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01.10.2009 | Review Article

Pharmacology of Morphine in Obese Patients

Clinical Implications

verfasst von: Célia Lloret Linares, Xavier Decléves, Jean Michel Oppert, Arnaud Basdevant, Karine Clement, Christophe Bardin, Jean Michel Scherrmann, Jean Pierre Lepine, Jean François Bergmann, Prof. Stéphane Mouly

Erschienen in: Clinical Pharmacokinetics | Ausgabe 10/2009

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Abstract

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

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Titel: Pharmacology of Morphine in Obese Patients
Clinical Implications
verfasst von: Célia Lloret Linares
Xavier Decléves
Jean Michel Oppert
Arnaud Basdevant
Karine Clement
Christophe Bardin
Jean Michel Scherrmann
Jean Pierre Lepine
Jean François Bergmann
Prof. Stéphane Mouly
Publikationsdatum: 01.10.2009
Verlag: Springer International Publishing
Erschienen in: Clinical Pharmacokinetics / Ausgabe 10/2009
Print ISSN: 0312-5963
Elektronische ISSN: 1179-1926
DOI: https://doi.org/10.2165/11317150-000000000-00000

Springer Medizin

Abstract

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