Goudie A J, Leathley M J
Department of Psychology, University of Liverpool, UK.
Psychopharmacology (Berl). 1991;103(4):529-37. doi: 10.1007/BF02244254.
Two initial studies investigated: i) the effects of withdrawal from ipsapirone [a putative non-benzodiazepine (BZ) anxiolytic] and chlordiazepoxide (CDP); and ii) effects of ipsapirone in animals withdrawn from CDP. Rats were injected b.i.d. for 21 days with saline, ipsapirone or CDP at doses up to 40 mg/kg/injection. Subsequently, controls received the treatment administered previously, other subjects received saline during withdrawal from ipsapirone or CDP. Further subjects received ipsapirone (3, 10 or 30 mg/kg b.i.d.) during CDP withdrawal. Withdrawal indices recorded were body weight and food intake. Withdrawal signs were absent after ipsapirone treatment but present after CDP treatment, when food intake and bodyweight measures fell and then recovered. At the high dose of 30 mg/kg (b.i.d.) ipsapirone potentiated CDP withdrawal signs. Potentiation of withdrawal was not seen in animals treated with ipsapirone at lower doses (3 and 10 mg/kg, b.i.d.). In a subsequent study we found that ipsapirone conditioned a taste aversion, a possible index of drug-induced "malaise", at doses as low as 7.5 mg/kg. Therefore a possible explanation for the potentiation of BZ withdrawal in subjects treated with high doses of ipsapirone was that drug-induced "malaise" reduced food intake and body weight, rather than ipsapirone causing true potentiation of BZ withdrawal. However, in a further study we showed that the ipsapirone treatment regime which potentiated BZ withdrawal did not significantly reduce food intake or body weight, suggesting that high doses of ipsapirone potentiate BZ withdrawal by a mechanism that does not simply involve "malaise".(ABSTRACT TRUNCATED AT 250 WORDS)
i)停用伊沙匹隆(一种假定的非苯二氮䓬类抗焦虑药)和氯氮䓬的影响;ii)伊沙匹隆对已停用氯氮䓬动物的影响。大鼠每天注射两次,连续21天,分别注射生理盐水、伊沙匹隆或氯氮䓬,注射剂量最高达40毫克/千克/次。随后,对照组接受先前给予的治疗,其他受试对象在停用伊沙匹隆或氯氮䓬期间接受生理盐水注射。另有受试对象在停用氯氮䓬期间接受伊沙匹隆(3、10或30毫克/千克,每天两次)注射。记录的戒断指标为体重和食物摄入量。伊沙匹隆治疗后未出现戒断症状,但氯氮䓬治疗后出现了戒断症状,此时食物摄入量和体重测量值下降,随后又恢复。在30毫克/千克(每天两次)的高剂量下,伊沙匹隆增强了氯氮䓬的戒断症状。低剂量(3和10毫克/千克,每天两次)伊沙匹隆治疗的动物未出现戒断增强现象。在随后的一项研究中,我们发现伊沙匹隆在低至7.5毫克/千克的剂量下就会引起味觉厌恶,这可能是药物诱发“不适”的一个指标。因此,高剂量伊沙匹隆治疗的受试对象中苯二氮䓬类药物戒断增强的一个可能解释是,药物诱发的“不适”降低了食物摄入量和体重,而不是伊沙匹隆真正增强了苯二氮䓬类药物的戒断反应。然而,在进一步的研究中我们表明,增强苯二氮䓬类药物戒断反应的伊沙匹隆治疗方案并未显著降低食物摄入量或体重,这表明高剂量伊沙匹隆增强苯二氮䓬类药物戒断反应的机制并非仅仅涉及“不适”。(摘要截断于250字)