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可乐定可增强美金刚对大鼠局部皮肤有害针刺的皮肤镇痛作用。

Clonidine intensifies memantine cutaneous analgesia in response to local skin noxious pinprick in the rat.

作者信息

Wu Bor-Tsang, Chen Kuan-Ting, Liu Kuo-Sheng, Chen Yu-Wen, Hung Ching-Hsia, Wang Jhi-Joung

机构信息

Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung, Taiwan.

Department of Anesthesiology, Chi Mei Medical Center, Tainan, Taiwan.

出版信息

Pharmacol Rep. 2015 Jun;67(3):485-9. doi: 10.1016/j.pharep.2014.12.001. Epub 2014 Dec 16.

Abstract

BACKGROUND

The purposes of this study were to evaluate the co-administration of clonidine with memantine and to determine whether it has a peripheral action in intensifying cutaneous analgesia.

METHODS

Cutaneous analgesia was examined through inhibition of the cutaneous trunci muscle reflex in response to the local noxious pinprick in rats. Effect of the added subcutaneous clonidine to memantine on infiltrative cutaneous analgesia was assessed and compared with the local anesthetic lidocaine.

RESULTS

On the 50% effective dose (ED50) basis, the rank of drug potency was memantine [4.05 (3.95-4.18) μmol]>lidocaine [5.81 (5.70-5.98) μmol] (p<0.01). Clonidine at a dose of 0.12 μmol did not elicit cutaneous analgesia. Mixtures of clonidine (0.12 μmol) with drug (memantine or lidocaine) at ED50 or ED95 prolonged the duration of action and enhanced the potency as infiltrative cutaneous analgesia. Clonidine enhanced the lidocaine cutaneous analgesia in which had a better effect than added to memantine.

CONCLUSIONS

Our resulting data showed that memantine displayed more potent cutaneous analgesia than lidocaine. Co-administration of memantine or lidocaine with clonidine increased the potency and duration of the cutaneous analgesia. Clonidine intensified the effects of lidocaine promoting cutaneous analgesia than added to memantine.

摘要

背景

本研究的目的是评估可乐定与美金刚的联合应用,并确定其在增强皮肤镇痛方面是否具有外周作用。

方法

通过抑制大鼠对局部有害针刺的皮肤躯干肌反射来检测皮肤镇痛。评估皮下注射可乐定联合美金刚对浸润性皮肤镇痛的效果,并与局部麻醉药利多卡因进行比较。

结果

以半数有效剂量(ED50)为基础,药物效力排序为美金刚[4.05(3.95 - 4.18)μmol]>利多卡因[5.81(5.70 - 5.98)μmol](p<0.01)。剂量为0.12μmol的可乐定未引起皮肤镇痛。可乐定(0.12μmol)与ED50或ED95剂量的药物(美金刚或利多卡因)混合,可延长作用持续时间并增强浸润性皮肤镇痛的效力。可乐定增强了利多卡因的皮肤镇痛作用,其效果优于添加到美金刚中的情况。

结论

我们的研究数据表明,美金刚的皮肤镇痛作用比利多卡因更强。美金刚或利多卡因与可乐定联合应用可提高皮肤镇痛的效力和持续时间。可乐定增强利多卡因促进皮肤镇痛的效果优于添加到美金刚中的效果。

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