2003
DOI: 10.1097/00000542-200306000-00028
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Assessment of Differential Blockade by Amitriptyline and Its N -Methyl Derivative in Different Species by Different Routes

Abstract: Amitriptyline and N-methyl amitriptyline are potent Na+ channel blockers and show greater differential blockade in sheep than in rats. This differential blockade in sheep is greater than that produced by lidocaine or bupivacaine.

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Cited by 52 publications
(26 citation statements)
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“…Amitriptyline was more potent than bupivacaine in a subcutaneous infiltration model 126 and when applied intrathecally in rat and sheep. 83 However, when amitriptyline was evaluated for ulnar nerve blockade in healthy human volunteers, it was found to be less effective than bupivacaine-contrary to the results from a large number of animal studies. This might be due to the thicker nerve sheaths present in humans as compared to rats, presenting a larger barrier to penetration for amitriptyline into the nerve.…”
Section: Potent Blockers Of Sodium Channelsmentioning
confidence: 90%
“…Amitriptyline was more potent than bupivacaine in a subcutaneous infiltration model 126 and when applied intrathecally in rat and sheep. 83 However, when amitriptyline was evaluated for ulnar nerve blockade in healthy human volunteers, it was found to be less effective than bupivacaine-contrary to the results from a large number of animal studies. This might be due to the thicker nerve sheaths present in humans as compared to rats, presenting a larger barrier to penetration for amitriptyline into the nerve.…”
Section: Potent Blockers Of Sodium Channelsmentioning
confidence: 90%
“…Conversely, a predominantly proprioceptive block causes a delayed hopping followed by greater lateral hops to prevent the animal from falling. In the case of full blockade, there would be no hopping maneuvers (16).…”
Section: Proprioceptionmentioning
confidence: 99%
“…Unlike the earlier published studies with QX-314, 11 however, we also noted a rather prominent analgesic effect of EN3427 alone-findings that would appear to be at odds with the impermeable quaternary ammonium rationale discussed earlier. There is, in fact, ample precedent for QX-314 and other quaternary ammonium local anesthetics being effective in a variety of pain models and by a variety of routes of administration [31][32][33][34][35] that is sufficiently expansive as to suggest that the observation by Binshtok et al 11 may be more the exception than the rule.…”
Section: Discussionmentioning
confidence: 99%