Ketamine effects on bupivacaine local anaesthetic activity and pharmacokinetics of bupivacaine in mice

Life Sci. 1997;61(20):2027-33. doi: 10.1016/s0024-3205(97)00861-8.

Abstract

This study was designed to document possible changes in bupivacaine (B) local anaesthetic activity and pharmacokinetics in mice after a ketamine (K) injection. In the experiments, bupivacaine (8.25 mg.kg(-1)), was injected into the popliteal space of the right posterior limb: the local anaesthetic activity was assessed according to a sciatic nerve blockade method with three different doses (2, 10 and 40 mg/kg) of ketamine and the kinetics were studied after a 10 mg/kg dose. When ketamine was associated, the local anesthetic activity of bupivacaine was significantly enhanced as well as its elimination half-life. Significantly lower levels of the main metabolite, PPX, were observed, when ketamine was associated, suggesting a metabolic inhibition phenomenon. The ketamine-induced increase in the total anaesthetic effect of bupivacaine may thus be explained by kinetic modifications i.e. a possible inhibiting effect of ketamine on the metabolism of bupivacaine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anesthesia, Local*
  • Anesthetics, Dissociative / pharmacology*
  • Anesthetics, Local / pharmacokinetics*
  • Animals
  • Bupivacaine / pharmacokinetics*
  • Drug Interactions
  • Half-Life
  • Ketamine / administration & dosage
  • Ketamine / pharmacology*
  • Male
  • Mice

Substances

  • Anesthetics, Dissociative
  • Anesthetics, Local
  • Ketamine
  • Bupivacaine