1981 Volume 31 Issue 4 Pages 529-536
Peripheral effects of morphine and codeine on the cough reflex were investigated using our in situ upper trachea perfusion preparation which allows for a direct drug administration to the local site around the tracheal mucosa, this site being electrically stimulated to induce coughing. An i.a. administration of procaine or lidocaine into the tracheal vascular bed inhibited both cough response and tracheal constriction accompanied by coughings. On the other hand, benzonatate inhibited the tracheal constriction without influencing the cough response. These results indicate that the in situ upper trachea perfusion preparation is useful for evaluating effects of drugs on the cough receptor level. Morphine, 0.1 mg, and codeine, 1.0 mg, injected intraarterially into the tracheal artery, produced no tracheal constriction. Such administrations had no influence on the cough response elicited by mucosal stimulation, whereas the tracheal constriction accompanied by cough reflex was inhibited by both drugs. On the other hand, both drugs inhibited the bronchoconstriction induced by electrical stimulation of the vagus nerve. These findings suggest that both morphine and codeine inhibit the tracheal constriction accompanied by cough reflex without producing a tracheal constriction, in addition to their central antitussive action.