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Research ArticleNEUROPHARMACOLOGY

Anticonvulsants for Nerve Agent-Induced Seizures: The Influence of the Therapeutic Dose of Atropine

Tsung-Ming Shih, Tami C. Rowland and John H. McDonough
Journal of Pharmacology and Experimental Therapeutics January 2007, 320 (1) 154-161; DOI: https://doi.org/10.1124/jpet.106.111252
Tsung-Ming Shih
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Tami C. Rowland
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John H. McDonough
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Abstract

Two guinea pig models were used to study the anticonvulsant potency of diazepam, midazolam, and scopolamine against seizures induced by the nerve agents tabun, sarin, soman, cyclosarin, O-ethyl S-(2-(diisopropylamino)ethyl)methylphosphonothioate (VX), and O-isobutyl S-(2-diethylamino)ethyl)-methyl phosphonothioate (VR). Animals instrumented for electroencephalogram recording were pretreated with pyridostigmine bromide (0.026 mg/kg i.m.) 30 min before challenge with 2 × LD50 (s.c.) of a nerve agent. In model A, atropine sulfate (2.0 mg/kg i.m.) and pyridine-2-aldoxime methylchloride (2-PAM; 25.0 mg/kg i.m.) were given 1 min after nerve agent challenge, and the tested anticonvulsant was given (i.m.) 5 min after seizure onset. In model B, a lower dose of atropine sulfate (0.1 mg/kg i.m.) was given along with 2-PAM 1 min after nerve agent challenge, and the anticonvulsant was given at seizure onset. With the lower dose of atropine, seizure occurrence increased to virtually 100% for all agents; the time to seizure onset decreased for sarin, cyclosarin, and VX; the signs of nerve agent intoxication were more severe; and coma resulted frequently with cyclosarin. The anticonvulsant ED50 doses for scopolamine or diazepam were, in general, not different between the two models, whereas the anticonvulsant ED50 values of midazolam increased 3- to 17-fold with the lower atropine dose. Seizure termination times were not systematically effected by the different doses of atropine. The order of anticonvulsant effectiveness within each model was scopolamine ≥ midazolam > diazepam. The findings indicate that the dose of atropine given as antidotal therapy can significantly influence measures of nerve agent toxicity and responsiveness to anticonvulsant therapy.

Footnotes

  • The opinions or assertions contained herein are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense.

  • Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.

  • doi:10.1124/jpet.106.111252.

  • ABBREVIATIONS: AChE, acetylcholinesterase; ACh, acetylcholine; PB, pyridostigmine bromide; 2-PAM, pyridine-2-aldoxime methylchloride; GA, tabun, ethyl N,N-dimethyl phosphoramidocyanidate); GB, sarin, isopropyl methylphosphonofluoridate; GD, soman, pinacolyl methylphosphonofluoridate; GF, cyclosarin, cyclohexylmethyl phosphonofluoridate; VX, O-ethyl S-(2-(diisopropylamino)ethyl)methylphosphonothioate); VR, O-isobutyl S-(2-diethylamino)ethyl)methyl phosphonothioate); pyridostigmine bromide; EEG, electroencephalogram.

    • Received July 27, 2006.
    • Accepted September 29, 2006.
  • The American Society for Pharmacology and Experimental Therapeutics
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Journal of Pharmacology and Experimental Therapeutics: 384 (2)
Journal of Pharmacology and Experimental Therapeutics
Vol. 384, Issue 2
1 Feb 2023
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Research ArticleNEUROPHARMACOLOGY

Anticonvulsants for Nerve Agent-Induced Seizures: The Influence of the Therapeutic Dose of Atropine

Tsung-Ming Shih, Tami C. Rowland and John H. McDonough
Journal of Pharmacology and Experimental Therapeutics January 1, 2007, 320 (1) 154-161; DOI: https://doi.org/10.1124/jpet.106.111252

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Research ArticleNEUROPHARMACOLOGY

Anticonvulsants for Nerve Agent-Induced Seizures: The Influence of the Therapeutic Dose of Atropine

Tsung-Ming Shih, Tami C. Rowland and John H. McDonough
Journal of Pharmacology and Experimental Therapeutics January 1, 2007, 320 (1) 154-161; DOI: https://doi.org/10.1124/jpet.106.111252
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