Anesth Analg 2001;93:1310-1315
© 2001 International Anesthesia Research Society
REGIONAL ANESTHESIA
Systemic Tizanidine Hydrochloride (ZanaflexTM) Relieves Thermal Hyperalgesia in Rats with an Experimental Mononeuropathy
Allen H. Hord, MD,
Amale G. Chalfoun, MD,
Donald D. Denson, PhD, and
M. Isabel Azevedo, MD
Division of Pain Medicine, Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia
Address correspondence and reprint requests to Allen H. Hord, MD, Department of Anesthesiology, Emory University School of Medicine, 1364 Clifton Rd., N.E., Atlanta, GA 30322.
We sought to determine whether tizanidine, an 2-agonist, relieved thermal hyperalgesia in rats with surgically induced neuropathic pain. We used a Sprague-Dawley rat model in which a chronic constriction of the sciatic nerve caused the rats to develop postural changes, mechanical allodynia, and thermal hyperalgesia. Thermal hyperalgesia was verified through paw withdrawal latency (PWL). PWL was tested before surgery, after surgery, and after injections with tizanidine (0.5, 1.0, or 2.0 mg/kg) or normal saline. Ambulatory and total movements were evaluated by placing the rats in activity cages. Thermal hyperalgesia was induced in all rats after surgery. Tizanidine, but not saline, caused a significant improvement in PWL (P < 0.05), with complete reversal of thermal hyperalgesia at all doses on postoperative Day 6. Rats who received tizanidine 2 mg/kg maintained complete reversal of thermal hyperalgesia through postoperative Day 9. Some sedation was observed with tizanidine 2 mg/kg, but not with smaller doses. We conclude that tizanidine effectively reversed thermal hyperalgesia in a rat model.
IMPLICATIONS: This study was conducted to determine whether tizanidine could attenuate the thermal hyperalgesia that occurs in rats with surgically induced chronic constriction of the sciatic nerve. Tizanidine was effective in reducing sensitivity to heat, as measured by paw withdrawal latency, and did not cause sedation at smaller doses.
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