Efficacy of duloxetine, a potent and balanced serotonergic and noradrenergic reuptake inhibitor, in inflammatory and acute pain models in rodents

J Pharmacol Exp Ther. 2005 Feb;312(2):726-32. doi: 10.1124/jpet.104.075960. Epub 2004 Oct 19.

Abstract

Duloxetine, a selective but balanced serotonergic and noradrenergic reuptake inhibitor, was evaluated in the acute nociceptive pain models of tail flick and hot plate in mice and in the persistent and/or inflammatory pain models of acetic acid-induced writhing in mice, carrageenan-induced thermal hyperalgesia and mechanical allodynia in rats, and capsaicin-induced mechanical allodynia in rats. In acute pain models, duloxetine had no significant effect on response latency in the mouse tail-flick test but produced modest increases in response latencies in the mouse hot plate test. Morphine produced dose-related analgesic effects in both the mouse tail-flick and hot plate tests. In models of inflammatory and/or persistent pain, duloxetine, morphine, and ibuprofen produced dose-related decreases in acetic acid-induced writhing in mice. Duloxetine, ibuprofen, and gabapentin also produced dose-dependent reversals of both thermal hyperalgesia and mechanical allodynia produced by carrageenan in rats. In addition, both duloxetine and morphine produced a significant reduction of capsaicin-induced mechanical allodynia in rats. Duloxetine and gabapentin were without substantial effect on the Rotorod test in mice, whereas morphine and ibuprofen produced a significant impairment. Our data indicate that duloxetine may be efficacious in the treatment of persistent and/or inflammatory pain states at doses that have modest or no effect on acute nociception or motor performance.

MeSH terms

  • Adrenergic Uptake Inhibitors / pharmacology*
  • Amines / pharmacology
  • Analgesics*
  • Analgesics, Opioid / pharmacology
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • Capsaicin / pharmacology
  • Carrageenan
  • Cyclohexanecarboxylic Acids / pharmacology
  • Dose-Response Relationship, Drug
  • Duloxetine Hydrochloride
  • Excitatory Amino Acid Antagonists / pharmacology
  • Gabapentin
  • Hot Temperature
  • Hyperalgesia / chemically induced
  • Hyperalgesia / drug therapy
  • Ibuprofen / pharmacology
  • Inflammation / chemically induced
  • Inflammation / complications*
  • Male
  • Mice
  • Morphine / pharmacology
  • Norepinephrine / metabolism*
  • Pain / drug therapy*
  • Pain / etiology
  • Pain Measurement / drug effects
  • Postural Balance / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Reaction Time / drug effects
  • Selective Serotonin Reuptake Inhibitors / pharmacology*
  • Thiophenes / pharmacology*
  • gamma-Aminobutyric Acid / pharmacology

Substances

  • Adrenergic Uptake Inhibitors
  • Amines
  • Analgesics
  • Analgesics, Opioid
  • Anti-Inflammatory Agents, Non-Steroidal
  • Cyclohexanecarboxylic Acids
  • Excitatory Amino Acid Antagonists
  • Serotonin Uptake Inhibitors
  • Thiophenes
  • gamma-Aminobutyric Acid
  • Gabapentin
  • Morphine
  • Carrageenan
  • Duloxetine Hydrochloride
  • Capsaicin
  • Ibuprofen
  • Norepinephrine