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[镇痛药氟吡汀的一般药理学研究]

[General pharmacologic studies on the analgesic flupirtine].

作者信息

Jakovlev V, Achterrath-Tuckermann U, von Schlichtegroll A, Stroman F, Thiemer K

出版信息

Arzneimittelforschung. 1985;35(1):44-55.

PMID:4039152
Abstract

In the present study the general pharmacological properties of ethyl-N-[2-amino-6-(4-fluor-phenylmethylamino)pyridin-3-yl]carbama te (flupirtine, D 9998), a structural new analgesic, are described. In several tests with mice flupirtine shows a centrally depressant component of action. However, regarding undesirable side effects as ataxia, inhibition of motor activity etc. this action is, with respect to the analgesic effective doses less pronounced than those of comparable analgesics, for instance phenacetin. In relatively low doses flupirtine antagonizes tremor induced by oxotremorine in mice. This activity is probably not caused by a central anticholinergic action, because other anticholinergic effects have not been observed. It should be pointed out that flupirtine antagonizes the morphine-induced tail phenomenon in mice in relatively low doses. This action obviously differentiates flupirtine from opiates. Up to high doses flupirtine does not cause catalepsia in mice, consequently its centrally depressant activity does not resemble that of reserpine and also is not comparable with those of neuroleptic agents. The corneal and pinnal reflexes are not influenced by flupirtine and the righting reflex is slightly delayed in high doses. The anticonvulsive activity of flupirtine observed in the pentetrazol shock test (mouse) after high doses probably cannot be considered to occur within the analgesic dose range. Inhibition of amphetamine toxicity in mice observed in doses near the hypnotic doses may be caused by non-specific effects. In vitro tests with isolated trachea or ileum of guinea pigs show that flupirtine possesses no or very weak antagonism against histamine-induced spasms. In spasms caused by barium chloride flupirtine shows a weak musculotropic-spasmolytic activity. Investigations on the circulatory system of dogs do not indicate any incompatibilities with flupirtine. No evidence of antiarrhythmic activity was found in rats. Flupirtine has no local anesthetic activity in mice but some weak effects on the cornea of rabbits. Like several other analgesics flupirtine shows in rats a reversible antidiuretic action including sodium and chloride retention which is of relatively short duration and is not observed in long-term studies in rats and dogs. In contrast to many stronger antiinflammatory compounds, flupirtine does not possess ulcerogenic activity in rats up to high doses. A minimal inhibition of intestinal motility (mouse) is observed only in doses higher than the analgesic effective doses.

摘要

在本研究中,描述了一种结构新型镇痛药乙基 - N - [2 - 氨基 - 6 - (4 - 氟 - 苯基甲基氨基)吡啶 - 3 - 基]氨基甲酸酯(氟吡汀,D 9998)的一般药理特性。在对小鼠的多项试验中,氟吡汀显示出中枢抑制作用成分。然而,就共济失调、运动活动抑制等不良副作用而言,相对于镇痛有效剂量,这种作用比类似镇痛药(如非那西丁)的作用不那么明显。在相对低剂量下,氟吡汀可拮抗毒扁豆碱诱导的小鼠震颤。这种活性可能不是由中枢抗胆碱能作用引起的,因为未观察到其他抗胆碱能效应。应当指出,氟吡汀在相对低剂量下可拮抗小鼠吗啡诱导的尾巴现象。这一作用明显使氟吡汀与阿片类药物区分开来。直至高剂量,氟吡汀在小鼠中均不引起僵住症,因此其中枢抑制活性与利血平不同,也与抗精神病药物的活性不可比。氟吡汀不影响角膜反射和耳廓反射,在高剂量下翻正反射略有延迟。高剂量后在戊四氮休克试验(小鼠)中观察到的氟吡汀抗惊厥活性可能不能认为发生在镇痛剂量范围内。在接近催眠剂量的剂量下观察到的氟吡汀对小鼠苯丙胺毒性的抑制作用可能是由非特异性作用引起的。用豚鼠离体气管或回肠进行的体外试验表明,氟吡汀对组胺诱导的痉挛无拮抗作用或仅有非常弱的拮抗作用。在氯化钡引起的痉挛中,氟吡汀表现出微弱的肌向性解痉活性。对犬循环系统的研究未表明与氟吡汀有任何不相容性。在大鼠中未发现抗心律失常活性的证据。氟吡汀在小鼠中无局部麻醉活性,但对兔角膜有一些微弱作用。与其他几种镇痛药一样,氟吡汀在大鼠中显示出可逆的抗利尿作用,包括钠和氯潴留,其持续时间相对较短,在大鼠和犬的长期研究中未观察到。与许多更强效的抗炎化合物不同,氟吡汀在高剂量下对大鼠不具有致溃疡活性。仅在高于镇痛有效剂量时才观察到对小鼠肠蠕动的最小抑制作用。

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