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Age-related morphine kinetics.

J A Owen, D S Sitar, L Berger

    Clinical Pharmacology and Therapeutics
    |September 1, 1983
    PubMed
    Summary
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    Older adults exhibit altered morphine pharmacokinetics, with a smaller volume of distribution and reduced plasma clearance, potentially leading to higher drug concentrations in certain body compartments.

    Area of Science:

    • Pharmacokinetics and Drug Metabolism
    • Geriatric Pharmacology
    • Clinical Pharmacy

    Background:

    • Morphine is a widely used opioid analgesic.
    • Age-related changes can significantly alter drug pharmacokinetics.
    • Understanding morphine disposition in the elderly is crucial for safe and effective pain management.

    Purpose of the Study:

    • To compare the kinetic disposition of morphine in young versus elderly healthy subjects.
    • To investigate how age influences morphine's volume of distribution, clearance, and elimination phases.

    Main Methods:

    • A single intravenous dose of morphine (10 mg/70 kg) was administered to both young (n=13) and older (n=7) healthy subjects.
    • Pharmacokinetic parameters, including volume of distribution and plasma clearance, were analyzed.

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  • Morphine concentrations in different kinetic compartments were calculated over time.
  • Main Results:

    • Elderly subjects showed a significantly smaller apparent volume of distribution at steady state (half that of young subjects).
    • This reduction was attributed to decreased central and peripheral kinetic compartment volumes in older individuals.
    • While the beta elimination phase was more rapid in older adults, their plasma clearance of morphine was reduced, with higher peripheral compartment concentrations observed for 1.5 hours post-dose.

    Conclusions:

    • Age-related pharmacokinetic alterations in morphine disposition are significant.
    • Reduced volume of distribution and impaired plasma clearance in the elderly may necessitate dose adjustments.
    • These findings highlight the importance of considering age in morphine therapy to optimize patient outcomes and minimize adverse events.