1998
DOI: 10.1046/j.1460-9568.1998.00083.x
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Long‐lasting increased pain sensitivity in rat following exposure to heroin for the first time

Abstract: Acute dependence, defined as a precipitation of somatic signs by an antagonist, may occur after a single administration of an opiate drug. Because hyperalgesia is a consistent sign of the withdrawal syndrome, we tested the effectiveness of heroin, an opiate used by addicts, to induce pain facilitation even after a first exposure to the drug. In opiate-naive rats, subcutaneous injection of heroin induced analgesia followed by allodynia, a decrease in pain threshold. This latter phenomenon was observed in the ab… Show more

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Cited by 150 publications
(96 citation statements)
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“…For example, when injected shortly after administration of a dose of morphine or fentanyl, naloxone both abolishes the acute opiate-induced increase in nociceptive threshold and also reduces it to below basal value (hyperalgesia). This hyperalgesia can be blocked by noncompetitive NMDA receptor antagonists suggesting a critical role for glutamatergic systems (Celerier et al 1999;Larcher et al 1998;Laulin et al 1998). This hyperalgesia and allodynia (b-process) also sensitizes both with repeated drug administration and over time leading to an apparent tolerance.…”
mentioning
confidence: 99%
“…For example, when injected shortly after administration of a dose of morphine or fentanyl, naloxone both abolishes the acute opiate-induced increase in nociceptive threshold and also reduces it to below basal value (hyperalgesia). This hyperalgesia can be blocked by noncompetitive NMDA receptor antagonists suggesting a critical role for glutamatergic systems (Celerier et al 1999;Larcher et al 1998;Laulin et al 1998). This hyperalgesia and allodynia (b-process) also sensitizes both with repeated drug administration and over time leading to an apparent tolerance.…”
mentioning
confidence: 99%
“…There is some evidence that analgesic effects, due to repeated opioid dosing, may result in the development of hyperalgesia, the magnitude and duration of which is dosedependent. 6,12,19,31 Further evidence of this phenomenon originates from experimental studies that report hyperalgesia lasting for several days after heroin or fentanyl administration. 32,33 The concept of general balanced anesthesia is defined by the co-administration of several pharmacological agents, so as to enhance their beneficial effects while reducing the side effects of individual drugs administered in high doses.…”
Section: Discussionmentioning
confidence: 99%
“…1,4 Paradoxically, opioids have also been reported to induce hyperalgesia and allodynia via an activation of the same NMDA receptors. 5,6 Enhanced hyperalgesia was observed for several days after injections of high doses of fentanyl were administered to animals that were subjected to inflammatory or surgical pain in response to nociceptive inputs. 7,8 In human volunteers, other opioids, such as remifentanil, induced not only analgesia but also hyperlagesia once the medication was discontinued.…”
Section: Résumémentioning
confidence: 99%
“…This study did not differentiate whether the prolonged allodynia is a result of 1) a delay in the maturation of paw withdrawal thresholds or 2) the presence of prolonged withdrawalassociated allodynia. Hypersensitivity long into the abstinent period has been previously reported in adult rats following heroin or fentanyl (Laulin et al, 1998, Celerier et al, 2000, Celerier et al, 2001. At the neural level, prolonged excitation persist long after abstinence in dorsal root ganglion cultures exposed to chronic morphine (Crain and Shen, 1995).…”
Section: Withdrawal-associated Mechanical Allodyniamentioning
confidence: 92%
“…This is similar to a previous report that a single acute dose of heroin produces an early allodynia of short duration and a second longer lasting allodynia. The magnitude and duration of this second allodynia is dependent upon the dose of heroin (Laulin et al, 1998). Thus, possibly higher doses of morphine might be required in young rats to produce a second longer lasting allodynia as compared to infant rats.…”
Section: Withdrawal-associated Mechanical Allodyniamentioning
confidence: 99%