Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study

Cancer patients having moderate to severe pain need immediate pain relief. Immediate release formulation of morphine is not available in Bangladesh. This open label randomised two phase crossover clinical trial was conducted to compare strength, efficacy, and tolerability of oral morphine solution p...

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Main Authors: Rawshan Ara Perveen, Md. Sayedur Rahman
Format: Article
Language:English
Published: Bangladesh Pharmacological Society 2015-02-01
Series:Bangladesh Journal of Pharmacology
Subjects:
Online Access:https://www.banglajol.info/index.php/BJP/article/view/21754
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author Rawshan Ara Perveen
Md. Sayedur Rahman
author_facet Rawshan Ara Perveen
Md. Sayedur Rahman
author_sort Rawshan Ara Perveen
collection DOAJ
description Cancer patients having moderate to severe pain need immediate pain relief. Immediate release formulation of morphine is not available in Bangladesh. This open label randomised two phase crossover clinical trial was conducted to compare strength, efficacy, and tolerability of oral morphine solution prepared from morphine sulfate injectable formulation and sustained release tablet with and without added preservatives. Concentration of morphine in solutions both with and without added preservative was highest on the first day and then gradually decreased. No difference between two storage temperatures on first day, but highly significant difference afterwards. Rate of degradation of morphine in solution with added preservative was significantly slower. The present study revealed that the solutions prepared from sustained release tablets and injectable formulation with added preservative could be an option to control severe pain in cancer patients. To introduce the present research finding in clinical practice, this has to be accepted institutionally.
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spelling doaj.art-f881a7d9618e4641a63e06eb96c5f8f12022-12-21T18:10:57ZengBangladesh Pharmacological SocietyBangladesh Journal of Pharmacology1991-00882015-02-0110110.3329/bjp.v10i1.21754Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative studyRawshan Ara Perveen0Md. Sayedur Rahman1Department of Pharmacology, Bangabandhu Sheikh Mujib Medical University, Shahbag, DhakaDepartment of Pharmacology, Bangabandhu Sheikh Mujib Medical University, Shahbag, DhakaCancer patients having moderate to severe pain need immediate pain relief. Immediate release formulation of morphine is not available in Bangladesh. This open label randomised two phase crossover clinical trial was conducted to compare strength, efficacy, and tolerability of oral morphine solution prepared from morphine sulfate injectable formulation and sustained release tablet with and without added preservatives. Concentration of morphine in solutions both with and without added preservative was highest on the first day and then gradually decreased. No difference between two storage temperatures on first day, but highly significant difference afterwards. Rate of degradation of morphine in solution with added preservative was significantly slower. The present study revealed that the solutions prepared from sustained release tablets and injectable formulation with added preservative could be an option to control severe pain in cancer patients. To introduce the present research finding in clinical practice, this has to be accepted institutionally.https://www.banglajol.info/index.php/BJP/article/view/21754MorphinePalliative Care
spellingShingle Rawshan Ara Perveen
Md. Sayedur Rahman
Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study
Bangladesh Journal of Pharmacology
Morphine
Palliative Care
title Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study
title_full Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study
title_fullStr Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study
title_full_unstemmed Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study
title_short Strength, efficacy and tolerability of morphine solution with and without added preservatives: A comparative study
title_sort strength efficacy and tolerability of morphine solution with and without added preservatives a comparative study
topic Morphine
Palliative Care
url https://www.banglajol.info/index.php/BJP/article/view/21754
work_keys_str_mv AT rawshanaraperveen strengthefficacyandtolerabilityofmorphinesolutionwithandwithoutaddedpreservativesacomparativestudy
AT mdsayedurrahman strengthefficacyandtolerabilityofmorphinesolutionwithandwithoutaddedpreservativesacomparativestudy