Simiand J, Keane P E, Biziere K, Soubrie P
Sanofi Recherche, Toulouse, France.
Arch Int Pharmacodyn Ther. 1989 Jan-Feb;297:272-85.
Tetrazepam is a 1,4 benzodiazepine (BZD) clinically used in France and Germany as a muscle relaxant. The activity of tetrazepam was compared to that of diazepam, baclofen, mephenesin and chlormezanone in mice, in pharmacological models which are predictive of muscle relaxant and sedative properties. Tetrazepam was active in all the 6 tests of muscle relaxation (traction, chimney, inclined screen, grip force, horizontal grid and morphine-induced Straub tail). The overall muscle relaxant potency of tetrazepam was inferior to that of diazepam, but was clearly superior to that of chlormezanone and mephenesin. Baclofen was less active than tetrazepam in 3 tests (traction, horizontal grid, and grip strength), but more active in the other 3 tests. The administration of the benzodiazepine receptor antagonist Ro 15-1788 blocked the effects of tetrazepam and diazepam in 2 representative tests, morphine-induced Straub tail and the rotarod test, but did not modify the activities of the other centrally acting muscle relaxants in these same models. The selectivity ratio (ED50 rotarod or ED50 locomotor activity/ED50 in each muscle relaxant test) for tetrazepam was superior to that of diazepam and all the other muscle relaxant drugs examined. It is concluded that tetrazepam exerts its muscle relaxant activity by stimulating central BZD receptors, and presents the advantage of a wide dissociation between muscle relaxant and sedative potencies.
替扎西泮是一种1,4 -苯二氮䓬类药物(BZD),在法国和德国临床上用作肌肉松弛剂。在预测肌肉松弛和镇静特性的药理学模型中,将替扎西泮的活性与地西泮、巴氯芬、美芬新和氯美扎酮在小鼠中的活性进行了比较。替扎西泮在所有6项肌肉松弛试验(牵引、烟囱、倾斜屏幕、握力、水平网格和吗啡诱导的斯特劳布尾试验)中均有活性。替扎西泮的总体肌肉松弛效力低于地西泮,但明显优于氯美扎酮和美芬新。巴氯芬在3项试验(牵引、水平网格和握力)中比替扎西泮活性低,但在其他3项试验中活性更高。苯二氮䓬受体拮抗剂Ro 15 - 1788的给药在2项代表性试验(吗啡诱导的斯特劳布尾试验和转棒试验)中阻断了替扎西泮和地西泮的作用,但在这些相同模型中并未改变其他中枢性肌肉松弛剂的活性。替扎西泮的选择性比率(转棒试验或运动活性的ED50/每种肌肉松弛试验中的ED50)优于地西泮和所有其他所检测的肌肉松弛药物。结论是,替扎西泮通过刺激中枢BZD受体发挥其肌肉松弛活性,并且具有肌肉松弛效力和镇静效力之间广泛分离的优势。