Nitric oxide synthase inhibitors. Preclinical studies of potential use for treatment of opioid withdrawal

Neuropsychopharmacology. 1995 Dec;13(4):315-22. doi: 10.1016/0893-133X(95)00138-4.

Abstract

Four inhibitors of nitric oxide synthase (NOS), administered as acute pretreatments, attenuated several signs of naloxone-precipitated opioid withdrawal in morphine-dependent rats. Profiles of these drugs for inhibiting the expression of withdrawal were similar to that of clonidine, a drug used clinically to treat opioid withdrawal. The nonselective NOS inhibitors, NG-nitro-L-arginine and NG-nitro-L-arginine methyl ester, and N(5)-(1-iminoethyl)-L-ornithine, a selective inhibitor of endothelial NOS, Increased blood pressure in awake, morphine-naive and morphine-dependent rats not undergoing withdrawal. 7-Nitroindazole, a selective inhibitor of neuronal NOS, did not elevate blood pressure. Insofar as hypertension is a component of opioid withdrawal in humans, the ability of 7-nitroindazole to attenuate morphine withdrawal in rats without eliciting a vasopressor response suggests that 7-nitroindazole may have human therapeutic potential. Research directions for the continued development of 7-nitroindazole as a therapeutic modality are discussed with respect to issues of physical dependence, tolerance, and safety.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adrenergic alpha-Agonists / pharmacology*
  • Adrenergic alpha-Agonists / toxicity
  • Animals
  • Arginine / analogs & derivatives
  • Arginine / pharmacology
  • Arginine / toxicity
  • Blood Pressure / drug effects
  • Clonidine / pharmacology
  • Depression, Chemical
  • Enzyme Inhibitors / pharmacology*
  • Enzyme Inhibitors / toxicity
  • Heart Rate / drug effects
  • Indazoles / pharmacology
  • Indazoles / toxicity
  • Morphine / adverse effects
  • Morphine / pharmacology*
  • NG-Nitroarginine Methyl Ester
  • Narcotics / adverse effects*
  • Nitric Oxide / antagonists & inhibitors
  • Nitric Oxide Synthase / antagonists & inhibitors*
  • Nitroarginine
  • Opioid-Related Disorders / drug therapy*
  • Opioid-Related Disorders / metabolism
  • Ornithine / analogs & derivatives
  • Ornithine / pharmacology
  • Ornithine / toxicity
  • Substance Withdrawal Syndrome / drug therapy*
  • Substance Withdrawal Syndrome / metabolism

Substances

  • Adrenergic alpha-Agonists
  • Enzyme Inhibitors
  • Indazoles
  • Narcotics
  • Nitroarginine
  • Nitric Oxide
  • N(G)-iminoethylornithine
  • Morphine
  • Arginine
  • Ornithine
  • Nitric Oxide Synthase
  • Clonidine
  • 7-nitroindazole
  • NG-Nitroarginine Methyl Ester