Zandberg P, Sangster B
Acta Pharmacol Toxicol (Copenh). 1983 Mar;52(3):175-80. doi: 10.1111/j.1600-0773.1983.tb01082.x.
An intravenous infusion of orphenadrine or imipramine to artificially ventilated, urethane anaesthetized rats, completely blocked the physostigmine induced increase in blood pressure and the blood pressure increase induced by electrical stimulation of the posterior hypothalamus; effects mediated via the sympathetic nerve. The noradrenaline induced blood pressure increase was not changed during an infusion with orphenadrine but was markedly depressed during an infusion with imipramine. During an infusion with both orphenadrine or imipramine the pressor response induced by stimulation of the spinal cord were completely blocked in pithed rats. The pattern of the blockade was comparable with the blockade of the pressor response after hypothalamic stimulation. These results show that at least in rats both orphenadrine and imipramine prevents the central stimulatory sympathetic effects on the cardiovascular system by interfering with the sympathetic nervous system. The site of action is discussed.
the present results show that although physostigmine may be helpful in the treatment of central anticholinergic effects caused by overdoses of orphenadrine and imipramine it is of no use for combating the direct toxic effects of both drugs on the cardiovascular system.
对人工通气、氨基甲酸乙酯麻醉的大鼠静脉输注奥芬那君或丙咪嗪,可完全阻断毒扁豆碱引起的血压升高以及电刺激下丘脑后部引起的血压升高;这些效应是通过交感神经介导的。输注奥芬那君期间,去甲肾上腺素引起的血压升高没有变化,但输注丙咪嗪期间则明显降低。在输注奥芬那君或丙咪嗪时,脊髓刺激引起的升压反应在脊髓横断的大鼠中被完全阻断。这种阻断模式与下丘脑刺激后的升压反应阻断情况相似。这些结果表明,至少在大鼠中,奥芬那君和丙咪嗪都通过干扰交感神经系统来阻止中枢对心血管系统的刺激性交感效应。文中讨论了作用部位。
目前的结果表明,虽然毒扁豆碱可能有助于治疗奥芬那君和丙咪嗪过量引起的中枢抗胆碱能效应,但它对对抗这两种药物对心血管系统的直接毒性作用没有用处。