Tung Alfred S, Yaksh Tony L
Department of Anesthesiology, Presbyterian University Hospital, Pittsburgh, Pa. 15213 U.S.A. Section of Neurosurgical Research, Mayo Foundation, Rochester, Minn. 55901 U.S.A.
Pain. 1982 Apr;12(4):343-356. doi: 10.1016/0304-3959(82)90179-8.
In cats implanted chronically with catheters in the lumbar epidural space, the pharmacology of the analgesia of 4 opiates, which varied widely in their physicochemical properties, was studied. Results revealed the following order of epidural analgesic potency as indicated by suppression of the spinally mediate skin twitch reflex: lofentanyl greater than morphine greater than L-methadone greater than meperidine greater than D-methadone. With the doses used in these experiments the duration of action was: morphine greater than lofentanyl greater than L-methadone = meperidine. In addition, antagonism of these effects by systemic naloxone and the development of tolerance after daily epidural administration of morphine were demonstrated. These data, jointly, indicate a specific receptor mechanism of action. We suggest that this animal model may be useful for the evaluation of new opiates and non-opiates to be given via the epidural route.