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Explanation for potency of repeated oral doses of morphine?
G W Hanks1, P J Hoskin, G W Aherne
1Royal Marsden Hospital, Sutton.
Lancet (London, England)
|September 26, 1987
Abstract:
Morphine given by injection is the standard by which all other strong analgesics are measured, but when given orally in single doses it is a poor analgesic. With repeated oral administration it becomes very effective and it may be that on repeated dosage active metabolites, particularly morphine-6-glucuronide, account for much of the analgesic activity. Enterohepatic circulation may also contribute to the maintenance of blood and tissue levels of morphine and its metabolites in chronic use.