Plasma thromboxane concentrations were found to be significantly elevated in acute necrotizing pancreatitis in rats, whereas prostaglandin 12 levels were not. Prostaglandins play an important role in the pathophysiology of several diseases (1). They possess potent and diverse biological activities. Thromboxane A 2 (TXA2) is a vasoconstrictor and stimulates platelet aggregation (1). Prostaglandin 12 (PGI2) is a vasodilator and the most potent naturally occurring inhibitor of platelet aggregation yet discovered (2). These differences in biological activities have led to the development of new concepts in vascular and cellular homeostasis (3). Recently we demonstrated that the plasma levels of thromboxane B2, the stable end-product of TXA 2, were elevated in acute necrotizing pancreatitis (4, 5). The TXB z levels tend to rise dramatically compared with those of PGE 2 and I 2 (4). Simple inhibition of TXA2 synthesis and effects, however, did not alter survival time significantly (4), but with simultaneous administration of PGE2 a significant amelioration was encountered (6).In the present study we investigated the effects of iloprost (ZK 36 374, a stable PGI 2 derivate) (7-9) on the survival time of rats with acute pancreatitis. Iloprost was administered with and without simultaneous inhibition of TXA 2 synthesis. The synthesis of TXA 2 was inhibited by dazmegrel (10) and flunarizine. Flunarizine, a calcium entry blocker, decreases TXA 2 formation (5) and also inhibits the effects of raised TXA 2 concentrations (! 1).