Lidocaine for prolonged and intensified spinal anesthesia by coadministration of propranolol in the rat.

Abstract:

:Although the coadministration of lidocaine with propranolol interferes with the metabolic profile (pharmacokinetics), its pharmacodynamics is still unclear. In this report, we investigate whether propranolol can potentiate the effect of lidocaine. Rats received spinal anesthesia with lidocaine co-injected with propranolol. After intrathecal injections of drugs in rats, three neurobehavioral examinations (motor function, proprioception, and nociception) were performed. We showed that lidocaine and propranolol elicited a spinal blockade in motor function, proprioception, and nociception. Propranolol at the dose of 0.82 μmol/kg produced no spinal anesthesia. Co-administration of lidocaine [50% effective dose (ED(50)) or ED(95)] and propranolol (0.82 μmol/kg) produced greater spinal anesthesia than lidocaine (ED(50) or ED(95)), respectively. These preclinical findings demonstrated that propranolol and lidocaine displayed spinal anesthesia. When combined with propranolol, lidocaine elicited a supra-additive effect of spinal anesthesia.

journal_name

Neurosci Lett

journal_title

Neuroscience letters

authors

Chen YW,Chu CC,Chen YC,Hung CH,Li YT,Wang JJ

doi

10.1016/j.neulet.2011.08.011

subject

Has Abstract

pub_date

2011-09-26 00:00:00

pages

63-7

issue

1

eissn

0304-3940

issn

1872-7972

pii

S0304-3940(11)01170-0

journal_volume

503

pub_type

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