Abstract
1. A decrease in sleeping time in rats pretreated with ten daily doses of ketamine compared to controls is shown. 2. This decrease in sleeping time is associated with a more rapid decrease in circulating and brain levels of ketamine and its N-demethylated metabolite and higher levels of the subsequent oxidation metabolite in the pretreated animals. 3. Metabolism of ketamine to its N-demethylated metabolite by liver homogenates in vitro was more rapid when the livers were obtained from ketamine pretreated rats. 4. Microsomal preparations from rat liver were capable of metabolizing ketamine to its N-demethylated metabolite and this metabolite to the subsequent oxidation metabolite in vitro. The Vmax and Km for the first reaction calculated from loss of substrate were 433 mol mg-1 protein h-1 and 0.133 mM respectively and 199 nmol mg-1 protein h-1 and 0.121 mM for the second reaction. 5. The results indicate that tolerance to ketamine in rats is associated with increased hepatic metabolism which can also be demonstrated in vitro in liver homogenates.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bennett J. A., Bullimore J. A. The use of ketamine hydrochloride anaesthesia for radiotherapy in young children. Br J Anaesth. 1973 Feb;45(2):197–201. doi: 10.1093/bja/45.2.197. [DOI] [PubMed] [Google Scholar]
- Bjarnesen W., Corssen G. Cl-581: a new non-barbiturate short-acting anesthetic for surgery in burns. Mich Med. 1967 Feb;66(3):177–181. [PubMed] [Google Scholar]
- Bree M. M., Feller I., Corssen G. Safety and tolerance of repeated anesthesia with CI 581 (Ketamine) in monkeys. Anesth Analg. 1967 Sep-Oct;46(5):596–600. [PubMed] [Google Scholar]
- Chang T., Glazko A. J. A gas chromatographic assay for ketamine in human plasma. Anesthesiology. 1972 Apr;36(4):401–404. doi: 10.1097/00000542-197204000-00016. [DOI] [PubMed] [Google Scholar]
- Chang T., Glazko A. J. Biotransformation and disposition of ketamine. Int Anesthesiol Clin. 1974 Summer;12(2):157–177. doi: 10.1097/00004311-197412020-00018. [DOI] [PubMed] [Google Scholar]
- Cohen M. L., Chan S. L., Way W. L., Trevor A. J. Distribution in the brain and metabolism of ketamine in the rat after intravenous administration. Anesthesiology. 1973 Oct;39(4):370–376. doi: 10.1097/00000542-197310000-00003. [DOI] [PubMed] [Google Scholar]
- Cohen M. L., Trevor A. J. On the cerebral accumulation of ketamine and the relationship between metabolism of the drug and its pharmacological effects. J Pharmacol Exp Ther. 1974 May;189(2):351–358. [PubMed] [Google Scholar]
- Corssen G., Oget S. Dissociative anesthesia for the severely burned child. Anesth Analg. 1971 Jan-Feb;50(1):95–102. [PubMed] [Google Scholar]
- Cronin M. M., Bousfield J. D., Hewett E. B., McLellan I., Boulton T. B. Ketamine anaesthesia for radiotherapy in small children. Anaesthesia. 1972 Apr;27(2):135–142. doi: 10.1111/j.1365-2044.1972.tb08187.x. [DOI] [PubMed] [Google Scholar]
- Douglas B. G., Dagirmanjian R. The effects of magnesium deficiency of ketamine sleeping times in the rat. Br J Anaesth. 1975 Mar;47(3):336–340. doi: 10.1093/bja/47.3.336. [DOI] [PubMed] [Google Scholar]
- LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
- Livingston A., Waterman A. E. Effects of repeated doses of ketamine on sleeping times in rats [proceedings]. Br J Pharmacol. 1976 Jul;57(3):457P–457P. [PMC free article] [PubMed] [Google Scholar]
- Livingston A., Waterman A. E. Self induction of metabolism by ketamine in the rat [proceedings]. Br J Pharmacol. 1977 Jun;60(2):296P–297P. [PMC free article] [PubMed] [Google Scholar]
- Roberts F. W. A new intramuscular anaesthetic for small children. A report of clinical trials of CI-581. Anaesthesia. 1967 Jan;22(1):23–28. doi: 10.1111/j.1365-2044.1967.tb02691.x. [DOI] [PubMed] [Google Scholar]
- White P. F., Johnston R. R., Pudwill C. R. Interaction of ketamine and halothane in rats. Anesthesiology. 1975 Feb;42(2):179–186. doi: 10.1097/00000542-197502000-00011. [DOI] [PubMed] [Google Scholar]
- White P. F., Marietta M. P., Pudwill C. R., Way W. L., Trevor A. J. Effects of halothane anesthesia on the biodisposition of ketamine in rats. J Pharmacol Exp Ther. 1976 Mar;196(3):545–555. [PubMed] [Google Scholar]