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EXPERIMENTAL PHARMACOLOGY
INTRODUCTION
TO EXPERIMENTAL PHARMACOLOGY
AND DIFFERENT LABORATORY ANIMALS
Pharmacology: It is the science which deals with the study of drugs which is desired
from a greek word "Pharmacon" which means drugs & "logos" means study.
Experimental Pharmacology: It is that branch of pharmacology which deals with the
effect of drugs on living system. It can be studied under heads:
a) Preclinical Pharmacology: dealing with effects of drugs on animals.
b) Clinical Pharmacology: dealing with effect of drugs on human livings.
Thus it helps in under studying the nature of drug action and the un-alterability of the
living systems to the attract by chemicals that serves as the basis on which:
a) New therapeutic agents are developed &
b) Toxic consequences of chemical exposure may be activated.
The experiment can be carried out in whole animal (in vivo) or in isolated organs (in
vitro).
Olyectives for experimental pharmacology:
1. To provide scientific weighting of a drug for its use.
2. To add new & better drug in therapeutics.
3. To ...... & discover new, simple & better techniques for experimental.
4. For bioassay and standardization of drug.
Bioassay :
Estimation of the potency of an active principle in a unit quantity of prep. or defect &
using biological methods is known as 'biological assay or Bio assay.
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Laboratory Animals :
These are those animals which can be used and reared (maintain) in the laboratory
under suitable conditions.
The common laboratory animals are rat, mice, guinea pig, rabbit frog & hamster. Other
animals used for experimental purpose are cat, dog, monkey, pigeon etc.
Since long animal experiments have been a mile stone in advanced medical research.
Any or every animal is not suitable for experimental work. There selection is based on
the following criteria.
1) Size: Smaller animals are prefered because they are easy to handle & less
quantity of drug is required.
2) Availability: Animals which are commonly available should be selected e.g.
frogs, rats, rabbits & dogs.
3) Sensitivity: Animals which are sensitive to drugs under trial e.g. guinea pig is
sensitive to effect of histamine.
4) Species: In rabbits intracerebro ventricular injection of 5-HT induces a lowering
of temperature, but in cats, it induces fever.
Ethacrynic acid is almost inactive in rats, except at high doses, but quite active
in the dog.
Following the same dose of hexobarbitone per unit body weights, the average
sleeping time of rats is about seven times that of mice, and in the dog its
effects lasts for hours.
Guinea pig and humans are 500 more times sensitive to histamine than are rats
& mice. Histamine powerfully contracts the uterus of guinea pig while relaxes
that of rat. In rodents it produces stronger arteriolar constriction in cat slight
constriction, while in dog, monkey and man arteriolar dilation.
The rat heart is known to be very resistant to cardiac glycosides.
Alloxan produces diabeties mellitus in no. of species but not in guinea pigs.
Rabbits generally show symptoms following insulin when the blood sugar
level is 45 mg percent while dogs show symptoms only when the level is
about 18 mg. percent.
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EXPERIMENTAL USE: adult weight 80-90 gm average age suitable for experiments
1 month)
1. Chinese hamsters have low chromosome number making it useful for cytological
genetics tissue culture & radiation research.
2. Research on diabetes mellitus
3. Research related to virology, immunology and implantation studies.
4. Bioassay of prostaglandins.
(F) FROG (Rana tigrina)
One of the most commonly used experimental animals in physiology, pharmacology
and toxicology. It has been used in experiment for 200 yrs. It is easily available during
rainy reason. It is an amphibian animal and safe to handle. It can not be used in
laboratory. Adrenaline is neuro transmittor in the sympathetic system.
EXPERIMENTAL USES:-
1. Study of isolated tissue such as rectus abdominis muscle and heart preparation.
2. Study of drugs acting on CNS
3. Study of retinal toxicity of drugs, light bleaches rhodopsin in eye within one
hour and is regenerated within one hour in dark.
4. Study of drugs acting on neuromuscular junctions (using gastronemius, sciatic
muscle nerve preparation.)
(G) CAT:-It is carnivorous animal relatively easy to obtain and to use for experimental
purpose. The physiology of circulatory & neuromuscler system is very much similar to
that of man. It has highly developed nictating membrane which is contracted by
sympathetic nerves. Morphine produces excitation of central neruous system in cat.
EXPERIMENTAL USES:-
1. Acute experiments for the drugs affecting BP.
2. Bioassay of NA (using spinal cat)
3. Studies on ganglions blockers (using nictitating membrane in vivo)
4. Studies on neuromuscular system (using gastronemius, sciatic muscle nerve
preparation.)
5. Toxicity studies of compound like acetanilide.
(H) DOG- Commonly Mongrel or Beagle dogs are used. It is easily available & large
sized animal. Dogs can be easily tamed as well as trained. It has a small stomach and
short intestinal tract resembling those of human beings. It can be conditioned to carry a
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stomach cannula. The cervical sympathetic and vagus nerve run together inseparably in
the trunk
EXPERIMENTAL USE-
Gastric acid secretion studies (Pavlov pouch.)
Acute experiments for drug affecting BP and intestinal movements etc.
Studies on antidiabetic agents.
(I) MONKEY AND APES- These are the primates belonging to the highest order of
the mammals. The anatomy & physiology of these animals are closely related to that of
man. The studies done in monkeys are directly translated to man. Considering the
human respects, tests in primates should be done only in last stage of evaluation of
drugs before clinical trials. They are used in the fields of psychopharmacology,
urology, immunology, nutrition, reproduction, parasitology, etc.
(J) LEECH:-The dorsal muscle of beech is used for bioassay of acetylcholine.
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Advantage:
1. Induction is very rapid and smooth with minimal excitation.
2. No preanaesthetic medicat ion is required.
Disadvantage:
1. It produces depression of cardiovascular & spinal reflex, by interfering
with nerve impulse transmission both in CNS and ganglia.
2. Muscle relaxation is inadequate therefore, mucle relaxants have to be
given simultaneously.
3. Anaesthesia produced is of short duration, therefore small doses of these
agents are to be injected at regular intervals.
They can be classified as:
a) Long acting barbiturates:
e.g. phenobarbtone 10% aqueous solution is used. Dose 120-180 mg / kg. of
body wt. intra-peritoneally.
b) Short acting barbiturates:
e.g. thiopentone sodium 2.5% aqueous solution in dose of 15-25 mg/kg. body
wt. is given i.v. duration of action is 20-30 minutes.
PARALDEHYDE:
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It has wide margin of safety as it depresses only the cerebrum and not medullary
centres. Dose 1 mg/kg. body wt. I.P. or 2 mg/kg. body wt. I.M. in dogs & cats.
MAGNESIUM SULPHATE:
20% solution in a dose of 5 ml/kg. intravenously produces anaesthesia for on hour,
Calcium gluconate is used I.V. to counteract the depressant effect immediately. Its
principle use is in producing euthenasia (mercy killing).
Euthanasia: (Painless killing).
When animals are killed at the end of the experiment. It should be done by a human
method.
Methods of euthanasia:
1) Chemical method: It is the painless death produced by administration of
chemical poisons, Certain chemicals are injected & there are-
(1) Magnesium sulphate I.V. / intra cardiac (15gm/kg. body wt.)
(2) Chloroform. (3) A large volume of air ( /kg. body wt.)
(4) Sodium citrate in large quantity (anticoagulant) (5) Paraldehyde & MgCl 2 can
also be used. (5) In open chest operations adrenaline can be touched at the apex of
ventricles - arrythinias will be started - death.
2) Mechanical Method: The quickest & commonest method for killing mice, rats,
guinea pigs & rabbits is Stunning is carried out by striking the dorsal part of
head against the edge of table or sink.
This lead to stiffening of all muscles followed by a series of convulsions and then
gradual relaxatation of the limbs and the body. As a result of stunning animals get
sudden shock and temporarily becomes semiconscious one should have practice to stun
by a single hard stroke only. Multiple strokes does not comply the principle of
euthanasia.
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Object: To study the physiological salt solutions used in experimental pharmacology &
various drug dilutions:
As animal experiments have to be done with isolated organs, it is necessary to use a
certain no. of physiological solution of different ionic concentration which almost act
as a substitute to the tissue fluid. They provide isotonicity, nutrition and acts as a buffer
when drugs are added.
It was "Ringer" who Ist introduced the idea that tissue could be kept alive by providing
proper nutrition, O2 & temperature.
PSS can be defined as artificially prepared solution to keep isolated tissue alive under
experimental conditions. The content of these solutions carries according to tissues &
animals taken. These solution provide food material i.e. energy, O2, electrolytes as in
the same proportion as that present in tissue fluid. They exert same osmotic pressure as
that of interstitial fluid i.e. isotonic with body fluids. Any variant from the principle
will lead to shrinkage or blotting depending on hypertonicity & loss of physiological
function. For these two points should the kept in mind :
1. Solution should be prepared carefully with pure material. They can be kept for
about 24 hrs. as they are good media for the growth of micro organisms they must
be refrigerated and should be freshly prepared after 24 hrs.
Following points should be carefully noted at the time of preparation of solution :
i). Balance of cations: Absolute quantity of each ion and prepartion among each
other especially with ca+2 & K+ must be maintained. The common cations and
their significance are :
(a) Na+ions: Responsible for maintenance of excitability, contractivility
rythimicity of muscles and nerves.
(b) K+ions: responsible for increase relaxation of heart increased
neuromuscular transmission and excitability of nerves.
(c) Ca++ ions: increase force of contraction & tone of heart and decrease
excitability of nervous tissues.
2. Mg+2 ions : responsible for contraction of smooth muselec.
i). pH of solution / reaction of solution : pH of various PSS varying from
7.3-7.8 depending upon organ. At lower pH value tone of preparations
tend to decrease & effect of drug is also altered. pH affects tissue directly
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Smoking of Drum:
Kymograph paper is wrapped smoothly round the drum with adhesive. Either coal gas
bubbling through benzene or a mixture of benzene and Kerosen (1:9 Ratio) can be used
to get a black soot. The drum should be rotated at a reasonable speed to obtain thin and
uniform black soot.
Fixing of the tracing on smoked papers:
Fixing is done by dipping in any of the following solution & allowing to dry:-
a) 150 gm powered amber resin or colophony is dissolved in 1 ltr. of ethyl alcohol,
10 ml. of glycerine added to it, varying amount of collodion added according to the
glossiness required.
b) Granular white shellac is dissolved in alcohol till a large amount of it remain
undissolved & the whole solution allowed to remain for a week or more. The clear
supernatant is decanted & kept in well corked bottle to prevent evaporation of
alcohol.
C) Any quick drying spirit varnish diluted 10-12 times with methylated spirit & a
very small amount of castor oil added to give shine.
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INSTRUMENTS
1. DALE'S ORGAN BATH- or isolated organ bath
It is an apparatus used for studying the effects of drugs/ chemical substances on
isolated tissues in vitro.
The apparatus consist of
(i) An inner glass tube or organ bath containing PSS and tissue and connected to
reservior through polythene or rubber tube.
(ii) Areation cum tissue holder tube to hold tissue and supply O2 / air to perfusion
fluid.
(iii) An outer bath made up of glass/perspex filled with water the temperature of
which is checked with the help of thermometers & maintained at 37° for all
mammalian experiments.
(iv) A lever for recording the responses of the tissue on a kymograph drum.
(v) The isolated organ bath meant for research purpose also possesses an inbuilt
warming device the thermostat, a fluid warming cell and a stirrer meant for
automatic temperature control of the water of the outer bath.
(vi) The entire assembly is mounted on tripod stand.
2. SHERRINGTON'S RESEARCH KYMOGRAPH
It is the instrument on which physiological responses such as contraction and
relaxation of muscle are recorded.
It consist of a heavy base and a vertical shaft. Heavy base gives stability to
drum.
It has
(i) base loofs (legs): with adjustable leveling screw to keep drum horizontal on
the uneven surface.
(ii) side hoofs- to turn the drum on its side so that shaft become horizontal.
(iii) Gear rods- arrangement with gear & clutch to obtain desirable speed of drum.
(iv) Drum cylinder- is a brass or iron cylinder around which paper is wrapped and
smoked for recording of tracings
3. LEVERS-
It is the device by virtue of which response of isolated tissue can be recorded
and magnified.
Principle:
(i) Fulcrum- the point around which the lever moves on the lever holder is the fulcrum.
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(ii) Stylus- is the writing point which record the tracing on the smoked paper of the
drum. It is either made of celluloid parchuments paper, aluminium foil or thin
photographic or x-ray film.
Magnification- The fulcrum (F) should be so placed that there is some magnification
of the actual contraction (response). In order to achieve this, the distance between the
writing point and the fulcrum (F) should always be greater than the distance between
fulcrum and point of attchment of tissue (T). By adjustment of these relative distances
from the fulcrum any degree of magnification can be obtained.
Therefore lesser the inherent contractility of tissue higher the magnification needed or
vice-versa
Name of tissue magnification
1. Guinea pig ileum 5-10 times
2. Rat uterus 4-6 times
3. Frog rectus abdominis muscle 10 times
4. Rat fundic strip 16 times
Adjustment for the load or tension
The muscle preparation has to be properly relaxed without affecting the normal tone
and rhythimic activity so that efficient contractions are achieved when stimulated and it
also relaxes to its full length after wards. This is achieved by the following way:-
Select the proper length of longer and shorter arm after fixing magnification for
particular tissue and fix the fulcrum.
Balance the lever by putting the wt (plasticin) at the end or shorter arm and mark the
point of tissue attachment.
At equidistance i.e. the distance between the F &T from the (F) on the longer arm of
lever the desired load required for particular tissue. The tension (load) prescribed for
various commonly used tissues is as follows :
1. guinea pig ileum 1 gm
2. guinea pig trachea 0.2 gm
3. guinea pig vas deferens 0.5gm
4. rat colon 0.5 gm
5. rat uterus 1.0 gm
6. rat fundus 1.0 gm
7. frog rectus abdominis muscle 1.5 gm
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The writing levers are light in weight, rigid and are generally made up of wood
(straw), light aluminium or stainless steel. The levers are of 2 types
(i) Isotonic type- i.e. change in length due to contraction is recorded while the
tension on the muscle remains the same e.g. simple lever frontal writing lever.
(ii) Isometric type-These levers are used under special circumstances for instance,
when a twitch is produced by stimulating a muscle suspended between two
rigid points,one being a strong spring, the muscle does not shorten but only
creates a force or tension which is recorded; the twitch is also much faser in
action. e.g. Paton's auxotonic lever will serve purpose well.
Different types of lever
(i) Simple lever- (sideway writing): It is simplest type of lever made up wood
(straw), stainless steel or aluminium. A celluloid writing tip (stylus) is attached
at the end of the longer arm. The contractions are recorded as curved lines.
(ii) Frontal writing lever (writes frontally)- This lever is designed in such a way
that the writing point rotates freely about its axle. This helps in reducing the
tension between the smoked paper and the recording tip. The contraction are
recorded as straight line.
(iii) Starling's or Heart Lever:-This lever is used to record the contraction of heart.
The differences between this & other isotonic levers is that fulcrum lies at one
end beyond the point of attachment. It consist of a frame carrying a light lever
arm with holes and notches supported by a fine adjustable nickel silver spring
attached to an adjustable hook.
(iv) Universal lever (Brodies): It is a lever of versatile utility there is an adjustable
spring support which counters the pull on the writing arm. The spring helps in
bringing the pulled writing arm back to its original position. This lever is
mainly used for recording sudden repetative contraction of muscles/movements
of a part of the body e.g. contraction of a gastronemius muscle in response to
sciatic nerve stimulation.
4. ONCHOMETERS:-
These are used to study volume changes of oragans due to the effect of drug
(i.e. measure blood volume changes in a particular organ). These have to be
connected to Marey's tambour or piston recorder.
Principle: works on displacement of air.
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o The pressure changes in the hollow passage of the system are transmitted by the
diaphragm to the writing lever whose magnification can be adjusted by changing
the position of the writing tip of the lever.
o Changes in the resp. rate and depth are easily reorded by Marey's tambour.
7. PISTON RECORDER:
o It is used to record the slightest blood volume changes in the organ easily.
o It consist of an internal ground glass tube in which an aluminum piston works very
smoothly through out its entire stroke.
o The piston is further attached anteriorly to the lever assembly.
o The lower end of the piston recorder is connected to the onchometer by means of an
air tight pressure tube.
8. MERCURY MANOMETER:
o Hg manometer, originally designed by Poissullic in 1828, was modified by Carl
ludwing in 1847 to allow graphic record to be obtained from a float on the Hg so
that progressive changes in the blood pressure could be studied.
o Due to inertia of Hg column, the assembly does not register accurately the rapid
changes of pressure in the artery with each heart beat which appear as
comparatively small fluctuation.
o These fluctuation become large when the heart beat is slow because the manometer
is more nearly capable of keeping up with the slow rate.
o Thus assembly gives us only a true and valuable record of the mean arterial
pressure.
o The Hg manometer consists of a glass U. tube (5 mm) bore with two vertical limbs
about 30 cm in height which are half filled with Hg.
o Since the Hg is displaced equally up in one limb and down in other, it is obvious
that any displacement as recorded must be multiplied by two to obtain the actual
pressure in terms of Hg column.
o To obviate this, a millimeter scale with doubled value is fitted, with the manometer
so that these can be read of directly in mm up to 250 mm Hg.
o On the surface of the Hg in one limb is a cylindrical float of vulcanite from which a
stiff fine wire rises bearings on its upper end a stylus (writing paint) which writes
on the traveling surface of smoked paper.
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o The other limb of the manometer has a side tube which is connected through
inextensible (pressure or resistance) tube made up of thick rubber of polythene to an
arterial cannula.
o The upper end of this limb is also connected with a reservoir bottle containing some
anticoagulant fluid which can be pumped into this limb and through the
interconnecting tube to the arterial cannula.
9. ARTERIAL CANNULA:-
o It is a small glass apparatus used in animal experiments to cannulate an artery
(usually common carotid or femoral) for recording the blood pressure in
anesthetized animals e.g. dog, cat, rabbit & rats.
o It consists of hollow bulb connected to three arms, open into the cavity of bulb.
o The small globular arm is bevelled at its outer end to help in its insertion into the
artery. The size (length & thickness) of this arm depends on the size of the artery to
the cannulated.
o The larger thicker arm is used for connecting the cannula with the Hg manometer.
o The small thicker arm is used for flushing out and for removing the blood clot from
the cavity of the cannula if it occurs otherwise it is clamped with the help of punch
clip.
o During the experiment the entire cannula is filled up with a solution containing
sodium citrate or heparin as anticoagulant.
10. VENOUS CANNULA-
It is small hollow glass tube about 4-5 cm in length & 3-4 mm in diameter and
is used for cannulating a vein for I.V. administration of drugs/ fluids during
experiment on dog, cat, & rabbit etc.
At one end there is small globular projection with bevelled outer end help its insertion
into the vein.
The base of this projection is thinner to retain the tied thread in place & prevent
slippage of the cannula out of the vein.
A piece of rubber tube is slipped on the other thicker end of the cannula and is
clamped with a punch clip to prevent back flow of blood.
The cannula is filled up with saline after cannulating the vein.
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Object To study the mydriatic & miotic effect of topically applied drugs on
rabbit's eye.
Experimental Animal: Rabbit - (2.5 Kg in wt.)
Experimental Requirement; - Torch, Scale (6”small), Cotton, Hair aesthesiometer,
Scissors, Dropper, Rabbit holder (cage)
Drugs : Normal saline 0.9%
Pilocarpine 1-2%
Ephedrine 4%
Atropine 0.5-1%
Phenylepherine 5%
Xylocaine 0.5%
Principle
Local action of a large number of drugs in an eye can be achieved without systematic
effect by the application of drugs as eye drops or eye ointment. Most of these drugs
belong to antimicrobial, autonomic or local anaesthetic groups. The eye is supplied
both by sympathetic & parasympathetic nerves.
The iris has two types of muscles
1.Dilator pupillae (radial muscle)
2.Sphincter pupillae (circular muscle)
Circular muscle has parasympathetic supply while radial muscle has sympathetic
supply. The cilliary muscle is also supplied by parasympathetic nerves & when it
contracts, the cilliary body move inwards & forwards. Because of this the lens bulges
forwards & eye is accommodated for near vision. The opposite effect is produced by
the relaxation of cilliary muscles resulting in paralysis of accommodation (cycloplegia).
When the pupil dilates the iris folds back near the opening of the canal of schlemn &
the drainage of aquous humour is decreased thereby increasing intraocular pressure and
constriction of pupil by opposite action that will increase drainage & reduce intra
ocular tension.
Topically applied drugs can affect the eye by changing conjunctival congestion,
pupillary size, corneal sensitivity & intra ocular pressure. However the effect of drugs
on Pupillary size, Light Reflex (L.R.) & Corneal Reflex (C.R) can be studied easily.
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Ephedrine & Phenylephrine- Stimulate the radial muscle of the iris, this produces
dilatation of pupil without any effect on light reflex & corneal reflex.
Ciliary muscle is present in the eye mainly supplied by parasympathetic nerves & weak
sympathetic supply. This is responsible for accommodation. Anticholinergic drugs eg.
atropine causes paralysis of ciliary muscle, tightening of suspensory ligaments, the lens
is flattened & focal length increases. Eye is fixed for far vision known as 'paralysis of
accomodation' or cycloplegia
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One eye of the rabbit is used (RE) as 'control' for the experiment.
Instill few drops of normal saline in right eye & atropine(Drug) in left eye (test eye).
Record the pupillary size, LR & CR after 10 mins of drug instillation & tabulate
the observation
Repeat the test with other drugs (pilocarpine, ephedrine etc)
OBSERVATION TABLE
Drugs Size of Pupil(mm) Light Reflex Corneal Reflex Remarks (inference)
Pilocarpine 2% RE LE RE LE RE LE Miotic response is seen
B A B A B A B A B A B A causing constriction of
pupil, no effect on LR/ CR.
could be a Parasympatho-
5 5 5 2 P P P P P P P P mimatic drug.
Atropine 1% 5 5 5 10 P P P Ab P P P p Mydriatic effect is seen i.e.
(dilatation of pupil) no
change in CR LR is lost. So
possibility of parasympa-
tholytic drug
Ephedrine 4% 5 5 10 P P P P P P P P P Mydriatic effect is seen. CR
and LR both remain
unaffected. Hence,
possibility of a
sympathomimetic drug.
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Adrenaline /Ephedrine
These are sympathomimetic drugs they cause contraction of radial muscle (++)
(Ephedrine act indirectly by releasing Adr / NA & causes mydriasis. The light reflex &
corneal reflex are not affected by these drugs.
Clinical relevance
1. Miotic effect of physostigmine is useful in glaucoma as drainage of aquous humor
is facilitated resulting into decrease in I.O.P.
2. Short acting mydriatic effect of phenylepherine is used in fundoscopy, where
topical anticholinergic (mydiatrics) are avoided.
3. Topical effect of xylocaine is used to produce surface anaesthesia for minor local
surgery eg. Foreign body removal, symptomatic relief of corneal/ conjunctival
irritation.
4. Atropine is used for fundoscopy & to provide rest to the iris, e.g. in iritis
5. To counteract the mydriatic & cycloplegic effect miotics are used.
Phenylepherine is short acting and not causing cycloplegia. Hence, often preferred over
atropine and its substitutes specially in elderly.
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When anti cholinergic drugs, like atropine instilled locally in the eye it causes paralysis
of circular muscle of the iris and there is unopposed action of dilator pupillae or radial
muscles. This causes dilation of pupil this is called 'passive mydriasis' because it is
caused by paralysis of muscle. This is associated with cycloplegia.
Q. 3 What is cycloplegia?
Ans : Mydriasis caused by atropine is associated with paralysis of circular muscle. This
produces tightening of the suspensory ligament, resulting in flattening of lens
with a consequent increase in the focal length of the lens. Thus, the individual is
able to see things clearly only at a long distance due to fixing of lens for far
vision. He is unable to constrict the pupil due to paralysis of circular muscle for
viewing of near objects or in response to bright light (photophobia) this
phenomenon is known as loss of accomodation or cycloplegia.
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Demcarium is the longest acting miotic but not used clinically because it
accelerate the development of cataract. Pilocarpene (occusert) is available now
as (long DDS).
Q. 12 What is the mechanism of action of miotics?
Ans. Topical instillation of parasympathomimetic drug in the eye stimulates circular
Muscle of the iris and causes miosis.
Q. 13 What is glaucoma? Name drugs used in glaucoma
Ans. Increase in I.O.T. is known as glaucoma (>19mm Hg). In Acute narrow angle.
Glaucoma.
1. Timolol – topical - blocker
2. Miotics – pilocarpine
3. Hypertonic mannitol
4. Acetazolamide
In chronic angle glaucoma
1. - Blocker – Timolol
2. Miotics
3. - adrenergic agonist Dipivefrine
4. Acetazolamide
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The presence of corneal reflex is graded as +, ++, +++ ……after every five minutes.
10min, 15min, 20min, 25min, and 30min and tabulated.
Total no of prick stimulate are 25-30. The criteria of production of anaesthesia is failure
of the animal to squeak The no of times the animal failed to squeak is taken as the
anasthetic score.
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SPINAL ANAESTHESIA
The local anaesthetic effect of the drugs on spinal cord is studied in dogs. A dog about
10kg in weight is taken. The animal is placed on the table in the lateral portion with
spine maximally flexed. A long hypodermic needle or a LP needle is inserted between
L3 and L4 Vertibrae in an horizontal direction till its tip pierce the spinal theca or
reaches sub arachnoid space indicated by the appearance of CSF through the needle.
Inject 2ml of 5% xylocaine within the space and remove the needle. Keep the head of
the animal above the level of body of the animal. After every 10 min, observe the
animal regarding tone of skeletal muscle and the sensations in the lower limbs of the
dog and record the results.
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CLINICAL RELEVANCE
Topical application of local anaesthetic is often practiced not only for producing local
anaesthesia for minor local surgical procedures but also for their local analgesic effect
in certain painful condition. Surface applications & infiltration in the tissue produces
anaesthetic effect at the site of application. Often the solution of adrenaline is mixed
with LA agent to retard the absorption & therefore increase the duration of the LA
agent. Infiltration of the anaesthetic agent around a nerve produces anaesthetic effect in
the area of the distribution of the nerve permitting more extensive surgical interference.
However, adequate precaution must be taken to avoid nerve damage.
The use of LA for spinal anaesthesia though extensively useful, but require more
caution while administrative. hyper boric soln. (heavier than CSF) of a local
anaesthetic, head end of the patient should be raised so that the solutions stay in the
lower most part of spinal theca without producing any resp. insufficiency. On the
contrary, while adminitring hypoboric solution (Lighter than CSF) of a L.A., the head
end of the patient should be lowered so that the LA solution stays only in lower part
(placed above the lower of heart) of the spinal theca.
Lastly precautions viz prevention of infection, hemorrhage, nerve damage, etc. must be
taken care of while adm. spinal anaes.
LOCAL ANAESTHESIA
LA drugs block nerve conduction, when applied locally to nerve tissue. They act by
producing stabilization of neuronal membrane thus preventing initiation & propagation
of action potential. Pain sensation is blocked first (rapidly) followed by other
modalities e.g. temp; pressure, touch. Non myelinated fibres are blocked quickly than
myclinated fibres. Fibres of small nerves blocked first than thick fibres. Nerves of the
A.N.S. are also blocked by L.A. adrenergic nerves blockage produce arteriolar
dilatation & hypotension. Cholinergic blockade may produce atony of rectum & urinary
bladder. When absorbed they produce adverse effects or C.N.S. symptoms.
- Local anaesthetic agents with high lipid solubility & water solubility produces
rapid onset of action. Also useful in surface anaes e.g. Amethocaine &
xyelocaine.
- LA like procaine with low lipid solubility are not useful as S.A.
- Some LA like xyelocaine & procaine produces membrane stabilizing effect on
myocarduim also & hence they are used in the treatment of cardiac arrhythmias.
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VIVA-VOCE QUESTIONS
Q. 1. Define the term local anaesthetic agent?
Ans. Local anaesthetics are drugs which upon topical application or local injection
cause reversible loss of sensory perception of pain in a restricted area of the
body. They block the generation & conduction of nerve impulse at all parts of
neurons.
Q. 2. What are the various methods of producing local anaesthesea mention one
example of the drug used for each type?
Ans. Various methods of producing LA are:
(i) Surface anaesthesia - Tetracaine, lignocaine, Benzocaine
(ii) Infiltration anaes. - Lignocaine, Bupivacaine
(iii) Conduction block - Lignocaine
(iv) Spinal anaesthesia - Lignocaine, bupivacaine, tetracaine
(v) Epidural anaesthesia - Lignocaine, bupivacaine
(vi) Intravenuous regional anaesthesia- Lignocaine
Q. 3 Mention three uses of xyelocauine as surface areasthetic ?
Ans. Eye- Tonometery,
Mouth & throat - stomatitis,
Anal canal and rectum- urethra cathetrization,
Fissure, painful pile urethra, for dilatations, catheterization.
Q.4 Mention three common side effects of spinal anaesthesia?
Ans. Headache, hypotension, resp. paralysis, cauda equina syndrome, septic
meningitis, etc.
Q.5 Name local anaesthetic used in cardiac arrhythmia?
Ans. Lignocaine is used in ventricular arrhythmia.
Q.6 How can you prolong the duration of action of LA ?
Ans. We can prolong the duration of action of LA by using it with varoconstrictor.
Most commonly used vasoconstictor is adrenaline.
Q.7 What is the order of loss of sensation by LA?
Ans. Autonomice fibres are more susceptible than somatic nerves, order of blockade
pain, temp., sense, touch, deep pressure. As for as for tongue- bitter taste is lost
first sweet, sour, salty taste, last of all.
Q. 8 Differences between GA & LA
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Apparatus: Recording drum, kymograph, frog dissecting board, frog rectus bath,
simple straw lever, stand, X-blocks, tuberculin syringe, pipette, stop watch, various
dissecting instruments, plasticin, thread.
Experimental SET UP
Dissection: A frog is pithed and laid out on the frog dissection board. The skin of the
anterior abdominal wall is cut by a midline incision which is extended laterally onto the
anteior aspects of the limbs. This exposes the flat whitish muscle of the anterior
abdominal wall from their pubic origin to their sternal insertion. Cuts are placed
separately on each rectus abdominus from the surrounding musculature and from its
fellow.
The two recti are removed and placed in Frog's Ringer solution in a shallow dish. They
are carefully cleaned and one of them is trimmed to the desired size and mounted in an
organ bath in Frog's Ringers solution at room temp aerated with oxygen. A very small
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bath of 5ml capacity is sufficient but in this case solution of drugs must be so made that
when a dose is added, a change of more than 15% in bath fluid volume should not
occur. For recording purpose an isotonic lever with a sideway writing point is used
tangential to the smoked drum balanced for a tension of 2.5gm with an extra load of
1gm on the long arm. The later serves to bring back the lever to baseline since when the
rectus has contracted it does not relax rapidly even on washing out of the drug.
The muscle is relaxed for 30-45 min by applying load with the help of plasticin (as
mention above) on the long arm of the lever that is equidistant form fulcrum after
loading new, the lever is balanced.
EXPERIMENTAL PROCEDURE
2. The base line is taken for approximately 2-3 cm at the lower one third of the drum.
Switch off the drum.
3. Start the drum and add 0.1 ml of ACh then record the effect of the drug for 90sec.
Stop the drum and wash the tissue with Frog's ringer solution 2-3 times. There must
be atleast 30 sec to 60 sec, gap between each washing (total pd 6-7 min)
4. After 5 min repeat the same cycle (add ACh). Two successive tracing having the
same height of contraction with same drugs in same concentration of the drugs for
the same period (90sec) obtained, these tracings are known as 'control' tracings.
Give the rest pd of 5min.
Add physostigmine (0.3 to5ml), wait for 5 min.
Start the drum and add 0.1 ml of ACh in the same organ bath in the presence of
physostigmine.
Record the tracing for 90sec
Stop the drum and wash the tissue in the same manner as mentioned earlier.
Again take two control tracing with ACh.
Now, add 0.5 ml of dTC and wait for 5 min.
Start the drum and add 0.1 ml and ACh in presence of d-TC.
Record tracing for 90 sec. Stop the drum and wash the tissue 2-3 times
Again take two control tracing with ACh.
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PRECAUTIONS
1. The level of ringer solution in the organ bath should remain constant throughout the
expt. by marking the level with elastic ring/marker.
2. The thread of the rectus muscle should not come in contact with the wall of the
rectus bath
3. A steady and constant stream of air/O2 should be passed in the bath.
4. 6-7 min cycle should be followed rigidly
5. Speed of the drum should be slow and the lever should be placed tangential to the
drum.
6. The no. of washing and the interval between them should be kept constant.
7. If the desired response is not obtained with 0.1 ml of ACh, then the dose should be
increased.
OBSERVATION TABLE
S.No. DRUGS DOSE EFFECT INFERENCE (Remark)
1 ACh 0.1 ml Contraction of Nicotinic action at NMJ
muscle
2 ACh + physostigmine 0.1ml+0.5ml Potentiatioin of Because of anti cholinesterase
response action of physostigmine it
decrease metabolism of increase
Ach at NMJ hence, increase in
response
3 ACh + d-TC 0.1ml+0.5ml Inhibition or blocade d-TC is having SMR action so
blockage of response there is positive response of ACh
(Reversible action).
4 ACh 0.1ml Contraction of Nictonic action reappears. There
muscle is blockade action of d-TC and not
the muscle is fatigued.
DISCUSSION
Nicotine receptors are present in skeletal muscle, atropine does not produce any direct
effect in this preparation. ACh produces contraction of the muscle through the
stimulation of nicotinie receptors. We take response/contraction for 90 sec only because
to get submaximal response (occupation of receptors) so that we can observe the
potentiation of action with cholinomimetic/ anti cholinergic drugs, when used with
ACh.
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d-TC is nicotine receptor blocking agent. In presence of d-TC, the response to ACh is
reduced. This effect of d-TC is known as “Inhibition”.
We take two control tracing after d-TC to observe that the inhibition of response is due
to the effect of d-TC and not due to muscle fatigue.
Nicotinie receptors are present at :
(a) NMJ (b) Autonomic ganglias.
The nicotinic receptors of both the sites are of different nature. ACh can excute both
these receptors but d-TC cannot block both these receptors.
Drugs like DMPP (dimethyl phenyl piperazinium) stimulate, specially the nicotinic
receptors of autonomic ganglia; whereas the durgs like PTMA (Phenyl trimethyl
ammonium) stimulate specially the nicotine receptors of skeletal muscles. Drugs like
tetraethylammonium and hexamethonium block the receptors of autonomic ganglia and
termed as ganglionic blocking agents. The drugs like gallamine, d-TC, decamethonium
blocks the receptors of skeletal muscle and are known as skeletal muscle relaxants.
Clinical relevance
Physostigmine is reversible anti chE having both central as well as peripheral action so
that it can be used in atropine belladona poisoning. Although though it also increases
muscle tone by accumulating ACh at NMJ but it cannot be used / preferred in the
treatment of myasthenia gravis. In this condition neostigmine is preferred because it is
devoid of central adverse effects of physostigmine and also it has some cholinomimetic
action (partial agonist).
d-TC is SMR competitive antagonist to ACh at NMJ. It competes with the ACh for the
nicotinie receptors at motor end plate. After dTC the response of the exogenous ACh is
decreased because it fails to occupy the sufficient numbers of receptors to cause
stimulation and contraction. We can obtain response with large doses of ACh (effect
can be reversed by neostigmine). This relaxant effect of d-TC and other SMR is used to
relax the muscles during surgery.
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Ans. Because of trauma during dissection, the muscle goes into a state of spasm.
Additional weight of (0.5-1gm) is applied so that, the muscle relaxed properly
and regain its original length so better conctactile responses are recorded.
Q.11 Name the drug which are potentiating the action of ACh?
Ans. Drugs potentiating the action of ACh are antichE Two groups of antichE drugs:
(a) Reversible – eg neostimine and physiostigmine.
(b) Irreversible – organophosphanus compound.
Q. 12 Which is most suitable lever for the expt?
Ans. Gimbal liver is the best but we use the simple straw lever because it is easily
available.
Q. 13 Which is the most sensitive tissue for ACh bioassy?
Ans. Leech dorsalis muscle.
Q. 14 Enumerate the therapeutic uses of physostigmine and neostigmine
Ans. a) Physostigmine 1. atropine poisoning 2. Glaucoma
b) Neostigmine 1. Myasthenia gravis 2. Post operative paralyitc ileus
3. Urinary retention (Post Operate) 4. Cobra bite.
Q.15 Why neostigmine is preferred over physostigmine in the treatment of
myasthenia gravis?
Ans. Neostigmine is a potent drug and having dual action (act as partial agonist) Also
it doesn’t cross BBB so, No central action or adverse effects occur and having
peripheral action only.
Q. 16 Name the drug used in atropine poisoning?
Ans. Physostigmine (0.5-2mg) IV, repeatedly used.
Q. 17 Why ACh is not used clinically?
Ans. a) Because ACh metabolized rapidly by plasma pseudo cholinesterase and
true ChE at the site of action (NMJ).
(b) Also non selectivity of action
(c) Having various systemic adverse effects.
Q.18 What is the antidote of different types of SMRs?
Ans. i) d-TC – Increases the concentration of ACh (agonist) use
anticholinestrase.
ii) Succinyl choline – blood transfusion is the only treatment because
succnylcholine is metabolized by psedochE only, which is present in
plasma. Their is no specific antidote.
Q.19 Name various drugs producing neuromuscular blockade? Give three
therapentic uses of peripherally acting SMRs?
Ans. (a) Directly acting – Dantrolene, quinine.
(b) Competitive blockade – Gallamine, dTC, pancuronium, etc.
(c) Persistent depolarization- succinylcholine.
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Uses of PSMRs :
1. Used as adjuvant to GA.
2. During ECT, convulsion and trauma are avoided by using muscle relaxant.
3. SMR also used in severe cases of tetanus and status epilepticus which are not
responding to diazepam.
Q.20 Can you name any tissue possessing both skeletal muscle and smooth
muscles?
Ans. Get of trench fish having outer layer of skeletal muscle and inner layer of
smooth muscles.
Q. 21 Give important uses of centrally acting SMR?
Ans. (1) Acute muscle spasm (2) Torticolis, neuralgia (3) Anxiety and tremors
(4) Spastic neurological diseases (5) Tetanus (6) During ECT.
Q. 22 By seeing the tracing can you predict whether the unknown drug is
physostigmine or neostigmine?
Ans. Yes, because neostigmi has dual action so, it cause only one response with
presence of twitching or fasciculation, while the response of physostigmine is
smooth.
Q. 23 How will you treat post operative atonic bladder?
Ans. Neostigmine is drug of choice 0.5 to1mg SC.
Q. 24 Why dTC is not used now a-days?
Ans. Because it releases histamine which causes wide spread adverse drug effects
and at the same time better drugs are available i.e. never SMRs.
Q.25 How will you differentiate action of dTC and Sch?
Ans. a) dTC 1. the action of d-TC can be reduced by increasing the dose of ACh.
2. Its action is slow in onset, long duration of action and cause
histamine realse.
b) Sch 1. It waves off its own, since it is metabolize by pseudo ChE
2. Action is rapid and short duration of action gradual.
Q.26 What is the purpose of this experiment?
Ans. To know the action of ACh on skeletal muscle and to know the action of
various drugs which have potentiating or blocking action at various sites so that
we can use them accordingly.
Q. 27 Why controls are recorded at the end of experiment ?
Ans. To show that decrease in response after dTC is due to relaxant (inhibiting) action
of dTC and not due to the muscle fatigue.
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Setting up of the experiment:- A big sized frog is taken. It is stopped and pithed and
is placed on a frog board on its dorsal surface. A mid line incision is given and the skin
over the anterior abdominal wall is removed. Heart is exposed by cutting the bones of
the girdles with the help of a bone cutter. Heart with its great vessels is seperated from
the connective tissues and pericardium is removed. Rt. branch of aorta is ligated with
the help of thread, Lt branch is cut and opened for perfusion fluid to come out. A small
thread is passed behind the inferior vena cava then a small cut is given over the inferior
venacava and a venous cannula is inserted through this cut into the luman of vena cava.
The other end of cannula is connected through a rubber tubing to a bottle containing
perfusion fluid. The rate of perfusion is kept 30-04 drops/min.
It is adjusted with the help of muphy's drip. A pin hook is passed through the apex of
verticle and connected to a brodies heart liver, which writes on a smoked drum.
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Observation
Drug and Dose Effect of Drugs Infeunce
Rate Force of
contration
Adrenaline Increase Increase Adr has ionotropic + chronotropic +
dromotropic action (B- receptors )
Kcl Decrease decrease Direct depresant action/
Cacl2 Decrease Increase Force of contraction increased with bradycardia
(Has ionotropic action only)
ACh Decrease Decrease Has a inhibitory action on heart (Muscarinic
action)
inject Atropine no effect No effect Atropine has blocked the muscarinic effect of
After 2 min inject ACh.
same amount of
ACh
Difference:
ACh KCl
1 Inhibitory effect on the heart is blocked by Effect not affected by Atropine
Atropine
Adr CaCl2
1. Both systdic and diastalic component are only systolic component is seen.
seen
2. Heart increases Brady cardia
3. Beta - blocker abolishes the effect B blocker does not affect the effect
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Object : To study the effects of various drugs on isolated rabbit ileum preparation.
Apparatus : Dales organ bath, tuberculin syringe, thermometer, stop watch dissecting
instruments & beaker, pipettes etc.
Animals Used : rabbits
Drugs Drug Conc Dose
1. Ach. 1:10,000 0.1-0.3 ml.
2. Adrenaline 1:10,000 0.1-0.3 ml.
3. Bacl2 2% 0.1-0.3 ml.
4. Atropine 1:10,000 0.1-0.3 ml.
Parameters to be studied :
1. Amplitude : It is recorded as height of contraction.
2. Tone : Ability of tissue to maintain its size and shape. It is the partial state of
contraction at rest.
Procedure : Divided into three steps :-
1. Prep. of organ bath.
2. Fixing of ileum'
3. Recording of observations.
1. PREPARAT OF ORGAN BATH :
The outer chamber of organ bath is cleared and filled with warm water and
temperature is maintained at 37°C throughout the experiment. The inner tissue
bath is filled with Tyrode sol. The solution is aerated by passing the stream of
air. The frontal pointing lever is fixed on metal rod of organ bath.
2. Fixing of ileum:
A healthy rabbit is kept fasting for 24 hours. Then it is stunned by blow on the
head & allowed to bleed by cutting throat. Abdomen is opened and ileum is
identified, feces removed and placed in Petri dish containing tyrode solution.
The intestine is cleaned by passing tyrode solution in lumen with help of
pipette. Gently cut the pieces (2.5 cm) of lumen. The ends of piece of intestine
are tied with thread and is mounted in Dale's organ bath by tying its one end to
curved and of O2 delivery tube & the other and is tied to the end of frontal
writing point lever. Inner bath is filed with tyrode solution which is aerated by
O2 delivery and the temperature is maintained at 37°C help of warm water.
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*the ileum of rabbit is selected because this portion gives maximum contraction.
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Clinical Importance
1. Spasmogenic drugs are used in paralytic ileus & retention of urine.
2. Spasmolytic drugs are used in various colics and dysmenorrhoea.
Precautions :
1. Tissue should be held gently, not be over stretched.
2. Constant 02 / Air supply should be there.
3. Temp. of bath should be maintained at 370 C.
4. Speed of drum should not be changed during experiment.
5. Pipette should be washed before adding drug.
6. Lever should be balanced before starting experiment.
7. Next drug should be added only when normal tracing is recorded.
Observation Table :
S.No. Drugs Tone Amplitude Inference
1. ACh increases decreases spasmogenic drug
2. Adrenaline decreases decreases spasmolytic drug
3. BaCl2 increases little or no spasmogenic drug
change
4. Atropine decreases decreases spasmolytic drug
5. Atropine + ACh no response seen no response Spasmogenic action of
seen ACh is blocked by
atropine by blocking
muscarinic receptors.
6. Atropine + BaCl2 increases little or no Spasmogenic action is
change not blocked as it is
directly acting.
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Q. 2. What is the nature of this muscle & write different types of intestinal
movements. ?
Ans. It is a smooth muscle and 4 types of intestinal movements are recorded.
a) Segmental - due to circular muscle contraction.
b) Peristaltic - Helping mixing and propagation of food.
c) Antiperistaltic - Helping mixing and propagation of food.
d) Pendular - are controlled by longitudinal muscles and are
important because they produce mixing of food and also help in
adjustment of intestine over abdomen. In this experiment pendular
movements are recorded.
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Q. 11 Causes of spontaneous movements of intestine even when all nerves are cut. ?
Ans. Due to presence of Auerbach's plaxus these muscles have inherent contractility.
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Q. 12 How will you identify 2 responses of two different types of spasmogenic drug.?
Ans. We would atropinize the tissue and in the presence of atropine, we give
spasmogenic drug (un known) . Before adding the "Spasmogenic drug" allow
atropine to come in contact with tissue for 5 min, without washing. Add the
drug (A) and see the response, no contraction that means drug may be
cholinergic, since at atropine is muscarinic blocker blocks the action of
cholinergic like drugs. Add unknown drug (B) in presence of atropine shows
contraction (increase tone & amplitude). The amplitude increases in ladder
pattern. It may be a directly acting drug.
Q.13. How will you confirm that the drug is smooth muscle relaxants ?
Ans. For a known against for L+B blocker Ach- Atropine.
Spasmogenics Spasmolytics
A) Drugs acting through receptors :
1. ACh- Cholinergic receptor and their agonists. a). Adrenaline - via both alfa & beta receptors.
2. Histamine- Via histaminergic receptors b). Amphetamine
3. 5HT or serotonin via serotonergic receptors. c). Nicotine at high doses.
4. Nicotine in low dose through nicotinic d). Atropine by blocking muscarinic receptors.
receptors but at high doses it blocks its own
receptors.
5. Morphine via opium receptors e) B2 receptor agonist.
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SCREENING OF "ANTI-CONVULSANTS"
Animals exhibit a seizures pattern. The tonic flexor component of the hind limbs is
seen first of all, following this is the tonic extensor component, the phase of
intermittent, whole body clonus is seen in the last. Now the electro shock of same
intensity is given to the animals of drug treated group. Absence or diminisition in
the intensity of convulsions indicate that the drug has protected the animals from
the conculsions and has got anti-consvulsant activity.
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In place of metrozol, strychinine (0.3 mg. / kg S.C.) and picrotoxin (2 mg. / kg S.C.)
can also be used to give chemo stick.
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Blood pressure:
Aneasthesia used: morphine + urethane (1.5gm1kg)
Effect of various drugs on dog blood pressure :
S. No. Drugs & Dose Blood Pressure Heart Rate Remarks
1. Adrenaline 1st ↑ then (biphasic ↑↑ Sympathomimetic drug
(2g/ Kg.) response)
2. Nor adrenaline- ↑ Sympathomimetic drug
(3-5 g / kg.)
3. Isoprenaline ↓↓ ↑ Sympathomimetic drug
(2g / kg.)
4. Acetylcholine ↓ Bradycardia Cholinergic drug
(2g / kg.)
5. Histamine ↓ ↑ Naturally occuring auto
2-3 g / kg. coid.
6. Ach. (2g / kg.) + No effect of Ach i.e. ↑ H.R. Atropine blocks the
atropine 1mg/kg. (↓ in bp) muscarinic receptore, so
block the action of ACh.
7. ACh (5 mg/kg) ↑ ↑ Nicotinic act & release of
cate-cholamine.
8. Adrenaline + ↓ ↑ Tolazoline block Alpha
tolozoline (10 mg/Kg.) receptor.
9. Adrenaline +ppnl. - - Beta effect also blocked
10. Histromine + no fall in BP. H1 receptor antogonist.
mepayramine
Noradrenaline (NA)
It is a sympathomimetic catecholamine having predominet alpha receptor action. The
effect of NA differs from that of adrenaline that the heart rate is not increased. On the
contrary it may be decreased slightly. Only rise in blood pressure is seen and this is due
to the vasoconstriction specially those which supply blood to skin and mucosa. Since
beta action of NA is not seen, the effect of rise in B.P. is more than adrenaline only.
Isoprenaline (ISP)
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Isoprenaline is not the substrate for uptake, hence, the termination of action
takes time and there is delayed recovery.
Acetylcholine:
Histamine
Adrenaline
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Dale (1914) found that when adrenaline is given after administration of ergot
alkaloid, it produces fall in blood pressure instead of rise. This unusual phenomenon
was described as vasomotor reversal.
Nicotinic receptors are found in (1) skeletal muscles and (2) autonomic ganglia.
Since the muscarinic receptors are blocked, autonomic ganglia are stimulated by ACh
as a result of which there is rise in blood pressure. This is nicotinic receptor action of
ACh.
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Inference:
Ach produces a short fasting fall in B.P. Fall in B.P. with Ach is due to the inhibitory
effect on heart and peripheral vasodilation (Muscarinic actions). Administration of
atropine when a large amount of ach is injected a rise in B.P. is observed. It is due to
few Nicotive action of Ach, which we are able to see after the blockade of mucarinic
action by atropine.
Object : Demonstration of vasomotor leversal phenomnon of dale.
Procedure:
1. Adrenoline is insected in the quantity of 3µgm./kg. of body wt. through femoral
vein. effect is observed wait till the blood pressure returns to normal again.
2. Priscoline in a dose of 5 mg./kg. body wt. is injected to block receptors.
3. After 20 mts. when there is effective blockade of receptors Adr. is injected in
two same also and see the effect.
Observation and inference:-
When Adr is injected a typical respose is observed on B.P.
1. Steep rise : This is due to b1 reeptor action increase inheart rate increase in force
of contraction and periphral vesoconstriction
2. Notch: At the peak of graph effect there is a little uready carelia (due to vagal
stimulang) which menfests it self inform of notch.
3. Secondary Rise: This is due to the stimulation of V.M.C.
4. Fall of B.P. below vase line is due to lea effect of actr. or B receptors.
Adr. act on two types of receptors these are and . Due to its effect on
receptors it causes rise in B.P. and by its effect on receptors it causes fall in B.P.
when priscoline is injected it block receptors and when Adr is repeated again it
stimulates only receptors causing fall in B.P. from the beginning.
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DEPARTMENT OF PHARMACOLOGY
DR. S.N. MEDICAL COLLEGE
JODHPUR (RAJ)
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