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The Interaction Between Monoamine Oxidase Inhibitors and Narcotic Analgesics in Mice

Overview
Journal Br J Pharmacol
Publisher Wiley
Specialty Pharmacology
Date 1969 Jul 1
PMID 5789805
Citations 17
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Abstract

1. The administration of either iproniazid or tranylcypromine to mice potentiates the acute toxicity of pethidine, morphine, pentazocine and phenazocine.2. Blood levels of pentazocine in mice pretreated with tranylcypromine do not differ from the levels in animals not receiving the monoamine oxidase (MAO) inhibitor.3. There is no correlation between changes in brain and liver MAO activity and the increased pethidine toxicity.4. A comparison is made between the change in pethidine toxicity and the changes in the concentration of cerebral noradrenaline, dopamine and 5-hydroxytryptamine following the injection of tranylcypromine.5. It is concluded that the increased toxicity of potent analgesics in combination with MAO inhibitors is not due to a decelerated metabolism of the analgesic drug, but is related to an increased concentration of cerebral 5-hydroxytryptamine. A critical level of this monoamine, in the brain, may be necessary before the drug interaction will take place.

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References
1.
Anders M, MANNERING G . Inhibition of drug metabolism. I. Kinetics of the inhibition of the N-demethylation of ethylmorphine by 2-diethylaminoethyl 2,2-diphenylvalerate HC1 (SKF 525-A) and related compounds. Mol Pharmacol. 1966; 2(4):319-27. View

2.
BOGDANSKI D, Pletscher A, Brodie B, UNDENFRIEND S . Identification and assay of serotonin in brain. J Pharmacol Exp Ther. 1956; 117(1):82-8. View

3.
Glowinski J, Axelrod J . EFFECT OF DRUGS ON THE UPTAKE, RELEASE, AND METABOLISM OF H3-NOREPINEPHRINE IN THE RAT BRAIN. J Pharmacol Exp Ther. 1965; 149:43-9. View

4.
MAGUS R, KRAUSE F, RIEDEL B . RELEASE OF THYROIDAL SEROTONIN BY RESERPINE, METHYLDOPA AND GUANETHIDINE. Biochem Pharmacol. 1964; 13:115-7. DOI: 10.1016/0006-2952(64)90085-1. View

5.
Papp C, Benaim S . Toxic effects of iproniazid in a patient with angina. Br Med J. 1958; 2(5104):1070-2. PMC: 2026825. DOI: 10.1136/bmj.2.5104.1070. View