There is ample evidence of the biological changes produced by the sustained activation of opioid receptors. We evaluated the adaptive changes of cerebral Na + ,K + -ATPase in response to the sustained administration of morphine (minipumps, 45 mg/kg/day, 6 days) in CD-1 mice and the functional role of these changes in opioid antinociception. The antinociceptive effect of morphine as determined with tail-flick tests was reduced in morphine-tolerant mice. There were no significant changes in the density of high-affinity Na + ,K + -ATPase α subunits labeled with [ 3 H]ouabain in forebrain membranes from morphine-tolerant compared to those of morphine-naive animals. Western blot analysis showed that there were no significant differences between groups in the changes in relative abundance of α 1 and α 3 subunits of Na + ,K + -ATPase in the spinal cord or forebrain. However, the morphine-induced stimulation of Na + ,K + -ATPase activity was significantly lower in brain synaptosomes from morphine-tolerant mice (EC 50 = 1.79 ± 0.10 μM) than in synaptosomes from morphine-naive mice (EC 50 = 0.69 ± 0.12 μM). Furthermore, adaptive alterations in the time-course of basal Na + ,K + -ATPase activity were observed after sustained morphine treatment, with a change from a bi-exponential decay model (morphine-naive mice) to a mono-exponential model (morphine-tolerant mice). In behavioral studies the antinociceptive effects of morphine (s.c.) in the tail-flick test were dose-dependently antagonized by ouabain (1 and 10 ng/mouse, i.c.v.) in morphine-naive mice, but not in morphine-tolerant mice. These findings suggest that during morphine tolerance, adaptive cellular changes take place in cerebral Na + ,K + -ATPase activity which are of functional relevance for morphine-induced antinociception.