The authors summarize results of multiyear investigations at the Institute of Biomedical Problems of induced motion sickness and development of prophylactic medicaments representing various classes of biologically active substances (choline blocking agents, sympathomimetics, antihistamines etc.) prescribed singularly or in an combination based on the knowledge of MS-provoking inter-receptor interactions and therapeutic effects of drugs.
Cholinergic Antagonists/therapeutic use , Histamine H1 Antagonists/therapeutic use , Space Motion Sickness/prevention & control , Space Simulation/methods , Sympathomimetics/therapeutic use , Adult , Autonomic Nervous System/drug effects , Autonomic Nervous System/physiopathology , Blood Pressure/drug effects , Blood Pressure/physiology , Drug Therapy, Combination , Electrocardiography , Humans , Male , Middle Aged , Nystagmus, Physiologic/drug effects , Nystagmus, Physiologic/physiology , Space Motion Sickness/physiopathology , Syndrome , Vestibule, Labyrinth/drug effects , Vestibule, Labyrinth/physiopathology
Investigations of volunteered subjects in whom antiorthostatic hypokinesia was modeled by tilting the cranial end of the body by -15 degrees were to answer whether pharmacological countermeasures of the vestibular/autonomous syndrome (motion sickness, sea sickness) alter the orthostatic tolerance and cardiovascular parameters. As was stated, the drugs allow controlled correction of hemodynamic resistance to the head-down tilt. Ephedrine, phencarol, ephedrine combined with scopolamine and pipolphen, and stugeron normalized cerebral circulation. Medicaments were unable to moderate the sympathoadrenal reaction to the head-down tilt; however, blood concentrations of catecholamines were significantly lower than in the control. The greatest effect was achieved using ephedrine and ephedrine plus pipolphen.
Adaptation, Physiological/drug effects , Hemodynamics/drug effects , Weightlessness Simulation , Adult , Echocardiography/drug effects , Electrocardiography/drug effects , Electroencephalography/drug effects , Humans , Middle Aged , Plethysmography, Impedance/drug effects , Tilt-Table Test/methods , Tilt-Table Test/statistics & numerical data , Time Factors , Weightlessness Simulation/methods , Weightlessness Simulation/statistics & numerical data , Xenon Radioisotopes
Benzhydryl Compounds/therapeutic use , Ephedrine/therapeutic use , Motion Sickness/prevention & control , Oxadiazoles/therapeutic use , Scopolamine/therapeutic use , Sydnones/therapeutic use , Adult , Clinical Trials as Topic , Double-Blind Method , Humans , Male , Middle Aged , Motion Sickness/drug therapy , Placebos
Motion Sickness/prevention & control , Antipsychotic Agents/adverse effects , Antipsychotic Agents/therapeutic use , Drug Combinations , Drug Therapy, Combination , Histamine H1 Antagonists/adverse effects , Histamine H1 Antagonists/therapeutic use , Humans , Motion Sickness/diagnosis , Motion Sickness/etiology , Parasympatholytics/adverse effects , Parasympatholytics/therapeutic use , Sympathomimetics/adverse effects , Sympathomimetics/therapeutic use
The application of pharmacological agents, preventing the motion sickness syndrome in modelling the early stages of adaptation to weightlessness by means of 6-hour antiorthostatic influence (-15 degrees), does not exert a negative action on the human cardiovascular system. The given agents normalize partially cerebral circulation, eliminating changes induced by antiorthostatic influence.
Adaptation, Physiological/drug effects , Cardiovascular System/drug effects , Motion Sickness/prevention & control , Weightlessness , Adult , Benzhydryl Compounds/pharmacology , Cardiovascular Physiological Phenomena , Cerebrovascular Circulation/drug effects , Ephedrine/pharmacology , Hemodynamics/drug effects , Humans , Middle Aged , Posture , Promethazine/pharmacology , Scopolamine/pharmacology , Time Factors
Investigations were performed with 19 healthy male volunteers to specify a possible role of endogenous opioid peptides in the pathogenesis of motion sickness. For this purpose the test subjects were administered naloxone, a specific antagonist of opiates and opioids, before rotation and during rotation in a BU-4 armchair at a rate of 30 rpm. In addition, the content of beta-endorphin in blood plasma was measured. It was discovered that naloxone exerts both prophylactic and therapeutic effects as regards the simulated motion sickness. In this respect it was more efficacious than the reference drug scopolamine. After rotation there was a significant increase in the beta-endorphin content in the blood plasma of the test subjects. It is assumed that endogenous opioid peptides (in particular beta-endorphin) may be directly involved in the genesis of vestibulo-vegetative disorders in motion sickness.
Endorphins/physiology , Motion Sickness/etiology , Acceleration , Adult , Blood Pressure/drug effects , Coriolis Force , Endorphins/blood , Heart Rate/drug effects , Humans , Male , Middle Aged , Motion Sickness/physiopathology , Naloxone/pharmacology , Respiration/drug effects , Rotation , Scopolamine/pharmacology , Time Factors , beta-Endorphin
Plasma renin activity and aldosterone levels were measured radioimmunologically in 30 normal individuals subjected to antiorthostatic hypokinesia (at a - 15 degrees angle). Hormonal effects of some drugs (beta-blockers, trental, venotonics) were examined. The short-term antiorthostatic position was associated with a disordered hormonal control, reduced plasma aldosterone and enhanced plasma renin activity, as compared to the respective parameters of the reclining position. The use of beta-adreno-blockers alone or in combinations with other drugs decreases plasma renin activity in conditions of antiorthostatic hypokinesia which can be related to the inhibition of beta-adrenergic activity.
Aldosterone/blood , Pentoxifylline/pharmacology , Posture , Propranolol/pharmacology , Renin/blood , Theobromine/analogs & derivatives , Theophylline/analogs & derivatives , Adult , Humans , Immobilization , Male , Theophylline/pharmacology , Time Factors
The 6-hour exposure to head-down tilt at --15 degrees was accompanied by an increased blood content of adrenaline and noradrenaline, thus indicating the activation of the sympathoadrenal system. The catecholamine concentration was shown to be proportional to the head-down tilt time. The exposure also led to an increase of the content of serotonin and left the content of 5-hydroxytryptophan, tryptophan, histamine and histidine unchanged. After administration of ephedrine and especially, ephedrine in combination with pipolphen the increase in the concentration of catecholamines and serotonin became significantly less pronounced.
Catecholamines/blood , Motion Sickness/prevention & control , Posture , Adult , Drug Interactions , Drug Therapy, Combination , Ephedrine/administration & dosage , Humans , Male , Middle Aged , Motion Sickness/blood , Promethazine/administration & dosage , Scopolamine/administration & dosage , Time Factors
Kidney/physiopathology , Posture , Space Flight , Water-Electrolyte Balance/drug effects , Weightlessness , Adult , Cinnarizine/therapeutic use , Clinical Trials as Topic , Diuresis/drug effects , Double-Blind Method , Ephedrine/therapeutic use , Humans , Levodopa/therapeutic use , Male , Potassium/urine , Scopolamine/therapeutic use , Sodium/urine
Motion Sickness/drug therapy , Amphetamine/therapeutic use , Animals , Anti-Anxiety Agents/therapeutic use , Antiemetics/therapeutic use , Dextroamphetamine/administration & dosage , Dogs , Drug Combinations , Ephedrine/therapeutic use , Histamine H1 Antagonists/therapeutic use , Humans , Parasympatholytics/therapeutic use , Scopolamine/administration & dosage , Scopolamine/therapeutic use , Sympathomimetics/therapeutic use , Vitamins/therapeutic use
The paper reviews the Soviet and foreign literature on the pharmacological support of manned space flights with emphasis on pharmacological prophylaxis and therapy of adverse effects of the space environment. The paper discusses future development of pharmacological studies as part of space medicine.
Aerospace Medicine/trends , Pharmacology/trends , Bone and Bones/drug effects , Cardiovascular System/drug effects , Humans , Models, Biological , Motion Sickness/prevention & control , Muscles/drug effects , Physical Fitness , Research , Sleep/drug effects , Social Isolation , Space Flight , Stimulation, Chemical , Water-Electrolyte Balance/drug effects , Weightlessness/adverse effects
Adrenal Glands/drug effects , Cell Membrane Permeability/drug effects , Cystamine/pharmacology , Indoles/pharmacology , Organothiophosphorus Compounds/pharmacology , Radiation-Protective Agents , Thyroid Gland/drug effects , beta-Aminoethyl Isothiourea/pharmacology , Animals , Ethylamines/pharmacology , Rats
Biological Transport/drug effects , Blood-Brain Barrier/drug effects , Cystamine/pharmacology , Immobilization , Indoles/pharmacology , Radiation-Protective Agents/pharmacology , Adrenal Glands/metabolism , Animals , Blood , Kidney/metabolism , Liver/metabolism , Lung/metabolism , Lymph Nodes/metabolism , Male , Muscles/metabolism , Myocardium/metabolism , Rats , Serum Albumin, Radio-Iodinated/metabolism , Spleen/metabolism , Thymus Gland/metabolism