Polish journal of pharmacology
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We examined various hemostatic abnormalities in 395 patients with disseminated intravascular coagulation (DIC), in 177 patients in a Pre-DIC stage, and in 99 patients who did not exhibit DIC. Pre-DIC was defined as the condition at least one week before the onset of DIC. The differences in activated partial thromboplastin time (APTT), FDP, prothrombin time (PT) ratio, fibrinogen, and platelet count between DIC and Non-DIC patients were significant, but there were no significant differences in these parameters between Pre-DIC and Non-DIC patients. ⋯ Almost all the hemostatic molecular markers examined had high sensitivity for DIC, but only TAT and PPIC had high sensitivity for Pre-DIC. Specificity for DIC was also high with TAT, sFM, and F1 + 2. Early diagnosis and early treatment are important in DIC; we believe that it is possible to predict Pre-DIC by assessing values for the combination of hemostatic molecular markers.
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The aim of this paper was to study the effect of two benzomorphan derivatives MR2266 and MR2267 with predominant antagonism to kappa-opioid receptors administered intrathecally on the analgesic action of morphine and nalbuphine. Both compounds attenuated the analgesia elicited by examined opioid agonists. Our results support the hypothesis that the spinal opioid receptors take part in analgesic effect of morphine and nalbuphine. It was for the first time described that MR2267, considered as inactive enantiomer of MR2266, is an active opioid antagonist when administered intrathecally.
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The effects of a single dose of 20 mg/kg ip of morphine on dopaminergic and serotonergic systems in the limbic (cortex, nucleus accumbens) and extrapyramidal (striatum) structures were investigated in rats. The action of morphine was assessed by measuring the regional concentrations of dopamine, serotonin and their metabolites (homovanillic acid- HVA,3,4-dihydroxyphenylacetic acid - DOPAC, 5-hydroxyindoleacetic acid - 5-HIAA) by means of HPLC. We have demonstrated that a single large dose of morphine produces a biphasic change in limbic dopaminergic and serotonergic structures, with an initial activation followed by significant inhibition 24 h later. In contrast, the striatum depression of dopamine level was observed during the initial phase with normalization on the next day.