Morphine pharmacokinetics in early infancy

Anesthesiology. 1987 Feb;66(2):136-9. doi: 10.1097/00000542-198702000-00005.

Abstract

The pharmacokinetics of morphine in ten infants less than or equal to 10 weeks of age who were receiving morphine infusions were determined. Infants 1-4 days of age (newborns) showed longer elimination half-lives than the older infants (6.8 vs. 3.9 h). Clearance in the newborns is less than one-half that found in older infants (6.3 vs. 23.8 ml X min-1 X kg-1). The combination of lower clearance and longer elimination half-life in newborns (0-7 days) may well explain a prolonged duration of action for morphine in very young infants, but other etiologies are needed to explain the respiratory sensitivity believed to persist in older infants.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Female
  • Half-Life
  • Humans
  • Infant
  • Infant, Newborn
  • Infusions, Intravenous
  • Kinetics
  • Lung Diseases / drug therapy
  • Male
  • Morphine / metabolism*
  • Morphine / therapeutic use
  • Respiration, Artificial

Substances

  • Morphine