Venlafaxine and neuropathic pain

Pharmacology. 2013;91(1-2):69-76. doi: 10.1159/000345035. Epub 2012 Nov 22.

Abstract

The possible mechanisms involved in the antinociceptive effect of venlafaxine (VFX), a selective serotonin and noradrenaline reuptake inhibitor, after a single administration and chronic treatment were investigated in a diabetic neuropathic pain (DNP) model. VFX produced a significant antihyperalgesic effect after a single and repeated administration. This effect was reversed by pretreatment with yohimbine (a relatively selective α(2)-adrenergic antagonist) and p-chloroamphetamine (a neurotoxin which destroys serotonergic neurons). Conversely, naloxone (a nonselective opioid antagonist) did not reverse the effect of VFX in a DNP model. It is concluded that both noradrenergic and serotonergic mechanisms participate in the antinociceptive effect of VFX in the DNP model. However, the noradrenergic mechanism probably plays a more important role.

MeSH terms

  • Adrenergic Uptake Inhibitors / therapeutic use*
  • Adrenergic alpha-2 Receptor Antagonists / pharmacology
  • Animals
  • Cyclohexanols / therapeutic use*
  • Diabetes Mellitus, Experimental / complications
  • Diabetes Mellitus, Experimental / drug therapy*
  • Diabetes Mellitus, Experimental / physiopathology
  • Hyperalgesia / drug therapy*
  • Hyperalgesia / etiology
  • Hyperalgesia / physiopathology
  • Male
  • Naloxone / pharmacology
  • Narcotic Antagonists / pharmacology
  • Neuralgia / drug therapy*
  • Neuralgia / etiology
  • Neuralgia / physiopathology
  • Pain Threshold / drug effects
  • Rats
  • Rats, Wistar
  • Selective Serotonin Reuptake Inhibitors / therapeutic use*
  • Serotonin Agents / pharmacology
  • Venlafaxine Hydrochloride
  • Yohimbine / pharmacology
  • p-Chloroamphetamine / pharmacology

Substances

  • Adrenergic Uptake Inhibitors
  • Adrenergic alpha-2 Receptor Antagonists
  • Cyclohexanols
  • Narcotic Antagonists
  • Serotonin Agents
  • Serotonin Uptake Inhibitors
  • Yohimbine
  • Naloxone
  • p-Chloroamphetamine
  • Venlafaxine Hydrochloride