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Interaction among Agents that Block End‐plate Depolarization Competitively

 

作者: B. Waud,   D. Waud,   D. Phil,  

 

期刊: Anesthesiology  (OVID Available online 1985)
卷期: Volume 63, issue 1  

页码: 4-15

 

ISSN:0003-3022

 

年代: 1985

 

出版商: OVID

 

关键词: Interaction;neuromuscular relaxants;Neuromuscular relaxants;d-tubocurarine;gallamine;metocurine;pancuronium

 

数据来源: OVID

 

摘要:

The influence of gallamine, metocurine, pancuronium, and tubocurarine on depolarization of a mammalian muscle end-plate region was examined to determine whether the antagonists given in combination exerted a degree of block consistent with the simple classical competitive model. Depolarization was produced by carbachol in isolated guinea pig lumbrical muscles and recorded by the moving fluid electrode technique. The dose–response values obtained were fitted to a regression embedded in a split plot factorial experimental design such as both to control and to measure effects of variation among preparations, order of administration, time, and level of block. Of the six possible pairings of the four drugs, four showed the simple additivity expected from a competitive mechanism, while two (pancuronium plus metocurine and metocurine plus gallamine) showed potentiation beyond additivity. In these latter two pairs the combination shifted the carbachol dose-response curve, respectively, 41 and 21% further than predicted from the classical model. The significance of this deviation in the light of alternative receptor models is discussed, and a model consistent with the observed results is outlined.

 

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