Length of stay in ICU will be recorded and correlated with standard laboratory values and tramadol and metabolites concentration. (NCT04004481)
Timeframe: Up to 6 months

Interventiondays (Median)
Low Plasma Cholinesterase Activity1.5
Normal Plasma Cholinesterase Activity1

[back to top]

Duration of Treatment

"Duration of treatment defined as the number of hours from first dose of study drug administration until the last dose of study drug.~Shown are results for the duration of treatment in all treated patients, regardless of discontinuation status, as well as those patients who completed the study (with non missing data).~The number of subjects randomised in the study was much lower than planned. Although data from 5 subjects were used in the CHF6563 treatment group, only 2 subjects completed the study as planned i.e. 1 subject in each study arm; no imputation of missing or incomplete data was possible according to the methods defined in the study protocol and the SAP. No statistical analysis was performed." (NCT04104646)
Timeframe: Up to 10 weeks after first dose

,
Interventionhours (Mean)
All treated patientsPatients who completed the study (With Non Missing Data)
CHF6563157.62547.7
Morphine570.85501.5

[back to top] [back to top]

Requirement for Rescue Doses (CHF6563 or Morphine)

"Requirement for rescue doses and number of rescue doses administered (CHF6563 or morphine); (yes/no).~The number of subjects randomised in the study was lower than planned. No imputation of missing or incomplete data was made. No statistical analysis was performed." (NCT04104646)
Timeframe: up to 10 weeks after first dose

,
InterventionParticipants (Count of Participants)
Requirement for rescue doses -- YesRequirement for rescue doses -- No
CHF656341
Morphine20

[back to top]

Time to First Weaning

"Record the time to first weaning, defined as the number of hours from first dose of study drug administration until the first dose reduction.~The number of subjects randomised in the study was much lower than planned. Although data from 5 subjects were used in the CHF6563 treatment group, only 2 subjects completed the study as planned i.e. 1 subject in each study arm; no imputation of missing or incomplete data was possible according to the methods defined in the study protocol and the SAP. No statistical analysis was performed." (NCT04104646)
Timeframe: up to 10 weeks after first dose

,
Interventionhours (Mean)
All Treated PatientsPatients who completed the study (With Non Missing Data)
CHF6563120.3120.3
Morphine56.272

[back to top]

Number of Rescue Doses Administered

"Number of rescue doses administered.~The number of subjects randomised in the study was much lower than planned. Although data from 5 subjects were used in the CHF6563 treatment group, only 2 subjects completed the study as planned i.e. 1 subject in each study arm; no imputation of missing or incomplete data was possible according to the methods defined in the study protocol and the SAP. No statistical analysis was performed.~At the discretion of the physician, a rescue dose of CHF6563 or morphine could be given during the up-titration phase or during the weaning phases to a neonate who had a single FNAST score ≥12. A rescue dose was not to be administered within 1 hour of the previous dose or 1 hour before the next scheduled dose. Rescue doses were the same as the previous dose." (NCT04104646)
Timeframe: up to 10 weeks after first dose

,
Interventionnumber of rescue doses (Mean)
All Treated PatientsPatients who completed the study (With Non Missing Data)
CHF65631.64
Morphine31

[back to top]

Adjunctive Therapy

"Record the requirement for adjunctive drug therapy (phenobarbital) for signs of NOWS, recorded as Yes/No.~Overall, 1 subject in the CHF6563 group and zero subjects in the morphine were reported as having received adjunctive drug therapy with phenobarbital.~The number of subjects randomised in the study was much lower than planned. No imputation of missing or incomplete data was made. No statistical analysis was performed.~NOWS=Neonatal Opioid Withdrawal Syndrome" (NCT04104646)
Timeframe: up to 10 weeks after first dose

InterventionParticipants (Count of Participants)
CHF65631
Morphine0

[back to top]

Relapse of NOWS

"Relapse of NOWS, defined as experiencing recurrence of significant signs of withdrawal .~Reported are subjects with experiencing a relapse.~The number of subjects randomised in the study was much lower than planned. No imputation of missing or incomplete data was made. No statistical analysis was performed.~NOWS=Neonatal Opioid Withdrawal Syndrome" (NCT04104646)
Timeframe: up to 6 weeks after last dose

InterventionParticipants (Count of Participants)
CHF65631
Morphine0

[back to top]

Tolerance to Simulated Hemorrhage

Tolerance to a simulated hemorrhagic challenge will be assessed, for both the placebo and morphine limbs, by causing progressive central hypovolemia via lower-body negative pressure (LBNP). This progressive LBNP challenge will be performed until the onset of syncopal symptoms (defined as: profound bradycardia, a precipitous drop in arterial blood pressure and accompanying narrowing of pulse pressure, a sustained systolic blood pressure less than 80 mmHg, and/or subjective symptoms such as light-headedness, sweating, nausea, or dizziness). The primary variable will be the quantification of LBNP that is required to cause these symptoms. This quantification will be objectively measured via a cumulative stress index which is calculated as the sum of the product of the LBNP level and the duration of each level, until test termination (i.e., 40 mmHg x 3 min + 50 mmHg x 3 min, etc). A larger cumulative stress index represents a greater tolerance (NCT04138615)
Timeframe: 30 minutes from the onset of applying lower-body negative pressure

InterventionCSI: Cumulative Stress Index (Median)
Morphine385
Placebo692

[back to top]

Pain Assessment - Algometer

Pain assessments will be conducted using a digital algometer to obtain maximum pain thresholds caused by pressure. This pain assessment technique is conducted by applying the tip of a hand-held digital algometer on the subject's digit. Force is gradually increased and the peak force is recorded when the subject first reports a painful sensation. Removal of the pressure from the algometer immediately relieves the painful sensation and the subject can voluntarily stop the test at any time. This assessment will be performed when the subject has received placebo and morphine. (NCT04138615)
Timeframe: 30 minutes from the onset of the protocol

InterventionKilogram force/0.13 cm^2 (Median)
Morphine1.1
Placebo0.9

[back to top]

Total Cumulative Morphine Exposure

Per kilogram based on birth weight (NCT04298853)
Timeframe: Until discharge, up to 6 weeks

Interventionmg/kg (Mean)
Standard3.6
Study0.2

[back to top]

Peak Morphine Dose

Per kilogram based on birth weight (NCT04298853)
Timeframe: Until discharge, up to 6 weeks

Interventionmg/kg (Mean)
Standard0.09
Study0.05

[back to top]

Number of Study Group Subjects Switched to Standard Arm

Number of study group infants removed from study protocol and treated under standard care. (NCT04298853)
Timeframe: 24 hours

InterventionParticipants (Count of Participants)
Study0

[back to top]

Length of Morphine Treatment

Duration of morphine treatment in days (NCT04298853)
Timeframe: Until discharge, up to 6 weeks

Interventiondays (Mean)
Standard11.5
Study2.9

[back to top]

Length of Hospital Stay From Birth to Discharge

Duration of hospitalization in days (NCT04298853)
Timeframe: Until discharge, up to 6 weeks

Interventiondays (Mean)
Standard14.6
Study11.6

[back to top]

Enrollment Rate

Percentage of eligible subjects who were enrolled and randomized in the study (NCT04298853)
Timeframe: Prior to second dose of morphine, within 4 hours

InterventionParticipants (Count of Participants)
Eligible Patients17

[back to top]

Drop Out Rate

Percentage of enrolled subjects who do not complete participation (NCT04298853)
Timeframe: Through final follow-up call at 6 weeks of age

InterventionParticipants (Count of Participants)
All Enrolled Subjects4

[back to top]

Mean Change in Back Pain Intensity

Pain was rated using a visual analog scale ranging from 0-100 with 100 indicating the worst imaginable pain ever. (NCT04342130)
Timeframe: baseline to 1 hour

Interventionunits on a scale (Mean)
30 mg Morphine3.6

[back to top]

Mean Change in Subcortical Brain Structure Volume

Magnetic Resonance Imaging (MRI) scanning was performed to collect brain volume measurements in cc. There were 4 different areas of the brain that were analyzed. (NCT04342130)
Timeframe: baseline to 1 hour

Interventioncubic centimeters (Mean)
nucleus accumbensthalamusamygdalahippocampus
30 mg Morphine0.0540.740.270.48

[back to top]

Mean Change in Resting Brain Activity in the Nucleus Accumbens

Participants were scanned at rest during a functional MRI session. The resting brain activity was measured as the Power spectral density slow-4 frequency band. Data collected in the frequency range 0 and 0.5 Hertz was analyzed. We examined the power spectral density in the range of 0.027 to 0.073 Hertz. The mean change is expressed as arbitrary units after a Fourier transformation of the data which cancels out the units. The mean change ranges from 0 to 175. The higher the number the more energy within that frequency band. (NCT04342130)
Timeframe: baseline to 1 hour

Interventionunits on a scale (Mean)
30 mg Morphine14.5

[back to top]

Change in Brain Response to Highly Caloric Drink

Participants received a highly caloric drink and a tasteless solution during a functional MRI scanning session. A general linear model was used to generate the magnitude of the fit for each type of stimuli and differences between the fits were calculated. A within subject analysis approach was used to calculate the effect of an acute dose of morphine on brain response to the highly caloric drink. Participants contributed beta values that were averaged across subjects and based on the average and standard deviation, the software, FSL, calculated Z = 4.38. This value indicates 4.38 standard deviations away from the mean in a distribution with a mean of zero and standard deviation of 1, which is the definition of the Gaussian curve (Z-distribution). It is scientifically not valid to say there is a higher or lower brain response. A Z-score = 0 means no change from baseline in brain response; a Z-score different from zero indicates a change from baseline after the ingestion of morphine. (NCT04342130)
Timeframe: baseline to 1 hour

Interventionz-score (Number)
30 mg Morphine4.38

[back to top]

Static Pain as Measured by the Numerical Pain Score (NPS)

To assess static pain scores, NPS will be recorded while the participant is supine in bed. NPS is a 11-point scale with a higher number indicating more severe pain (total score ranges from 0 to 10). (NCT04368364)
Timeframe: 6, 12, 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
6 hours12 hours24 hours48 hours72 hours
Group 1 (Control Group)003.524
Group 2(Bupivacaine Hydrochloride Group)24421
Group 3 (Ropivacaine Hydrochloride Group)10221

[back to top]

Patient Satisfaction as Assessed by Likert Scale

"Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn.~Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1)." (NCT04368364)
Timeframe: 48 hours post surgery

,,
Interventionscore on a scale (Mean)
quality of sleepability to ambulateability to breast or formula feedability to feed and take care of newborn at 24 hours
Group 1 (Control Group)4444
Group 2(Bupivacaine Hydrochloride Group)4434
Group 3 (Ropivacaine Hydrochloride Group)5554

[back to top]

Time to First Analgesic Request

(NCT04368364)
Timeframe: 72 hours post surgery

Interventionminutes (Mean)
Group 1 (Control Group)414
Group 2(Bupivacaine Hydrochloride Group)1043
Group 3 (Ropivacaine Hydrochloride Group)0

[back to top]

Severity of Vomiting as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 hours72 hours
Group 1 (Control Group)000
Group 2(Bupivacaine Hydrochloride Group)300
Group 3 (Ropivacaine Hydrochloride Group)000

[back to top]

Total Narcotic Consumption in Morphine Equivalents (in Milligrams)

Total narcotic consumption in morphine equivalents (in milligrams) for the first 72 hours after surgery was calculated. (NCT04368364)
Timeframe: upto 72 hours post surgery

Interventionmilligrams (Mean)
Group 1 (Control Group)25
Group 2(Bupivacaine Hydrochloride Group)12.5
Group 3 (Ropivacaine Hydrochloride Group)0

[back to top]

Severity of Pruritus as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 hours72 hours
Group 1 (Control Group)600
Group 2(Bupivacaine Hydrochloride Group)210
Group 3 (Ropivacaine Hydrochloride Group)000

[back to top]

Severity of Nausea as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 houts72 hours
Group 1 (Control Group)000
Group 2(Bupivacaine Hydrochloride Group)200
Group 3 (Ropivacaine Hydrochloride Group)000

[back to top]

Total Narcotic Consumption in Morphine Equivalents (in Milligrams)

Total narcotic consumption in morphine equivalents (in milligrams) for 12, 24 and 48 hours after surgery was calculated. (NCT04368364)
Timeframe: 12,24,48 hours post surgery

,,
Interventionmilligrams (Mean)
24 hours48 hours
Group 1 (Control Group)12.525
Group 2(Bupivacaine Hydrochloride Group)12.512.5
Group 3 (Ropivacaine Hydrochloride Group)00

[back to top]

Severity of Sedation as Assessed by a Scale

This numeric scale is a 11-point scale with a higher number indicating an extremely severe side effect. Total score ranges from 0 to 10. (NCT04368364)
Timeframe: 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
24 hours48 hours72 hours
Group 1 (Control Group)000
Group 2(Bupivacaine Hydrochloride Group)310
Group 3 (Ropivacaine Hydrochloride Group)010

[back to top]

Patient Satisfaction as Assessed by Likert Scale

"Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn.~Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1)." (NCT04368364)
Timeframe: 24 hours post surgery

,,
Interventionscore on a scale (Mean)
quality of sleepability to ambulateability to breast or formula feedability to feed and take care of newborn at 24 hours
Group 1 (Control Group)4243
Group 2(Bupivacaine Hydrochloride Group)3333
Group 3 (Ropivacaine Hydrochloride Group)4555

[back to top]

Patient Satisfaction as Assessed by Likert Scale

"Patient reported a score for each of 4 different aspects of satisfaction: their quality of sleep, ability to ambulate, ability to breast or formula feed, and ability to feed and take care of newborn.~Each of the 4 aspects of satisfaction were rated on a 5-point Likert scale as follows: Extremely satisfied (5), Very satisfied (4), Moderately satisfied (3), Slightly satisfied (2), Not satisfied (1)." (NCT04368364)
Timeframe: 72 hours post surgery

,,
Interventionscore on a scale (Mean)
quality of sleepability to ambulateability to breast or formula feedability to feed and take care of newborn
Group 1 (Control Group)3233
Group 2(Bupivacaine Hydrochloride Group)5444
Group 3 (Ropivacaine Hydrochloride Group)5555

[back to top]

Dynamic Pain as Measured by the Numerical Pain Score (NPS)

To assess dynamic pain scores, the participant be asked to sit up in bed from supine to sitting, and the NPS will then be recorded. If the participant is ambulating, the dynamic pain score during ambulation (rather during sitting) will be assessed. NPS is a 11-point scale with a higher number indicating more severe pain (total score ranges from 0 to 10). (NCT04368364)
Timeframe: 6, 12, 24, 48 and 72 hours post surgery

,,
Interventionscore on a scale (Mean)
6 hours12 hours24 hours48 hours72 hours
Group 1 (Control Group)06847
Group 2(Bupivacaine Hydrochloride Group)36621
Group 3 (Ropivacaine Hydrochloride Group)11221

[back to top]

Total Amount of Opioid Used

(NCT04369950)
Timeframe: 8 hours after epidural morphine administration

Interventionhours (Median)
2 Percent Lidocaine With Epinephrine and Epidural Morphine0
3 Percent 2-Chloroprocaine and Epidural Morphine0

[back to top]

Number of Participants Who Had Mild, Moderate or Severe Nausea as Measured by a 3 Point Scale

scale ranges from non,mild and moderate-severe (NCT04369950)
Timeframe: 4,8, 12 and 24 hours after epidural morphine administration

,
InterventionParticipants (Count of Participants)
4 hours8 hours12 hours24 hours
2 Percent Lidocaine With Epinephrine and Epidural Morphine3100
3 Percent 2-Chloroprocaine and Epidural Morphine1200

[back to top]

Time Until First Opioid Request

(NCT04369950)
Timeframe: Up to 48 hours after epidural morphine administration

Interventionhours (Median)
2 Percent Lidocaine With Epinephrine and Epidural Morphine14.8
3 Percent 2-Chloroprocaine and Epidural Morphine24.7

[back to top]

Total Amount of Opioid Used

(NCT04369950)
Timeframe: 4 hours after epidural morphine administration

Interventionhours (Median)
2 Percent Lidocaine With Epinephrine and Epidural Morphine0
3 Percent 2-Chloroprocaine and Epidural Morphine0

[back to top]

Total Amount of Opioid Used

(NCT04369950)
Timeframe: 24 hours after epidural morphine administration

Interventionmilligrams (Median)
2 Percent Lidocaine With Epinephrine and Epidural Morphine15
3 Percent 2-Chloroprocaine and Epidural Morphine0

[back to top]

Total Amount of Opioid Used

(NCT04369950)
Timeframe: 12 hours after epidural morphine administration

Interventionhours (Median)
2 Percent Lidocaine With Epinephrine and Epidural Morphine0
3 Percent 2-Chloroprocaine and Epidural Morphine0

[back to top]

Pain as Measured by a 11 Point Verbal Scale

scale ranges form 0-10, higher number indicating more pain (NCT04369950)
Timeframe: 4,8, 12 and 24 hours after epidural morphine administration

,
Interventionscore on a scale (Median)
4 hours8 hours12 hours24 hours
2 Percent Lidocaine With Epinephrine and Epidural Morphine0037
3 Percent 2-Chloroprocaine and Epidural Morphine2.5123.5

[back to top]

Number of Participants Who Had Mild, Moderate or Severe Pruritis as Measured by a 3 Point Scale

scale ranges from non,mild and moderate-severe (NCT04369950)
Timeframe: 4,8, 12 and 24 hours after epidural morphine administration

,
InterventionParticipants (Count of Participants)
4 hours8 hours12 hours24 hours
2 Percent Lidocaine With Epinephrine and Epidural Morphine7642
3 Percent 2-Chloroprocaine and Epidural Morphine3430

[back to top]

Pharmacokinetics (PK) of Morphine-3β-D-glucuronide (M3G) (Morphine Metabolite) in Plasma: Cmax

Cmax was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng/mL (Mean)
ASP8062 in Combination With Morphine933
Placebo in Combination With Morphine967

[back to top]

Change From Baseline in End Tidal Carbon Dioxide (CO2) at 1 Hour Postdose

End tidal CO2 measurement was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline (baseline observation was observation before first dose at Day 9) for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 1 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline (observation taken at Day 9), and 1 hour postdose Day 10

InterventionmmHg (Mean)
ASP8062-0.9
ASP8062 in Combination With Morphine0.7
Placebo-0.4
Placebo in Combination With Morphine2.5

[back to top]

Change From Baseline in Blood Oxygen Saturation (SpO2) at Predose

The SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. Baseline observation was last non-missing observation prior to first dose. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and predose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline and predose Day 10

Interventionpercentage of oxygen saturation (Mean)
ASP80620.4
ASP8062 in Combination With Morphine0.3
Placebo-0.5
Placebo in Combination With Morphine-0.6

[back to top]

Change From Baseline in Blood Oxygen Saturation (SpO2) at 8 Hour Postdose

The SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. Baseline observation was last non-missing observation prior to first dose. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 8 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline and 8 hour postdose Day 10

Interventionpercentage of oxygen saturation (Mean)
ASP80620.0
ASP8062 in Combination With Morphine-0.5
Placebo-1.1
Placebo in Combination With Morphine-0.5

[back to top]

Change From Baseline in End Tidal Carbon Dioxide (CO2) at 8 Hour Postdose

End tidal CO2 measurement was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline (baseline observation was observation before first dose at Day 9) for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 8 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline (observation taken at Day 9), and 8 hour postdose Day 10

InterventionmmHg (Mean)
ASP80620.2
ASP8062 in Combination With Morphine2.7
Placebo2.1
Placebo in Combination With Morphine5.8

[back to top]

Change From Baseline in Blood Oxygen Saturation (SpO2) at 12 Hour Postdose

The SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. Baseline observation was last non-missing observation prior to first dose. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 12 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline and 12 hour postdose Day 10

Interventionpercentage of oxygen saturation (Mean)
ASP8062-0.4
ASP8062 in Combination With Morphine-0.5
Placebo-1.5
Placebo in Combination With Morphine-1.3

[back to top]

Pharmacokinetics (PK) of Morphine-6β-D-glucuronide (M6G) (Morphine Metabolite) in Plasma: Cmax

Cmax was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng/mL (Mean)
ASP8062 in Combination With Morphine184
Placebo Combination With Morphine192

[back to top]

Change From Baseline in End Tidal Carbon Dioxide (CO2) at Predose

End tidal CO2 measurement was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline (baseline observation was observation before first dose at Day 9) for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and predose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline (observation taken at Day 9), and predose Day 10

InterventionmmHg (Mean)
ASP8062NA
ASP8062 in Combination With Morphine-1.0
PlaceboNA
Placebo in Combination With Morphine0.5

[back to top]

Pharmacokinetics (PK) of Morphine-3β-D-glucuronide(M3G) (Morphine Metabolite) in Plasma: AUCinf

AUCinf was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng*h/mL (Mean)
ASP8062 in Combination With Morphine5720
Placebo in Combination With Morphine6580

[back to top]

Number of Participants With At Least One Event of Suicidal Ideation And/or Suicidal Behavior as Assessed by The Columbia-Suicide Severity Rating Scale (C-SSRS)

The C-SSRS is a clinician administered assessment tool that evaluates suicidal ideation and behavior. Number of participants with at least one affirmative response to the 5 items for suicidal ideation (1. Wish to be dead, 2. Non-specific active suicidal thoughts, 3. Active suicidal ideation with any methods (not plan) without intent to act, 4. Active suicidal ideation with some intent to act, without specific plan, 5. Active suicidal ideation with specific plan and intent) and/or to the 5 items for suicidal behavior (1. Preparatory acts or behavior, 2. Aborted attempt, 3. Interrupted attempt, 4. Actual attempt, 5. Completed suicide) were reported. (NCT04448561)
Timeframe: Up to day 25

InterventionParticipants (Count of Participants)
ASP80620
ASP8062 in Combination With Morphine0
Placebo0
Placebo in Combination With Morphine0

[back to top]

Pharmacokinetics (PK) of Morphine-6β-D-glucuronide (M6G) (Morphine Metabolite) in Plasma: AUClast

AUClast was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng*h/mL (Mean)
ASP8062 in Combination With Morphine871
Placebo in Combination With Morphine1000

[back to top]

Change From Baseline in End Tidal Carbon Dioxide (CO2) at 4 Hour Postdose

End tidal CO2 measurement was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline (baseline observation was observation before first dose at Day 9) for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 4 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline (observation taken at Day 9), and 4 hour postdose Day 10

InterventionmmHg (Mean)
ASP8062-0.8
ASP8062 in Combination With Morphine1.0
Placebo0.1
Placebo in Combination With Morphine3.3

[back to top]

Change From Baseline in End Tidal Carbon Dioxide (CO2) at 2 Hour Postdose

End tidal CO2 measurement was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline (baseline observation was observation before first dose at Day 9) for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 2 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline (observation taken at Day 9), and 2 hour postdose Day 10

InterventionmmHg (Mean)
ASP8062-1.1
ASP8062 in Combination With Morphine2.5
Placebo-1.0
Placebo in Combination With Morphine4.1

[back to top]

Pharmacokinetics (PK) of ASP8062 in Plasma: Area Under the Concentration From Time of Dosing to 24 Hours (AUC24)

AUC24 was recorded from the PK plasma samples collected. Samples for AUC24 were collected for arm 'ASP8062' at Day 9, and for arm 'ASP8062 in combination with morphine' at Day 10. (NCT04448561)
Timeframe: 'ASP8062': Predose, 0.25, 0.5, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 h postdose Day 9; 'ASP8062 in combination with morphine': Predose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 h postdose Day 10

Interventionnanogram*hour per milliliter(ng*h/mL) (Mean)
ASP80621640
ASP8062 in Combination With Morphine1640

[back to top]

Pharmacokinetics (PK) of ASP8062 in Plasma: Maximum Plasma Concentration (Cmax)

Cmax was recorded from the PK plasma samples collected. Samples for Cmax were collected for arm 'ASP8062' at Day 9, and for arm 'ASP8062 in combination with morphine' at Day 10. (NCT04448561)
Timeframe: 'ASP8062': Predose, 0.25, 0.5, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 h Day 9; 'ASP8062 in combination with morphine': Predose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 h postdose Day 10

Interventionnanogram per milliliter (ng/mL) (Mean)
ASP8062124
ASP8062 in Combination With Morphine116

[back to top]

Pharmacokinetics (PK) of Morphine in Plasma: Area Under the Concentration From Time of Dosing Extrapolated to Time Infinity (AUCinf)

AUCinf was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng*h/mL (Mean)
ASP8062 in Combination With Morphine128
Placebo in Combination With Morphine166

[back to top]

Pharmacokinetics (PK) of Morphine-6β-D-glucuronide (M6G) (Morphine Metabolite) in Plasma: AUCinf

AUCinf was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng*h/mL (Mean)
ASP8062 in Combination With Morphine821
Placebo in Combination With Morphine1100

[back to top]

Change From Baseline in Blood Oxygen Saturation (SpO2) at 2 Hour Postdose

The SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. Baseline observation was last non-missing observation prior to first dose. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 2 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline and 2 hour postdose Day 10

Interventionpercentage of oxygen saturation (Mean)
ASP8062-0.1
ASP8062 in Combination With Morphine-0.5
Placebo-0.9
Placebo in Combination With Morphine-0.6

[back to top]

Pharmacokinetics (PK) of Morphine in Plasma: Area Under the Concentration Time Curve From the Time of Dosing to the Last Measurable Concentration (AUClast)

AUClast was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng*h/mL (Mean)
ASP8062 in Combination With Morphine160
Placebo in Combination With Morphine158

[back to top]

Pharmacokinetics (PK) of Morphine in Plasma: Cmax

Cmax was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng/mL (Mean)
ASP8062 in Combination With Morphine41.3
Placebo in Combination With Morphine42.3

[back to top]

Change From Baseline in Blood Oxygen Saturation (SpO2) at 1 Hour Postdose

The SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. Baseline observation was last non-missing observation prior to first dose. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 1 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline and 1 hour postdose Day 10

Interventionpercentage of oxygen saturation (Mean)
ASP80620.1
ASP8062 in Combination With Morphine-0.7
Placebo-0.5
Placebo in Combination With Morphine-1.4

[back to top]

Pharmacokinetics (PK) of Morphine-3β-D-glucuronide (M3G) (Morphine Metabolite) in Plasma: AUClast

AUClast was recorded from the PK plasma samples collected. (NCT04448561)
Timeframe: Predose, 0.25, 0.5, 1.5, 2, 3, 4, 8, 12, 16, 24, 36, 48 h postdose Day 10

Interventionng*h/mL (Mean)
ASP8062 in Combination With Morphine5340
Placebo in Combination With Morphine5960

[back to top]

Number of Participants With Adverse Events (AEs)

Safety was assessed by adverse events (AEs), which included abnormalities identified during a medical test (e.g. laboratory tests, vital signs, electrocardiogram, etc.) if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study drug or was clinically significant. A Treatment emergent AE (TEAE) was defined as any AE that started or worsened after the first dose of study drug up to 30 days after the last dose of study drug. AEs were considered serious (SAEs) if the AE resulted in death, was life-threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly, or birth defect or required inpatient hospitalization or led to prolongation of hospitalization. (NCT04448561)
Timeframe: From first dose of study drug up to end of study visit (up to day 25)

,,,
InterventionParticipants (Count of Participants)
TEAEDrug-related TEAESerious TEAEDrug-related serious TEAETEAE leading to deathDrug related TEAE leading to deathTEAE leading to withdrawal of treatmentDrug-related TEAE leading to withdrawal of treatmentDeath
ASP8062760000000
ASP8062 in Combination With Morphine11110000000
Placebo330000000
Placebo in Combination With Morphine770000000

[back to top]

Change From Baseline in Blood Oxygen Saturation (SpO2) at 4 Hour Postdose

The SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 9 minus Baseline for arms 'ASP8062' and 'Placebo', and Day 10 minus Baseline for arms 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine'. Baseline observation was last non-missing observation prior to first dose. (NCT04448561)
Timeframe: 'ASP8062' and 'Placebo': Baseline and 4 hour postdose Day 9; 'ASP8062 in combination with morphine' and 'Placebo in combination with morphine': Baseline and 4 hour postdose Day 10

Interventionpercentage of oxygen saturation (Mean)
ASP80620.1
ASP8062 in Combination With Morphine-0.2
Placebo-0.5
Placebo in Combination With Morphine-1.0

[back to top]