Kleinrok Z, Gustaw J, Czuczwar S J
Department of Pharmacology, Medical School, Lublin, Poland.
J Neural Transm Suppl. 1991;34:85-90. doi: 10.1007/978-3-7091-9175-0_11.
The tricyclic antidepressants, amitriptyline (20-30 mg/kg, i.p.) and imipramine (30-40 mg/kg), provided a significant protection against electro-convulsions (12 mA, 0.2 s stimulus duration) but desipramine (up to 40 mg/kg) remained ineffective. On the other hand, all drugs, amitriptyline (10 mg/kg), desipramine (20 mg/kg), and imipramine (20 mg/kg) distinctly potentiated the protective efficacy of valproate against maximal electroshock, reducing its ED 50 values from 255 mg/kg to 150, 135, and 128 mg/kg, respectively. In one case the plasma valproate level was measured and it was evident that desipramine (20 mg/kg) did not affect the plasma level of this antiepileptic.
三环类抗抑郁药,阿米替林(20 - 30毫克/千克,腹腔注射)和丙咪嗪(30 - 40毫克/千克),对电惊厥(12毫安,0.2秒刺激持续时间)具有显著的保护作用,但地昔帕明(高达40毫克/千克)仍然无效。另一方面,所有药物,阿米替林(10毫克/千克)、地昔帕明(20毫克/千克)和丙咪嗪(20毫克/千克)均显著增强了丙戊酸盐对最大电休克的保护作用,将其半数有效剂量(ED50)值分别从255毫克/千克降至150、135和128毫克/千克。在一个案例中测量了血浆丙戊酸盐水平,很明显地昔帕明(20毫克/千克)并未影响这种抗癫痫药物的血浆水平。