[用于局部抗炎药物的非甾体抗炎药(NSAID)的评估]

[Evaluation of nonsteroidal anti-inflammatory drugs (NSAID) intended for use as topical anti-inflammatory drugs].

作者信息

Kyuki K

出版信息

Nihon Yakurigaku Zasshi. 1982 Jun;79(6):461-85.

DOI:
PMID:7129239
Abstract

A procedure which can serve as a possible basis for the laboratory study of the topical effect of NSAID was investigated in rats or guinea pigs. The effect of NSAID was greatly influenced by physical characteristics of the preparation such as drug particle size, solubility, ointment base and concentration of drug. Moreover, it was also found to be affected by many technical factors such as animal fixation, drug application times and methods (rubbing times or occlusive dressing technique) and amounts applied which play an important role in topical preparation. The topical application of NSAID ointment (1% of indomethacin, ketoprofen or diclofenac sodium) markedly inhibited the paw edema by carrageenin in rats. The inhibitory activity was the same as that of steroidal ointment (0.12% betamethasone 17-valerate or 0.05% fluocinonide), but was less than that by oral administration of these NSAID. Also, the NSAID ointment obviously inhibited the ultraviolet erythema in guinea pigs and the swelling in the hind feet of adjuvant arthritic rats. The inhibitory activities of NSAID ointments on these inflammatory responses were almost the same as those obtained by oral administration of such NSAID and more potent than those of steroidal ointments. Furthermore, NSAID ointments increased the pain threshold in the inflamed foot as determined by the method of Randall and Selitto. The analgesic activity of NSAID ointment was more potent than that of steroidal ointment, but less than that of NSAID administered orally. On the other hand, neither the systemic effects such as decrease in weight of the adrenals and thymus which were noted when steroidal ointment was used, nor the gastrointestinal lesions which were found by oral administration of NSAID, were recognized in rats in which NSAID ointment was applied topically. The anti-inflammatory effects of NSAID ointment correlated well with the drug concentration at the site of inflammation. These findings suggest that NSAID ointment has a clinical use in the treatment of inflammatory diseases.

摘要

在大鼠或豚鼠身上研究了一种可作为非甾体抗炎药局部作用实验室研究可能基础的方法。非甾体抗炎药的作用受制剂物理特性的极大影响,如药物粒径、溶解度、软膏基质和药物浓度。此外,还发现其受许多技术因素影响,如动物固定、药物应用次数和方法(摩擦次数或封闭敷料技术)以及涂抹量,这些在局部制剂中起着重要作用。局部应用非甾体抗炎药膏(1%吲哚美辛、酮洛芬或双氯芬酸钠)可显著抑制角叉菜胶所致大鼠足爪水肿。其抑制活性与甾体药膏(0.12%倍他米松17 - 戊酸酯或0.05%氟轻松)相同,但低于这些非甾体抗炎药口服给药的效果。此外,非甾体抗炎药膏明显抑制豚鼠紫外线红斑以及佐剂性关节炎大鼠后足肿胀。非甾体抗炎药膏对这些炎症反应的抑制活性与口服此类非甾体抗炎药的效果几乎相同,且比甾体药膏更强。此外,通过Randall和Selitto方法测定,非甾体抗炎药膏提高了炎症足部的痛阈。非甾体抗炎药膏的镇痛活性比甾体药膏更强,但低于口服非甾体抗炎药。另一方面,在局部应用非甾体抗炎药膏的大鼠中,未发现使用甾体药膏时出现的肾上腺和胸腺重量减轻等全身效应,也未发现口服非甾体抗炎药时出现的胃肠道病变。非甾体抗炎药膏的抗炎作用与炎症部位的药物浓度密切相关。这些发现表明非甾体抗炎药膏在炎症性疾病治疗中有临床应用价值。

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