Acute pain management in the elderly patient

PE Macintyre, R 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 …

Pharmacokinetics and pharmacodynamics of alfentanil in P-glycoprotein-competent and P-glycoprotein-deficient mice: P-glycoprotein efflux alters alfentanil brain …

JC Kalvass, ER Olson, GM Pollack - Drug metabolism and disposition, 2007 - ASPET
Previous studies have indicated that P-glycoprotein (P-gp) attenuates the central nervous
system penetration and central activity of some opioids. The impact of P-gp-mediated efflux …

Cerebral and lung kinetics of morphine in conscious sheep after short intravenous infusions

RN Upton, GL Ludbrook, AM Martinez… - British journal of …, 2003 - academic.oup.com
Background. The analgesic effects of morphine are delayed relative to its concentration in
blood. The rate of equilibration of morphine between blood and brain may contribute to this …

[HTML][HTML] Selective in vivo binding of [3H] naltriben to δ-opioid receptors in mouse brain

JR Lever, U Scheffel - European journal of pharmacology, 1998 - Elsevier
Naltriben (NTB) is a selective antagonist for the putative δ2-opioid receptor. We have
determined the regional kinetics and pharmacological profile of [3H] naltriben in vivo in …

Experimental methods for studying drug uptake in the head and brain

KA Foster, MS Roberts - Current Drug Metabolism, 2000 - ingentaconnect.com
A number of techniques have been developed to study the disposition of drugs in the head
and, in particular, the role of the blood-brain barrier (BBB) in drug uptake. The techniques …

Recirculatory model of fentanyl disposition with the brain as the target organ

RN Upton, C Grant, AM Martinez… - British journal of …, 2004 - academic.oup.com
Background. The factors affecting the concentrations of fentanyl in the brain after
intravenous administration have not been completely quantified. Methods. A model …

[HTML][HTML] Translational pain research: Evaluating analgesic effect in experimental visceral pain models

AE Olesen, T Andresen, LL Christrup… - World journal of …, 2009 - ncbi.nlm.nih.gov
Deep visceral pain is frequent and presents major challenges in pain management, since its
pathophysiology is still poorly understood. One way to optimize treatment of visceral pain is …

Theoretical aspects of P-glycoprotein mediated drug efflux on the distribution volume of anaesthetic-related drugs in the brain

RN Upton - Anaesthesia and intensive care, 2002 - journals.sagepub.com
P-glycoprotein in the membranes of endothelial cells actively transports some drugs out of
the brain. The theoretical effect of P-glycoprotein mediated drug efflux on the cerebral …

Trends in the pharmacology of opioids: implications for the pharmacotherapy of pain

LE Mather - European Journal of Pain, 2001 - Elsevier
Some 25 years ago, it was popular to write a figurative equation for drug treatment: Patient+
drug→ effect. Clearly, this was too simplistic for the reliable pharmacotherapy of pain. The …

Pro-epileptic effect of alfentanil in rats subjected to pilocarpine-induced chronic epilepsy

ERG Sanabria, IDA Vieira, MF da Silveira Pereira… - Brain research …, 2006 - Elsevier
Pharmacological induction of epileptiform activity is a complementary method to study the
epileptogenic area in drug-resistant epileptic patients. Among the different activation …