Grant S A, Hoffman R S, Goldfrank L R
Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York.
Ann Emerg Med. 1993 Dec;22(12):1799-803. doi: 10.1016/s0196-0644(05)80403-2.
Tetracaine will enhance cocaine toxicity.
Two hundred forty female Swiss albino mice weighing 27 to 45 g.
Intraperitoneal injections of tetracaine and cocaine were given to groups of ten mice each in a controlled, blinded fashion. Either tetracaine or an equal volume of normal saline was given five minutes before one of six incremental doses of cocaine, ranging from 60 to 110 mg/kg. The experiment was repeated twice using two different doses of tetracaine: either an LD10 (40 mg/kg determined from preliminary studies), or one-twentieth of the dose of cocaine (which approximates the ratio used in tetracaine, epinephrine, and cocaine). Lethality was recorded at 24 hours. Lethality between groups was compared with a Wilcoxon sign-rank test.
Tetracaine reduced cocaine lethality at all doses. This reduction in lethality was statistically significant at both tetracaine doses (P < .05).
In the mouse, pretreatment with tetracaine significantly decreases cocaine lethality.
丁卡因会增强可卡因的毒性。
240只体重为27至45克的雌性瑞士白化小鼠。
以对照、盲法的方式,将每组十只小鼠分别腹腔注射丁卡因和可卡因。在六种递增剂量(范围为60至110毫克/千克)的可卡因中的一种注射前五分钟,给予丁卡因或等体积的生理盐水。使用两种不同剂量的丁卡因重复该实验两次:要么是LD10(根据初步研究确定为40毫克/千克),要么是可卡因剂量的二十分之一(这近似于丁卡因、肾上腺素和可卡因使用的比例)。在24小时记录致死率。使用Wilcoxon符号秩检验比较组间致死率。
在所有剂量下,丁卡因均降低了可卡因的致死率。在两种丁卡因剂量下,致死率的降低均具有统计学意义(P <.05)。
在小鼠中,丁卡因预处理可显著降低可卡因的致死率。