INDONESIAN JOURNAL OF PHARMACY
Vol 15 No 4, 2004

The advantages of fentanyl for the treatment of pain: Studies of pharmacological profiles and fentanyl relatedside effects

Arief Nurrochmad (Department of Pharmacology and Clinical Pharmacy, Gadjah Mada University, Sekip Utara Yogyakarta, Indonesia)
Ozaki Masahiko (Department of Toxicology, Hoshi University School of Pharmacy and Pharmaceutical Sciences, Ebara 2-4-41, Shinagawa-ku, Tokyo, Japan)
Minoru Narita (Department of Toxicology, Hoshi University School of Pharmacy and Pharmaceutical Sciences, Ebara 2-4-41, Shinagawa-ku, Tokyo, Japan)
Tsutomu Suzuki (Department of Toxicology, Hoshi University School of Pharmacy and Pharmaceutical Sciences, Ebara 2-4-41, Shinagawa-ku, Tokyo, Japan)



Article Info

Publish Date
01 Oct 2005

Abstract

The understanding of the pharmacological profiles of fentanyl and fentanyl-related side effects seems to be critical for the management for control of pain. Therefore, the present study was designed to investigate the advantages for treatment with fentanyl and the side effects such as emesis and gastrointestinal transit inhibition. The results demonstrated that fentanyl produced a profound antinociception in ferrets and mice than that induced by morphine. These findings are consistent with the experiences in the clinic. Morphine with lower doses than antinociceptive doses, produced a significant increase in gastrointestinal transit inhibition. However, fentanyl produced no gastrointestinal transit inhibition unlike morphine. These findings are consistent with the clinical experiences in the use of fentanyl. The clinical studies in patients chronic cancer pain showed that transdermal therapeutic delivery system for fentanyl (TTS-fentanyl) produces less side effects such as constipation, nausea and vomiting than that induced by oral morphine. Morphine with lower doses than that used for antinociceptive assay also produced either in the number of retching or vomiting. However, fentanyl failed to produce emetic response in ferrets. These findings indicate that fentanyl produces much less emesis than that induced by morphine. Finally, we conclude that fentanyl produced potent antinociception in ferrets and mice. In addition, fentanyl produced much less side effects including emesis and constipation. These findings may provide evidence for benefit and usefulness of fentanyl for clinical frame on the management of pain treatment.Key word: fentanyl; antinociception; emesis; ferret.

Copyrights © 2004






Journal Info

Abbrev

3

Publisher

Subject

Medicine & Pharmacology

Description

Indonesian Journal of Pharmacy (ISSN-e: 2338-9486, ISSN-p: 2338-9427), formerly Majalah Farmasi Indonesia (ISSN: 0126-1037). The journal had been established in 1972, and online publication was begun in 2008. Since 2012, the journal has been published in English by Faculty of Pharmacy Universitas ...