Pinelli A, Trivulzio S, Tomasoni L
Department of Pharmacology, Chemotherapy and Medical Toxicology, Milano, Italy.
J Pharm Pharmacol. 1997 Dec;49(12):1222-8. doi: 10.1111/j.2042-7158.1997.tb06074.x.
This study has tested whether phentonium bromide, a quaternary ammonium anti-muscarinic agent, could reverse the signs of precipitated opioid withdrawal. Rats were treated with either saline or morphine for 4 days, after which half the rats received naloxone and half saline. Each animal also received one of four doses of phentonium bromide (0, 1, 3 and 9 mg kg(-1), i.p.). Administration of phentonium bromide in rats receiving naloxone after chronic morphine treatment reduced the intensity of withdrawal signs such as increased defecation or micturition, salivation and wet-dog shakes, and elevated the nociceptive threshold values. The effects of administration of phentonium bromide might result from its anti-muscarinic activity interfering peripherally with the mechanisms involved in the regulation of the withdrawal symptoms. The use of this drug is thus suggested as a possible means of controlling some of the signs observed during the acute phase of opioid withdrawal in heroin addicts.
本研究测试了季铵类抗毒蕈碱剂溴化芬托铵是否能逆转阿片类药物戒断反应的体征。大鼠用生理盐水或吗啡处理4天,之后一半大鼠接受纳洛酮,另一半接受生理盐水。每只动物还接受四种剂量(0、1、3和9 mg kg(-1),腹腔注射)的溴化芬托铵之一。在慢性吗啡处理后接受纳洛酮的大鼠中给予溴化芬托铵,可降低戒断体征的强度,如排便或排尿增加、流涎和湿狗样抖动,并提高痛觉阈值。给予溴化芬托铵的作用可能源于其抗毒蕈碱活性在周围干扰了参与调节戒断症状的机制。因此,建议使用这种药物作为控制海洛因成瘾者阿片类药物戒断急性期所观察到的一些体征的一种可能手段。