Kane W H, Johnson E M
Eur J Pharmacol. 1978 Oct 1;51(3):309-12. doi: 10.1016/0014-2999(78)90418-1.
As is observed clinically, cessation of chronic clonidine treatment in the rat results in a syndrome characterized by sympathetic hyperactivity. After three weeks of chronic oral administration of clonidine, tyrosine hydroxylase (TOH) activity was unchanged in superior cervical ganglia and locus coeruleus, but was reduced (45%) in the celiac ganglia. Abrupt cessation of treatment resulted in increases in TOH activity in superior cervical and celiac ganglia (to 135 and 250% of controls) and in the locus coeruleus (170% of control). These data suggest a selective effect of clonidine treatment and withdrawal on vasomotor fibers. A mechanism explaining physical dependence on clonidine is proposed.
临床观察发现,大鼠长期可乐定治疗停药后会出现以交感神经过度兴奋为特征的综合征。经可乐定慢性口服给药三周后,颈上神经节和蓝斑中的酪氨酸羟化酶(TOH)活性未发生变化,但腹腔神经节中的该酶活性降低了(45%)。突然停药导致颈上神经节和腹腔神经节中的TOH活性增加(分别增至对照的135%和250%),蓝斑中的该酶活性也增加(增至对照的170%)。这些数据表明可乐定治疗及撤药对血管运动纤维有选择性作用。本文提出了一个解释对可乐定产生身体依赖性的机制。