The present invention is direct to a method of producing analgesia in a
mammalian subject. The method includes administering to the subject an
omega conopeptide, preferably ziconotide, in combination with an
analgesic selected from the group consisting of morphine, bupivacaine,
clonidine, hydromorphone, baclofen, fentanyil, buprenorphine, and
sufentanil, or its pharmaceutically acceptable salts thereof, wherein the
.omega.-conopeptide retains its potency and is physically and chemically
compatible with the analgesic compound. A preferred route of
administration is intrathecal administration, particularly continuous
intrathecal infusion. The present invention is also directed to a
pharmaceutical formulation comprising an omega conopeptide, preferably
ziconotide, an antioxidant, in combination with an analgesic selected
from the group consisting of morphine, bupivacaine, clonidine,
hydromorphone, baclofen, fentanyl, buprenorphine, and sufentanil.