Effect of
tolmetin sodium on the
pain-like responses caused by various nociceptive stimuli was examined in experimental animals.
Tolmetin sodium showed a potent inhibitory activity on the
acetic acid-induced writhing in mice and rats, and its potency, (ED50 = 23.4 and 3.01 mg/kg, p.o.) was about 2.4--10.3 times that of
ibuprofen and
aspirin. The
hypertension induced by
intraarterial injection of
bradykinin toward the spleen of dogs was inhibited by
tolmetin sodium (ED50 = 80 mg/kg, i.v.), but the
hypertension by a simultaneous injection of
bradykinin and
PGE1 was not inhibited by
tolmetin sodium and
sulpyrine, though
pentazocine inhibited both hypertensions. The
pain-like response caused by pressing mechanically the inflamed paws or joints of rats induced by
kaolin-
carrageenin or adjuvant was inhibited by
tolmetin sodium (30--100 or 20--40 mg/kg, p.o., respectively), and the potency was approximately equal that of
ibuprofen and
phenylbutazone.
Tolmetin sodium produced a significant inhibition of the
pain-like response induced by electrical stimulation of tooth pulp of dogs, but showed no effect when the methods of Haffner and D'Amour-Smith were applied to mice. Anti-writhing action of
tolmetin sodium was not antagonized by
naloxone. From these results, it was concluded that
tolmetin sodium has a potent inhibitory activity on the
pain-like responses induced by the chemical nociceptive stimuli and by the mechanical pressure stimulus of the inflamed tissue, especially on the writhing. The
analgesic activity probably involves a peripheral mechanism.