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Medicinas Complementárias
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1.
J Pharm Pharmacol ; 73(10): 1310-1318, 2021 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-34223630

RESUMEN

OBJECTIVE: To analyse the antinociceptive interaction between quercetin (QUER) and diclofenac (DIC) in experimental arthritic gout-pain. METHODS: The antinociceptive effect of DIC and QUER alone and in combination were evaluated using an arthritic gout-pain model. Pain was induced through intra-articular administration of uric acid in the rats and the treatments were administered 2 h later. Additionally, the cyclooxygenase (COX) activity was determined in rats treated with DIC, QUER and their combination. KEY FINDINGS: DIC induced a maximal effect of 69.7 ± 2.7% with 3.1 mg/kg; whereas QUER only produced 17.6 ± 2.6% with the maximal dose (316 mg/kg). Ten of twelve DIC + QUER combinations showed a lesser antinociceptive effect than DIC alone did (P < 0.05). Moreover, DIC reduced total-COX (70.4 ± 1.3 versus 52.4 ± 1.8 and 77.4 ± 9.0 versus 56.1 ± 1.3, P < 0.05) and COX-2 (60.1 ± 1.0 versus 42.4 ± 1.8 and 58.1 ± 2.4 versus 48.7 ± 1.3, P < 0.05) activity after 1 and 3 h, respectively. Nevertheless, only the COX-2 activity induced by DIC was prevented in the presence of QUER (63.2 ± 3.0 versus 60.1 ± 1.0 and 56.6 ± 1.3 versus 58.1 ± 2.4 at 1 and 3 h, respectively). CONCLUSIONS: All these data demonstrated that the simultaneous administration of QUER + DIC produces an unfavorable interaction on the antinociceptive effect of DIC. Therefore, this combination might not be recommendable to relieve arthritic gout-pain.


Asunto(s)
Antiinflamatorios no Esteroideos/administración & dosificación , Artralgia/tratamiento farmacológico , Diclofenaco/administración & dosificación , Gota/tratamiento farmacológico , Interacciones de Hierba-Droga , Nocicepción/efectos de los fármacos , Quercetina/administración & dosificación , Analgésicos/administración & dosificación , Analgésicos/efectos adversos , Analgésicos/uso terapéutico , Animales , Antiinflamatorios no Esteroideos/efectos adversos , Antiinflamatorios no Esteroideos/uso terapéutico , Artralgia/metabolismo , Artritis/tratamiento farmacológico , Artritis/metabolismo , Artritis/patología , Diclofenaco/efectos adversos , Diclofenaco/uso terapéutico , Modelos Animales de Enfermedad , Quimioterapia Combinada , Gota/metabolismo , Gota/patología , Articulaciones/efectos de los fármacos , Magnoliopsida/química , Masculino , Manejo del Dolor , Extractos Vegetales/administración & dosificación , Extractos Vegetales/efectos adversos , Extractos Vegetales/uso terapéutico , Prostaglandina-Endoperóxido Sintasas/metabolismo , Quercetina/efectos adversos , Quercetina/uso terapéutico , Ratas Wistar , Ácido Úrico
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