Synergistic interaction between ketoconazole and several antidepressant drugs with allopregnanolone treatments in ovariectomized Wistar rats forced to swim

Prog Neuropsychopharmacol Biol Psychiatry. 2004 Dec;28(8):1337-45. doi: 10.1016/j.pnpbp.2004.08.006.

Abstract

This article was aimed to investigate the interest of the combination allopregnanolone plus ketoconazole in depression with the time-sampling method in the forced swimming task. Dose-response curves for fluoxetine (0.5, 1.0 or 2.0 mg/kg, twice day, during 2 weeks; i.p.), desipramine (0.5, 1.0 or 2.14 mg/kg, twice a day, during 2 weeks; i.p.), ketoconazole (6.25, 12.5, 25.0 and 37.5 mg/kg, once a day, during 2 weeks; i.p.) and allopregnanolone (0.5, 1.5, 2.0 mg/kg; once a day, during 2 weeks; s.c.) were established. Fluoxetine (1.0 mg/kg, p < 0.05; 2.0 mg/kg, p < 0.05) or ketoconazole (25.0 mg/kg, p < 0.05; 37.5 mg/kg, p < 0.05) produced antidepressant-like behavioral changes in swimming, highlighting a serotonergic mechanism while desipramine (1.0 mg/kg, p < 0.05; 2.14 mg/kg, p < 0.05) or allopregnanolone (1.5 mg/kg, p < 0.05; 2.0 mg/kg, p < 0.05) increased climbing behavior highlighting noradrenergic or dopaminergic effects. Subthreshold doses of fluoxetine (p < 0.05), desipramine (p < 0.05) or ketoconazole (p < 0.05) synergized with subthreshold doses of allopregnanolone and reduced immobility by increasing climbing. In conclusion, fluoxetine, desipramine, ketoconazole and allopregnanolone produced differential antidepressant-like actions in ovariectomized rats forced to swim. Ketoconazole, fluoxetine or desipramine synergized with allopregnanolone.

Publication types

  • Comparative Study

MeSH terms

  • Analysis of Variance
  • Anesthetics / pharmacology*
  • Animals
  • Antidepressive Agents / pharmacology*
  • Behavior, Animal
  • Dose-Response Relationship, Drug
  • Drug Synergism
  • Exploratory Behavior / drug effects
  • Female
  • Freezing Reaction, Cataleptic / drug effects*
  • Interpersonal Relations
  • Ketoconazole / pharmacology*
  • Ovariectomy / methods
  • Pregnanolone / pharmacology*
  • Rats
  • Rats, Wistar
  • Reaction Time
  • Swimming*
  • Time Factors

Substances

  • Anesthetics
  • Antidepressive Agents
  • Pregnanolone
  • Ketoconazole