방사열 자극실험쥐에서 Ketorolac과 Morphine의 병용투여 효과
The Analgesic Interaction between Ketorolac and Morphine in Radiant Thermal Stimulation Rat
1
조회
0
다운로드
0
인용
0
참고문헌
초록
Abstract
Background: Previous studies have suggested synergistic analgesic drug interactions between NSAIDs and opioids in neuropathic and inflammatory pain models. The aim of this study was to investigate the analgesic drug interaction between intraperitoneal (IP) ketorolac and morphine in radiant thermal stimulation rat. Methods: Initially, we assessed the withdrawal latency time of the hindpaw to radiant thermal stimulation every 15 min for 1 hour and every 30 min for next 1 hour after IP normal saline 5 ml (control group). The latency time was changed into percent maximal possible effect (%MPE). Next, IP dose response curves were established for the %MPE of morphine (0.3, 1, 3, 10 mg/kg) and ketorolac (3, 10, 30 mg/kg) to obtain the ED50 for each agent. And we confirmed that the IP morphine effect was induced by opioid receptor through IP morphine followed by IP naloxone. At last, we injected three doses of IP ketorolac (3, 10, 30 mg/kg) mixed with one dose of morphine (2 mg/kg) for fixed dose analysis. Results: IP morphine delayed the paw withdrawal latency time dose dependently, but not ketorolac. ED50 of IP morphine was 2.1 mg/kg. And the IP morphine effect was reversed to control level by IP naloxone. IP ketorolac + morphine combination showed no further additional effects on paw withdrawal latency time over morphine only group. Conclusions: IP ketorolac did not produce antinociceptive effect during radiant thermal stimulation. There was neither additional nor synergistic analgesic interaction between IP morphine and ketorolac in thermal stimulation rat.
참고문헌 (20)
- "Ketorolac potentiates morphine in postoperative patient-controlled analgesia", 73, pp.401~6 (1997)
- "Analgesic efficacy of a combination of hydrocodone with ibuprofen in postoperative pain", 65, pp.66~76 (1999)
- "Analysis of the analgesic interactions between ketorolac and tramadol during arthritic nociception in rat", 484, pp.157~65 (2004)
- "Synergistic antiallodynic effects of spinal morphine with ketorolac and selective COX1- and COX2-inhibitors in nerve-injured rats", 82, pp.65~72 (1999)
- "Isobolographic analysis of interactions between intravenous morphine,propacetamol,and diclofenac in carrageenan-injected rats", 87, pp.317~26 (1997)
- "Manual of pharmacologic calculation with computer programs", pp.1~95 (1987), Springer-Verlag
- "Ketorolac.A reappraisal of its pharmacodynamic and pharmacokinetic properties and therapeutic use in pain management", 53, pp.139~88 (1997)
- "Ketorolac reduces postoperative narcotic requirements", 36, pp.76~9 (2001)
- "Low-dose ketorolac improves analgesia and reduces morphine requirements following posterior spinal fusion in adolescents", 49, pp.461~6 (2002)
- "Pain research", pp.11~23 (2004)
- "Antagonism of antinociception produced by intrathecal clonidine by ketorolac in the rat:the role of the opioid system", 90, pp.1152~6 (2000)
- "Intrathecal ketorolac enhances antinociception from clonidine", 96, pp.191~4 (2003)
- "Ketorolac potentiates morphine antinociception during visceral nociception in the rat", 80, pp.1094~101 (1994)
- "Mode of analgesic action of dipyrone:direct antagonism of inflammatory hyperalgesia", 114, pp.375~81 (1985)
- "Analgesia by direct antagonism of nociceptor sensitization involves the arginine- nitric oxide-cGMP pathway", 217, pp.225~7 (1992)
- "Participation of the nitric oxide-cyclic GMP-ATP-sensitive K+ channel pathway in the antinociceptive action of ketorolac", 426, pp.39~44 (2001)
- "Putative role of medullary off- and on- cells in the antinociception produced by dipyrone(metamizol)administered systemically or microinjected into PAG", 57, pp.197~205 (1994)
- "Pharmacology of the spinal action of ketorolac and L-PIA on the formalin test", pp.~91
- "and an isobolographic analysis of the NSAID interaction", pp.270~81
- "The synergistic analgesic interactions between hydrocodone and ibuprofen", 97, pp.1721~3 (2003)
