Czuczwar S J, Gasior M, Kozicka M, Pietrasiewicz T, Turski W A, Kleinrok Z
Department of Pharmacology, Lublin Medical University School, Poland.
Eur Neuropsychopharmacol. 1998 Aug;8(3):233-8. doi: 10.1016/s0924-977x(97)00077-1.
CR 2039 (4-(1H-tetrazol-5-yl)-N-[4-(1H-tetrazol-5-yl]phenylbenzam ide), in doses of 10, 20, and 100 mg/kg i.p., did not modify the seizure pattern observed after subcutaneous pentetrazol, administered at its CD97 of 90 mg/kg for the clonic phase. However, when combined with antiepileptic drugs, this phenylbenzamide derivative (20 mg/kg) converted the subprotective doses of ethosuximide (100 mg/kg) or valproate (100 mg/kg) against the clonic phase into anticonvulsive ones. The protection observed was comparable to that noted after doubling the doses of these antiepileptics. Also, a combination of valproate (100 mg/kg) with CR 2039 (10 mg/kg) resulted in a clear-cut protection against clonic seizures induced by pentetrazol. The protective efficacy of clonazepam was not affected by the phenylbenzamide derivative up to 40 mg/kg. The potentiation of the anticonvulsive activity of ethosuximide or valproate was not accompanied by increased adverse effects, evaluated in the chimney test (motor coordination) and passive avoidance task (long-term memory). Finally, CR 2039 (20 mg/kg) did not alter the plasma levels of the antiepileptic drugs studied, which speaks against a pharmacokinetic mechanism in the observed results. In conclusion, CR 2039 seems devoid of a hazardous influence of the anti-asthmatic drug, aminophylline, on the anticonvulsive effects of conventional antiepileptics.
CR 2039(4-(1H-四氮唑-5-基)-N-[4-(1H-四氮唑-5-基]苯基苯甲酰胺),腹腔注射剂量为10、20和100mg/kg时,对皮下注射戊四氮(剂量为90mg/kg用于阵挛期的CD97)后观察到的癫痫发作模式没有影响。然而,当与抗癫痫药物联合使用时,这种苯基苯甲酰胺衍生物(20mg/kg)可将乙琥胺(100mg/kg)或丙戊酸盐(100mg/kg)对阵挛期的亚保护剂量转变为抗惊厥剂量。观察到的保护作用与将这些抗癫痫药物剂量加倍后所观察到的保护作用相当。此外,丙戊酸盐(100mg/kg)与CR 2039(10mg/kg)联合使用可明显保护小鼠免受戊四氮诱发的阵挛性癫痫发作。在高达40mg/kg的剂量下,氯硝西泮的抗惊厥作用不受苯基苯甲酰胺衍生物的影响。在烟囱试验(运动协调性)和被动回避任务(长期记忆)中评估发现,乙琥胺或丙戊酸抗惊厥活性的增强并未伴随着不良反应的增加。最后,CR 2039(20mg/kg)并未改变所研究抗癫痫药物的血浆水平,这表明观察结果并非由药代动力学机制所致。总之,CR 2039似乎对传统抗癫痫药物的抗惊厥作用没有抗哮喘药物氨茶碱的有害影响。