Characterization of the Binding and Comparison of the Distribution of Benzodiazepine Receptors Labeled with Ph1diazepam and [3H]Alprazolam L&S K

Total Page:16

File Type:pdf, Size:1020Kb

Characterization of the Binding and Comparison of the Distribution of Benzodiazepine Receptors Labeled with Ph1diazepam and [3H]Alprazolam L&S K fIivIoPSYCHOPHARMACOLOGY 1993-VOL. 8, NO.4 305 Characterization of the Binding and Comparison of the Distribution of Benzodiazepine Receptors Labeled with pH1Diazepam and [3H]Alprazolam l&s K. Wamsley, Ph.D., Lisa L. Longlet, B.S., MaryAnne E. Hunt, Ph.D., Donald R. Mahan, IfiMilrio E. Alburges, Ph.D. Ttrbinding characteristics of [3H]diazepam and benzodiazepine drugs and apparently do not overlap onto �prazolam were obtained by in vitro analysis of other subtypes of receptors. These experiments were IIfiorrsof rat brain. Dissociation, association, and performed by both binding assay in tissue sections and by sDlItionaTUllyses were performed to optimize the light microscopic autoradiography. The major difference GdilWnsfor obtaining selective labeling of between the labeling of the two compounds is· represented llaldiDzepinerecept ors with the two tritiated by the peripheral benzodiazepine sites, which are GIIpOUnds. Both drugs approached equilibrium rapidly recognized by [3H]diazepam, but not occupied by nntro. Rosenthal analysis (Scatchard plot) of the [3H]alprazolam (at nanomolar concentrations). This amiondata indicated a similar finite number of difference was readily apparent in the auto radiograms. IIII;otSwas being occupied by both ligands. Other pharmacokinetic or pharmacodynamic properties Clapetitionstudies, using various ligands to inhibit both must distinguish these two benzodiazepines. fH}bu.tpam and [3H]alprazolam indicated that these [Neuropsychopharmacology 8:305-314, 1993J tIIIcmnpoundsbind to the tissue sections as typical lIT WORDS: Benzodiazepine receptors; Anxiolytics; in the treatment of panic disorder (Feighner et a1. 1983; 0upmI;Alprazolam; Autoradiography; Localization; Pitts et a1. 1983; Shehi and Patterson 1984; Rickels et Drtsity;Binding characteristics a1. 1985; Alexander and Alexander 1986; Leibowitz et 1986; 1986), A¥azolamis a triazolobenzodiazepine that is distinct al, Mendels and SchIess whereas many DIIother cornpounds in its class due to its unique clin­ other typical benzodiazepines are not as efficaciousin g profIle (Fawcett and Kravitz 1982; Dawson et a1. these latter two areas, but are remarkably effective 114;Cir aulo et a1. 1986; Dunner et a1. 1986). Alprazo­ anxiolytics (others are used as sedative-hypnotics or an­ .. hasbeen used as an anxiolytic, antidepressant, and ticonvulsants). Results from several studies have sug­ gested alprazolam may be recognizing other receptor sites in addition to benzodiazepine receptors (Cer­ fan the Neuropsychiatric Research Institute, Fargo; and the nansky et al, 1982; Sethy and Hodges 1982; Charney tsof Pharmacology and Neuroscience, University of North IIIfIrtmen and Heninger 1985; Eriksson et al, 1986; Kostowski et 1Iika.School of Medicine, Grand Forks and Fargo, North Dakota; alDIeUp john Company, Kalamazoo, Michigan. al, 1986; Soderpalm and Engel 1989), in the central ner­ Addressre print requests to: James K. Wamsley, Ph.D., Director vous system (CNS). The in vitro analysis of [3H]al­ d_ScienceResearch, Neuropsychiatric Research Institute, 700 prazolam binding in synaptosomal preparations of rat "Avenue South, Fargo, North Dakota 58103. IDivedSept ember 3, 1991; revised March 17, 1992; accepted April brain has not been able to verify this as a direct effect -\J9I12. (McCabe et a1. 1990). To analyze the potential for over- • n93American College of Neuropsychopharmacology Mished by Elsevier Science Publishing Co., Inc. 5Avenue of the Americas, New York, NY 10010 0893-133X/93/$6.00 NEUROPSYCHOPHARMACOLOGY VOL. 306 J.K. Wamsley et ai. 1993- 8, NO.� lap of [3Hlalprazolam onto other sites, a receptor au­ incubation of groups of sections in various concenm toradiographic approach (Kuhar et al. 1985) was used tions of the radioactive ligands to establish saturatioa in the present study. Previous investigations, aimed at Competition studies were performed by labeling sec· analyzing the distribution of benzodiazepine receptors tions with a 2-nmollL concentration of the radiolabel� in the CNS, have principally involved the use of ligand using the parameters established in the previ­ pHlflunitrazepam as the ligand of choice (Young and ously outlined experiments, in the additional presena Kuhar 1979, 1980). Relatively little information is avail­ of 10-4 to 10-11 mollL concentrations of the follo� able on the binding of [3Hldiazepam after its initial compounds: clonidine, CL218,872, sulpiride, desipra­ characterization in membrane preparations (Braestrup mine, imipramine, 4-0H alprazolam, or flurazepant and Squires 1977; Gallager et al. 1981). We sought to The ICso values were obtained by plotting the percent use a typical anxiolytic compound for comparison with of radioligand bound versus the percent of radioligand alprazolam and to provide the binding conditions and bound multiplied by the molar concentration of the characteristics for obtaining selective labeling of both competing ligand. In all cases, adjacent sections wert [3Hldiazepam and [3H]alprazolam to slide-mounted incubated in the presence of 10-6 mollL clonazepam tissue sections for autoradiographic analysis. to establish nonspecifIc binding. For the autoradiographic studies, slide-mounted sections (20 J.1 in thickness) of whole brain were labeled MATERIALS AND METHODS using the optimum binding conditions and, insteadd wiping the sections from the slide, the sections wert Male Long-Evan's rats (weighing between 180 and 200 dried by blowing cool dry air over the tissue surface, gm) were deeply anesthetized with C02 and perfused These sections were subsequently exposed to tritium intracardially with ice-cold isotonic saline. The brain tis­ sensitive film (Amersham Hyperfilm, Arlington sues of the animals were rapidly dissected free from Heights, IL). After an appropriate exposure period, the surrounding structures and frozen onto microtome fIlms were developed and analyzed by computerized chucks by slow immersion in isopentane at -70°C. Sec­ microdensitometry (Palacios et al. 1981) using anMOD tions, 10 J.1 in thickness, either frontal or sagittal plane, system (Imaging Systems Corporation, St. Catherines, were cut on a cryostat microtome and thaw-mounted Ontario). Tritium standards (Amersham, Arlington onto subbed microscope slides. The brains of some Heights, IL) were included in the exposure of each DIm animals were removed from the skull and gently to quantitate femtomoles of ligand bound per milligram homogenized in a glass tube with a Teflon-coated pes­ tissue. Another group of sections was incubated ina tle. Frozen sections of this homogenate were cut in the Kd concentration of the radioactive ligand (inan effort cryostat as before. This procedure assured a uniform to occupy a major portion of the sites recognized bylbe distribution of different cell types in each section so radioactive compound) in the additional presence ofjn. more consistent data could be obtained. Alltissues were creasing concentrations of the other benzodiazepine, stored overnight in the presence of desiccant prior to Thus, incubations were performed with [3Hldiazepam being utilized in the incubation procedures. in the presence of increasing concentrations of unla­ For the biochemical assays, slide-mounted tissue beled alprazolam and [3Hlalprazolam was used to la­ sections of homogenized brain were initially given a bel sections inthe presence of nonradioactive diazepam. 3-minute preincubation period in distilled water to os­ These sections were analyzed by receptor autoradiog· motically disrupt the cells and release any gamma raphy to determine if the radioactive compound oc· aminobutyric acid (GABA) or other constituents that cupied sites where the binding was not inhibited by the may interfere with the subsequent binding of the ra­ other benzodiazepine. dioactive ligand (McCabe et al. 1988). This was followed by two 5-minute rinses, after which individual groups of sections were incubated for 60 minutes in the pres­ RESULTS ence of the radioactive ligand in Tris HCl buffer (0.17 mollL, pH 7.6) at between 0 and 4°C. Initially, a 2 Comparison of the binding characteristics of [3H]al· nmollL concentration of pHlalprazolam (15 to 45 prazolam and [3Hldiazepam to slide-mounted tissue Ci/mmol, supplied by the Upjohn Company, Kalama­ sections of rat brain indicated many similarities. The zoo, MI) or [3Hldiazepam (85.2 Ci/mmol, Dupont initial osmotic shock of the slide-mounted tissue sec· NEN, Boston, MA) was used to label the sections. The tions dramatically reduced the binding of pH]alprazo. rinse time was varied and the tissue sections were wiped lam. The magnitude of this reduction in binding was from the microscope slides with fIlter paper and the as high as 50% and affected only specifIc binding bound radioactiVity determined by liquid scintillation (nonspecifIcbinding remained unchanged). Bindingd counting. Next, the incubation time was varied, with [3Hldiazepam was also reduced by the osmotic shock, the rinse time held constant. This was followed by the but not to the extent of the alprazolam binding. The Nn!aoPSYCHOPHARMACOLOGY 1993-VOL. 8, NO.4 Comparison of [3H]Diazepam and [3H]Alprazolam 307 II!beIingwithboth ligands was temperature dependent Fig. 1). A BMAX of 189.8 and 195.7 fmol of receptor mdaJI subsequent experiments were performed at ice­ bound per milligram tissue was obtained for [3H]al­ WIte mperature. Analysis of the dissociation data (Fig. prazolam and [3H]diazepam, respectively. Inhibition ,wasperformed using a nonlinear regression program curves (Fig. 2) generated by incubating various com­
Recommended publications
  • (12) Patent Application Publication (10) Pub. No.: US 2004/0224012 A1 Suvanprakorn Et Al
    US 2004O224012A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2004/0224012 A1 Suvanprakorn et al. (43) Pub. Date: Nov. 11, 2004 (54) TOPICAL APPLICATION AND METHODS Related U.S. Application Data FOR ADMINISTRATION OF ACTIVE AGENTS USING LIPOSOME MACRO-BEADS (63) Continuation-in-part of application No. 10/264,205, filed on Oct. 3, 2002. (76) Inventors: Pichit Suvanprakorn, Bangkok (TH); (60) Provisional application No. 60/327,643, filed on Oct. Tanusin Ploysangam, Bangkok (TH); 5, 2001. Lerson Tanasugarn, Bangkok (TH); Suwalee Chandrkrachang, Bangkok Publication Classification (TH); Nardo Zaias, Miami Beach, FL (US) (51) Int. CI.7. A61K 9/127; A61K 9/14 (52) U.S. Cl. ............................................ 424/450; 424/489 Correspondence Address: (57) ABSTRACT Eric G. Masamori 6520 Ridgewood Drive A topical application and methods for administration of Castro Valley, CA 94.552 (US) active agents encapsulated within non-permeable macro beads to enable a wider range of delivery vehicles, to provide longer product shelf-life, to allow multiple active (21) Appl. No.: 10/864,149 agents within the composition, to allow the controlled use of the active agents, to provide protected and designable release features and to provide visual inspection for damage (22) Filed: Jun. 9, 2004 and inconsistency. US 2004/0224012 A1 Nov. 11, 2004 TOPCAL APPLICATION AND METHODS FOR 0006 Various limitations on the shelf-life and use of ADMINISTRATION OF ACTIVE AGENTS USING liposome compounds exist due to the relatively fragile LPOSOME MACRO-BEADS nature of liposomes. Major problems encountered during liposome drug Storage in vesicular Suspension are the chemi CROSS REFERENCE TO OTHER cal alterations of the lipoSome compounds, Such as phos APPLICATIONS pholipids, cholesterols, ceramides, leading to potentially toxic degradation of the products, leakage of the drug from 0001) This application claims the benefit of U.S.
    [Show full text]
  • Understanding Benzodiazephine Use, Abuse, and Detection
    Siemens Healthcare Diagnostics, the leading clinical diagnostics company, is committed to providing clinicians with the vital information they need for the accurate diagnosis, treatment and monitoring of patients. Our comprehensive portfolio of performance-driven systems, unmatched menu offering and IT solutions, in conjunction with highly responsive service, is designed to streamline workflow, enhance operational efficiency and support improved patient care. Syva, EMIT, EMIT II, EMIT d.a.u., and all associated marks are trademarks of General Siemens Healthcare Diagnostics Inc. All Drugs other trademarks and brands are the Global Division property of their respective owners. of Abuse Siemens Healthcare Product availability may vary from Diagnostics Inc. country to country and is subject 1717 Deerfield Road to varying regulatory requirements. Deerfield, IL 60015-0778 Please contact your local USA representative for availability. www.siemens.com/diagnostics Siemens Global Headquarters Global Siemens Healthcare Headquarters Siemens AG Understanding Wittelsbacherplatz 2 Siemens AG 80333 Muenchen Healthcare Sector Germany Henkestrasse 127 Benzodiazephine Use, 91052 Erlangen Germany Abuse, and Detection Telephone: +49 9131 84 - 0 www.siemens.com/healthcare www.usa.siemens.com/diagnostics Answers for life. Order No. A91DX-0701526-UC1-4A00 | Printed in USA | © 2009 Siemens Healthcare Diagnostics Inc. Syva has been R1 R2 a leading developer N and manufacturer of AB R3 X N drugs-of-abuse tests R4 for more than 30 years. R2 C Now part of Siemens Healthcare ® Diagnostics, Syva boasts a long and Benzodiazepines have as their basic chemical structure successful track record in drugs-of-abuse a benzene ring fused to a seven-membered diazepine ring. testing, and leads the industry in the All important benzodiazepines contain a 5-aryl substituent ring (ring C) and a 1,4–diazepine ring.
    [Show full text]
  • Tel: 86-2985324244; Fax: 86-2985252580
    medRxiv preprint doi: https://doi.org/10.1101/2020.02.27.20028605; this version posted February 27, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC 4.0 International license . Efficacy and Acceptability Comparisons of Cognitive Behavior Therapy, Drugs, and Their Combination for Panic Disorder in Adults: a Network Meta-analysis Fengjie Gao(M.M.)1,a, Hairong He(M.M.)2,a, Bin Yan(M.M.)2, Jian Yang(M.M.)2, Yajuan Fan(M.D.)1, Binbin Zhao(M.M.)1, Xiaoyan He(M.M.)1, Qingyan Ma(M.M.)1, Baijia Li(M.D.)1, Yuan Gao(M.D.)1, Li Qian(M.D.)1, Zai Yang(M.M.)1, Ce Chen(M.M.)1, Yunchun Chen(M.D.)1, Chengge Gao(M.D.)1, Feng Zhu(M.D.)5, Wei Wang(M.M.)1,*, Xiancang Ma(M.D.)1,3,4,* 1Department of Psychiatry, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, 710061 Xi’an, Shaanxi, China. 2Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, 710061 Xi’an, Shaanxi, China. 3Center for Brain Science, The First Affiliated Hospital of Xi’an Jiaotong University, 277 Yanta West Road, 710061 Xi’an, Shaanxi, China. 4Clinical Research center for Psychiatric Medicine of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, 710061 Xi’an, Shaanxi, China.
    [Show full text]
  • Questions in the Chemical Enzymology of MAO
    Review Questions in the Chemical Enzymology of MAO Rona R. Ramsay 1,* and Alen Albreht 2 1 Biomedical Sciences Research Complex, School of Biology, University of St Andrews, St Andrews KY16 9ST, UK 2 Laboratory for Food Chemistry, Department of Analytical Chemistry, National Institute of Chemistry, Hajdrihova 19, SI-1000 Ljubljana, Slovenia; [email protected] * Correspondence: [email protected]; Tel.: +44-(0)-1334-474740 Abstract: We have structure, a wealth of kinetic data, thousands of chemical ligands and clinical information for the effects of a range of drugs on monoamine oxidase activity in vivo. We have comparative information from various species and mutations on kinetics and effects of inhibition. Nevertheless, there are what seem like simple questions still to be answered. This article presents a brief summary of existing experimental evidence the background and poses questions that remain intriguing for chemists and biochemists researching the chemical enzymology of and drug design for monoamine oxidases (FAD-containing EC 4.1.3.4). Keywords: chemical mechanism; kinetic mechanism; oxidation; protein flexibility; cysteine modifica- tion; reversible/irreversible inhibition; molecular dynamics; simulation 1. Introduction Monoamine oxidase (E.C. 1.4.3.4) enzymes MAO A and MAO B are FAD-containing Citation: Ramsay, R.R.; Albreht, A. proteins located on the outer face of the mitochondrial inner membrane, retained there Questions in the Chemical Enzymology of MAO. Chemistry 2021, by hydrophobic interactions and a transmembrane helix. The redox co-factor (FAD) is 3, 959–978. https://doi.org/10.3390/ covalently attached to a cysteine and buried deep inside the protein [1].
    [Show full text]
  • Treatment for Calcium Channel Blocker Poisoning a Systematic Review
    Clinical Toxicology ISSN: 1556-3650 (Print) 1556-9519 (Online) Journal homepage: http://www.tandfonline.com/loi/ictx20 Treatment for calcium channel blocker poisoning: A systematic review M. St-Onge, P.-A. Dubé, S. Gosselin, C. Guimont, J. Godwin, P. M. Archambault, J.-M. Chauny, A. J. Frenette, M. Darveau, N. Le sage, J. Poitras, J. Provencher, D. N. Juurlink & R. Blais To cite this article: M. St-Onge, P.-A. Dubé, S. Gosselin, C. Guimont, J. Godwin, P. M. Archambault, J.-M. Chauny, A. J. Frenette, M. Darveau, N. Le sage, J. Poitras, J. Provencher, D. N. Juurlink & R. Blais (2014) Treatment for calcium channel blocker poisoning: A systematic review, Clinical Toxicology, 52:9, 926-944, DOI: 10.3109/15563650.2014.965827 To link to this article: http://dx.doi.org/10.3109/15563650.2014.965827 © 2014 The Author(s). Published by Taylor & View supplementary material Francis. Published online: 06 Oct 2014. Submit your article to this journal Article views: 8320 View related articles View Crossmark data Citing articles: 47 View citing articles Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=ictx20 Download by: [Bird Lib Ouhsc] Date: 14 November 2017, At: 06:23 Clinical Toxicology (2014), 52, 926–944 Copyright © 2014 Informa Healthcare USA, Inc. ISSN: 1556-3650 print / 1556-9519 online DOI: 10.3109/15563650.2014.965827 REVIEW ARTICLE Treatment for calcium channel blocker poisoning: A systematic review M. ST-ONGE,1,2,3 P.-A. DUBÉ,4,5,6 S. GOSSELIN,7,8,9 C. GUIMONT,10 J.
    [Show full text]
  • Analytical Methods for Determination of Benzodiazepines. a Short Review
    Cent. Eur. J. Chem. • 12(10) • 2014 • 994-1007 DOI: 10.2478/s11532-014-0551-1 Central European Journal of Chemistry Analytical methods for determination of benzodiazepines. A short review Review Article Paulina Szatkowska1, Marcin Koba1*, Piotr Kośliński1, Jacek Wandas1, Tomasz Bączek2,3 1Department of Toxicology, Faculty of Pharmacy, Collegium Medicum of Nicolaus Copernicus University, 85-089 Bydgoszcz, Poland 2Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Medical University of Gdańsk, 80-416 Gdańsk, Poland 3Institute of Health Sciences, Division of Human Anatomy and Physiology, Pomeranian University of Słupsk, 76-200 Słupsk, Poland Received 16 July 2013; Accepted 6 February 2014 Abstract: Benzodiazepines (BDZs) are generally commonly used as anxiolytic and/or hypnotic drugs as a ligand of the GABAA-benzodiazepine receptor. Moreover, some of benzodiazepines are widely used as an anti-depressive and sedative drugs, and also as anti-epileptic drugs and in some cases can be useful as an adjunct treatment in refractory epilepsies or anti-alcoholic therapy. High-performance liquid chromatography (HPLC) methods, thin-layer chromatography (TLC) methods, gas chromatography (GC) methods, capillary electrophoresis (CE) methods and some of spectrophotometric and spectrofluorometric methods were developed and have been extensively applied to the analysis of number of benzodiazepine derivative drugs (BDZs) providing reliable and accurate results. The available chemical methods for the determination of BDZs in biological materials and pharmaceutical formulations are reviewed in this work. Keywords: Analytical methods • Benzodiazepines • Drugs analysis • Pharmaceutical formulations © Versita Sp. z o.o. 1. Introduction and long). For this reason, an application of these drugs became broader allowing their utility to a larger extent, Benzodiazepines have been first introduced into medical and at the same time, problems related to drug abuse practice in the 60s of the last century.
    [Show full text]
  • 1 'New/Designer Benzodiazepines'
    1 ‘New/Designer Benzodiazepines’: an analysis of the literature and psychonauts’ trip reports 2 Laura Orsolini*1,2,3, John M. Corkery1, Stefania Chiappini1, Amira Guirguis1, Alessandro Vento4,5,6,7, 3 Domenico De Berardis3,8,9, Duccio Papanti1, and Fabrizio Schifano1 4 5 1 Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical 6 Sciences, University of Hertfordshire, Hatfield, AL10 9AB, Herts, UK. 7 2 Neomesia Mental Health, Villa Jolanda Hospital, Jesi, Italy. 8 3 Polyedra, Teramo, Italy. 9 4 NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sapienza University – Rome, School of 10 Medicine and Psychology; Sant’Andrea Hospital, Rome, Italy 11 5 School of psychology - G. Marconi Telematic University, Rome, Italy 12 6 Addictions Observatory (ODDPSS), Rome, Italy 13 7 Mental Health Department - ASL Roma 2, Rome, Italy 14 8 Department of Neuroscience, Imaging and Clinical Science, Chair of Psychiatry, University of “G. D’Annunzio”, Chieti, 15 Italy. 16 9 NHS, Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital “G. Mazzini”, ASL 4 17 Teramo, Italy. 18 19 Corresponding author: 20 Laura Orsolini, Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life 21 and Medical Sciences, University of Hertfordshire, Hatfield, AL10 9AB, Herts, UK; Villa Jolanda Hospital, Neomesia 22 Mental Health, Villa Jolanda, Italy; Polyedra, Teramo, Italy; E-mail address: [email protected]. Tel.: (+39) 392 23 3244643. 24 25 Conflicts of Interest 26 The authors declare that this research was conducted in the absence of any commercial or financial relationships 27 that could be construed as a potential conflict of interest.
    [Show full text]
  • Accepted Manuscript
    Accepted Manuscript Taurine–magnesium coordination compound, a potential anti- arrhythmic complex, improves aconitine-induced arrhythmias through regulation of multiple ion channels Jianshi Lou, Hong Wu, Lingfang Wang, Lin Zhao, Xin Li, Yi Kang, Ke Wen, Yongqiang Yin PII: S0041-008X(18)30375-2 DOI: doi:10.1016/j.taap.2018.08.008 Reference: YTAAP 14363 To appear in: Toxicology and Applied Pharmacology Received date: 1 March 2018 Revised date: 3 August 2018 Accepted date: 14 August 2018 Please cite this article as: Jianshi Lou, Hong Wu, Lingfang Wang, Lin Zhao, Xin Li, Yi Kang, Ke Wen, Yongqiang Yin , Taurine–magnesium coordination compound, a potential anti-arrhythmic complex, improves aconitine-induced arrhythmias through regulation of multiple ion channels. Ytaap (2018), doi:10.1016/j.taap.2018.08.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. ACCEPTED MANUSCRIPT Taurine-magnesium Coordination Compound, a Potential Anti-arrhythmic Complex, Improves Aconitine-induced Arrhythmias through Regulation of Multiple Ion Channels Jianshi Lou1, Hong Wu1,2, Lingfang Wang3, Lin Zhao4, Xin Li1, Yi Kang1,Ke Wen1,Yongqiang Yin1* 1 Department of Pharmacology, Tianjin Medical University, Tianjin P. R. China 2 Mudanjiang Medical University, Mudanjiang P. R. China 3 Institute of Translational Medicine, Nanchang University, Nanchang P.
    [Show full text]
  • Drug and Medication Classification Schedule
    KENTUCKY HORSE RACING COMMISSION UNIFORM DRUG, MEDICATION, AND SUBSTANCE CLASSIFICATION SCHEDULE KHRC 8-020-1 (11/2018) Class A drugs, medications, and substances are those (1) that have the highest potential to influence performance in the equine athlete, regardless of their approval by the United States Food and Drug Administration, or (2) that lack approval by the United States Food and Drug Administration but have pharmacologic effects similar to certain Class B drugs, medications, or substances that are approved by the United States Food and Drug Administration. Acecarbromal Bolasterone Cimaterol Divalproex Fluanisone Acetophenazine Boldione Citalopram Dixyrazine Fludiazepam Adinazolam Brimondine Cllibucaine Donepezil Flunitrazepam Alcuronium Bromazepam Clobazam Dopamine Fluopromazine Alfentanil Bromfenac Clocapramine Doxacurium Fluoresone Almotriptan Bromisovalum Clomethiazole Doxapram Fluoxetine Alphaprodine Bromocriptine Clomipramine Doxazosin Flupenthixol Alpidem Bromperidol Clonazepam Doxefazepam Flupirtine Alprazolam Brotizolam Clorazepate Doxepin Flurazepam Alprenolol Bufexamac Clormecaine Droperidol Fluspirilene Althesin Bupivacaine Clostebol Duloxetine Flutoprazepam Aminorex Buprenorphine Clothiapine Eletriptan Fluvoxamine Amisulpride Buspirone Clotiazepam Enalapril Formebolone Amitriptyline Bupropion Cloxazolam Enciprazine Fosinopril Amobarbital Butabartital Clozapine Endorphins Furzabol Amoxapine Butacaine Cobratoxin Enkephalins Galantamine Amperozide Butalbital Cocaine Ephedrine Gallamine Amphetamine Butanilicaine Codeine
    [Show full text]
  • A Review of the Evidence of Use and Harms of Novel Benzodiazepines
    ACMD Advisory Council on the Misuse of Drugs Novel Benzodiazepines A review of the evidence of use and harms of Novel Benzodiazepines April 2020 1 Contents 1. Introduction ................................................................................................................................. 4 2. Legal control of benzodiazepines .......................................................................................... 4 3. Benzodiazepine chemistry and pharmacology .................................................................. 6 4. Benzodiazepine misuse............................................................................................................ 7 Benzodiazepine use with opioids ................................................................................................... 9 Social harms of benzodiazepine use .......................................................................................... 10 Suicide ............................................................................................................................................. 11 5. Prevalence and harm summaries of Novel Benzodiazepines ...................................... 11 1. Flualprazolam ......................................................................................................................... 11 2. Norfludiazepam ....................................................................................................................... 13 3. Flunitrazolam ..........................................................................................................................
    [Show full text]
  • Fatal Intoxication with U-47700 in Combination with Other NPS (N
    Forensic Toxicology https://doi.org/10.1007/s11419-020-00568-1 CASE REPORT Fatal intoxication with U‑47700 in combination with other NPS (N‑ethylhexedrone, adinazolam, 4‑CIC, 4‑CMC) confrmed by identifcation and quantifcation in autopsy specimens and evidences Karolina Nowak1,2 · Paweł Szpot1,2 · Marcin Zawadzki1,2 Received: 12 September 2020 / Accepted: 22 December 2020 © The Author(s) 2021 Abstract Purpose We present a case of fatal intoxication with U-47700 in combination with other NPS (N-ethylhexedrone, adinazolam, 4-chloro-N-isopropylcathinone (4-CIC), 4-chloromethcathinone (4-CMC) and sertraline) confrmed by identifcation and quantifcation in biological materials and evidences found at the scene in 2017 in Poland. Methods Blood and urine samples were extracted with ethyl acetate from alkaline medium (pH 9); powders/crystals were diluted with methanol. The analysis was carried out using ultra-high-performance liquid chromatography–tandem mass spectrometry. Validation criteria were evaluated for blood and urine at the concentrations of 10 and 100 ng/mL. Results The validation parameters of the method were within acceptable ranges. In the presented case, the determined concentrations of drugs were as follows, in blood: U-47700, 1470 ng/mL; N-ethylhexedrone, 58 ng/mL; adinazolam, 18 ng/ mL; 4-CIC, 8.0 ng/mL; 4-CMC, 1.7 ng/mL; in urine: U-47700, 3940 ng/mL; N-ethylhexedrone, 147 ng/mL; adinazolam, 82 ng/mL; 4-CIC, 130 ng/mL; 4-CMC, 417 ng/mL. Sertraline (blood, 89 ng/mL; urine, 32 ng/mL) was also determined in both materials. The same substances were also found in 5 powders/crystals: U-47700 (12% by weight), N-ethylhexedrone (54%), adinazolam (14%), 4-CIC (23%), 4-CMC (26%).
    [Show full text]
  • Paincomp® Thresholds V04.14.2021 Copyright © 2020 Aegis Sciences
    PainComp® Thresholds V04.14.2021 Tests and thresholds employed vary depending on ordered profile Urine Analyte Initial Confirm Units Test Alprazolam (Xanax) 200 50 ng/mL Amitriptyline 10 ng/mL Amobarbital (Amytal) 200 200 ng/mL Amphetamine (Adzenys ER , Adderall XR) 500 250 ng/mL Aripiprazole (Abilify) 10 ng/mL Armodafinil (Nuvigil)/Modafinil (Provigil) 100 ng/mL Asenapine (Saphris) 10 ng/mL Atomoxetine (Strattera) 10 ng/mL Baclofen 500 ng/mL Benzodiazepines (Chlordiazepoxide, Clorazepate, 200 50 ng/mL Diazepam, Oxazepam, Temazepam) Brexpiprazole (Rexulti) 10 ng/mL Buprenorphine/Sublingual (Belbuca) 1 ng/mL Buprenorphine/Transdermal patch (Butrans) 1 ng/mL Bupropion (Aplenzin, Forfivo XL) 50 ng/mL Buspirone 25 ng/mL Butalbital 200 200 ng/mL Butorphanol 1 ng/mL Caffeine 15 mcg/mL Carbamazepine 50 ng/mL Cariprazine (Vraylar) 20 ng/mL Carisoprodol (Soma)/Meprobamate 200 ng/mL Chlorpromazine 10 ng/mL Chlorzoxazone 500 ng/mL Citalopram (Celexa)/Escitalopram (Lexapro) 50 ng/mL Clomipramine (Anafranil) 10 ng/mL Clonazepam (Klonopin) 200 50 ng/mL Clonidine (Kapvay) 50 ng/mL Clozapine (Clozaril, Fazaclo) 50 ng/mL Cocaine 100 50 ng/mL Codeine 200 100 ng/mL Cotinine/Nicotine metabolite (Habitrol, Nicoderm CQ) 125 ng/mL Cyclobenzaprine (Amrix) 10 ng/mL Dantrolene (Dantrium) 50 ng/mL Designer Benzodiazepines Adinazolam 5 ng/mL Bromazolam 1 ng/mL Clonazolam 1 ng/mL Copyright © 2020 Aegis Sciences Corporation All Rights Reserved PainComp® Thresholds V04.14.2021 Deschloroetizolam 1 ng/mL Diclazepam 1 ng/mL Etizolam 1 ng/mL Flualprazolam 1 ng/mL Flubromazepam
    [Show full text]