2007, Number 2
<< Back Next >>
Rev Mex Anest 2007; 30 (2)
Usefulness of the pharmacokinetics and pharmacodynamics interactions of analgesic drugs
Medina-López JR, Domínguez-Ramírez AM, López-Muñoz FJ
Language: Spanish
References: 44
Page: 114-121
PDF size: 91.93 Kb.
ABSTRACT
This literature review addresses the pharmacokinetics/pharmacodynamics interactions of non-steroidal anti-inflammatory drugs in preclinical studies. At the introduction are presented basic definitions, then the experimental models to evaluate pain, particularly an induced-pain model of rats limb dysfunction, finally the interactions are addressed. Pharmacokinetics studies the temporal course of drug inside the body, and pharmacodynamics studies the effects that a drug causes. Modeling pharmacokinetic/pharmacodynamics interactions turn out suitable combinations of analgesic drugs that include the type and proportion [of drugs] for appropriate pain management. These studies allow to associate plasma and therapeutic data through a mathematical predictive model. In preclinical studies carried out with animal models the addition of adjuvant compounds such as caffeine to some non-steroidal anti-inflammatory drugs, has proven to boost its therapeutic effect; thus reducing the administered dose of the original compounds and its adverse effects. This information is relevant for health professionals and may help to improve patients’ quality of life.
REFERENCES
Wall PD, Jones M. Defeating pain. The against a silent epidemic. Ed. Plenum Press. New York, 1991.
Rang HP, Dale MM, Ritter JM, Gardner P. Analgesic drugs. In: Pharmacology. Churchill Livingstone. New York, 1995.
Bowmand CW, Rand JM. Farmacología: Bases bioquímicas y patológicas, aplicaciones clínicas. 2ª edición. Nueva Editorial Interamericana, SA de CV. México DF, 1984.
Hardman JG, Limbird LE, Molinoff PB, Ruddon RW, Goodman GA. Goodman & Gilman´s The pharmacological basis of therapeutics. 9th edition. McGraw-Hill. USA, 1996.
Cashman JN. The mechanisms of action of NSAIDs in analgesia. Drugs 1996;52:13-23.
López-Muñoz FJ, Salazar LA. Analgesic effects of multiple combinations of morphine and aspirin in the rat. Proc West Pharmacol Soc 1993;36:263-266.
López-Muñoz FJ, Castañeda G, Villalón C, 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.
López-Muñoz FJ, Villalón CM, Terrón JA, Salazar LA. Analgesic interactions produced by combinations of dipyrone and morphine in the rat. Proc West Pharmacol Soc 1994;37:17-19.
López-Muñoz FJ, Villalón CM, Terrón JA, Salazar LA. Analgesic interactions produced by dipyrone and either morphine or d-propoxiphene in the pain-induced functional model in the rat. Drug Dev Res 1994;32:50-57.
López-Muñoz FJ. Surface of synergistic interaction between dipyrone and morphine in the PIFIR model. Drug Dev Res 1994;33:26-32.
López-Muñoz FJ. Profile of analgesic interaction between aspirin and d-propoxiphene obtained by means of the surface of synergistic interaction. Drug Dev Res 1995;35:13-19.
López-Muñoz FJ, Salazar LA. Determination of analgesic interaction between acetaminophen and d-propoxiphene obtained by means of the surface of synergistic interaction. Methods Find Exp Clin Pharmacol 1995;17:311-320.
López-Muñoz FJ, Villalón CM, Terrón JA, Salazar LA. Doses of acetyl salicylic acid and morphine in combination which provided either maximal levels of analgesia or the highest potentiation effect in the rat. Drug Dev Res 1995;35:94-101.
Salazar LA, Ventura R, López-Muñoz FJ. Synergistic antinociceptive interaction between aspirin and tramadol, the atypical opioid analgesic, in the rat. Drug Dev Res 1995;36:119-24.
Domínguez-Ramírez AM, Hernández GP, Ventura R, Díaz MA, López-Muñoz FJ. Analgesic efficacy of the combination metamizol + morphine after subchronic treatment in the rats. Drug Dev Res 2000;51:260-267.
Hernández-Delgadillo GP, Ventura R, Díaz MA, Domínguez AM, López-Muñoz FJ. Metamizol potentiates morphine antinociception but not constipation after chronic treatment. Eur J Pharmacol 2002;441:177-183.
López-Muñoz FJ, Salazar LA, Castañeda G, Villarreal JE. A new model to assess analgesic activity: Pain Induced Functional Impairment in the Rat (PIFIR). Drug Dev Res 1993;28:169-175.
Díaz-Reval MI, Ventura R, Déciga M, Terrón JA, Cabré F, López-Muñoz FJ. Involvement of serotonin mechanisms in the antinociceptive effect of S(+)-ketoprofen. Drug Dev Res 2002;57:187-192.
Déciga-Campos M, Guevara U, Díaz MA, López-Muñoz FJ. Enhancement of the antinociception by coadministration of an opioid drug (morphine) and a preferential cyclooxigenase-2 inhibitor (rofecoxib) in rats. Eur J Pharmacol 2003;460:99-107.
Laska EM, Sunshine A, Mueller F, Elvers WB, Siegel C, Rubin A. Caffeine as an analgesic adjuvant. JAMA 1984;251:1711-1718.
Sawynok J, Yaksh TL. Caffeine as an analgesic adjuvant: a review of pharmacology and mechanism of action. Pharmacol Rev 1993;45:43-75.
Cass IJ, Frederick WS. The augmentation of analgesic effect of aspirin with phenacetin and caffeine. Curr Ther Res 1962;4:583-588.
Moertel CG, Ahmann DL, Taylor WF, Schwartau N. Relief of pain by oral medications: a controlled evaluation of analgesic combinations. JAMA 1974;229:55-59.
Forbes JA, Jones KF, Kehm CJ, Smith WK, Gongloff CM, Zeleznock JR, Smith JW, Beaver WT, Kroesen M. Evaluation of aspirin, caffeine and their combination in postoperative oral surgery pain. Pharmacotherapy 1990;10:387-393.
Forbes JA, Beaver WT. Effect of caffeine on ibuprofen analgesia in postoperative surgery pain. Clin Pharmacol Ther 1991;49:674-684.
Laska EM, Sunshine A, Zighelbolm I, Roure C, Marrero I, Wanderling J, Olson N. Effect of caffeine on acetaminophen analgesia. Clin Pharmacol Ther 1983;33:498-509.
McQuay HJ, Angell K, Carroll D, Moore RA, Juniper RP. Ibuprofen compared with ibuprofen plus caffeine after third molar surgery. Pain 1996;66:247-251.
Moreno JF. Análisis de la interacción antinociceptiva de un inhibidor selectivo de la ciclooxigenasa – 2 (parecoxib) y cafeína por vía subcutánea. UAM-X. México, D.F., 2006.
López-Muñoz FJ, Medina R, Jung H. Potentiation of the analgesic effect of ibuprofen by caffeine in the PIFIR model. In: A. Holtz (Ed.). Advances in the management of acute pain. London: Royal Society of Medicine Press Ltd. 1996;218:43-56.
Castañeda G, Castillo MS, López-Muñoz FJ, Granados V, Flores FJ. Potentiation by caffeine of the analgesic effect of aspirin in the pain-induced functional impairment model in the rat. Can J Physiol Pharmacol 1994;72:1127-1131.
Flores DM, Flores FJ, Castañeda G, López-Muñoz FJ. Potentiation of the analgesic effect of tolmetin, a potent non-steroidal anti-inflammatory drug by caffeine in the rat. Pharm Sci 1995;1:441-444.
Aguirre BP, Castañeda HG, López-Muñoz FJ, Granados SV. Effect of coadministration of caffeine and either adenosine agonist or cyclic nucleotides on ketorolac analgesia. Eur J Pharmacol 1999;377:175-182.
Díaz-Reval MI, Ventura R, Hernández GP, Domínguez AM, López-Muñoz FJ. Effect of caffeine on antinociceptive action of ketoprofen in rats. Arch Med Res 2001;32:13-20.
Desjardins PJ. Ibuprofen plus caffeine in the management of acute pain. In: A. Holtz (Ed.). Advances in the management of acute pain. London: Royal Society of Medicine Press Ltd. 1996;218:73-93.
Bloomfield SS, Grender JM, Bierer DW, Koochaki PE. Ibuprofen/caffeine for dysmenorrhoea. In: A. Holtz (Ed.). Advances in the management of acute pain London: Royal Society of Medicine Press Ltd. 1996;218:93-104.
Hoyo C, Pérez J, López-Muñoz FJ. Usefulness of the pain-induced functional impairment model to relate plasma levels of analgesics to their efficacy in rats. J Pharm Pharmacol 1995;47:462-465.
Seegers JM, Olling M, Jager LP, Van Noorddwijk J. Interactions of aspirin with acetaminophen and caffeine in rat stomach: pharmacokinetics of absorption and cummulation in gastric mucosa. J Pharm Sci 1980;69:900-906.
Iqbaq N, Ahmad B, Hussain JK, Hassan GA, Khan NS. The effect of caffeine on the pharmacokinetics of acetaminophen in man. Biopharm Drug Disp 1995;16:481-487.
Engelhardt G. Mauz AB, Pairet M. Role of caffeine in combined analgesic drugs from the point of view of experimental pharmacology. Arzneimittelforschung 1997;47:917-927.
Domínguez-Ramírez AM. Efecto de la administración simultánea de metamizol sobre la farmacocinética de morfina y su relación con el grado de tolerancia y eficacia producida en tratamiento crónico en ratas. Facultad de Química UNAM. México, D.F., 2003.
Domínguez-Ramírez AM, Cortés AR, Hurtado M, Aoki K, Medina JR, Ríos C, López-Muñoz FJ. High-performance liquid chromatographic assay for morphine in small plasma samples: application to pharmacokinetic studies in rats. J Pharm Biomed Anal 2006;40:1172-1178.
Torres JE, López-Muñoz FJ, Castañeda G, Flores FJ, Granados V. Pharmacokinetic-pharmacodynamic modeling of the antinociceptive effect of diclofenac in the rat. J Pharmacol Exp Ther 1997;282:685-690.
Flores FJ, Flores Y, Pérez J, Granados V. López-Muñoz FJ, Castañeda G. Relationship between pharmacokinetics and the antinociceptive effect of indomethacin in the rat. Proc West Pharmacol Soc 1997;40:111-113.
Meibohm B, Derendorf H. Pharmacokinetic/pharmacodynamic studies in drug product development. J Pharm Sci 2002;91:18-31.