Document Detail


Effects of opioid blockade on nociceptive flexion reflex thresholds and nociceptive responding in hypertensive and normotensive individuals.
MedLine Citation:
PMID:  18436318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypertension and risk for hypertension have been associated with reduced pain sensitivity. It has been hypothesised that endogenous opioids contribute to this hypertensive hypoalgesia. The nociceptive flexion reflex can be used as a tool to investigate modulation of nociceptive transmission at spinal level. The current study employed a double-blind placebo-controlled design to compare the effects of naltrexone, an opioid antagonist, and placebo on nociceptive flexion reflex thresholds and nociceptive responding in unmedicated patients with essential hypertension and normotensive individuals. Neither nociceptive flexion reflex thresholds nor nociceptive responding differed between hypertensives and normotensives during placebo or naltrexone. These data provide no support for the hypothesis that essential hypertension is characterised by higher levels of endogenous opioids in the central nervous system and reveal no association between blood pressure status and nociceptive flexion reflex responses.
Authors:
Louisa Edwards; Christopher Ring; Christopher R France; David McIntyre; Una Martin
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2008-03-15
Journal Detail:
Title:  International journal of psychophysiology : official journal of the International Organization of Psychophysiology     Volume:  69     ISSN:  0167-8760     ISO Abbreviation:  Int J Psychophysiol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-06-30     Completed Date:  2008-09-30     Revised Date:  2011-09-12    
Medline Journal Info:
Nlm Unique ID:  8406214     Medline TA:  Int J Psychophysiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  96-100     Citation Subset:  IM    
Affiliation:
International Centre for Health and Exercise Research, University of Birmingham, Birmingham, B15 2TT, UK. l.edwards@bham.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Double-Blind Method
Female
Humans
Hypertension / complications*,  metabolism
Male
Middle Aged
Naltrexone / pharmacology*
Narcotic Antagonists / pharmacology*
Opioid Peptides / metabolism
Pain Measurement
Pain Threshold / drug effects*
Reference Values
Reflex / drug effects
Somatosensory Disorders / complications*,  metabolism
Grant Support
ID/Acronym/Agency:
R01 HL064794-04/HL/NHLBI NIH HHS; R01 HL64794/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Narcotic Antagonists; 0/Opioid Peptides; 16590-41-3/Naltrexone
Comments/Corrections

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