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Göteborgs universitets publikationer

In vivo studies of effects of antidepressants on parotid salivary secretion in the rat.

Författare och institution:
Martin Johnsson (Institutionen för neurovetenskap och fysiologi, sektionen för farmakologi); Michael Winder (Institutionen för neurovetenskap och fysiologi, sektionen för farmakologi); Hana Zawia (Institutionen för neurovetenskap och fysiologi, sektionen för farmakologi); Ida Lödöen (-); Gunnar Tobin (Institutionen för neurovetenskap och fysiologi, sektionen för farmakologi); Bengt Götrick (-)
Publicerad i:
Archives of oral biology, 67 s. 54-60
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
Tricyclic antidepressants (TCA) are well-known xerogenic drugs, while antidepressants such as selective serotonin reuptake inhibitors (SSRI) are considered less xerogenic. The antimuscarinic effect of the TCAs has been considered to be the principal mechanism causing a dry mouth. Although the muscarinic receptor is commonly targeted by xerogenic pharmaceuticals, the salivation reflex arc may be affected at other levels as well. We currently wondered whether or not antidepressants exert an inhibition of the salivary reflex not only at the glandular level but at a central level as well. In this study, the effects of a TCA (clomipramine), a SSRI (citalopram) and a serotonin-noradrenaline reuptake inhibitor (SNRI; venlafaxine) were examined on reflex- (0.5M citric acid applied on the tongue) and methacholine-evoked salivary secretion. While all three compounds inhibited citric acid-evoked secretion (-40 to -60% at 5mg/kg i.v. of the antidepressants), only clomipramine inhibited methacholine-evoked secretion (-30% at 5mg/kg i.v.). On the contrary, both citalopram and venlafaxine increased the methacholine-evoked secretion (+44 to 49%). This was particularly obvious for the salivary protein output (>200%). In the presence of α- and β-adrenoceptor antagonists, the citalopram- and venlafaxine-induced increases were reduced. Thus, antidepressants irrespective of type may exert xerogenic effects by inhibiting the salivary reflex in the central nervous system. However, while TCAs may also hamper the secretory response by antimuscarinic effects, the SSRI and the SNRI groups of pharmaceuticals seem to lack this additional xerogenic mechanism indicating a better therapeutic profile and better opportunities for pharmacological treatment of drug-induced xerostomia.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Medicinska grundvetenskaper ->
Farmakologi och toxikologi ->
Postens nummer:
Posten skapad:
2016-04-01 19:13
Posten ändrad:
2016-06-23 12:30

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