Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine

Trimebutine is an opiate ligand that interacts with the μ, σ and κ receptor subclasses with approximately equal affinity. Since opiate receptors are widely distributed in the gut, and because opiate receptor subtypes may be involved in excitatory or inhibitory control mechanisms, trimebutine has an...

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Main Authors: Stephen M Collins, Edwin E Daniel
Format: Article
Language:English
Published: Wiley 1991-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1991/795313
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author Stephen M Collins
Edwin E Daniel
author_facet Stephen M Collins
Edwin E Daniel
author_sort Stephen M Collins
collection DOAJ
description Trimebutine is an opiate ligand that interacts with the μ, σ and κ receptor subclasses with approximately equal affinity. Since opiate receptors are widely distributed in the gut, and because opiate receptor subtypes may be involved in excitatory or inhibitory control mechanisms, trimebutine has an unusual profile of action that cannot be predicted on the basis of experience with other synthetic opiates such as codeine, morphine or loperamide. Trimebutine influences motility throughout the gastrointestinal tract. The effect of trimcbutine on the lower esophageal sphincter raises the possibility of a beneficial role in the treatment of gastroesophageal reflex disease. The ability of trimebutine to promote propulsive activity in the fasting and postprandial small intestine offers novel therapeutic approaches to the treatment of motility disorders, including postoperative ileus and pseudo-obstruction. Finally, the effect of the drug on the colon supports the use of trimcbutine in irritable bowel syndrome patients who have constipation due to colonic inertia.
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spelling doaj-art-66b5b29d8cfe4d6880f8723374a9fc0c2025-08-20T02:23:41ZengWileyCanadian Journal of Gastroenterology0835-79001991-01-015518519310.1155/1991/795313Opiate Modulation of Gastrointestinal Motility and the Actions of TrimebutineStephen M Collins0Edwin E Daniel1Intestinal Diseases Research Unit and Smooth Muscle Research Program, Departments of Medicine and Biomedical Science, McMaster University Medical Centre, Hamilton, Ontario, CanadaIntestinal Diseases Research Unit and Smooth Muscle Research Program, Departments of Medicine and Biomedical Science, McMaster University Medical Centre, Hamilton, Ontario, CanadaTrimebutine is an opiate ligand that interacts with the μ, σ and κ receptor subclasses with approximately equal affinity. Since opiate receptors are widely distributed in the gut, and because opiate receptor subtypes may be involved in excitatory or inhibitory control mechanisms, trimebutine has an unusual profile of action that cannot be predicted on the basis of experience with other synthetic opiates such as codeine, morphine or loperamide. Trimebutine influences motility throughout the gastrointestinal tract. The effect of trimcbutine on the lower esophageal sphincter raises the possibility of a beneficial role in the treatment of gastroesophageal reflex disease. The ability of trimebutine to promote propulsive activity in the fasting and postprandial small intestine offers novel therapeutic approaches to the treatment of motility disorders, including postoperative ileus and pseudo-obstruction. Finally, the effect of the drug on the colon supports the use of trimcbutine in irritable bowel syndrome patients who have constipation due to colonic inertia.http://dx.doi.org/10.1155/1991/795313
spellingShingle Stephen M Collins
Edwin E Daniel
Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine
Canadian Journal of Gastroenterology
title Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine
title_full Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine
title_fullStr Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine
title_full_unstemmed Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine
title_short Opiate Modulation of Gastrointestinal Motility and the Actions of Trimebutine
title_sort opiate modulation of gastrointestinal motility and the actions of trimebutine
url http://dx.doi.org/10.1155/1991/795313
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