Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat

PURPOSE. There are evidences that glibenclamide, a sulfonylurea antidiabetic agent, reduces the analgesic action of non-steroidal anti-inflammatory drugs (NSAIDs), opioids and neuromodulators in animal models. The purpose of this work was to examine in the rat if such interaction involves pharmacoki...

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Main Authors: María R León-Reyes, Gilberto Castañeda-Hernández, Mario I Ortiz
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-11-01
Series:Journal of Pharmacy & Pharmaceutical Sciences
Online Access:https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/3812
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author María R León-Reyes
Gilberto Castañeda-Hernández
Mario I Ortiz
author_facet María R León-Reyes
Gilberto Castañeda-Hernández
Mario I Ortiz
author_sort María R León-Reyes
collection DOAJ
description PURPOSE. There are evidences that glibenclamide, a sulfonylurea antidiabetic agent, reduces the analgesic action of non-steroidal anti-inflammatory drugs (NSAIDs), opioids and neuromodulators in animal models. The purpose of this work was to examine in the rat if such interaction involves pharmacokinetic mechanisms or is solely limited to the pharmacodynamic level. METHODS. All studies were carried out in female Wistar rats. Analgesia was assessed using the formalin test. Fifty microliters of diluted formalin was injected subcutaneously into the dorsal surface of the right hind paw. Nociceptive behavior was quantified as the number of flinches of the injected paw during 60 min after injection and a reduction in formalin-induced flinching was interpreted as an analgesic response. Rats were treated with oral diclofenac (3-18 mg/kg) in presence and the absence of oral glibenclamide (1-30 mg/kg). To evaluate the possibility of a pharmacokinetic interaction, the oral bioavailability of diclofenac (18 mg/kg) was studied in presence and the absence of glibenclamide (10 mg/kg). RESULTS. Oral administration of diclofenac produced a dose-dependent antinociceptive effect in the formalin test. Coadministration of glibenclamide significantly reduced diclofenac-induced antinociception. Notwithstanding, the interaction does no appear to involve pharmacokinetic mechanisms, as oral glibenclamide failed to produce any significant alteration in oral diclofenac bioavailability. CONCLUSION. Concomitant systemic administration of glibenclamide and diclofenac results in a reduction of the analgesic effect of the NSAID in the formalin test in the rat. This interaction, however, appears due solely to a pharmacodynamic mechanisms as diclofenac pharmacokinetics are not altered.
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spelling doaj.art-fe47c3ddbd8f43f18b78491bb9a848502023-09-02T14:25:56ZengFrontiers Media S.A.Journal of Pharmacy & Pharmaceutical Sciences1482-18262016-11-0111310.18433/J3KS39Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the ratMaría R León-ReyesGilberto Castañeda-HernándezMario I OrtizPURPOSE. There are evidences that glibenclamide, a sulfonylurea antidiabetic agent, reduces the analgesic action of non-steroidal anti-inflammatory drugs (NSAIDs), opioids and neuromodulators in animal models. The purpose of this work was to examine in the rat if such interaction involves pharmacokinetic mechanisms or is solely limited to the pharmacodynamic level. METHODS. All studies were carried out in female Wistar rats. Analgesia was assessed using the formalin test. Fifty microliters of diluted formalin was injected subcutaneously into the dorsal surface of the right hind paw. Nociceptive behavior was quantified as the number of flinches of the injected paw during 60 min after injection and a reduction in formalin-induced flinching was interpreted as an analgesic response. Rats were treated with oral diclofenac (3-18 mg/kg) in presence and the absence of oral glibenclamide (1-30 mg/kg). To evaluate the possibility of a pharmacokinetic interaction, the oral bioavailability of diclofenac (18 mg/kg) was studied in presence and the absence of glibenclamide (10 mg/kg). RESULTS. Oral administration of diclofenac produced a dose-dependent antinociceptive effect in the formalin test. Coadministration of glibenclamide significantly reduced diclofenac-induced antinociception. Notwithstanding, the interaction does no appear to involve pharmacokinetic mechanisms, as oral glibenclamide failed to produce any significant alteration in oral diclofenac bioavailability. CONCLUSION. Concomitant systemic administration of glibenclamide and diclofenac results in a reduction of the analgesic effect of the NSAID in the formalin test in the rat. This interaction, however, appears due solely to a pharmacodynamic mechanisms as diclofenac pharmacokinetics are not altered.https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/3812
spellingShingle María R León-Reyes
Gilberto Castañeda-Hernández
Mario I Ortiz
Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
Journal of Pharmacy & Pharmaceutical Sciences
title Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
title_full Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
title_fullStr Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
title_full_unstemmed Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
title_short Pharmacokinetics and Pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
title_sort pharmacokinetics and pharmacodynamics of diclofenac in the presence and absence of glibenclamide in the rat
url https://journals.library.ualberta.ca/jpps/index.php/JPPS/article/view/3812
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AT gilbertocastanedahernandez pharmacokineticsandpharmacodynamicsofdiclofenacinthepresenceandabsenceofglibenclamideintherat
AT marioiortiz pharmacokineticsandpharmacodynamicsofdiclofenacinthepresenceandabsenceofglibenclamideintherat