2010
DOI: 10.1007/s10787-009-0019-7
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Synergism between COX-3 inhibitors in two animal models of pain

Abstract: These actions can be related to the differential selectivity of the drugs for inhibition of COX isoforms and also to the several additional antinociception mechanisms and pathways initiated by the analgesic drugs on pain transmission. Since the efficacy of the combination of metamizol with paracetamol has been demonstrated in the present study, this association could have a potential beneficial effect on the pharmacological treatment of clinical pain.

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Cited by 30 publications
(26 citation statements)
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“…Analgesic drug combinations are widely used in pain management in humans in order to enhance or preserve antinociception, and decrease side effects. the mechanisms responsible for the synergism in the analgesic activity of nSAiDs combinations are not clear; however, according to the published information, different systems are partially involved (70,71). the metamizole effects are potentiated by tricyclic antidepressants, oral contraceptive agents, allopurinol, B vitamins, and also alcohol (76,99).…”
Section: Potentiation Of Analgesic Effectmentioning
confidence: 99%
“…Analgesic drug combinations are widely used in pain management in humans in order to enhance or preserve antinociception, and decrease side effects. the mechanisms responsible for the synergism in the analgesic activity of nSAiDs combinations are not clear; however, according to the published information, different systems are partially involved (70,71). the metamizole effects are potentiated by tricyclic antidepressants, oral contraceptive agents, allopurinol, B vitamins, and also alcohol (76,99).…”
Section: Potentiation Of Analgesic Effectmentioning
confidence: 99%
“…In addition, only few analgesic trials have been undergone in trigeminal region, and a lot of difficulties in the management of acute and chronic orofacial pain conditions stem from a lack of recognition and understanding of pain mechanisms. 2,3) Thus, the management of orofacial disorders is one of the most challenging in the pharmacology field in relation to analgesics. 4) It is well recognized that sigma-1 receptors (Sig-1Rs) are widely distributed in mammalian central nervous system (CNS) including certain cortical areas, the hypothalamus and the dorsal horn of the spinal cord.…”
mentioning
confidence: 99%
“…However, only few analgesic trials have been undergone in trigeminal region, and a lot of difficulties in the management of acute and chronic orofacial pain conditions stem from a lack of recognition and understanding of pain mechanisms. 2,3) In this regard, the management of orofacial disorders is one of the most challenging in the pharmacology field in relation to analgesics.It is well established that an alpha-2 adrenoceptor agonist, clonidine significantly attenuates nociception and hyperalgesia in acute and chronic pain animal models.4,5) Alpha-2 adrenoceptor agonists are thought to produce analgesia primarily by actions in the spinal cord, both by reducing the release of glutamate and substance P from central afferent terminals 6,7) and by hyperpolarizing dorsal horn neurons. 8,9) These phenomena are related to the inhibition of N-type Ca 2+ channels on the presynaptic membrane and to an increase in the conductance of inwardly rectifying potassium channels in dorsal horn neuron, respectively.…”
mentioning
confidence: 99%
“…However, only few analgesic trials have been undergone in trigeminal region, and a lot of difficulties in the management of acute and chronic orofacial pain conditions stem from a lack of recognition and understanding of pain mechanisms. 2,3) In this regard, the management of orofacial disorders is one of the most challenging in the pharmacology field in relation to analgesics.…”
mentioning
confidence: 99%