Blayac J P, Ribes G, Valette G, Loubatières-Mariani M M
C R Seances Soc Biol Fil. 1981;175(6):821-7.
Phenformin (20 mg/kg subcutaneously) as well as propranolol (0.3 mg/kg. i.v.) induced an increase in blood lactate level in the normal anesthetized log; with phenformin a slight decrease in the arterial pH was noted. The combined administration of phenformin (20 mg/kg subcutaneously) and propranolol (0.3 mg/kg. i.v.) induced a more rapid increase in lactate level, a slight reduction of arterial pH and led to the death of the animals in all cases. After a chronic treatment by phenformin (20 mg/kg daily orally during 7 days, the administration of phenformin (20 mg/kg subcutaneously) induced lactic acidosis in 3 out of the 8 animals and death within 150 minutes. In the animals pretreated by phenformin, the combined administration of phenformin (20 mg/kg subcutaneously) and propranolol (0.3 mg/kg i.v.) caused the death of all the animals without the occurrence of lactic acidosis. These results point to the possible toxicity of the propranolol-phenformin combination.
苯乙双胍(20毫克/千克皮下注射)以及普萘洛尔(0.3毫克/千克静脉注射)可使正常麻醉大鼠的血乳酸水平升高;使用苯乙双胍时,动脉pH值略有下降。皮下注射苯乙双胍(20毫克/千克)与静脉注射普萘洛尔(0.3毫克/千克)联合给药可使乳酸水平升高更快,动脉pH值略有降低,并在所有情况下导致动物死亡。用苯乙双胍进行慢性治疗(每日口服20毫克/千克,持续7天)后,皮下注射苯乙双胍(20毫克/千克)在8只动物中有3只诱发乳酸性酸中毒,并在150分钟内死亡。在预先用苯乙双胍处理的动物中,皮下注射苯乙双胍(20毫克/千克)与静脉注射普萘洛尔(0.3毫克/千克)联合给药导致所有动物死亡,且未发生乳酸性酸中毒。这些结果表明普萘洛尔 - 苯乙双胍组合可能具有毒性。