Rattan A K, Sribanditmongkol P
Ohio State University, College of Medicine, Department of Anesthesiology, Columbus 43210.
Pharmacol Biochem Behav. 1994 Jun;48(2):357-61. doi: 10.1016/0091-3057(94)90538-x.
Previously we have shown that intrathecal administration of midazolam can increase or decrease morphine-induced antinociception, depending upon relative concentration of these drugs by modulating spinal opioid receptors, and it also can inhibit morphine-induced tolerance and dependence in the rat. Now we report that midazolam also influences catalepsy, lethality, and analgesia induced by morphine in the rat. In the acute treatment, animals were first treated with saline or midazolam (0.03 to 30.0 mg/kg, b.wt., IP), and 30 min later with a second injection of saline or morphine (1.0 to 100.0 mg/kg, b.wt., SC). The catalepsy was measured 60 min after the second injection and lethality was checked after 24 h. Midazolam injection increased the morphine-induced catalepsy and lethality. In the chronic treatment, animals were injected with two injections daily for 11 days. The first injection consisted of saline or midazolam (0.03 to 3.0 mg/kg, b.wt., IP), and 30 min later with a second injection of saline or morphine (10.0 mg/kg, b.wt., IP) was given. Lethality, antinociception, and body weight were measured. Chronic morphine treatment also increased lethality in a dose-dependent manner. Chronic treatment with midazolam and morphine increased the antinociception on day 11, as measured in the tail-flick and hot-plate tests. Midazolam administration also prevented the morphine-induced weight loss. These results suggest a strong interaction between midazolam and morphine in altering catalepsy, lethality, and analgesia in rat.
此前我们已经表明,鞘内注射咪达唑仑可增加或降低吗啡诱导的镇痛作用,这取决于这些药物通过调节脊髓阿片受体的相对浓度,并且它还可抑制大鼠吗啡诱导的耐受性和依赖性。现在我们报告,咪达唑仑还影响大鼠吗啡诱导的僵住症、致死率和镇痛作用。在急性治疗中,动物首先用生理盐水或咪达唑仑(0.03至30.0毫克/千克体重,腹腔注射)处理,30分钟后第二次注射生理盐水或吗啡(1.0至100.0毫克/千克体重,皮下注射)。在第二次注射后60分钟测量僵住症,并在24小时后检查致死率。注射咪达唑仑增加了吗啡诱导的僵住症和致死率。在慢性治疗中,动物每天注射两次,共11天。第一次注射包括生理盐水或咪达唑仑(0.03至3.0毫克/千克体重,腹腔注射),30分钟后第二次注射生理盐水或吗啡(10.0毫克/千克体重,腹腔注射)。测量致死率、镇痛作用和体重。慢性吗啡治疗也以剂量依赖的方式增加致死率。在第11天,用咪达唑仑和吗啡进行慢性治疗增加了甩尾试验和热板试验中测得的镇痛作用。给予咪达唑仑还可防止吗啡诱导的体重减轻。这些结果表明,咪达唑仑和吗啡在改变大鼠僵住症、致死率和镇痛作用方面存在强烈的相互作用。