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Anesth Analg ; 95(5): 1285-92, table of contents, 2002 Nov.
Article de Anglais | MEDLINE | ID: mdl-12401612

RÉSUMÉ

UNLABELLED: After a single IV injection of the water-soluble propofol prodrug propofol phosphate (PP) in mice, rats, rabbits, and pigs, propofol was produced rapidly (1-15 min), inducing dose-dependent sedative effects. In mice, the hypnotic dose (HD(50)), lethal dose (LD(50)), and safety index (defined as a ratio: LD(50)/HD(50)) were 165.4 mg/kg, 600.6 mg/kg, and 3.6, respectively. Propofol was produced with half-lives of 5.3 +/- 0.6 min in rats, 2.1 +/- 0.6 min in rabbits, and 4.4 +/- 2.4 min in pigs. The maximal concentration was dose and species dependent. The elimination half-life was 24 +/- 12 min in rats, 21 +/- 16 min in rabbits, and 225 +/- 56 min in pigs. Propofol generated from PP produced pharmacological effects similar to those described in the literature. We found a correlation between PP dose and duration of sedation with propofol concentrations larger than 1.0 microg/mL, which produced somnolence and sedation in rats and pigs. Adequate sedation and, at large enough doses, anesthetic-level sedation were produced after the administration of PP. Overall, PP, the water-soluble prodrug of propofol, seems to be a viable development candidate for sedative and anesthetic applications. IMPLICATIONS: Propofol phosphate, a water-soluble prodrug of the widely used IV anesthetic propofol, was developed and evaluated in mice, rats, rabbits, and pigs after IV injection. The results of the study clearly demonstrate the feasibility of the prodrug approach to achieve sedative and anesthetic levels of propofol in laboratory animals; this warrants further evaluation in humans.


Sujet(s)
Anesthésiques intraveineux/pharmacocinétique , Promédicaments/pharmacocinétique , Propofol/pharmacocinétique , Anesthésiques intraveineux/administration et posologie , Anesthésiques intraveineux/toxicité , Animaux , Relation dose-effet des médicaments , Période , Dose létale 50 , Mâle , Souris , Mesure de la douleur/effets des médicaments et des substances chimiques , Équilibre postural , Promédicaments/administration et posologie , Propofol/administration et posologie , Propofol/toxicité , Lapins , Rats , Rat Sprague-Dawley , Suidae
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