A COMPARATIVE STUDY ON THE EFFECT OF FLUOROQUINOLONES IN EXPERIMENTAL SEIZURES ON WISTAR RATS: AN ACUTE STUDY Original Article (original) (raw)

Proconvulsive Profile of Fluoroquinolones-An Experimental Study with Clinical Co-Relations

2006

Background: Fluoroquinolones are a popular class of antibiotics used in variety of infections. However, toxicities are associated with these agents of which seizure provoking action of fluoroquinolones are compared in this study. Objective: To compare the proconvulsive profile of various generation of fluoroquinolones namely ciprofloxacin, levofloxacin, sparfloxacin and moxifloxacin in experimental models of convulsions in rat and to correlate the same with the clinical literature. Material and Methods: Proconvulsive activity of fluoroquinolones was assessed in rats. The animals were treated intraperitoneally with 12.5 and 25 mg/kg of ciprofloxacin, levofloxacin, sparfloxacin and moxifloxacin. After 30 minutes, animals were subjected to maximal electroshock (MES) & pentylenetetrazole (PTZ) induced convulsions. Results: Proconvulsive property of ciprofloxacin was greater compared to other fluoroquinolones in both MES and PTZ method. Levofloxacin produced statistically significant pro...

Effects of Novel 6-Desfluoroquinolones and Classic Quinolones on Pentylenetetrazole-Induced Seizures in Mice

Antimicrobial Agents and Chemotherapy

There have been several reports that convulsions, although rare, occur in patients who receive fluoroquinolones. In this study, the proconvulsant effects exhibited by a novel series of 6-desfluoroquinolones and some classic quinolones on pentylenetetrazole (PTZ)-induced seizures in mice were evaluated and compared. Animals were intraperitoneally injected with vehicle or quinolone derivatives (5 to 100 μg/g of body weight) 30 min before the subcutaneous (s.c.) administration of PTZ (40 μg/g). In each experiment, mice were then observed for 1 h to monitor for the incidence and onset of clonic seizures. The order of proconvulsant activity in our epileptic model was MF5184 > MF5187 > pefloxacin > MF5189 > ofloxacin > ciprofloxacin > MF5140 > MF5181 > MF5137 > rufloxacin > MF5143 > MF5158 > MF5191…

Anticonvulsant effects of mefloquine on generalized tonic-clonic seizures induced by two acute models in rats

Background Mefloquine can cross the blood–brain barrier and block the gap junction intercellular communication in the brain. Enhanced electrical coupling mediated by gap junctions is an underlying mechanism involved in the generation and maintenance of seizures. For this reason, the aim of this study was to analyze the effects of the systemic administration of mefloquine on tonic-clonic seizures induced by two acute models such as pentylenetetrazole and maximal electroshock. Results All the control rats presented generalized tonic-clonic seizures after the administration of pentylenetetrazole. However, the incidence of seizures induced by pentylenetetrazole significantly decreased in the groups administered systematically with 40 and 80 mg/kg of mefloquine. In the control group, none of the rats survived after the generalized tonic-clonic seizures induced by pentylenetetrazole, but survival was improved by mefloquine. Besides, mefloquine significantly modified the total spectral power as well as the duration, amplitude and frequency of the epileptiform activity induced by pentylenetetrazole. For the maximal electroshock model, mefloquine did not change the occurrence of tonic hindlimb extension. However, this gap junction blocker significantly decreased the duration of the tonic hindlimb extension induced by the acute electroshock. Conclusions These data suggest that mefloquine at low doses might be eliciting some anticonvulsant effects when is systemically administered to rats.

Opioidergic and nitrergic systems mediate the anticonvulsant effect of mefloquine and chloroquine on seizures induced by pentylenetetrazol and maximal electroshock in mice

Acta Neurobiologiae Experimentalis

This study was designed to investigate the involvement of opioidergic/nitrergic systems in the anticonvulsant effect of mefloquine, compared with chloroquine, in mice. Seizures were induced by pentylenetetrazol and maximal electroshock. Mice were randomly subjected to receive mefloquine or chloroquine thirty minutes in advance. The role of opioidergic/nitrergic systems was shown by co‑administration of pharmacological intervention and nitrite levels measurement in mice hippocampi. Results indicated that mefloquine (40 mg/kg) and chloroquine (5 mg/kg) significantly decreased the occurrence of tonic hindlimb extension. Also, mefloquine 120 mg/kg and chloroquine 5 mg/kg significantly increased seizure latency and decreased mortality rate. Mefloquine decreased seizure frequency too. Besides, mefloquine (20 mg/kg) and chloroquine (5, 10 mg/kg) significantly increased seizure threshold. Interestingly, L‑NAME, 7‑NI and naltrexone pre‑treatment reversed the anticonvulsant effects of both me...

Preliminary Study on the Efficacy and Tolerability of Newer Anticonvulsants in a Population of Epileptic Patients

Medical Principles and Practice, 2004

Objective: To study the efficacy and safety of newer antiepileptic drugs. Subjects and Methods: Clinical records of 461 epileptic patients attending the Consorcio General Hospital, Valencia, Spain, were reviewed. Demographic data, adverse reactions and clinical outcome were recorded. Results: One hundred and five patients experienced a total of 151 adverse drug reactions to antiepileptic medications. Adverse drug reactions occurred in the central nervous system (54.9%), skin (17.0%), gastrointestinal tract (13.2%), liver (4.9%), mouth (4.4%) and others (5.6%). The newer anticonvulsants were withdrawn in 19.1% of patients because of side effects, while older drugs were withdrawn in 9.3% of patients. Of the 461 patients, 78 (17.4%) experienced a ≧50% reduction in seizure frequency when one of the newer anticonvulsants was added to their therapy. Older anticonvulsants were better tolerated than newer drugs. Tiagabine was the worst tolerated of all the drugs. Conclusion: Our findings sh...

EFFECT OF FLUPIRTINE ON SEIZURE ACTIVITY AND ITS INTERACTIONS WITH ANTIEPILEPTIC DRUGS IN RATS.

Aims:-To evaluate the effect of flupirtine in maximal electroshock seizures (MES) induced seizures in rats and study the interactions of flupirtine with some antiepileptic drugs, by using subtherapeutic doses. Methods and Material:-The effects were assessed by methods of MES. Results:-Flupirtine alone showed protection against electroshock seizures. Combined treatment of flupirtine and antiepileptic drugs exerted a much stronger protective effect against electroshock seizures than either drug alone or addition of their effect. This was highly significant for a combination of flupirtine with diazepam, sodium valproate, phenobarbitone, and phenytoin. Conclusions:-Flupirtine has anticonvulsant activity and has synergistic activity with antiepileptic drugs in MES model. Extrapolation of these combinations in clinical practice may suggest its utility in grandmal epilepsy as add-on drug.