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自发性高血压大鼠中可乐定的降压作用与血浆浓度的关系:可乐定输注的持续治疗和突然终止

Relationship between hypotensive effects and plasma concentrations of clonidine in spontaneously hypertensive rats: continuous treatment and sudden termination of clonidine infusion.

作者信息

Naruse T, Ishida T, Ishii R, Tagawa T, Namba K

机构信息

Central Research Laboratories, Maruho Co., Ltd, Osaka, Japan.

出版信息

Gen Pharmacol. 1994 Nov;25(7):1421-5. doi: 10.1016/0306-3623(94)90168-6.

Abstract
  1. Clonidine was administered subcutaneously (62.5, 125 and 250 micrograms/kg/day) for 8 days using an osmotic infusion pump in spontaneously hypertensive rats (SHR). Clonidine, administered at 125 and 250 micrograms/kg/day at 48 hr after infusion, respectively, and thereafter were maintained at this level throughout the infusion period. 3. After terminating clonidine infusion, a rapid drug elimination from the plasma was manifested in both groups (125 and 250 micrograms/kg/day) with plasma clonidine levels, resulting in a decrease below 0.5 ng/ml at 4 and 6 hr, respectively. Four hours after terminating clonidine infusion at 125 and 250 micrograms/kg/day, transient but not remarkable increases in blood pressure and heart rate were observed only in the latter group compared with the values before termination. 4. These findings reveal that marked hypotensive effects were induced by relatively high doses (125 and 250 micrograms/kg/day) of clonidine in SHR, but no remarkable withdrawal symptoms after termination of clonidine infusion were observed. Therefore, unwanted withdrawal symptoms probably occur when an extremely high dose (250 micrograms/kg/day or more) of clonidine was infused for a long period (8 days or more) in SHR.
摘要
  1. 在自发性高血压大鼠(SHR)中,使用渗透式输液泵皮下注射可乐定(62.5、125和250微克/千克/天),持续8天。在输液48小时后,分别以125和250微克/千克/天的剂量给予可乐定,此后在整个输液期间维持该水平。3. 停止可乐定输液后,两组(125和250微克/千克/天)的血浆中药物均迅速消除,血浆可乐定水平下降,在4小时和6小时时分别降至0.5纳克/毫升以下。在以125和250微克/千克/天的剂量停止可乐定输液4小时后,仅在后一组中观察到与停药前相比血压和心率有短暂但不显著的升高。4. 这些发现表明,相对高剂量(125和250微克/千克/天)的可乐定在SHR中可诱导显著的降压作用,但在可乐定输液停止后未观察到明显的戒断症状。因此,当在SHR中长时间(8天或更长时间)输注极高剂量(250微克/千克/天或更高)的可乐定时,可能会出现不良的戒断症状。

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