Blood pH and Brain Uptake of14C‐Morphine
作者:
D. Schulman,
J. Kaufman,
M. Eisenstein,
S. Rapoport,
期刊:
Anesthesiology
(OVID Available online 1984)
卷期:
Volume 61,
issue 5
页码: 540-543
ISSN:0003-3022
年代: 1984
出版商: OVID
关键词: Acid-base equilibrium:;acidosis;;alkalosis.;Analgesics:;morphine.;Brain:;blood–brain barrier.;Pharmacokinetics:;morphine.
数据来源: OVID
摘要:
14C-Morphine was injected iv in control awake rats or in rats subjected to metabolic alkalosis or acidosis. Ten minutes later, radioactivity was determined within each of seven brain regions, after correction was made for intravascular tracer. In each region, parenchymal radioactivity was correlated positively and significantly (P< 0.05) with arterial bloodpH. Brain radioactivity was twofold to threefold greater in alkalotic rats (meanpH = 7.62) than in acidotic rats (meanpH = 7.16). The results are consistent with thepH-partition hypothesis for drug entry into the brain and indicate that morphine uptake can be increased by elevating the fraction of lipid-soluble uncharged morphine base in blood, by means of alkalosis. The observations may account for an exaggerated morphine-induced analgesia in alkalotic patients.
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