Summary1. The effects of narcotic analgesic and related drugs were studied on the uptake of 5-hydroxytryptamine (5-HT) and (-)-metaraminol by blood platelets.2. The most potent drug in inhibiting the uptake of 5-HT (10 FLM) by human platelets was methadone, followed by pentazocine>piminodine-pethidineanileridine cyclazocine thebaine > dextropropoxyphene. Alphaprodine, papaverine, apomorphine, nalorphine, codeine, and morphine were almost without effect. Methadone was slightly less active than desipramine, and had 10% of the activity of imipramine under similar conditions. Naloxone did not antagonize the effect of methadone on 5-HT uptake.3. The most potent inhibitor of metaraminol (3 jM) uptake by human platelets was piminodine, followed by pentazocineRanileridine>cyclazocine= methadone > dextropropoxyphene -thebaine > papaverine -alphaprodine >pethidine>morphine. The activity of morphine was 1% of that of piminodine. Piminodine was more potent than desipramine and protriptyline under similar conditions. The order of potency of drugs studied in inhibiting the uptake of metaraminol by rabbit platelets was similar to that obtained with human platelets. 4. The effects of the analgesics studied on inhibiting uptake of monoamines did not correlate with their pain-relieving properties.
IntroductionThe uptake and storage of 5-hydroxytryptamine (5-HT) by blood platelets closely resembles that which occurs in neurones. Moreover, the inhibition of this uptake by drugs is similar to that found in neurones (Paasonen, 1968;Paasonen, Ahtee & Solatunturi, 1971;Stacey, 1961; Todrick & Tait, 1969). We have recently shown that the orders of potency of tricyclic anti-depressants in inhibiting the uptake of 5-HT and a noradrenaline analogue, metaraminol, by human blood platelets were different. These drugs had a similar order of activity in inhibiting the uptake of 5-HT by platelets and in preventing the uptake of 5-HT by neurones, whereas their effects on the uptake of metaraminol by platelets paralleled their potencies in blocking the uptake of noradrenaline into neurones (Ahtee & Saarnivaara, 1971b).The present work was undertaken to find out if narcotic analgesics inhibit the uptake of 5-HT and metaraminol by platelets because there is evidence that several