Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test

BackgroundGabapentin is thought to exert an effect through the voltage-dependent calcium channel. Vitamin E is a widely known antioxidant which neutralizes the harmful effect of ROS which is considered to play a prominent role in various painful conditions. This study was therefore conducted to asse...

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Main Authors: Myoung-Joong Kim, Won Hyung Lee, Young-Kwon Ko, Boo Hwi Hong
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2012-11-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-63-447.pdf
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author Myoung-Joong Kim
Won Hyung Lee
Young-Kwon Ko
Boo Hwi Hong
author_facet Myoung-Joong Kim
Won Hyung Lee
Young-Kwon Ko
Boo Hwi Hong
author_sort Myoung-Joong Kim
collection DOAJ
description BackgroundGabapentin is thought to exert an effect through the voltage-dependent calcium channel. Vitamin E is a widely known antioxidant which neutralizes the harmful effect of ROS which is considered to play a prominent role in various painful conditions. This study was therefore conducted to assess the antinociceptive effects of gabapentin and vitamin E and the interaction of these drugs in the modulation of pain in rats subjected to a formalin test.MethodsSprague-Dawley rats with a lumbar intrathecal catheter were tested for their paw flinches by 5% formalin injection after intrathecal injection of gabapentin or vitamin E. After obtaining dose-response curves for each drug, the effect of the combination was tested by the total dose fraction value and isobolographic analysis.ResultsWhen a single drug was injected intrathecally, significant dose-dependent decreases in flinches were shown only in the late phase. ED50 values of intrathecal gabapentin and vitamin E in the late phase were 75.3 ± 9.58 µg, and 17.56 ± 1.65 mg/kg respectively. The combination of gabapentin and vitamin E produced dose-dependent decreases in the number of flinches in both phases induced by the formalin test. The ED50 value of the combination was lower than the theoretical additive values in the late phase, but did not show a significant difference with the theoretical additive value.ConclusionsGabapentin and vitamin E (by itself) have no antinociceptive effect in the early phase; however their combination has shown an antinociceptive effect. In addition, they show additive effects in the late phase of the formalin test.
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spelling doaj.art-da435d5a42114f9b9bff448d330db8322022-12-21T22:29:04ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632012-11-0163544745310.4097/kjae.2012.63.5.4477456Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin testMyoung-Joong Kim0Won Hyung Lee1Young-Kwon Ko2Boo Hwi Hong3Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.BackgroundGabapentin is thought to exert an effect through the voltage-dependent calcium channel. Vitamin E is a widely known antioxidant which neutralizes the harmful effect of ROS which is considered to play a prominent role in various painful conditions. This study was therefore conducted to assess the antinociceptive effects of gabapentin and vitamin E and the interaction of these drugs in the modulation of pain in rats subjected to a formalin test.MethodsSprague-Dawley rats with a lumbar intrathecal catheter were tested for their paw flinches by 5% formalin injection after intrathecal injection of gabapentin or vitamin E. After obtaining dose-response curves for each drug, the effect of the combination was tested by the total dose fraction value and isobolographic analysis.ResultsWhen a single drug was injected intrathecally, significant dose-dependent decreases in flinches were shown only in the late phase. ED50 values of intrathecal gabapentin and vitamin E in the late phase were 75.3 ± 9.58 µg, and 17.56 ± 1.65 mg/kg respectively. The combination of gabapentin and vitamin E produced dose-dependent decreases in the number of flinches in both phases induced by the formalin test. The ED50 value of the combination was lower than the theoretical additive values in the late phase, but did not show a significant difference with the theoretical additive value.ConclusionsGabapentin and vitamin E (by itself) have no antinociceptive effect in the early phase; however their combination has shown an antinociceptive effect. In addition, they show additive effects in the late phase of the formalin test.http://ekja.org/upload/pdf/kjae-63-447.pdfantinociceptive effectsgabapentininteractionintrathecalvitamin e
spellingShingle Myoung-Joong Kim
Won Hyung Lee
Young-Kwon Ko
Boo Hwi Hong
Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test
Korean Journal of Anesthesiology
antinociceptive effects
gabapentin
interaction
intrathecal
vitamin e
title Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test
title_full Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test
title_fullStr Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test
title_full_unstemmed Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test
title_short Antinociceptive drug interaction between intrathecal vitamin E and gabapentin in the rat formalin test
title_sort antinociceptive drug interaction between intrathecal vitamin e and gabapentin in the rat formalin test
topic antinociceptive effects
gabapentin
interaction
intrathecal
vitamin e
url http://ekja.org/upload/pdf/kjae-63-447.pdf
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AT youngkwonko antinociceptivedruginteractionbetweenintrathecalvitamineandgabapentinintheratformalintest
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