Title
The Synergistic Effect of Raloxifene, Fluoxetine, and Bromocriptine Protects Against Pilocarpine-Induced Status Epilepticus and Temporal Lobe Epilepsy
Date Issued
01 February 2019
Access level
metadata only access
Resource Type
journal article
Author(s)
Pottoo F.H.
Tabassum N.
Javed M.N.
Nigar S.
Rasheed R.
Khan A.
Barkat M.A.
Alam M.S.
Maqbool A.
Ansari M.A.
Ashraf G.M.
Pontificia Universidad Javeriana
Publisher(s)
Humana Press Inc.
Abstract
The present antiepileptic drugs pose several problems in the management of seizures owing to their meager neuroprotective potential, adverse effects on bone, detrimental effects on cognitive function, chronic toxicity, drug interactions, side effects including aggression, agitation, and irritability and sometimes exacerbation of seizures. We followed up progressive preclinical investigation in mice against pilocarpine (PILO)-induced status epilepticus (SE) and temporal lobe epilepsy (TLE). To determine the response of raloxifene (RF) (4 and 8 mg/kg), fluoxetine (FT) (14 and 22 mg/kg), bromocriptine (BC) (6 and 10 mg/kg), and their low-dose combinations, oral treatment was scheduled for 28 days followed by PILO (300 mg/kg, i.p). The response was stalked for intensive behavioral monitoring of convulsions, hippocampal neuropeptide Y (NPY), and oxidative stress discernment along with histomorphological studies. The resultant data confirmed the therapeutic potential of triple drug combination of raloxifene (4 mg/kg) with fluoxetine (14 mg/kg) and bromocriptine (6 mg/kg) compared to monotherapy with raloxifene (4 mg/kg), and bromocriptine (6 mg/kg) as otherwise monotherapy with fluoxetine (14 mg/kg) was ineffective to suppress convulsions; an effect better than sodium valproate (300 mg/kg), a standard AED, was validated. Most profoundly, PILO-induced compensatory increases in hippocampal NPY levels (20.01%), which was escalated (100%) with the triple drug combination. The same pattern of results was superseded for oxidative stress indices and neuronal damage. The results for the first time demonstrate the propitious role of triple drug combination in the management of SE and TLE. Therapeutically, this enhancing profile of drugs fosters a safer and more effective drug-combination regimen. [Figure not available: see fulltext.].
Start page
1233
End page
1247
Volume
56
Issue
2
Language
English
OCDE Knowledge area
Neurología clínica
Farmacología, Farmacia
Subjects
Scopus EID
2-s2.0-85048092397
PubMed ID
Source
Molecular Neurobiology
ISSN of the container
08937648
Sponsor(s)
The authors would like to acknowledge DST, New Delhi, for providing instrumental facilities under FIST scheme to PG Department of Pharmaceutical Sciences, University of Kashmir. The authors wish to express their gratitude to Unicure (India) Pvt. Ltd., Noida, for carrying out the pharmaceutical analysis of APIs.
Sources of information:
Directorio de Producción Científica
Scopus