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Human & Experimental Toxicology
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Therapeutic efficacy of sodium nitrite and 4-dimethylaminophenol or hydroxylamine co-administration against cyanide poisoning in rats

R. Bhattacharya

Division of Pharmacology and Toxicology, Defence Research and Development Establishment, Gwalior 474002, India

1 The therapeutic efficacy of combined treatment of sodium nitrite (NaNO2) and 4-dimethylaminophenol (DMAP) or hydroxylamine (H2NOH) was investigated in potassium cyanide (KCN) intoxication in male rats.

2 Therapy with NaNO 2 (0.27 mmol kg-1) + DMAP (0.09 mmol kg-1) or NaNO2 + H2NOH (0.09 mmol kg-1, produced a protection index (ratio of LD50 of KCN in rats receiving therapy to an LD50 of KCN in rats given only 0.9% saline) of 2.5 and 2.0 respectively.

3 Both the regimens exhibited a beneficial effect in terms of improving the survival time and postural defects in rats exposed to 2 LD50 KCN.

4 NaNO2 + DMAP showed a significant protective effect in the disposition of the plasma cyanide level at different time intervals.

5 The NaNO2 + DMAP regimen was superior to NaNO2 + H2NOH in terms of reactivating the inhibited brain cytochrome oxidase enzyme.

6 The addition of sodium thiosulphate (Na2S2O3) in both the regimens increased the degree of protection.

7 The results suggest that combined therapy with NaNO2 + DMAP could significantly reduce the toxic effects of cyanide, compared with NaNO2+H2NOH treatment.

Key Words: cyanide poisoning • treatment • methaemoglobin inducers • biochemical indices • rat

Human & Experimental Toxicology, Vol. 14, No. 1, 29-33 (1995)
DOI: 10.1177/096032719501400107


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