2006, Number 4
<< Back Next >>
Rev Mex Anest 2006; 29 (4)
Pre-clinical analysis (rat) of antinociceptive effects of association between tramadol and acetaminophen
López-Muñoz FJ, Moreno-Rocha LA, Moreno-T J, Domínguez-Ramírez AM, Bravo G
Language: Spanish
References: 18
Page: 215-220
PDF size: 94.36 Kb.
ABSTRACT
Compounds containing two different analgesic agents or one analgesic with other types of drugs are widely used in therapeutics. A lot of these compounds are formulated in order to produce greater analgesic effects or to diminish severe untoward effects. In this respect, several analgesic drug compounds have been employed in the treatment of human pain for many years. However, few well-controlled studies have been performed to determine the relative effectiveness and the possible advantages of such a combination over the single drug therapy. As a matter of fact, the benefits of the above combinations are difficult to be demonstrated in clinical tests. Therefore, the present work has used the «Pain-Induced Functional Impairment Model in Rat» (PIFIR model) to assess the antinociceptive effects of acetaminophen (31.6 to 562.3 mg/kg p.o.), tramadol (17.8 to 56.2 mg/kg p.o.), as well as 6 different combinations of acetaminophen + tramadol. The recovery of functionality after the treatments was considered as an expression of antinociception in rats. This fact allowed us to detect the antinociceptive interaction profile of the combinations. The antinociceptive effects produced by the combinations acetaminophen/tramadol were similar to those ones expected from the sum of antinociceptive effects of the individual drugs. The acetaminophen showed less antinoceptive potency and efficacy than tramadol. The present results indicate that it is important to characterize the potential analgesic activities of combinations containing opioids and NSAIDs because of their possible application in the treatment of similar human pain.
REFERENCES
Woolf JC. Pain: Moving from symptom control toward mechanism-specific pharmacologic management. Ann Intern Med 2004;140:441-451.
López-Muñoz FJ, Díaz-Reval MI, Terrón JA, Déciga-Campos M. Analysis of the analgesic interactions between ketorolac and tramadol during arthritic nociception in rat. Eur J Pharm 2004;484:157-165.
Ferreira SH, Vane JR. New aspects of the model of action of nonsteroidal anti-inflammatory drugs. Annu Rev Pharmacol 1974;14:54-73.
Griffin MR. Epidemiology of non steroidal antiinflammatory drug-associated gastrointestinal injury. Am J Med 1998;104:23S-29S.
López-Muñoz FJ, Castañeda-Hernández G, Villalón CM, Terrón JA, Salazar LA. Analgesic effects of combinations containing opioid drugs with either aspirin or acetaminophen in the rat. Drug Dev Res 1993;29:299-304.
Michelle C, Gorazd S. Drug combinations in pain treatment: a review of the published evidence and a method for finding the optimal combination. Best Practice & Res Clin Anesthesiol 2002;16:507-519.
Déciga-Campos M, Guevara-López U, Díaz-Reval MI, López-Muñoz FJ. Enhancement of antinociception by co-administration of an opioid drug (morphine) and a preferential cyclooxigenase-2 inhibitor (rofecoxib) in rats. Eur J Pharmacol 2003;460:99-107.
Korpela R, Korvenoja P, Meretoja OA. Morphine-sparing effect of acetaminophen in pediatric day-case surgery. Anesthesiology 1999;91:442-447.
López-Muñoz FJ, Salazar LA, Castañeda-Hernández G, Villareal JF. A new model to assess analgesic activity: pain-induced functional impairment in the rat (PIFIR). Drug Dev Res 1993;28:169-175.
Covino BG, Dubner R, Gybeis J, Kosterlitz HW, Liebeskind JC, Sternbach RA, Vyclicky L, Yar H, Zimmermann M. Ethical standards for investigations of experimental pain in animals. Pain 1980; 9: 141-143.
Zimmermann M. Ethical guidelines for investigations of experimental pain in conscious animals. Pain 1983;16:109-110.
Gibaldi M, Perrier D. Pharmacokinetics. New York. Marcel Dekker. 1975.
Ferreira SH, Moncada S, Vane JR. Prostaglandin and the mechanism of analgesia produced by aspirin-like drugs. Br J Pharmacol 1973; 49: 86-97.
Ferreira SH, Lorenzetti BB, Correa FMA. Central and peripheral antianalgesic action of aspirin like drugs. Eur J Pharmacol 1978;53:39-48.
Jaffe JH, Martin WR. Opioid analgesics arid antagonists. In: Goodman A, Rail TW, Nies AS, Taylor P, eds. Goodman and Giliman’s The Pharmacological Basis of Therapeutics. New York. Pergamon Press, 8th Edition, 1990:85-521.
López-Muñoz FJ. Surface of synergistic interaction between dipyrone and morphine in the PIFIR model. Drug Dev Res 1994;33:26-32.
Domínguez-Ramírez AM, Hernández-Delgadillo GP, Ventura-Martínez R, Díaz Reval MI, López-Muñoz FJ. Analgesic efficacy of the combination metamizol + morphine after subchronic treatment in rats. Drug Dev Res 2000;51:260-267.
Hernández DGP, Ventura-Martínez R, Díaz RMI, Domínguez RAM, López-Muñoz FJ. Metamizol potentiates opiate antinociception but not constipation after chronic treatment. Eur J Pharmacol 2002;441:177-183.