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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.
Unlabelled:
A synergistic effect of nonselective cyclooxygenase (COX) inhibitors on morphine-induced decrease of isoflurane minimum alveolar concentration (MAC(ISO)) has been observed in the rat. We studied the influence of specific COX-2 inhibitors on this decrease of MAC. Sixty-four female rats were anesthetized with isoflurane in oxygen. The animals were grouped into saline solution, aspirin (30 mg/kg), morphine (1 mg/kg), morphine (1 mg/kg) + aspirin (30 mg/kg), meloxicam (1 and 3 mg/kg), and morphine (1 mg/kg) + meloxicam (1 and 3 mg/kg). Then the MAC(ISO) was determined from alveolar gas samples at the time of tail clamp. The groups treated with saline solution, aspirin, and 1 and 3 mg/kg meloxicam did not express any statistically relevant changes among them. The administration of morphine + meloxicam 1 or 3 mg/kg significantly reduced the MAC(ISO) just as in the group where only morphine was administered (morphine 1.35% +/- 0.07%, morphine + 1 mg/kg meloxicam 1.36% +/- 0.04%, and morphine + 3 mg/kg meloxicam 1.37% +/- 0.08%). The greatest reduction of MAC(ISO) was after administration of morphine + aspirin (1.19% +/- 0.05%). The administration of meloxicam does not potentiate the morphine-induced decrease of MAC(ISO) in the rat.
Implications:
A synergistic effect between morphine and aspirin on isoflurane minimum alveolar concentration has been observed in the rat--an effect that does not occur between morphine and meloxicam.
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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