Document Detail


Ephedrine plus caffeine causes age-dependent cardiovascular responses in Fischer 344 rats.
MedLine Citation:
PMID:  15653753     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Human consumption of ephedrine and caffeine in dietary supplements has been associated with a number of adverse effects including changes in the ECG, myocardial infarction, hyperthermia, and, in rare instances, death. The purpose of this study was to investigate the potential mechanisms associated with the cardiotoxicity of combined ephedrine and caffeine ingestion. Seven- and fourteen-week-old Fischer 344 rats treated with ephedrine in combination with caffeine exhibited increases in heart rate (HR), temperature, and corrected QT interval. Of the 14-wk-old rats treated with 25 mg/kg ephedrine plus 30 mg/kg caffeine, 57% died within 3-5 h of treatment, whereas none of the similarly treated 7-wk-old rats nor any of the rats treated with vehicle died. One hour after treatment with this dose of ephedrine plus caffeine, 14-wk-old rats exhibited a larger increase in HR (as % increase over baseline) than 7-wk-old rats. Furthermore, the 14-wk-old rats that died had a higher HR and temperature than the 14-wk-old rats that lived. Histopathological studies suggested interstitial hemorrhage and myofiber necrosis in the 14-wk-old rats treated with the highest concentration of ephedrine and caffeine. This study showed enhanced susceptibility to ephedrine plus caffeine in 14-wk-old rats compared with 7-wk-old rats. The greater mortality in the 14-wk-old rats was associated with increases in body temperature, HR, and myocardial necrosis.
Authors:
Reuben Howden; Paul R Hanlon; John G Petranka; Steven Kleeberger; John Bucher; June Dunnick; Abraham Nyska; Elizabeth Murphy
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Publication Detail:
Type:  In Vitro; Journal Article     Date:  2005-01-14
Journal Detail:
Title:  American journal of physiology. Heart and circulatory physiology     Volume:  288     ISSN:  0363-6135     ISO Abbreviation:  Am. J. Physiol. Heart Circ. Physiol.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-20     Completed Date:  2005-05-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100901228     Medline TA:  Am J Physiol Heart Circ Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  H2219-24     Citation Subset:  IM    
Affiliation:
Laboratory of Respiratory Biology, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, North Carolina 27709, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Animals
Body Temperature / drug effects
Caffeine / toxicity*
Central Nervous System Stimulants / toxicity*
Drug Synergism
Electrocardiography / drug effects
Ephedrine / toxicity*
Fever / chemically induced*,  mortality,  pathology
Heart Rate / drug effects*
Male
Papillary Muscles / drug effects,  pathology
Rats
Rats, Inbred F344
Chemical
Reg. No./Substance:
0/Central Nervous System Stimulants; 299-42-3/Ephedrine; 58-08-2/Caffeine

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


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