Naloxone reverses the antinociceptive synergistic interaction between acetaminophen and lysine clonixinate in the formalin test
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Preclinical Research The purpose of this study was to evaluate the antinociceptive interaction between acetaminophen and lysine clonixinate in the formalin test, and the possible role of opioidergic and nitric oxide pathways in the interaction. The effect of individual drugs and their combination was evaluated using the 3%25 formalin test in mice. Acetaminophen (31.6, 100, 178, and 316 mg/kg, i.p.) or lysine clonixinate (5.6, 10, 17.8, and 31.6 mg/kg, i.p.) were administered 10 min before formalin injection. To assess the possible mechanism(s) of action for the combination, naloxone (1 mg/kg) and N (G)-nitro-L-arginine methyl ester (L-NAME) (3 mg/kg) were used. Isobolographic analysis and the interaction index showed a synergistic effect. The experimental ED30 was lower when compared with theoretical ED30. Naloxone, but not L-NAME, reduced the antinociceptive effect of the combination. Administration of antagonists alone did not modify formalin-induced nociception. These data suggest that the acetaminophen-lysine clonixinate combination produces a synergistic effect involving opioid receptors. © 2013 Wiley Periodicals, Inc.
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acetaminophen; formalin test; isobolographic analysis; lysine clonixinate; pain clonixin lysine; n(g) nitroarginine methyl ester; naloxone; opiate receptor; paracetamol; animal experiment; antinociception; article; controlled study; dose response; drug dose increase; drug potentiation; formalin test; laboratory test; male; mouse; nociception; nonhuman
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