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Table 4 Serum concentrations for morphine and metabolites for the subcutaneous route The morphine doses (mg/24 h) vary because of variable doses of rescue morphine. A total of 17 trial periods in 10 patients were studied. All data are given as median and range.

From: Day-to-day variations during clinical drug monitoring of morphine, morphine-3-glucuronide and morphine-6-glucuronide serum concentrations in cancer patients. A prospective observational study

 

Day 1

Day 2

Day 3

Day 4

Morphine dose (mg/24 h)

135 (30–340)

163 (30 – 335)

164 (50 – 440)

150 (84 – 440)

Serum morphine (nmol/l)

240 (42–741)

254 (62–1297)

305 (106–1045)

373 (103–1222)

Serum M6G (nmol/l)

723 (78–1811)

674 (88–2867)

1009 (374–2023)

1225 (400–2339)

Serum M3G (nmol/l)

5350 (578–11784)

4490 (779–16312)

5631 (3028–8342)

6119 (2777–13715)