Many of analgesics and analgesic adjuvants act on nerve conduction and synaptic transmission in the nervous system to inhibit nociceptive transmission. It has not been fully examined how nerve conduction inhibition leading to antinociception differs in extent among various analgesics and analgesic adjuvants. We examined quantitatively their actions on fast–conducting compound action potentials (CAPs) recorded from the frog sciatic nerve. Drugs tested were local anesthetics, opioids, adrenoceptor agonists, antiepileptics, antidepressants and non–steroidal anti–inflammatory drugs (NSAIDs). As a result, we found that many of their drugs reduce the peak amplitude of the CAPs in a manner dependent on their chemical structures. Consistent with voltage–gated Na+–channel inhibition produced by local anesthetics, CAP peak amplitudes were reduced by procaine, cocaine, tetracaine, prilocaine, lidocaine, ropivacaine, levobupivacaine and pramoxine with the half–maximal inhibitory concentration (IC50) values of 2.2, 0.80, 0.013, 1.8, 0.74, 0.34, 0.23 and 0.21 mM, respectively. A weak opioid tramadol reduced CAP peak amplitudes (IC50 = 2.3 mM) more effectively than its metabolite mono–O–demethyl–tramadol; this distinction was attributed to such a difference in chemical structure that tramadol and mono–O–demethyl–tramadol have –OCH3 and –OH bound to a benzene ring, respectively. Moreover, a sequence of CAP peak amplitude reductions produced by various opioids was ethylmorphine (IC50 = 4.6 mM) > codeine > morphine, i.e., this reduction enhanced in extent with an increase in the number of –CH2. α2–Adrenoceptor agonist dexmedetomidine reduced CAP peak amplitudes with an IC50 value of 0.40 mM. Other α2 adrenoceptor agonists, oxymethazoline (IC50 = 1.5 mM) and clonidine, also inhibited CAPs with potencies less than dexmedetomidine while adrenaline, noradrenaline, an α1 adrenoceptor agonist phenylephrine and a β–adrenoceptor agonist isoproterenol had no effect on CAPs. Antiepileptics, lamotrigine and carbamazepine, reduced CAP peak amplitudes with the IC50 values of 0.44 and 0.50 mM, respectively. CAP peak amplitudes were reduced by a small extent by oxcarbazepine and phenytoin. On the other hand, gabapentin, topiramate and sodium valproate had no effect on CAPs. With respect to antidepressants, amitriptyline, duloxetine, maprotiline, fluoxetine, desipramine and trazodone reduced CAP peak amplitudes with the IC50 values of 0.26, 0.23, 0.95, 1.5, 1.6 and ca. 1.0 mM, respectively. Acetic acid–based NSAIDs (diclofenac and aceclofenac) reduced CAP peak amplitudes with the IC50 values of 0.94 and 0.47 mM, respectively. Other acetic acid–based NSAIDs (indomethacin, etodolac and acemetacin) also inhibited CAPs; sulindac and felbinac had no effect on CAP amplitudes. A similar CAP inhibition was produced by fenamic acid–based NSAIDs [tolfenamic acid, meclofenamic acid and flufenamic acid (IC50 values: 0.29, 0.19 and 0.22 mM, respectively)]. On the other hand, salicylic acid–based (aspirin), propionic acid–based (ketoprofen, ibuprofen, naproxen, loxoprofen and flurbiprofen) and enolic acid–based (meloxicam and piroxicam) NSAIDs had no effect on CAPs. In conclusion, CAP inhibitions produced by local anesthetics were partly comparable in extent to those of α2 adrenoceptor agonists, antiepileptics, antidepressants and NSAIDs; opioids inhibited CAPs less potently than their drugs. It is suggested that analgesics and analgesic adjuvants inhibit nerve conduction in a manner dependent on their chemical structures.
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