Jonkman F A, Thoolen M J, Wilffert B, de Jonge A, Timmermans P B, Van Zwieten P A
J Auton Pharmacol. 1984 Sep;4(3):199-206. doi: 10.1111/j.1474-8673.1984.tb00097.x.
The effect of continuous subcutaneous infusion of clonidine and the influence of concomitant treatment with salbutamol as well as the acute effects of the PDE-inhibitor RA 642 on heart rate and blood pressure of conscious normotensive rats were studied. The severity of the cardiovascular clonidine withdrawal symptoms was positively related to the amount of clonidine infused during treatment. Concomitant infusion of salbutamol (12 mg/kg/day) and clonidine (300 microgram/kg/day) attenuated the clonidine withdrawal tachycardia in conscious normotensive rats. No difference existed in the isoprenaline induced tachycardia in pithed normotensive rats, 8-14 h after cessation of infusion with clonidine (300 microgram/kg/day) and saline, clonidine and salbutamol (12 mg/kg/day), or saline alone. The PDE-inhibitor RA 642 (12 mg/kg, i.p.) aggravated the clonidine withdrawal syndrome in conscious normotensive rats. These data may indicate that long-term treatment with clonidine induces a hyperactivation of the adenylate-cyclase/cAMP-system.
研究了可乐定持续皮下输注的效果、沙丁胺醇联合治疗的影响以及磷酸二酯酶抑制剂RA 642对清醒正常血压大鼠心率和血压的急性作用。可乐定撤药心血管症状的严重程度与治疗期间输注的可乐定剂量呈正相关。在清醒正常血压大鼠中,联合输注沙丁胺醇(12mg/kg/天)和可乐定(300μg/kg/天)可减轻可乐定撤药所致的心动过速。在用可乐定(300μg/kg/天)和生理盐水、可乐定和沙丁胺醇(12mg/kg/天)或单独生理盐水输注停止8 - 14小时后,脊髓麻醉的正常血压大鼠对异丙肾上腺素诱发的心动过速无差异。磷酸二酯酶抑制剂RA 642(12mg/kg,腹腔注射)加重了清醒正常血压大鼠的可乐定撤药综合征。这些数据可能表明,长期使用可乐定治疗会导致腺苷酸环化酶/cAMP系统的过度激活。