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American journal of veterinary research2012; 73(6); 799-808; doi: 10.2460/ajvr.73.6.799

Cardiorespiratory, gastrointestinal, and analgesic effects of morphine sulfate in conscious healthy horses.

Abstract: To compare the cardiorespiratory, gastrointestinal, analgesic, and behavioral effects between IV and IM administration of morphine in conscious horses with no signs of pain. Methods: 6 healthy adult horses. Methods: Horses received saline (0.9% NaCl) solution (IM or IV) or morphine sulfate (0.05 and 0.1 mg/kg, IM or IV) in a randomized, masked crossover study design. The following variables were measured before and for 360 minutes after drug administration: heart and respiratory rates; systolic, diastolic, and mean arterial blood pressures; rectal temperature; arterial pH and blood gas variables; intestinal motility; and response to thermal and electrical noxious stimuli. Adverse effects and horse behavior were also recorded. Plasma concentrations of morphine, morphine-3-glucuronide, and morphine-6-glucuronide were measured via liquid chromatography-mass spectrometry. Results: No significant differences in any variable were evident after saline solution administration. Intravenous and IM administration of morphine resulted in minimal and short-term cardiorespiratory, intestinal motility, and behavioral changes. A decrease in gastrointestinal motility was detected 1 to 2 hours after IM administration of morphine at doses of 0.05 and 0.1 mg/kg and after IV administration of morphine at a dose of 0.1 mg/kg. Morphine administration yielded no change in any horse's response to noxious stimuli. Both morphine-3-glucuronide and morphine-6-glucuronide were detected in plasma after IV and IM administration of morphine. Conclusions: Clinically relevant doses of morphine sulfate yielded minimal and short-term behavioral and intestinal motility effects in healthy horses with no signs of pain. Neither dose of morphine affected their response to a noxious stimulus.
Publication Date: 2012-05-25 PubMed ID: 22620693DOI: 10.2460/ajvr.73.6.799Google Scholar: Lookup
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  • Journal Article
  • Randomized Controlled Trial
  • Research Support
  • Non-U.S. Gov't

Summary

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The research investigates the effects of injecting morphine, a common painkiller, into the bloodstream and muscles of healthy horses, and finds that it causes minor short-term changes in behavior and bowel function without impacting the horses’ reaction to painful stimuli.

Research Methodology

  • The study utilized six healthy adult horses to compare the effects of intravenous (IV) and intramuscular (IM) administration of morphine sulfate.
  • The experiment was carried out with a randomized, masked crossover design. This means that each horse experienced all treatment conditions in a random order, and the researchers did not know which treatment was being applied at a given time to avoid bias.
  • Multiple variables were monitored for 360 minutes following drug administration. These included heart and respiratory rates, blood pressure, rectal temperature, arterial pH, blood gas variables, intestinal motility (gut movement), and response to hot and electrically induced pain.
  • The researchers also observed the horses for any adverse effects and changes in behavior.
  • The concentration of morphine and its metabolites (morphine-3-glucuronide and morphine-6-glucuronide) in the plasma were measured using liquid chromatography-mass spectrometry, a technique that can identify and quantify substances in a sample.

Results & Impact

  • There were no significant effects observed following the administration of a saline solution, which served as the control treatment.
  • The administration of morphine, either intravenously or intramuscularly, led to minimal and short-term changes in cardiorespiratory function, intestinal motility, and behavior.
  • Decreased gastrointestinal motility, or slowed gut movement, was detected 1 to 2 hours after injecting morphine into the muscles at doses of 0.05 and 0.1 mg/kg, and after an IV injection of morphine at a dose of 0.1 mg/kg.
  • Importantly, morphine administration did not cause any change in the horses’ responses to painful stimuli.
  • Both morphine-3-glucuronide and morphine-6-glucuronide, which are metabolites of morphine, were detected in the plasma after both IV and IM administration of morphine.
  • The study concludes that clinically relevant doses of morphine sulfate cause only minor and short-term effects in healthy horses, with no alteration to their reaction to pain. This information may be important for the use of morphine as an analgesic in veterinary practice.

Cite This Article

APA
Figueiredo JP, Muir WW, Sams R. (2012). Cardiorespiratory, gastrointestinal, and analgesic effects of morphine sulfate in conscious healthy horses. Am J Vet Res, 73(6), 799-808. https://doi.org/10.2460/ajvr.73.6.799

Publication

ISSN: 1943-5681
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 73
Issue: 6
Pages: 799-808

Researcher Affiliations

Figueiredo, Juliana P
  • Department of Small Animal Medicine and Surgery, School of Veterinary Medicine, St George's University, Grenada, West Indies. jfigueir@sgu.edu
Muir, William W
    Sams, Richard

      MeSH Terms

      • Analysis of Variance
      • Animals
      • Body Temperature
      • Cross-Over Studies
      • Gastrointestinal Motility / drug effects
      • Heart Rate
      • Horses
      • Injections, Intramuscular / veterinary
      • Injections, Intravenous / veterinary
      • Morphine / administration & dosage
      • Morphine / pharmacology
      • Morphine Derivatives / blood
      • Motor Activity / drug effects
      • Pain Threshold / drug effects
      • Respiratory Rate

      Citations

      This article has been cited 7 times.
      1. Hamamoto-Hardman BD, Steffey EP, Seminoff K, McKemie DS, Kass P, Knych HK. Preliminary study of the pharmacokinetics, tissue distribution, and behavioral and select physiological effects of morphine 6-glucuronide (M6G) following intravenous administration to horses.. Can J Vet Res 2022 Jul;86(3):172-180.
        pubmed: 35794968
      2. Knych HK, Stucker K, Gretler SR, Kass PH, McKemie DS. Pharmacokinetics, adverse effects and effects on thermal nociception following administration of three doses of codeine to horses.. BMC Vet Res 2022 May 25;18(1):196.
        doi: 10.1186/s12917-022-03299-0pubmed: 35614473google scholar: lookup
      3. Troya-Portillo L, López-Sanromán J, Villalba-Orero M, Santiago-Llorente I. Cardiorespiratory, Sedative and Antinociceptive Effects of a Medetomidine Constant Rate Infusion with Morphine, Ketamine or Both.. Animals (Basel) 2021 Jul 13;11(7).
        doi: 10.3390/ani11072081pubmed: 34359209google scholar: lookup
      4. Glaros T, Dhummakupt ES, Rizzo GM, McBride E, Carmany DO, Wright LKM, Forster JS, Renner JA, Moretz RW, Dorsey R, Marten MR, Huso W, Doan A, Dorsey CD, Phillips C, Benton B, Mach PM. Discovery of treatment for nerve agents targeting a new metabolic pathway.. Arch Toxicol 2020 Sep;94(9):3249-3264.
        doi: 10.1007/s00204-020-02820-4pubmed: 32720192google scholar: lookup
      5. Mirra A, Birras J, Diez Bernal S, Spadavecchia C. Morphine plasmatic concentration in a pregnant mare and its foal after long term epidural administration.. BMC Vet Res 2020 Jan 20;16(1):19.
        doi: 10.1186/s12917-020-2242-9pubmed: 31959188google scholar: lookup
      6. Mosing M, Waldmann AD, MacFarlane P, Iff S, Auer U, Bohm SH, Bettschart-Wolfensberger R, Bardell D. Horses Auto-Recruit Their Lungs by Inspiratory Breath Holding Following Recovery from General Anaesthesia.. PLoS One 2016;11(6):e0158080.
        doi: 10.1371/journal.pone.0158080pubmed: 27331910google scholar: lookup
      7. Carregaro AB, Freitas GC, Ribeiro MH, Xavier NV, Dória RG. Physiological and analgesic effects of continuous-rate infusion of morphine, butorphanol, tramadol or methadone in horses with lipopolysaccharide (LPS)-induced carpal synovitis.. BMC Vet Res 2014 Dec 21;10:966.
        doi: 10.1186/s12917-014-0299-zpubmed: 25528353google scholar: lookup