Yuzurihara M, Ikarashi Y, Ishihara K, Kushida H, Ishige A, Sasaki H, Maruyama Y
Kampo & Pharmacognosy Laboratories, Tsumura, Ibaraki, Japan.
Eur J Drug Metab Pharmacokinet. 2000 Apr-Jun;25(2):127-36. doi: 10.1007/BF03190079.
Subacute treatment with saiboku-to (2000 mg/kg, p.o., once a day) for 7 days induced an anxiolytic-like effect in rats. It did not, however, produce any other effects, such as sedative and hypnotic effects, anticonvulsive and muscle relaxant effects except for anxiolytic effect observed in diazepam-injected rats or mice. Diazepam (1.0 mg/kg, s.c.) induced anxiolytic-like effect was enhanced in saiboku-to treated rats as an additional effect of that induced by saiboku-to. To elucidate whether the enhancement of the anxiolytic-like effect following combined administration of diazepam and saiboku-to is due to the inhibition of hepatic drug-metabolizing enzymes, the pharmacokinetics of diazepam were further investigated in saiboku-to treated rats. The pharmacokinetic studies clearly demonstrated that subacute treatment with saiboku-to did not affect plasma concentration and protein binding rate of diazepam, and the activities of hepatic drug-metabolizing enzymes related to diazepam metabolism. These results, taken together, suggest that the enhancement of diazepam-induced anxiolytic-like effect observed in saiboku-to-treated rats is not due to an inhibition of diazepam metabolism.
柴朴汤(2000毫克/千克,口服,每日一次)连续7天对大鼠进行亚急性治疗可诱导产生抗焦虑样效应。然而,除了在注射地西泮的大鼠或小鼠中观察到的抗焦虑效应外,它并未产生任何其他效应,如镇静和催眠效应、抗惊厥和肌肉松弛效应。地西泮(1.0毫克/千克,皮下注射)诱导的抗焦虑样效应在柴朴汤治疗的大鼠中增强,这是柴朴汤诱导效应的额外作用。为了阐明地西泮和柴朴汤联合给药后抗焦虑样效应增强是否是由于肝药代谢酶的抑制作用,进一步研究了柴朴汤治疗大鼠中地西泮的药代动力学。药代动力学研究清楚地表明,柴朴汤亚急性治疗不影响地西泮的血浆浓度和蛋白结合率,以及与地西泮代谢相关的肝药代谢酶活性。综合这些结果表明,在柴朴汤治疗的大鼠中观察到的地西泮诱导的抗焦虑样效应增强并非由于地西泮代谢受到抑制。