Gupta Y K, Malhotra J
Department of Pharmacology, All India Institute of Medical Sciences, New Delhi.
Indian J Physiol Pharmacol. 1997 Jul;41(3):280-4.
Theophylline is well known for its convulsant and proconvulsant action. Some experimental studies also suggest that theophylline and other methylxanthines may impair the protection of antiepileptic drugs. The interaction of theophylline and the antiepileptic drugs diazepam and sodium valproate was studied in pentylenetetrazole (PTZ) - kindled seizures in rats. Pretreatment with both diazepam 4 mg/kg and sodium valproate 300 mg/kg, i.p., showed protection against PTZ kindled seizures. Theophylline, 50 mg/kg, i.p., when given before the antiepileptic drugs, failed to reverse their protection. Since theophylline has an adenosine receptor antagonist activity which may be responsible for its convulsant potential, the results indicate non-involvement of adenosinergic mechanisms in the mechanisms of actions of these antiepileptic drugs.
茶碱因其惊厥和促惊厥作用而广为人知。一些实验研究还表明,茶碱和其他甲基黄嘌呤可能会削弱抗癫痫药物的保护作用。在大鼠戊四氮(PTZ)点燃性癫痫发作中,研究了茶碱与抗癫痫药物地西泮和丙戊酸钠的相互作用。腹腔注射4mg/kg地西泮和300mg/kg丙戊酸钠进行预处理,显示出对PTZ点燃性癫痫发作的保护作用。在抗癫痫药物之前腹腔注射50mg/kg茶碱,未能逆转它们的保护作用。由于茶碱具有腺苷受体拮抗活性,这可能是其惊厥潜能的原因,结果表明腺苷能机制不参与这些抗癫痫药物的作用机制。