Testa Rodolfo, Angelico Patrizia, Abbiati Gian Alfredo
Recordati S.p.A., Sezione di Farmacologia, Milan 20148 Italy.
Pain. 1987 May;29(2):247-255. doi: 10.1016/0304-3959(87)91041-4.
The influence of the oral administration of different doses of citalopram (5, 15 and 45 mg/kg), imipramine (15, 30, 45 and 60 mg/kg), nortriptyline (15, 45 and 60 mg/kg) and amineptine (45 mg/kg) on stress-induced analgesia has been studied in anaesthetized rats. None of the administered antidepressants seem to have appreciable analgesic activity when analgesia is tested by the tail-immersion method. Citalopram, imipramine and nortriptyline, but not amineptine, increase the analgesia induced by inescapable footshock delivered continuously for 2 min to rats. Citalopram is the most potent drug. Our results support the suggested importance of 5-HT and noradrenaline terminals, but not those of dopamine, in the mediation of the stress-induced analgesia and seem to support the hypothesis that the analgesic activity of antidepressants is partially related to their modulating effects on the endogenously released opioid peptides involved in the endogenous pain inhibitory systems.
在麻醉大鼠中研究了口服不同剂量的西酞普兰(5、15和45毫克/千克)、丙咪嗪(15、30、45和60毫克/千克)、去甲替林(15、45和60毫克/千克)和阿密替林(45毫克/千克)对应激诱导镇痛的影响。当通过尾浸法测试镇痛效果时,所给予的抗抑郁药似乎均无明显的镇痛活性。西酞普兰、丙咪嗪和去甲替林可增强对大鼠持续2分钟不可逃避电击足底诱导的镇痛作用,但阿密替林无此作用。西酞普兰是最有效的药物。我们的结果支持5-羟色胺和去甲肾上腺素能终末(而非多巴胺能终末)在应激诱导镇痛的介导中具有重要作用这一观点,并且似乎支持如下假说:抗抑郁药的镇痛活性部分与其对参与内源性疼痛抑制系统的内源性释放阿片肽的调节作用有关。