Cicardo V H, Osman Dick G
Acta Physiol Lat Am. 1982;32(4):287-93.
Acute experiments documented the peripheric action of tricyclic antidepressives (imipramine, chlorimipramine and amitriptyline). They evoked a significant hypotensive action (P less than 0.02), baroreceptor blockade and higher intensity and duration of pressor responses to exogenous noradrenaline, electric stimulation of the sympathetic nerves of the spleen, posterior hypothalamus or the central extremity of vagus nerve. These effects could be produced by the inhibition of noradrenaline reuptake and are antagonized by noradrenergic blockade with phentolamine. Nomifensine does not change arterial pressure, but its analeptic effect is able to awake anesthetized dogs. The pressor noradrenergic response is greater than that obtained with tricyclic antidepressives. The potentiation showed by the injection of dopamine was similar to that produced by imipramine. Injected into the cerebral ventricles of the dog, it did not changed arterial pressure, but crossed the blood-brain barrier. High doses of tricyclic antidepressives and nomifensine evoked inhibitory effects on adrenergic responses.
急性实验记录了三环类抗抑郁药(丙咪嗪、氯丙咪嗪和阿米替林)的外周作用。它们引发了显著的降压作用(P小于0.02)、压力感受器阻滞以及对外源性去甲肾上腺素、脾脏交感神经电刺激、下丘脑后部或迷走神经中枢端的升压反应强度和持续时间增加。这些效应可能是由去甲肾上腺素再摄取抑制产生的,并被酚妥拉明的去甲肾上腺素能阻滞所拮抗。诺米芬辛不会改变动脉血压,但其兴奋作用能够唤醒麻醉的狗。升压去甲肾上腺素能反应比三环类抗抑郁药产生的反应更大。注射多巴胺所显示的增强作用与丙咪嗪产生的作用相似。注入狗的脑室后,它不会改变动脉血压,但能穿过血脑屏障。高剂量的三环类抗抑郁药和诺米芬辛对肾上腺素能反应产生抑制作用。