The respiratory action of nicotine was studied and the mechanisms of the depressant actions, especially the two phases of apnoea were analyzed. A new method to record the electrical activity of phrenic nerve on the smoked paper was devised, and the following results were obtained :
1.The brief primary apnoea after the intravenous injection of nicotine is expiratory in the dog and cat, but inspiratory in the rabbit; it is due to the reflex. from the lung, whose afferent path is via the vagus nerve; and this reflex mechanism differs pharmacologically from that of veratridine or of amidines.
2.The secondary prolonged “nicotine apnoea” is expiratory ; it is not the compensatory one to the preceding hyperpnoea ; and it is probably due to the action of nicotine on the “deafferented respiratory centre.”
3.The progressively diminishing respiratory stimulation by repeated doses of nicotine is, at least partly, due to the excitability changes of the afferent or the central mechanism.
4.The respiratory failure after large doses of nicotine is caused by the paralyzing action of nicotine on the neuro-muscular junction, and not by the paralysis of the respiratory centre. The discharges from the respiratory centre, however, show several intervals of apnoeic stages and cease soon after the end of the respiratory movements.
5.These effects of nicotine on respiration, including the neuromuscular paralyzing action, are all abolished by hexamethonium. The significance of this blockade by hexamethonium is discussed.
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