Yunus Emre State Hospital, Department of Emergency Medicine, 26190 Eskisehir, Turkey.
Pamukkale University, Medical Faculty, Department of Emergency Medicine, 20070 Denizli, Turkey.
Am J Emerg Med. 2019 Oct;37(10):1891-1895. doi: 10.1016/j.ajem.2019.01.003. Epub 2019 Jan 7.
Acute cocaine intoxication is one of the important causes of admission to emergency department, especially in western countries. We aimed to compare the efficacies of tetracycline, minocycline, doxycycline in the prevention of seizures and deaths in mice due to cocaine intoxication.
In the study, a total of 120 balb-c male mice weighing 25-30 g were randomized into 4 groups as tetracycline 255 mg/kg, minocycline 170 mg/kg, doxycycline 157 mg/kg, 0.5 ml saline (placebo). The doses of tetracycline, minocycline and doxycycline are the calculated ED50 values. The mice in the groups received 93 mg/kg cocaine intraperitoneally 10 min after drug administration. The dose of cocaine is 50% of the lethal dose. After cocaine injection, all mice were observed for 30 min in terms of cocaine toxicity findings. Mortality rates, death times, seizure activities, and seizure onset times of the mice were clinically evaluated in an observational way.
There were significant differences among all the groups in terms of seizure and lethality (p < 0.001). The ratio of animals with seizures was significantly lower in the minocycline (73.3%), and doxycycline (73.3%) groups (all p = 0.040). The ratio of animals with lethality was significantly lower in the minocycline (23.3%) group compared with vehicle (p < 0.001).
In our acute cocaine intoxication model, minocycline was effective in terms of lethality and preventing seizures, doxycycline was effective in preventing seizures.
急性可卡因中毒是急诊就诊的重要原因之一,尤其在西方国家。我们旨在比较四环素、米诺环素、多西环素预防可卡因中毒小鼠惊厥和死亡的疗效。
在这项研究中,总共将 120 只 25-30g 的雄性 Balb-c 小鼠随机分为 4 组,即四环素 255mg/kg、米诺环素 170mg/kg、多西环素 157mg/kg、0.5ml 生理盐水(安慰剂)。四环素、米诺环素和多西环素的剂量是计算出的 ED50 值。各组小鼠在给药后 10 分钟腹腔内给予 93mg/kg 可卡因。可卡因的剂量是半数致死量的 50%。注射可卡因后,所有小鼠均观察 30 分钟,评估可卡因毒性表现。通过观察法对小鼠的死亡率、死亡时间、惊厥活动和惊厥发作时间进行临床评估。
在惊厥和致死率方面,所有组之间均存在显著差异(p<0.001)。米诺环素(73.3%)和多西环素(73.3%)组动物出现惊厥的比例明显低于其他组(均 p=0.040)。与载体相比,米诺环素组动物的致死率明显较低(23.3%,p<0.001)。
在我们的急性可卡因中毒模型中,米诺环素在致死率和预防惊厥方面有效,多西环素在预防惊厥方面有效。