Increments in glucose, glucagon and insulin after morphine in rats, and naloxone blocking of this effect.
In awake rats adapted to experimental conditions and allowed food ad libitum, hyperglycemia was induced by the administration of morphine 10 mg/kg through indwelling catheters in the external jugular vein. High glucose values were measured at 5, 15 and 25 min. Glucagon values were high at 5 and 15 min, and again at basal level at 25 min. Insulin was increased after morphine both at 5, 15 and 25 min, whereas somatostatin levels did not change after morphine. When morphine was administered together with naloxone after an initial 10 min period of naloxone administration, there was no increment in glucose, insulin or somatostatin values; neither at 5, 15 or 25 min. There was a remarkable glucagon decrease after naloxone and morphine remaining from 5 to 25 min. Then, one of the possible mechanisms for the hyperglycemic response after morphine may be an opioid effect on pancreas, stimulating glucagon and thereby causing hepatic glucose output.
Johansen
O
O
Department of Orthopaedics, Tromsø University Hospital, Norway.
Tønnesen
T
T
Jensen
T
T
Jorde
R
R
Burhol
P G
PG
Reikerås
O
O
D000818:Animals; D001786:Blood Glucose / Q000187:drug effects / Q000378:metabolism*; D005934:Glucagon / Q000097:blood*; D007328:Insulin / Q000097:blood*; D009020:Morphine / Q000037:antagonists & inhibitors / Q000494:pharmacology*; D009270:Naloxone / Q000494:pharmacology*; D051381:Rats; D013997:Time Factors
D001786:Blood Glucose; D007328:Insulin; D009270:Naloxone; D009020:Morphine; D005934:Glucagon