Carmoxirole inhibits platelet aggregation in vitro and ex vivo.

Abstract

The influence of carmoxirole, a new antihypertensive DA2-agonist on human platelet aggregation was studied in vitro and ex vivo. In an open study 15 patients with essential hypertension received 3 doses of carmoxirole, 0.5, 1 and 2 mg daily, each for a 2-week period, following a 2-week placebo phase. At the end of each 2-week period blood pressure, platelet aggregation, plasma carmoxirole and plasma catecholamines were measured. Preliminary experiments in vitro showed that 10 microM carmoxirole inhibited the adrenaline induced aggregation velocity by 10%: Increasing the carmoxirole concentration caused dose dependent inhibition which was complete at 1 mM. Carmoxirole itself caused a weak aggregating effect on human platelets in vitro. Blood pressure was reduced from 163 +/- 11/103 +/- 3 before treatment to 155 +/- 11/97 +/- 4, 148 +/- 11/93 +/- 4 and 143 +/- 11/90 +/- 6 mmHg following 2 weeks of 0.5, 1 and 2 mg oral carmoxirole, respectively. Carmoxirole plasma levels 2 1/2 h after the last capsule administration were 0.37 +/- 0.612, 0.95 +/- 1.045 and 3.69 +/- 2.570 ng/ml following treatment with 0.5, 1 and 2 mg carmoxirole, respectively. No influence of carmoxirole on plasma catecholamines could be established. Compared to 100% before treatment, the 5-hydroxytryptamine induced platelet aggregation velocity ex vivo decreased to 70%, 38% and 69% after the administration of 0.5, 1 and 2 mg carmoxirole, respectively. The adrenaline induced aggregation velocity was reduced in the same manner. These results show that carmoxirole is an antihypertensive agent with antithrombotic potential.

• Authors: R Kirsten, M Breidert, K Sparwasser, J G Ochs, K Hesse, K Nelson
• Journal: International journal of clinical pharmacology and therapeutics (Int J Clin Pharmacol Ther) Vol. 33 Issue 2 Pg. 76-80 (Feb 1995) ISSN: 0946-1965 [Print] Germany
• PMID: 7757314 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Dopamine Agonists
• Indoles
• Platelet Aggregation Inhibitors
• Pyridines
• Serotonin
• carmoxirole
• Epinephrine

Topics

• Blood Pressure (drug effects)
• Dopamine Agonists (pharmacology)
• Epinephrine (pharmacology)
• Female
• Heart Rate (drug effects)
• Humans
• Hypertension (blood)
• In Vitro Techniques
• Indoles (blood, pharmacology)
• Male
• Middle Aged
• Platelet Aggregation (drug effects)
• Platelet Aggregation Inhibitors (blood, pharmacology)
• Pyridines (blood, pharmacology)
• Serotonin (pharmacology)