Comparative study on the circulatory and respiratory effects of buprenorphine and methadone

de Klerk, G.; Mattie, H.; Spierdijk, J.

Acta Anaesthesiologica Belgica 32(2): 131-139

1981


ISSN/ISBN: 0001-5164
PMID: 6794327
Document Number: 176738
A comparative double blind study on the effects on circulation and respiration of buprenorphine and methadone was performed on 4 healthy volunteers. Both drugs were given by continuous slow i.v. infusion. Before and after administration of the drugs, the subjects breathed in an open system, gas mixtures of 50% O2/50% N2, then rebreathed through a closed system 50% O2/43% N2/7% CO2. After each breathing/rebreathing period pupil diameters were measured photographically. The effects on respiration were calculated as shifts in volume percentage CO2 necessary to obtain a standard respiratory minute volume. Analysis of variance showed a dose-independent inhibition of respiration by buprenorphine and a dose-dependent inhibition by methadone. Both drugs caused a weakly dose-dependent miosis. There were no significant dose-dependent effects on circulation, and both drugs had similar side effect profiles.

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