Romanian Society of Pharmaceutical Sciences

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EXPERIMENTAL RESEARCH ON POSSIBLE INTERACTIONS OF HIGH DOSES OF METAMIZOLE SODIUM WITH THE ENDOGENOUS CANNABINOID OR DOPAMINERGIC SYSTEMS

LAURENŢIU COMAN1, HORIA PĂUNESCU*1, OANA ANDREIA COMAN1, LUMINIŢA CRISTINA CHIUŢU2, ION FULGA1

1.Faculty of Medicine and Pharmacy, UMF Carol Davila, Bucharest
2.UMF Craiova, Faculty of Medicine

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For metamizole sodium the four specific effects of cannabinoids in mice were previously noticed by us (the tetrad): analgesia, sedation, hypothermia, catalepsy. For verifying the cannabinoid hypothesis, the effects of the association between metamizole sodium 1g/kg bw and a CB1 receptors antagonist (AM281) in the hot-plate test and on body temperature were tested in mice. The results showed that metamizole in high doses possessed a central analgesic and hypothermic effect, but they were not influenced by the CB1 receptors antagonist. These findings suggested that the demonstrated analgesic and hypothermic effects of metamizole do not involve a cannabinoid mechanism. Another hypothesis regarding the dopaminergic action of metamizole was analysed. Catalepsy was tested in mice treated with metamizole or chlorpromazine alone or associated with bromocriptine. The results showed that the cataleptic effects of metamizole are not due to the blockage of the dopaminergic receptors. Regarding the cannabinoid-like effects of metamizole (the tetrad), further research of other mechanisms of action of metamizole is required. A hypothesis for the hypothermic effect of metamizole could be its implication in stimulation of the thermolysis process. This effect for metamizole was not demonstrated until now and it may extend its indications area in inducing controlled hypothermia in humans.