PMID- 23395913 OWN - NLM STAT- MEDLINE DCOM- 20150914 LR - 20141013 IS - 1879-0720 (Electronic) IS - 0928-0987 (Linking) VI - 49 IP - 1 DP - 2013 Apr 11 TI - Warning against co-administration of 3,4-methylenedioxymethamphetamine (MDMA) with methamphetamine from the perspective of pharmacokinetic and pharmacodynamic evaluations in rat brain. PG - 57-64 LID - S0928-0987(13)00055-9 [pii] LID - 10.1016/j.ejps.2013.01.014 [doi] AB - 3,4-Methylenedioxymethamphetamine (MDMA) and methamphetamine often cause serious adverse effects (e.g., rhabdomyolysis, and cardiac disease) following hyperthermia triggered by release of brain monoamines such as dopamine and serotonin. Therefore, evaluation of brain monoamine concentrations is useful to predict these drugs' risks in human. This study aimed to evaluate risks of co-administration of MDMA and methamphetamine, both of which are abused frequently in Japan, based on drug distribution and monoamine level in the rat brain. Rats were allocated to three groups: (1) sole MDMA administration (12 or 25 mg/kg, intraperitoneally), (2) sole methamphetamine administration (10 mg/kg, intraperitoneally) and (3) co-administration of MDMA (12 mg/kg, intraperitoneally) and methamphetamine (10 mg/kg, intraperitoneally). We monitored pharmacokinetic and pharmacodynamic variables for drugs and monoamines in the rat brain. Area under the curve for concentration vs. time until 600 min from drug administration (AUC(0)(-)(6)(0)(0)) increased from 348.0 to 689.8 mugmin/L for MDMA and from 29.9 to 243.4 muMmin for dopamine in response to co-administration of methamphetamine and MDMA compared to sole MDMA (12 mg/kg) administration. After sole methamphetamine or that with MDMA administration, AUC(0)(-)(6)(0)(0) of methamphetamine were 401.8 and 671.1 mugmin/L, and AUC(0)(-)(6)(0)(0) of dopamine were 159.9 and 243.4 muMmin. In conclusion, the brain had greater exposure to MDMA, methamphetamine and dopamine after co-administration of MDMA and methamphetamine than when these two drugs were given alone. This suggests co-administration of MDMA with methamphetamine confers greater risk than sole administration, and that adverse events of MDMA ingestion may increase when methamphetamine is co-administered. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Yuki, Fuchigami AU - Yuki F AD - Graduate School of Biomedical Sciences, Nagasaki University, 1-14 Bunkyo-machi, Nagasaki 852-8131, Japan. Electronic address: bb55712002@cc.nagasaki-u.ac.jp. FAU - Rie, Ikeda AU - Rie I AD - Graduate School of Biomedical Sciences, Nagasaki University, 1-14 Bunkyo-machi, Nagasaki 852-8131, Japan. Electronic address: r-ikeda@nagasaki-u.ac.jp. FAU - Miki, Kuzushima AU - Miki K AD - Graduate School of Biomedical Sciences, Nagasaki University, 1-14 Bunkyo-machi, Nagasaki 852-8131, Japan. FAU - Mitsuhiro, Wada AU - Mitsuhiro W AD - Graduate School of Biomedical Sciences, Nagasaki University, 1-14 Bunkyo-machi, Nagasaki 852-8131, Japan. Electronic address: m-wada@nagasaki-u.ac.jp. FAU - Naotaka, Kuroda AU - Naotaka K AD - Graduate School of Biomedical Sciences, Nagasaki University, 1-14 Bunkyo-machi, Nagasaki 852-8131, Japan. FAU - Kenichiro, Nakashima AU - Kenichiro N AD - Graduate School of Biomedical Sciences, Nagasaki University, 1-14 Bunkyo-machi, Nagasaki 852-8131, Japan; Faculty of Pharmaceutical Sciences, Nagasaki International University, 2825-7 Huis Ten Bosch Sasebo, Nagasaki 859-3298, Japan. LA - eng PT - Journal Article DEP - 20130208 PL - Netherlands TA - Eur J Pharm Sci JT - European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences JID - 9317982 RN - 44RAL3456C (Methamphetamine) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Animals MH - Brain/drug effects/*metabolism MH - Injections, Intraperitoneal MH - Male MH - Methamphetamine/*administration & dosage/adverse effects/*pharmacokinetics MH - N-Methyl-3,4-methylenedioxyamphetamine/*administration & dosage/adverse effects/*pharmacokinetics MH - Rats MH - Rats, Wistar EDAT- 2013/02/12 06:00 MHDA- 2015/09/15 06:00 CRDT- 2013/02/12 06:00 PHST- 2012/11/05 00:00 [received] PHST- 2013/01/18 00:00 [revised] PHST- 2013/01/30 00:00 [accepted] PHST- 2013/02/12 06:00 [entrez] PHST- 2013/02/12 06:00 [pubmed] PHST- 2015/09/15 06:00 [medline] AID - S0928-0987(13)00055-9 [pii] AID - 10.1016/j.ejps.2013.01.014 [doi] PST - ppublish SO - Eur J Pharm Sci. 2013 Apr 11;49(1):57-64. doi: 10.1016/j.ejps.2013.01.014. Epub 2013 Feb 8.