Document Detail


Brain levels of dextromethorphan and the intensity of opioid withdrawal in mice.
MedLine Citation:
PMID:  18328640     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Consistent with their antagonistic actions at N-methyl-D-aspartate type glutamate receptors, dextromethorphan (DXM) and its metabolite, dextrorphan (DXT) decrease the intensity of opioid withdrawal syndrome. Since quinidine (QND) affects CYP2D6-mediated metabolism and P-glycoprotein governed transport, we sought to determine whether co-treatment with QND would affect brain levels of DXM and DXT as well as the effect of these compounds on opioid withdrawal syndrome in mice. We found that DXM dose dependently inhibited the intensity of opioid withdrawal syndrome and that there was a tendency for a further decrease when QND was co-administered with DXM. Administration of 30 mg/kg of DXM resulted in higher brain levels of DXM and DXT than administration of 10 mg/kg of DXM, but much lower DXT levels than that produced by 30 mg/kg of DXT. Co-treatment with QND resulted in higher brain levels of DXM (but not DXT) suggesting that QND produces an increase in the brain availability of DXM. In summary, brain levels of DXM were inversely correlated with the intensity of opioid withdrawal syndrome. QND induced increased brain levels of DXM tend to attenuate the intensity of opioid withdrawal syndrome. We suggest that it is DXM, rather than DXT, that is responsible for the attenuating effect on the intensity of opioid withdrawal syndrome, and that the beneficial action of QND on the effect of DXM should be more pronounced in humans.
Authors:
Adam Bisaga; Tomasz Kos; Jacek Wójcikowski; Wladyslawa Anna Daniel; Piotr Popik
Publication Detail:
Type:  Journal Article     Date:  2008-03-06
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  95     ISSN:  0376-8716     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-03-17     Completed Date:  2008-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  147-51     Citation Subset:  IM    
Affiliation:
Division on Substance Abuse, Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Brain / drug effects,  metabolism*
Dextromethorphan / pharmacokinetics*,  pharmacology*
Dextrorphan / pharmacokinetics*,  pharmacology*
Dose-Response Relationship, Drug
Drug Synergism
Male
Mastication / drug effects
Mice
Mice, Inbred C57BL
Morphine / toxicity*
Morphine Dependence / physiopathology*
Motor Activity / drug effects
Naloxone / pharmacology
Narcotic Antagonists / pharmacology
Quinidine / pharmacology*
Stereotyped Behavior / drug effects
Substance Withdrawal Syndrome / physiopathology*
Chemical
Reg. No./Substance:
0/Narcotic Antagonists; 125-71-3/Dextromethorphan; 125-73-5/Dextrorphan; 465-65-6/Naloxone; 56-54-2/Quinidine; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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