The interaction of sildenafil with the anticonvulsant effect of diazepam

Eur J Pharmacol. 2009 Sep 1;617(1-3):79-83. doi: 10.1016/j.ejphar.2009.06.061. Epub 2009 Jul 10.

Abstract

In order to assess the role of nitric oxide/cyclicGMP signaling pathway in the anticonvulsant effect of benzodiazepines, we studied the potential interaction of a phosphodiesterase type 5 inhibitor, sildenafil with the effect of diazepam on a mouse model of clonic seizures induced by intravenous infusion of GABA antagonist, pentylenetetrazole (PTZ). Administration of sildenafil (10 mg/kg; per se effective on seizure threshold) could abolish the anticonvulsive effect of diazepam, and a subeffective dose (5 mg/kg), when added to NO precursor L-arginine (50 mg/kg) could cause the same effect. Conversely, subeffective doses of diazepam (0.02 mg/kg) and NO synthase inhibitor N(omega)-nitro-L-arginine methyl ester (L-NAME, 5 mg/kg), administered together, reversed the proconvulsive effect of sildenafil. Our findings indicate that the enhancement of NO/cGMP signaling pathway by sildenafil attenuates the anticonvulsant effect of the benzodiazepine prototype, diazepam. This suggests that the effects of facilitating GABA(A)-mediated inhibition and modulating NO pathways are additive and there might be a role for NO pathway in benzodiazepine effect against PTZ-induced seizures in mice.

MeSH terms

  • Animals
  • Anticonvulsants / administration & dosage
  • Anticonvulsants / pharmacology*
  • Anticonvulsants / therapeutic use
  • Cyclic GMP / metabolism
  • Diazepam / administration & dosage
  • Diazepam / pharmacology*
  • Diazepam / therapeutic use
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Enzyme Inhibitors / administration & dosage
  • Enzyme Inhibitors / pharmacology*
  • Male
  • Mice
  • Nitric Oxide / metabolism
  • Pentylenetetrazole
  • Phosphodiesterase 5 Inhibitors
  • Piperazines / administration & dosage
  • Piperazines / pharmacology*
  • Purines / administration & dosage
  • Purines / pharmacology
  • Seizures / chemically induced
  • Seizures / drug therapy
  • Seizures / metabolism
  • Signal Transduction / drug effects
  • Sildenafil Citrate
  • Substrate Specificity
  • Sulfones / administration & dosage
  • Sulfones / pharmacology*

Substances

  • Anticonvulsants
  • Enzyme Inhibitors
  • Phosphodiesterase 5 Inhibitors
  • Piperazines
  • Purines
  • Sulfones
  • Nitric Oxide
  • Sildenafil Citrate
  • Cyclic GMP
  • Diazepam
  • Pentylenetetrazole