The purpose of this study was to characterize the effect of a painful stimulus on morphine and butorphanol effects in healthy
non-drug abusing volunteers. Thirteen subjects with no history of opiate dependence participated in a randomized, placebo-controlled,
double-blind, crossover trial in which each subject received saline, 2 mg/70 kg butorphanol, and 10 mg/70 kg morphine, IV,
in each of two conditions, periodic forearm immersions into either ice-cold water (2°C) or into warm water (37°C). Both opioids
reduced self-reported ratings of pain intensity, indicative of analgesia. Several of the subjective effects of morphine were
attenuated either during or in between cold-water immersions, including visual analog scale ratings of “coasting (spaced out),”“high
(drug “high”),”“sleepy (drowsy, tired),” and “lightheaded”. In contrast, some of butorphanol’s subjective effects were increased
by the cold-water manipulation. Morphine impaired psychomotor performance during one of the warm-water immersions, but not
during the cold-water immersions. Psychomotor impairment induced by butorphanol was not affected by water temperature. This
study provides evidence that opioid effects can be modulated by a painful stimulus in humans.
Key words Morphine - Butorphanol - Subjective - Opiate - Psychomotor - Opioid - Analgesia - Pain - Human
Received: 6 March 1996/Final version: 17 October 1996