1 This study was done to ®nd out how morphine 6-beta-D-glucuronide (M6G) induces more potent central analgesia than morphine, despite its poor blood ± brain barrier (BBB) permeability. The brain uptake and disposition of these compounds were investigated in plasma and in various brain compartments: extracellular¯uid (ECF), intracellular space (ICS) and cerebrospinal¯uid (CSF). 2 Morphine or M6G was given to rats at 10 mg kg 71 s.c. Transcortical microdialysis was used to assess their distributions in the brain ECF. Conventional tissue homogenization was used to determine the distribution in the cortex and whole brain. These two procedures were combined to estimate drug distribution in the brain ICS. The blood and CSF pharmacokinetics were also determined. 3 Plasma concentration data for M6G were much higher than those of morphine, with C max and AUC 4 ± 5 times more higher, T max shorter, and V Z f 71 (volume of distribution) and CL f 71 (clearance) 4 ± 6 times lower. The concentrations of the compounds in various brain compartments also di ered: AUC values for M6G were lower than those of morphine in tissue and CSF and higher in brain ECF. AUC values in brain show that morphine levels were four times higher in ICS than in ECF, whereas M6G levels were 125 higher in ECF than in ICS. 4 Morphine entered brain cells, whereas M6G was almost exclusively extracellular. This high extracellular concentration, coupled with extremely slow di usion into the CSF, indicates that M6G was predominantly trapped in the extracellular¯uid and therefore durably available to bind at opioid receptors.

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