Meloxicam, a specific COX-2 inhibitor, does not enhance the isoflurane minimum alveolar concentration reduction

Martín Santos1, Viviana Kunkar, Palma García-Iturralde

  • 1From the Servicio de Cirugía Experimental, Hospital Universitario Puerta de Hierro, Madrid, Spain.

Anesthesia and Analgesia
|January 27, 2004
PubMed
Abstract

Insights

Aspirin, but not meloxicam, synergistically enhances morphine's effect in reducing isoflurane minimum alveolar concentration (MAC(ISO)) in rats. This finding highlights differential interactions between opioids and cyclooxygenase inhibitors.

Area of Science:

  • Anesthesiology
  • Pharmacology
  • Pain Management

Background:

  • Nonselective cyclooxygenase (COX) inhibitors show a synergistic effect with morphine on isoflurane minimum alveolar concentration (MAC(ISO)) in rats.
  • The influence of specific COX-2 inhibitors on this interaction requires further investigation.

Purpose of the Study:

  • To investigate the effect of specific COX-2 inhibitors, meloxicam, on the morphine-induced decrease in isoflurane MAC(ISO) in rats.
  • To compare the synergistic effects of aspirin and meloxicam when co-administered with morphine.

Main Methods:

  • Sixty-four female rats were anesthetized with isoflurane.
  • Animals were grouped to receive saline, aspirin, morphine, morphine + aspirin, meloxicam, or morphine + meloxicam.
  • Minimum alveolar concentration of isoflurane (MAC(ISO)) was determined via tail clamp stimulus.

Main Results:

  • Morphine administration significantly reduced MAC(ISO).
  • Co-administration of morphine with meloxicam (1 and 3 mg/kg) did not potentiate this reduction.
  • Morphine combined with aspirin demonstrated the greatest reduction in MAC(ISO), indicating a synergistic effect.

Conclusions:

  • A synergistic effect exists between morphine and aspirin in reducing rat isoflurane MAC(ISO).
  • This synergistic effect was not observed between morphine and the COX-2 inhibitor meloxicam.

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