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Neuromuscular blocking and cardiovascular effects of Org 9487, a new short-acting aminosteroidal blocking agent, in anaesthetized animals and in isolated muscle preparations

Published online by Cambridge University Press:  16 August 2006

A. W. Muir
Affiliation:
Department of Pharmacology, Scientific Development Group, Organon Laboratories Ltd, Newhouse, Lanarkshire ML1 5SH, Scotland, UK
T. Sleigh
Affiliation:
Department of Pharmacology, Scientific Development Group, Organon Laboratories Ltd, Newhouse, Lanarkshire ML1 5SH, Scotland, UK
R. J. Marshall
Affiliation:
Department of Pharmacology, Scientific Development Group, Organon Laboratories Ltd, Newhouse, Lanarkshire ML1 5SH, Scotland, UK
E. Pow
Affiliation:
Department of Pharmacology, Scientific Development Group, Organon Laboratories Ltd, Newhouse, Lanarkshire ML1 5SH, Scotland, UK
K. A. Anderson
Affiliation:
Department of Pharmacology, Scientific Development Group, Organon Laboratories Ltd, Newhouse, Lanarkshire ML1 5SH, Scotland, UK
L. H. D. J. Booij
Affiliation:
Department of Anaesthesiology, University of Nijmegen, Nijmegen, The Netherlands
D. R. Hill
Affiliation:
Department of Pharmacology, Scientific Development Group, Organon Laboratories Ltd, Newhouse, Lanarkshire ML1 5SH, Scotland, UK
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Abstract

This study was undertaken to investigate the neuromuscular blocking profile and cardiovascular effects of Org 9487, a new aminosteroidal, non-depolarizing, neuromuscular blocking agent structurally related to vecuronium, in anaesthetized animals and in isolated muscle preparations. In in vitro functional assays of neuromuscular blocking activity, Org 9487 was between eight and 15 times less potent than vecuronium. In cats and monkeys the potency of Org 9487 was approximately one-seventh and one-twentieth, respectively, that of vecuronium. In both species, Org 9487 induced rapidly developing (onset times between 1.5 min and 1.9 min) neuromuscular paralysis, which was shorter-lasting than that of vecuronium and similar in time course to suxamethonium. The vagal: neuromuscular blocking dose ratio for Org 9487 was 3 and ganglion block was seen only at approximately 20 times the neuromuscular blocking dose. There was no evidence in the rat that Org 9487, administered at doses up to 3mg kg−1, inhibited noradrenaline re uptake. In anaesthetized dogs, Org 9487 (3 × 90% blocking dose) induced only relatively small and transient haemodynamic effects. The administration of clinically relevant doses of neostigmine or pyridostigmine shortened the time–course profile of Org 9487, even when administered during profound neuromuscular block. In animals, Org 9487 is a low potency, nondepolarizing neuromuscular blocking agent with a time course profile similar to that of suxamethonium. Although Org 9487 is less selective than vecuronium for the neuromuscular junction, it is unlikely to produce prohibitive cardiovascular side effects in man.

Type
Laboratory Study
Copyright
1998 European Society of Anaesthesiology

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