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Journal of the American Veterinary Medical Association2013; 243(1); 105-112; doi: 10.2460/javma.243.1.105

Pharmacokinetics of intramuscularly administered morphine in horses.

Abstract: To determine the pharmacokinetics of morphine after IM administration in a clinical population of horses. Methods: Prospective clinical study. Methods: 77 horses. Methods: Morphine sulfate (0.1 mg/kg [0.045 mg/lb], IM) was administered to horses, and blood samples were obtained at predetermined time points. Plasma morphine concentrations were measured via liquid chromatography and mass spectrometry. 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. In the clinical phase, blood samples were obtained from 75 hospitalized horses at various times (total, 2 to 3 samples/horse) up to 9 hours after drug administration, and data were analyzed via a naïve pooled pharmacokinetic model. Results: In the clinical phase, the apparent terminal half-life (t(½)) of morphine was approximately 1.5 hours, volume of distribution per bioavailability was approximately 4.5 L/kg, and clearance per bioavailability was approximately 35 mL/kg/min. Peak plasma concentration in naïve pooled analysis was 21.6 ng/mL and occurred approximately 4 minutes after administration. Morphine concentrations were below the limit of quantification ≤ 7 hours after administration in 74 horses. Adverse effects attributed to morphine administration were uncommon and considered mild. Conclusions: The short t(½) of morphine in horses suggested frequent administration may be needed to maintain targeted plasma concentrations. Variations in plasma concentrations suggested optimal dosages may differ among horses. The drug was well tolerated at the described dose, but patients receiving morphine should be monitored carefully.
Publication Date: 2013-06-22 PubMed ID: 23786198DOI: 10.2460/javma.243.1.105Google Scholar: Lookup
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  • Clinical Trial
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research focused on understanding how morphine, when given intramuscularly, behaves in a horse’s body. It confirmed that the morphine’s half-life is short, around 1.5 hours, hinting that repeated doses might be necessary to maintain effective concentration levels. However, the optimal dosage might be different for each horse.

Research Methodology

  • The study was initially carried out prospectively with 77 horses taking part.
  • Morphine sulfate was given to the horses at a dose of 0.1mg/kg intramuscularly.
  • After the morphine injection, blood samples were collected at predetermined time intervals to measure the concentration of morphine in the horse’s blood.
  • In a preliminary study, two healthy horses were observed for up to 12 hours after receiving the morphine dose.
  • In the main clinical phase, blood samples were obtained from 75 hospitalized horses at various times up to 9 hours after drug administration.
  • Plasma morphine concentrations were measured via liquid chromatography and mass spectrometry.

Findings

  • The research found that the terminal half-life (t(½)) of morphine was approximately 1.5 hours.
  • The volume of distribution per bioavailability was found to be around 4.5 L/kg.
  • The clearance per bioavailability was approximately 35 mL/kg/min.
  • The highest plasma concentration was 21.6 ng/mL, which occurred approximately 4 minutes after administration.
  • Morphine concentrations dropped below the limit of quantification in 74 horses within 7 hours post-administration.
  • Adverse effects were believed to be caused by morphine administration, yet these were rare and mild in nature.

Conclusions

  • The short half-life of morphine suggests that frequent administration would be necessary if a consistent effective plasma concentration is to be maintained in horses.
  • Additionally, the research noted fluctuations in plasma concentrations hinting at possible variations in the ideal dosage for different horses.
  • Despite the generally good tolerance at the tested dosage, careful monitoring is still recommended when horses are given morphine.

Cite This Article

APA
Devine EP, KuKanich B, Beard WL. (2013). Pharmacokinetics of intramuscularly administered morphine in horses. J Am Vet Med Assoc, 243(1), 105-112. https://doi.org/10.2460/javma.243.1.105

Publication

ISSN: 1943-569X
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 243
Issue: 1
Pages: 105-112

Researcher Affiliations

Devine, Elizabeth P
  • Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS 66502, USA. devine@vet.k-state.edu
KuKanich, Butch
    Beard, Warren L

      MeSH Terms

      • Analgesics, Opioid / administration & dosage
      • Analgesics, Opioid / blood
      • Analgesics, Opioid / pharmacokinetics
      • Analgesics, Opioid / therapeutic use
      • Animals
      • Area Under Curve
      • Female
      • Half-Life
      • Horse Diseases / blood
      • Horse Diseases / drug therapy
      • Horse Diseases / metabolism
      • Horses / blood
      • Horses / metabolism
      • Injections, Intramuscular
      • Male
      • Morphine / administration & dosage
      • Morphine / blood
      • Morphine / pharmacokinetics
      • Morphine / therapeutic use
      • Pain / drug therapy
      • Pain / veterinary

      Citations

      This article has been cited 5 times.
      1. Ou CY, Yu YH, Wu CW, Kozłowska A, Shyu BC, Huang ACW. Neuronal activity of the medial prefrontal cortex, nucleus accumbens, and basolateral amygdala in conditioned taste aversion and conditioned place preference induced by different doses of morphine administrations in rats. Front Pharmacol 2023;14:1062169.
        doi: 10.3389/fphar.2023.1062169pubmed: 36762112google scholar: lookup
      2. 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
      3. 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
      4. Trindade PHE, Taffarel MO, Luna SPL. Spontaneous Behaviors of Post-Orchiectomy Pain in Horses Regardless of the Effects of Time of Day, Anesthesia, and Analgesia. Animals (Basel) 2021 May 31;11(6).
        doi: 10.3390/ani11061629pubmed: 34072875google scholar: lookup
      5. Sulimai NH, Ko JC, Jones-Hall YL, Weng HY, Deng M, Breur GJ, Knipp GT. Evaluation of 25% Poloxamer As a Slow Release Carrier for Morphine in a Rat Model. Front Vet Sci 2018;5:19.
        doi: 10.3389/fvets.2018.00019pubmed: 29594153google scholar: lookup