The effect of chlormethiazole, and other drugs which potentiate γ‐aminobutyric acid (GABA) function on delayed neuronal death in the hippocampus has been examined in the gerbil.
Chlormethiazole (100 mg kg−1, i.p.) and two other drugs previously reported to be neuroprotective (dizocilpine, 3 mg kg−1, i.p. and ifenprodil, 4 mg kg−1, i.p.) were all found to prevent neurodegeneration of CA1/CA2 neurones in the hippocampus when given 30 min before a 5 min episode of bilateral carotid artery occlusion.
Chlormethiazole (100 mg kg−1) was neuroprotective when given up to 3 h, after the ischaemic episode.
Given 1 h after the cartoid artery occlusion, chlormethiazole produced significant protection against hippocampal neurodegeneration at a dose of 50 mg kg−1, but not at 25 mg kg−1.
Phenobarbitone (100 mg kg−1, i.p.) and Saffan (alphaxalone, 45 mg kg−1plus alphadalone, 15 mg kg−1, i.p.) were not protective when given 1 h after the ischaemic episode while pentobarbitone (30 mg kg−1, i.p.) had a modest protective effect.
Evidence is presented to show that neither the operating procedure nor the chlormethiazole administration lowered rectal or cerebral temperature.
The data suggest that chlormethiazole may be a useful treatment in the prevention of neurodegeneration following stroke or cardiac arrest.