Pharmacokinetic optimisation of opioid treatment in acute pain therapy

RN Upton, TJ Semple, PE Macintyre - Clinical pharmacokinetics, 1997 - Springer
Traditionally, opioids have been administered as fixed doses at fixed dose intervals. This
approach has been largely ineffective. Patient-controlled analgesia (PCA) and upgraded …

Cerebral uptake of drugs in humans

RN Upton - Clinical and experimental pharmacology and …, 2007 - Wiley Online Library
SUMMARY 1 Drugs that target the central nervous system (CNS) are under‐represented in
the pharmacopoeia because of the difficulties of overcoming passive and active defences of …

Reduction and lumping of physiologically based pharmacokinetic models: prediction of the disposition of fentanyl and pethidine in humans by successively simplified …

S Björkman - Journal of pharmacokinetics and pharmacodynamics, 2003 - Springer
Physiologically based pharmacokinetic (PBPK) models can be used to predict drug
disposition in humans from animal data and the influence of disease or other changes in …

Pharmacokinetic and pharmacodynamic evaluation of intravenous hydromorphone in cats1

K Wegner, SA Robertson… - Journal of veterinary …, 2004 - Wiley Online Library
This study describes the pharmacokinetics of intravenous hydromorphone in cats and the
simultaneous measurement of antinociceptive pharmacodynamic effects using a thermal …

Drug tissue distribution: study methods and therapeutic implications

JM Lanao, MA Fraile - Current pharmaceutical design, 2005 - ingentaconnect.com
Current interest in studies on tissue distribution stems from the limited capacity to predict
tissue concentrations and the pharmacological response from plasma drug levels, and from …

Cerebral kinetics of oxycodone in conscious sheep

HH Villesen, DJR Foster, RN Upton… - Journal of …, 2006 - Elsevier
Oxycodone is an opioid analgesic that is administered orally or parenterally. The time-
course of opioid action is a function of the systemic kinetics of the opioid, and the rate and …

Comparison of cerebral pharmacokinetics of buprenorphine and norbuprenorphine in an in vivo sheep model

ML Jensen, D Foster, R Upton, C Grant, A Martinez… - Xenobiotica, 2007 - Taylor & Francis
The pharmacokinetics and time course of blood–brain equilibration of buprenorphine (BUP)
and norbuprenorphine (norBUP) in sheep were characterized. Sheep were administered …

The effect of altered cerebral blood flow on the cerebral kinetics of thiopental and propofol in sheep

RN Upton, GL Ludbrook, C Grant… - The Journal of the …, 2000 - pubs.asahq.org
Background Thiopental and propofol are highly lipid-soluble, and their entry into the brain
often is assumed to be limited by cerebral blood flow rather than by a diffusion barrier …

Pharmacokinetics of human cerebral opioid extraction: a comparative study on sufentanil, fentanyl, and alfentanil in a patient after severe head injury

C Metz, L Göbel, M Gruber, KH Hoerauf… - The Journal of the …, 2000 - pubs.asahq.org
Background The pharmacodynamic differences in time to onset and dissipation of effect of
sufentanil, fentanyl, and alfentanil probably result from different rates of blood-brain …

Acute pain management in the elderly patient

PE Macintyre, RN Upton… - Acute Pain: Clinical …, 2003 - api.taylorfrancis.com
In most countries of the world the proportion of elderly people in the population is increasing.
Many will suffer from pain due to trauma, cancer, or surgery, or develop acute pain from …