Literature DB >> 12730840

Effects of propranolol or paracetamol on lidocaine concentrations in serum and tissues.

Theodosios Saranteas1, Costas Mourouzis, Fanny Koumoura, Christina Tesseromatis.   

Abstract

PURPOSE: The goal of this study was to determine the interaction of lidocaine after paracetamol or propranolol administration.
MATERIALS AND METHODS: Group A rats received a mixture of cold lidocaine and (14)C lidocaine into the masseter muscle. Group B rats received lidocaine and paracetamol 7.5 mg/kg orally, whereas group C received lidocaine intramuscularly and propranolol 1.5 mg/kg orally. Five consecutive doses were administered. The levels of these drugs were estimated in serum and the total concentration and the percent protein binding of lidocaine in tissues (liver and mandible) were determined. The rats were killed 2 hours after the last dose.
RESULTS: The results suggest that lidocaine concentrations in serum were significantly increased after either paracetamol or propranolol administration. Additionally, the combined therapy of propranolol and lidocaine resulted in a significant decrease in the total concentration and the percent protein binding of lidocaine in tissues.
CONCLUSIONS: The coadministration of lidocaine with paracetamol or propranolol interferes with the metabolic profile, resulting in pharmacokinetic interactions that may be significant for the determination of the correct dose of lidocaine in clinical applications. Copyright 2003 American Association of Oral and Maxillofacial Surgeons

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Year:  2003        PMID: 12730840     DOI: 10.1053/joms.2003.50090

Source DB:  PubMed          Journal:  J Oral Maxillofac Surg        ISSN: 0278-2391            Impact factor:   1.895


  5 in total

1.  In vitro binding of lidocaine to liver tissue under the influence of propranolol: another mechanism of interaction?

Authors:  C Tesseromatis; A Kotsiou; M Tsagataki; E Tigka; J Vovou; A Alevizou; C Perisanidis; T Saranteas; D Karakitsos; A Karabinis; G Kostopanagiotou
Journal:  Eur J Drug Metab Pharmacokinet       Date:  2007 Oct-Dec       Impact factor: 2.441

Review 2.  The role of the protein-binding on the mode of drug action as well the interactions with other drugs.

Authors:  Christine Tesseromatis; Anastasia Alevizou
Journal:  Eur J Drug Metab Pharmacokinet       Date:  2008 Oct-Dec       Impact factor: 2.441

3.  H3 Propranolol serum levels following lidocaine administration in rats with CCL4 induced liver damage.

Authors:  A Kotsiou; M Tsamouri; S Anagnostopoulou; M Tzivras; E Vairactaris; C Tesseromatis
Journal:  Eur J Drug Metab Pharmacokinet       Date:  2006 Apr-Jun       Impact factor: 2.441

4.  Molecular determinants of local anesthetic action of beta-blocking drugs: Implications for therapeutic management of long QT syndrome variant 3.

Authors:  John R Bankston; Robert S Kass
Journal:  J Mol Cell Cardiol       Date:  2009-05-28       Impact factor: 5.000

5.  Clonidine changes lidocaine free concentrations in rat myocardium without affecting heart function measured by echocardiography.

Authors:  E Tigka; A Kotsiou; T Saranteas; J Mourouzis; G Kostopanagiotou; C Tesseromatis
Journal:  Eur J Drug Metab Pharmacokinet       Date:  2009 Jul-Sep       Impact factor: 2.569

  5 in total

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