Evaluation of Postoperative Anti-nociceptive Efficacy of Intrathecal Dexketoprofen in Rats

Evaluation of Postoperative Anti-nociceptive Efficacy of Intrathecal Dexketoprofen in Rats

Background: Some studies have suggested that the intrathecaluse of cyclooxygenase enzyme inhibitors providesan anti-nociceptive effect. Therefore, the occurrence of sideeffects seen in systemic usage can be eliminated.Aims: The primary objective of this experimental, randomized,controlled trial was to test the hypothesis asserting thatintrathecal dexketoprofen trometamol would demonstratean analgesic effect during postoperative period.Study Design: Animal experimentation.Methods: Forty rats were randomized into 4 groups 7 daysafter intrathecal catheterization; the following drugs weregiven through catheter lumens: Group Lidocaine (Group L):Lidocaine 20 ?g; Group Lidocaine-Morphine (Group LM):Lidocaine 20 ?g and morphine 0.5 ?gr; Group LidocaineDexketoprofen(Group LD): Lidocaine 20 ?g and dexketoprofentrometamol 100 ?g; and Group Dexketoprofen(Group D): Dexketoprofen trometamol 100 ?g. Paw incisionwas achieved under ether inhalation. To measure analgesicpotential, hot plate and tail immersion tests were usedas nociceptive tests during the postoperative period.Results: The mean reaction times detected in groups duringhot plate and tail immersion tests were shortest in Group Lat 15, 30, 45, 60, 75, 90, 105, and 120 minutes after startof surgery (p

___

  • 1. Han JB, Keller EE, Grothe RM. Postoperative gastrointestinal bleeding in orthognathic surgery patients: its estimated prevalence and possible association to known risk factors. J Oral Maxillofac Surg 2014;72:2043-51. [CrossRef]
  • 2. Yaksh TL, Dirig DM, Conway CM, Svensson C, Luo D, Isakson PC. The acute antihyperalgesic action of NSAIDs and release of spinal PGE2 is mediated by the inhibition of constitutive spinal COX-2 but not COX-1. J Neurosci 2001;21:5847-53.
  • 3. Choi CH, Kim WM, Lee HG, Jeong CW, Kim CM, Lee SH, et al. Roles of opioid receptor subtype in the spinal antinociception of selective cyclooxygenase 2 inhibitor. Korean J Pain 2010;23:236-41. [CrossRef]
  • 4. McCormack K. The spinal actions of nonsteroidal anti-inflammatory drugs and the dissociation between their anti-inflammatory and analgesic effects. Drugs 1994;47:28-45. [CrossRef]
  • 5. Rodríguez MJ, Arbós RM, Amaro SR. Dexketoprofen trometamol: clinical evidence supporting its role as a painkiller. Expert Rev Neurother 2008;8:1625-40. [CrossRef]
  • 6. Cabre F, Fernandez MF, Calvo L, Ferrer X, Garcia ML, Mauleon D. Analgesic, antiinflammatory and antipyretic effects of S(+)- ketoprofen in vivo. J Clin Pharmacol 1998;38:3S-10S.
  • 7. Yaksh TL, Rudy TA. Analgesia mediated by a direct spinal action of narcotics. Science 1976;192:1357-8. [CrossRef]
  • 8. Brennan TJ, Vandermeulen EP, Gebhart GF. Characterization of a rat model of incisional pain. Pain 1996;64:493-501. [CrossRef]
  • 9. Spofford CM, Ashmawi H, Subieta A, Buevich F, Moses A, Baker M, et al. Ketoprofen produces modality-specific inhibition of pain behaviors in rats after plantar incision. Anesth Analg 2009;109:1992-9. [CrossRef]
  • 10. Derry S, Derry CJ, Moore RA. Single dose oral ibuprofen plus oxycodone for acute postoperative pain in adults. Cochrane Database Syst Rev 2013;6:CD010289. [CrossRef]
  • 11. Ding Y, White PF. Comparative effects of ketorolac, dezocine and fentanyl as adjuvants during outpatient anesthesia. Anesth Analg 1992;75:566-71. [CrossRef]
  • 12. Moore RA, Barden J. Systematic review of dexketoprofen in acute and chronic pain. BMC Clin Pharmacol 2008;8:11. [CrossRef]
  • 13. Souter A, Fredman B, White PF. Controversies in the perioperative use of nonsteroidal antiinflammatory drugs. Anesth Analg 1994;79:1178-90. [CrossRef]
  • 14. Malmberg AB, Yaksh TL. Hyperalgesia mediated by spinalglutamate or substance P receptor blocked by spinal cyclooxygenase inhibition. Science 1992;257:1276-9. [CrossRef]
  • 15. Willingale HL, Gardiner NJ, McLymont N, Giblett S, Grubb BD. Prostanoids synthesized by cyclooxygenase isoforms in rat spinal cord and their contribution to the development of neuronal hyperexcitability. Br J Pharmacol 1997;122:1593-604. [CrossRef]
  • 16. Ebersberger A, Grubb BD, Willingale HL, Gardiner NJ, Nebe J, Schaible HG. The intraspinal release of prostaglandin E2 in a model of acute arthritis is accompanied by an up-regulation of cyclo-oxygenase-2 in the spinal cord. Neuroscience 1999;93:775-81. [CrossRef]
  • 17. Zhu X, Conklin D, Eisenach JC. Cyclooxygenase-1 in the spinal cord plays an important role in postoperative pain. Pain 2003;104:15-23. [CrossRef]
  • 18. Bustamante D, Paeile C, Willer JC, Le Bars D. Effects of intrathecal or intracerebroventricular administration of nonsteroidal antiinflammatory drugs on a C-fiber reflex in rats. J Pharmacol Exp Ther 1997;281:1381-91.
  • 19. Lopez-Munoz FJ, Ventura R, Diaz I, Fernández-Guasti A, Tost D, Cabré F, et al. Antinociceptive effects of S-ketoprofen and other analgesic drugs in a rat model of pain induced by uric acid. J Clin Pharmacol 1998;38:11S-21S.
  • 20. Prochazkova M, Dolezal T, Sliva J, Krsiak M. Different patterns of spinal cyclooxygenase-1 and cyclooxygenase-2 mRNA expression in inflammatory and postoperative pain. Basic Clin Pharmacol Toxicol 2006;99:173-7. [CrossRef]
  • 21. Zhu X, Conklin DR, Eisenach JC. Preoperative inhibition of cyclooxygenase-1 in the spinal cord reduces postoperative pain. Anesth Analg 2005;100:1390-3. [CrossRef]
  • 22. Miranda HF, Prieto JC, Pinardi G. Spinal synergy between nonselective cyclooxygenase inhibitors and morphine antinociception in mice. Brain Res 2005;1049:165-70. [CrossRef]
  • 23. Ossipov MH, Jerussi TP, Ren K, Sun H, Porreca F. Differential effects of spinal (R)-ketoprofen and (S)-ketoprofen against signs of neuropathic pain and tonic nociception: evidence for a novel mechanism of action of (R)-ketoprofen against tactile allodynia. Pain 2000;87:193-9. [CrossRef]
  • 24. Abram SE, Mampilly GA, Milosavljevic D. Assessment of the potency and intrinsic activity of systemic versus intrathecal opioids in rats. Anesthesiology 1997;87:127-34. [CrossRef]
  • 25. Martin TJ, Zhang Y, Buechler N, Conklin DR, Eisenach JC. Intrathecal morphine and ketorolac analgesia after surgery: comparison of spontaneous and elicited responses in rats. Pain 2005;113:376-85. [CrossRef]
  • 26. Mazario J, Roza C, Herrero JF. The NSAID dexketoprofen trometamol is as potent as µ opioids in the depression of windup and spinal cord nociceptive reflexes in normal rats. Brain Res 1999;816:512-7. [CrossRef]
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
Sayıdaki Diğer Makaleler

Curcumin Attenuates Hepatotoxicity Induced by Zinc Oxide Nanoparticles in Rats

Layasadat KHORSANDİ, Esrafil MANSOURİ, Mahmoud ORAZİZADEH, Zahra JOZİ

The Effect of Sodium Hyaluronate plus Sodium Chondroitin Sulfate Solution on Peritendinous Adhesion and Tendon Healing: An Experimental Study

Mustafa KOM, Abuzer ULUDAĞ, Sancar SERBEST, Yesari ERÖKSÜZ, Seyit Ali GÜMÜŞTAŞ, Hacı Bayram TOSUN

Acute Disseminated Encephalomyelitis after Oral Therapy with Herbal Extracts: A Case Report

Gülay NURLU, Rana KARABUDAK, Aslı Tuncer KURNE, Bahar KAYMAKAMZADE

A Case Report of a Very Rare Association of Tyrosinemia type I and Pancreatitis Mimicking Neurologic Crisis of Tyrosinemia Type I

Neslihan ÖNENLİ MUNGAN, Fatih KARDA޲, Gökhan TÜMGÖR, Deniz KÖR, Habibe KOÇ UÇAR

Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

Feyzi Birol SARICA, Özgür KARDEŞ, Melih ÇEKİNMEZ, Fatih AYDEMİR

Subcutaneous C.E.R.A. for the Treatment of Chronic Renal Anemia in Predialysis Patients

Fatih ÖZDENER, Sedat ÜSTÜNDAĞ, Rümeyza KAZANCIOĞLU, Ekrem DOĞAN, Lütfullah ALTINTEPE, Murat DURANAY, Alaattin YILDIZ, Abdülkadir ÜNSAL, Vedat ÇELİK, Belda DURSUN, Ertuğrul AKBAŞ

Domestically Acquired Legionnaires’ Disease: Two Case Reports and a Review of the Pertinent Literature

Hande ARSLAN, Haluk ERDOĞAN

Effectiveness of Using Dual-source CT and the Upshot it creates on Both Heart Rate and Image Quality

Tuba SELÇUK, Yıldıray SAVAŞ, Mesut BULAKÇI, Hafize OTÇU, Zeyneb YÜCELER, Çiğdem BİLGİLİ, Ömer ÇELİK

Value of Apparent Diffusion Coefficient Values in Differentiating Malignant and Benign Breast Lesions

Orhan OYAR, Gonca KOÇ, Gülten SEZGİN, Tuğba BOSTAN BOZKURT, M. Fazıl GELAL, Canan ALTAY

One of the Rare Causes of Acute Abdomen Leading to Subileus: Jejunal Diverticulitis

Elçin AYDIN, Tevfik AVCI, Hüseyin GÜLAY, Hasan YERLİ, Tuğbahan YILMAZ