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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1980 May;43(5):446–451. doi: 10.1136/jnnp.43.5.446

Effects of regional guanethidine infusion in certain painful states.

L Loh, P W Nathan, G D Schott, P G Wilson
PMCID: PMC490573  PMID: 7420096

Abstract

Guanethidine was infused by the regional intravenous technique into upper and lower limbs of patients with painful hyperpathic states, due to peripheral or central lesions. The relief of pain and hyperpathia occurred within 20 minutes of infusion and lasted between three and 128 hours; in a few patients, the relief has lasted for months. Great reduction in skin conductance and vasodilatation occurred, there being marked variation in the time of onset and duration of these effects. In some cases there was marked pilo-erection. Guanethidine given in this way did not completely block the sympathetic control of digital blood-vessels. There were no effects on sensibility of normally innervated regions.

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Selected References

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  1. ABBOUD F. M., ECKSTEIN J. W. Vasodilator action of guanethidine. Circ Res. 1962 Nov;11:788–796. doi: 10.1161/01.res.11.5.788. [DOI] [PubMed] [Google Scholar]
  2. Angus J. A., Bobik A., Korner P. I., Stoneham M. T. Guanethidine-induced vasodilatation in the rabbit, mediated by endogenous histamine. Br J Pharmacol. 1978 Jan;62(1):7–17. doi: 10.1111/j.1476-5381.1978.tb07000.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. CHANG C. C., COSTA E., BRODIE B. B. INTERACTION OF GUANETHIDINE WITH ADRENERGIC NEURONS. J Pharmacol Exp Ther. 1965 Mar;147:303–312. [PubMed] [Google Scholar]
  4. COOPER C. J., FEWINGS J. D., HODGE R. L., WHELAN R. F. EFFECTS OF BRETYLIUM AND GUANETHIDINE ON HUMAN HAND AND FOREARM VESSELS AND ON THEIR SENSITIVITY TO NORADRENALINE. Br J Pharmacol Chemother. 1963 Aug;21:165–173. doi: 10.1111/j.1476-5381.1963.tb01512.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. EDELBERG R. INDEPENDENCE OF GALVANIC SKIN RESPONSE AMPLITUDE AND SWEAT PRODUCTION. J Invest Dermatol. 1964 Jun;42:443–448. doi: 10.1038/jid.1964.95. [DOI] [PubMed] [Google Scholar]
  6. HELLMANN K. THE ISOLATED PILOMOTOR MUSCLES AS AN IN VITRO PREPARATION. J Physiol. 1963 Dec;169:603–620. doi: 10.1113/jphysiol.1963.sp007283. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hannington-Kiff J. G. Intravenous regional sympathetic block with guanethidine. Lancet. 1974 May 25;1(7865):1019–1020. doi: 10.1016/s0140-6736(74)90418-8. [DOI] [PubMed] [Google Scholar]
  8. Loh L., Nathan P. W. Painful peripheral states and sympathetic blocks. J Neurol Neurosurg Psychiatry. 1978 Jul;41(7):664–671. doi: 10.1136/jnnp.41.7.664. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Spillane J. D., Nathan P. W., Kelly R. E., Marsden C. D. Painful legs and moving toes. Brain. 1971;94(3):541–556. doi: 10.1093/brain/94.3.541. [DOI] [PubMed] [Google Scholar]
  10. Wall P. D., Gutnick M. Ongoing activity in peripheral nerves: the physiology and pharmacology of impulses originating from a neuroma. Exp Neurol. 1974 Jun;43(3):580–593. doi: 10.1016/0014-4886(74)90197-6. [DOI] [PubMed] [Google Scholar]
  11. Wall P. D., Gutnick M. Properties of afferent nerve impulses originating from a neuroma. Nature. 1974 Apr 26;248(5451):740–743. doi: 10.1038/248740a0. [DOI] [PubMed] [Google Scholar]
  12. Woolley-Hart A. A simple technique for measuring skin conductivity. Med Biol Eng. 1972 Jul;10(4):561–563. doi: 10.1007/BF02474208. [DOI] [PubMed] [Google Scholar]
  13. Woolley-Hart A. The role of the circulation in measurements of skin conductivity. Br J Dermatol. 1972 Sep;87(3):213–226. doi: 10.1111/j.1365-2133.1972.tb00309.x. [DOI] [PubMed] [Google Scholar]

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