Lee David C, Satz Wayne A, Dougherty Timothy, Greene Tucker
Department of Emergency Medicine, Drexel University/Medical College of Pennsylvania, PA, USA.
J Med Toxicol. 2006 Jun;2(2):68-70. doi: 10.1007/BF03161174.
Prior animal studies have suggested that flumazenil may blunt GHB's sedative-hypnotic affects. We hypothesized that flumazenil would decrease the affects of GHB in a murine model of intoxication.
We performed a controlled, pilot experiment using 32 mice divided into 3 groups. All mice received intraperitoneal injections of GHB (1.5 g/kg). Group I received sham injections at time 0, and then GHB at 5 minutes. Group II received flumazenil (0.3 mg/kg) at time 0, and then GHB at 5 minutes. Group III received sham injection at time 0, then GHB at 5 minutes, and then 4 escalating flumazenil doses administered at 3-minute intervals (0.003 to 1 mg/kg). We measured certain functions: time to loss/recovery of righting reflexes (RR), time to sprawl/recovery of sprawl (postural tone [PT]), and death.
There were statistically significant delays in the loss of PT and shortened recovery time to RR in pre-treated mice (group II) versus controls (group I). There were no differences in group III versus group I for any outcome parameters.
In this model, pre-dosing flumazenil prior to GHB administration delayed clinical intoxication.
先前的动物研究表明,氟马西尼可能会减弱γ-羟基丁酸(GHB)的镇静催眠作用。我们假设氟马西尼会在小鼠中毒模型中降低GHB的作用。
我们进行了一项对照性的初步实验,使用32只小鼠,分为3组。所有小鼠均接受腹腔注射GHB(1.5 g/kg)。第一组在0分钟时接受假注射,然后在5分钟时注射GHB。第二组在0分钟时接受氟马西尼(0.3 mg/kg)注射,然后在5分钟时注射GHB。第三组在0分钟时接受假注射,然后在5分钟时注射GHB,随后每隔3分钟给予4次递增剂量的氟马西尼(0.003至1 mg/kg)。我们测量了某些功能:翻正反射丧失/恢复的时间(RR)、伸展/伸展恢复的时间(姿势张力[PT])以及死亡情况。
与对照组(第一组)相比,预处理小鼠(第二组)的PT丧失出现统计学上的显著延迟,RR恢复时间缩短。第三组与第一组在任何结局参数上均无差异。
在该模型中,在给予GHB之前预先给予氟马西尼可延迟临床中毒。