Study: Increased Morphine Clearance in Sickle Cell Disease Patients

Compared to patients without sickle cell disease, SCD patients clear morphine from their system more quickly, which may cause their increased morphine requirement, according to a study published in The Journal of Pain.

Researchers studied pharmacokinetics of morphine in SCD using USCPACK software. Results showed that morphine clearance in SCD patients was 3-10 times higher than published estimates for the non-SCD population. SCD patients had correspondingly lower AUC and half-life of morphine.

The authors suggest an increased clearance of morphine in SCD patients may arise from increased hepatic and renal blood flow, and may cause their requirement of a higher dose and frequency of morphine to achieve optimal analgesia.

Read The Journal of Pain abstract on morphine for sickle cell disease patients.

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