Abstract

Introduction: Chronic opiate exposure induces tolerance to opiate analgesic effects. Glutamate system is believed to play a major role in morphine induced tolerance. The inhibitory effects of magnesium sulfate and bupropion on this system are well-studied. The aim of this study was to evaluate the effects of magnesium sulfate and bupropion on the prevention of morphine induced tolerance in mice. Materials and Methods: Animals were divided into the nine groups which received drugs intraperitoneally for four consecutive days according to the following protocol: saline (10 ml/kg) + saline (10 ml/kg), morphine (50 mg/kg) + saline (10 ml/kg), morphine (50 mg/kg) + magnesium sulfate (20, 40 and 60 mg/kg), morphine (50 mg/kg) + bupropion (2, 4 and 8 mg/kg) and morphine (50 mg/kg) + magnesium sulfate (20 mg/kg) + bupropion (2 mg/kg). To evaluate the effects of mentioned drugs on morphine tolerance, a test dose of morphine (9 mg/kg) was administered on the fifth day in all groups. In the hot-plate test, thermal stimulation was measured at time intervals of 0, 15, 30, 45 and 60 minutes. Results: Administration of magnesium sulfate, bupropion and their combination before daily injection of morphine, significantly attenuated tolerance to morphine. Also, the highest tolerance reduction was observed at the 30th minute of the study (P<0.001). Conclusion: Magnesium sulfate and bupropion can be used to attenuate morphine induced tolerance. The possible mechanisms are antagonist behavior on N-methyl-D-aspartate (NMDA) receptor and inhibition of glutamate release, respectively. Key words: Bupropion; Hot plate; Magnesium sulfate; Morphine; Tolerance

Highlights

  • Chronic opiate exposure induces tolerance to opiate analgesic effects

  • It can diminish the tolerance and dependence to the analgesic effects of morphine through blocking Ca2+ channels related to NMDA receptors [11,12,13,14]

  • In the present study we investigated the effect of pretreatment of magnesium sulfate, bupropion and co-administration of them in the development of morphine induced tolerance

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Summary

Introduction

Chronic opiate exposure induces tolerance to opiate analgesic effects. The aim of this study was to evaluate the effects of magnesium sulfate and bupropion on the prevention of morphine induced tolerance in mice. Conclusion: Magnesium sulfate and bupropion can be used to attenuate morphine induced tolerance. I.e. diminution of the drug efficacy following long-term administration, could be associated with the requirement of augmented analgesic doses in order to obtain anticipated effects [2]. It can diminish the tolerance and dependence to the analgesic effects of morphine through blocking Ca2+ channels related to NMDA receptors [11,12,13,14]

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