Gilbert P E, Martin W R
J Pharmacol Exp Ther. 1975 Mar;192(3):538-41.
Naloxone antagonized convulsions produced by tail vein infusions of d-propoxyphene, heroin, meperidine, normeperidine and thebaine in mice in a dose-related manner. Pretreatment with naloxone (60 mg/kg i.p.) produced a 200 percent increase of the dose of d-propoxyphene or heroin needed to produce a seizure. A 40 percent increase in the convulsant dose of meperidine was observed after naloxone pretreatment (30 mg/kg i.p.). Naloxone (15 mg/kg i.p.) produced a 30 percent increase in the convulsant dose of normeperidine; however, larger doses of naloxone did not produce any further increase in the convulsant dose of either normeperidine or meperidine. Larger doses of naloxone were needed to antagonize convulsions produced by thebaine. Heroin, d-propoxyphene and meperidine produced nonlethal clonic seizures, whereas normeperidine and thebaine produced tonic-clonic seizures which were followed by death. These data suggest that there may be two mechanisms by which narcotic analgesics and their congeners produce convulsions.
纳洛酮能剂量依赖性地拮抗小鼠尾静脉注射右旋丙氧芬、海洛因、哌替啶、去甲哌替啶和蒂巴因所诱发的惊厥。预先腹腔注射纳洛酮(60毫克/千克),可使诱发惊厥所需的右旋丙氧芬或海洛因剂量增加200%。预先腹腔注射纳洛酮(30毫克/千克)后,观察到哌替啶惊厥剂量增加了40%。腹腔注射纳洛酮(15毫克/千克)使去甲哌替啶惊厥剂量增加了30%;然而,更大剂量的纳洛酮并未使去甲哌替啶或哌替啶的惊厥剂量进一步增加。需要更大剂量的纳洛酮来拮抗蒂巴因诱发的惊厥。海洛因、右旋丙氧芬和哌替啶诱发非致命性阵挛性惊厥,而去甲哌替啶和蒂巴因诱发强直性阵挛性惊厥,随后导致死亡。这些数据表明,麻醉性镇痛药及其同类物产生惊厥可能有两种机制。