Zharkovsky A, Katajamäki J, Seppälä T, Ahtee L
Department of Pharmacy, University of Helsinki, Finland.
Pain. 1999 Feb;79(2-3):217-22. doi: 10.1016/s0304-3959(98)00176-6.
The effect of repeated administration of dihydropyridine calcium channel antagonist, nimodipine, given concurrently with morphine on the development of tolerance to the antinociceptive actions of morphine in rats was studied. In acute experiments nimodipine (1 mg/kg i.p.) enhanced the antinociceptive effect of morphine (2.5 mg/kg s.c.) in the hot-plate and tail immersion tests. Daily administration of morphine either for 10 days (increasing the daily dose from 20 to 35 mg/kg) or for 24 days (increasing the daily dose from 20 to 70 mg/kg) induced tolerance to the antinociceptive effect of a challenge dose of morphine (10 mg/kg) administered 24 h after the withdrawal from chronic morphine. Concurrent administration of nimodipine (1 mg/kg per day) with morphine for 10 or 24 days augmented the reduction of the antinociceptive effect of morphine. Neither acute nor repeated administration of nimodipine with morphine altered the concentrations of morphine or its metabolite morphine 6-glucuronide in the brain tissue or in the plasma. The observed further reduction in the nociceptive response in morphine tolerant animals pre-treated with nimodipine is, most probably, due to the adaptive changes in the central dihydropyridine calcium channels induced by the withdrawal from repeated nimodipine treatment.
研究了与吗啡同时重复给予二氢吡啶类钙通道拮抗剂尼莫地平对大鼠吗啡镇痛作用耐受性发展的影响。在急性实验中,尼莫地平(1毫克/千克,腹腔注射)在热板和尾浸试验中增强了吗啡(2.5毫克/千克,皮下注射)的镇痛作用。每日给予吗啡10天(每日剂量从20毫克/千克增加到35毫克/千克)或24天(每日剂量从20毫克/千克增加到70毫克/千克)会诱导对慢性吗啡撤药24小时后给予的挑战剂量吗啡(10毫克/千克)镇痛作用的耐受性。尼莫地平(每日1毫克/千克)与吗啡同时给药10天或24天会增强吗啡镇痛作用的降低。尼莫地平与吗啡的急性或重复给药均未改变脑组织或血浆中吗啡及其代谢产物吗啡6-葡萄糖醛酸的浓度。在用尼莫地平预处理的吗啡耐受动物中观察到的伤害性反应进一步降低,很可能是由于重复给予尼莫地平后撤药诱导的中枢二氢吡啶类钙通道的适应性变化所致。