Abstract

BackgroundPseudoephedrine is a drug commonly prescribed as a nasal decongestant and bronchodilator and is also freely available in cold remedies and medications. The structural and pharmacological similarity of pseudoephedrine to amphetamine has led to evaluation of its psychomotor stimulant properties within the central nervous system. Previous investigations have shown that the acute responses to pseudoephedrine were similar to those of amphetamine and other psychostimulants.ResultsThis study examined the effect of chronic administration of pseudoephedrine in rat nucleus accumbens and striatum and identified three further similarities to amphetamine. (i) Chronic exposure to pseudoephedrine reduced the c-Fos response to acute pseudoephedrine treatment suggesting that pseudoephedrine induced tolerance in the animals. (ii) In animals chronically treated with amphetamine or pseudoephedrine the acute c-Fos response to pseudoephedrine and amphetamine was reduced respectively as compared to naïve animals indicating cross-tolerance for the two drugs. (iii)The known involvement of the dopamine system in the response to amphetamine and pseudoephedrine was further confirmed in this study by demonstrating that pseudoephedrine similarly to amphetamine, but with lower potency, inhibited [3H]dopamine uptake in synaptosomal preparations.ConclusionThis work has demonstrated further similarities of the effect of pseudoephedrine to those of amphetamine in brain areas known to be associated with drug addiction. The most significant result presented here is the cross tolerance effect of amphetamine and psudoephedrine. This suggests that both drugs induce similar mechanisms of action in the brain. Further studies are required to establish whether despite its considerable lower potency, pseudoephedrine could pose health and addiction risks in humans similar to that of known psychostimulants.

Highlights

  • Pseudoephedrine is a drug commonly prescribed as a nasal decongestant and bronchodilator and is freely available in cold remedies and medications

  • Pseudoephedrine is a drug commonly prescribed as a nasal decongestant and bronchodilator and is available in over the counter cold remedy medications

  • Numerous studies have documented the cellular effects of amphetamine which include increased dopamine release, inhibition of dopamine uptake, D1 and D2 dopamine receptor stimulation, cAMP changes, cAMP responsive element binding protein (CREB) activation, immediate-early gene expression and activation of other specific genes such as dynorphin[2]

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Summary

Introduction

Pseudoephedrine is a drug commonly prescribed as a nasal decongestant and bronchodilator and is freely available in cold remedies and medications. The induction of c-fos by psychostimulants is believed to be mediated predominantly via the D1 receptors as demonstrated by the fact that the D1 specific antagonist SCH23390 can strongly inhibit amphetamine and cocaine-induced c-Fos expression and Fos-like immunoreactivity [6,10]. These findings do not preclude the involvement of other dopamine receptor types in the response to psychostimulants [8,11]

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