Abstract
It has been said of the ganglion-blocking drugs that “many of the features of absorption, distribution and excretion of these drugs are predictable from a knowledge of their physical and chemical properties” (Dollery, 1964). While this may be true as a generalisation, there are still aspects that are incompletely understood. The non-depolarising ganglion-blocking compounds are divisible into two groups according to their physical and chemical properties and the major characteristics of their absorption, etc. Within each group the responses are essentially similar. The first is the onium group, which includes tetraethylammonium, hexamethonium, pendiomid, pentolinium, chlorisondamine and trimethaphan. These are compounds that are completely ionised in aqueous solution. The second group is represented by the secondary amine mecamylamine and the tertiary amine pempidine. Although this group of compounds all have high pKa values, so that at physiological pH they are very largely ionised, there is still some un-ionized compound present in aqueous solution.
Keywords
- Choroid Plexus
- Hypotensive Effect
- Superior Cervical Ganglion
- Quaternary Ammonium Compound
- Hypotensive Action
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, access via your institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Allanby, K.D., Trounce, J.R.: Excretion of mecamylamine after intravenous and oral administration. Br. Med. J. 1957 II, 1219
Aquilar, J.A., Boldrey, E.F.: Effect of Arfonad (trimetaphan) on monkey. Anesthesiology 21, 3–12 (1960)
Asghar, K., Roth, L.J.: Entry and distribution of hexamethonium in the central nervous system. Biochem. Pharmacol. 20, 2787–2795 (1971 a)
Asghar, K., Roth, L J.: Distribution of hexamethonium and other quarternary ammonium compounds in cartilage. J. Pharmacol. Exp. Ther. 176, 83–92 (1971b)
Baer, J.E., Paulson, S.F., Russo, H.F., Beyer, K.H.: Renal elimination of 3-methylaminoiso-camphane HCL (mecanylamine). Am. J. Physiol. 186, 180–186 (1956a)
Baer, J.E., Paulson, S.F., Russo, H.F., Beyer, K.H.: Renal elimination of 3-methylaminoi-socamphane hydrochloride (mecamylamine). J. Pharmacol. Exp. Ther. 116, 2–3 (1956 b)
Berderka, J., Takernori, A.E., Miller, J.W.: Absorption rates of various substances administered intramuscularly. Eur. J. Pharmacol. 15, 132–136 (1971)
Bein, H.J., Meier, R.: Pharmacological investigation of pendiomid: a new ganglion-blocking agent. Schweiz. Med. Wochenschr. 81, 446 (1951)
Bennett, G., Tyler, C., Zaimis, E.J.: Mecamylamine and its mode of action. Lancet 1957 II, 218–222
Bhargava, H.P., Dhawan, K.N.: Depression of the vasomotor centre by mecamylamine, independent of its ganglion-blocking activity. Br. J. Pharmacol. 21, 39–44 (1963)
Brodie, B.B., Kurtz, H., Schanker, L.S.: The importance of dissociation constant and lipid-solubility in influencing the passage of drugs into the C.S.F. J. Pharmacol. Exp. Ther. 130, 20–35 (1960)
Brown, D.A., Halliwell, J.V.: Intracellular pH in rat isolated superior cervical ganglia in relation to nicotine-depolarisation and nicotine uptake. Br. J. Pharmacol. 45, 349–359 (1972)
Corne, S.J., Edge, N.D.: Pharmacological properties of pempidine (l:2:2:6:6:pentamethylene piperidine) a new ganglion-blocking compound. Br. J. Pharmacol. 13, 339–349 (1958)
Dhawan, K.N., Bhargava, K.P.: Central vasomotor effects of a new ganglion-blocking agent, 1:2:2:6:6:pentamethylpiperidine (pempidine). Br. J. Pharmacol. 15, 215–218 (1960)
Dollery, C.T.: Absorption, distribution and excretion of drugs used to treat hypertension. In: Absorption and distribution of drugs. Binns, T.B. (ed.), pp. 157–164. Edinburgh, London: E and S Livingstone 1964
Dollery, C.T., Harrington, M., Kaufman, G.: The mode of action of chlorothiazide in hypertension: with special reference to potentiation of ganglion blockers. Lancet 1959 I, 1215
Dollery, C.T., Emslie-Smith, D., Muggleton, D.F.: Plasma pempidine concentration in hypertensives. Br. Med. J. 1960 I, 521–523
Dollery, C.T., Emslie-Smith, D., Muggleton, D.F.: Action of chlorothiazide on the distribution, excretion, and hypotensive effects of pempidine in man. Br. J. Pharmacol. 17, 488–506 (1961)
Dontas, A.S., Nickerson, M.: Central and peripheral components of the actions of “ganglionic” blocking agents. J. Pharmacol. Exp. Ther. 120, 147–159 (1956)
Duston, H.P., Comming, G.R., Corcoran, A.C., Page, I.H.: A mechanism of chlorothiazide enhanced effectiness of antihypertensive ganglioplegic drugs. Circulation. 19, 360–365 (1959)
Fadhel, N., Seager, L.D.: Influence of hexamethonium intracisternally and hexamethonium and trimethaphan camphorsulfonate intravenously on the pressor response to intracisternal ver-atrine. Proc. Soc. Exp. Biol. Med. 131, 1263 (1969)
Ford, R.V., Madison, J.C., Moyer, J.M.: Pharmacology of mecamylamine. Am. J. Med. Sci. 232, 120–143(1956)
Franchi, G.: The effect of hepatectomy and nephrectomy on the hypotension caused by trimeta-phan camphorsulphonate. Minerva. Anestesid. 23, 194 (1957)
Garthwaite, J.: The uptake of weak acids and bases into isolated rat superior cervical ganglia in relation to intracellular pH. Br. J. Pharmacol. 56, 3, 353 P (1976)
Gertner, S.B., Little, D.M., Bonnycastle, D.D.: Urinary excretion of Arfonad by patients undergoing “controlled hypertension” during surgery. Anaesthesiology 16, 495–501 (1955)
Gosling, J.A., Lu, T.C.: Uptake and distribution of some quaternary ammonium compounds in the central nervous system of the rat. J. Pharmacol. Exp. Ther. 167, 56–62 (1969)
Haley, T.J., McCormick, W.G.: Pharmacological effects produced by intracerebral injection of drugs in the conscious mouse. Br. J. Pharmacol. 12, 12–15 (1957)
Harrington, M.: The absorption and excretion of hexamethonium salts. Clin. Sci. 12, 185–198 (1953)
Harrington, M., Kincaid-Smith, P.: Effect of chlorothiazide on the hypotensive action of mecamylamine and on its urinary excretion. Lancet 1958 I, 403–404
Harrington, M., Kincaid-Smith, P., Milne, M.D.: Pharmacology and clinical use of pempidine in the treatment of hypertension. Lancet 1958 II, 6–11
Hogben, C.A.M., Tocco, D.J., Brodie, B.B., Schanker, L.S.: On the mechanism of intestinal absorption of drugs. J. Pharmacol. Exp. Ther. 125, 275–282 (1959)
Kay, A.W., Smith, A.N.: Effects of oral hexamethonium salts on gastric secretion. Br. Med. J. 1950 II, 807–809
La Du, B.N., Mandel, H.G., Way, E.L.: Fundamentals of drug metabolism aand drug dispositon. Baltimore: Williams and Wilkins 1971
Levine, R.R.: Presence of certain onium compounds in brain tissue following intravenous administration to rats. Nature (Lond.) 184, 1412–1414 (1959)
Levine, R.R.: The physiological disposition of hexamethonium and related compounds. J. Pharmacol. Exp. Ther. 129, 296–304 (1960)
Levine, R.R.: The influence of the intraluminal intestinal milieu on the absorption of an organic cation and an anionic agent. J. Pharmacol. Exp. Ther. 131, 328–333 (1961)
Levine, R.R., Blair, M.R., Clark, B.B.: Factors influencing the intestinal absorption of certain monoquaternary anticholinergic compounds with special reference to benzomethamine N-diethylaminoethyl N1-methyl benzilamide methobromide (M.C.3199). J. Pharmacol. Exp. Ther. 114, 78–86 (1955)
Levine, R.R., Clark, B.B.: Physiologic disposition of hexamethonium and chemically related compounds. Fed. Proc. 16, 317 (1957)
Levine, R.R., Pelikan, E.W.: The influence of experimental procedures and dose on the intestinal absorption of an onium compound, benzomethamine. J. Pharmacol. Exp. Ther. 131, 319–327 (1961)
McIsaac, R.J.: The relationship between diposition and pharmacological activity of hexamethon-ium-N-methyl C14. J. Pharmacol. Exp. Ther. 135, 335–343 (1962)
McIsaac, R.J.: The uptake of hexamethonium C14 by kidney slices. J. Pharmacol. Exp. Ther. 150, 92–98 (1965)
McIsaac, R.J.: The binding of organic bases to kidney cortex slices. J. Pharmacol. Exp. Ther. 168, 6–12 (1969)
McIsaac, R.J., Millerschoen, N.R.: A comparison of the effects of mecamylamine and hexame-thonium on transmission in the superior cervical ganglion of the cat. J. Pharmacol. Exp. Ther. 139, 18–24(1963)
Milne, G.E., Oleesky, S.: Excretion of the methonium compounds. Lancet 1951 I, 889–890
Milne, M.D., Rowe, G.G., Somers, K., Muehrcke, R.C., Crawford, M.A.: Observations on the pharmacology of mecamylamine. Clin. Sci. 16, 599–614 (1957)
Monge, C.C., Corcoran, A.C., del Greco, F., Page, I.H.: Volume of distribution of hexamethon-ium in nephrectomized dog. Am. J. Physiol. 178, 256–258 (1954)
Morrison, B., Paton, W.D.M.: Effects of hexamethonium on normal individuals in relation to its concentration in the plasma. Br. Med. J. 1953 I, 1299–1305
Muggleton, D.F., Reading, H.W.: Absorption, metabolism, and clearance of pempidine in the rat. Br. J. Pharmacol. 14, 202–208 (1959)
Murray, R., Beck, L., Rondell, P.A., Bohr, D.F.: A study of the central action of ganglionic blocking agents. J. Pharmacol. Exp. Ther. 127, 157–163 (1959)
Paton, W.D.M., Zaimis, E.J.: The methonium compounds. Pharmacol. Rev. 4, 219–253 (1952)
Payne, J.P., Rowe, G.G.: The effects of mecamylamine in the cat as modified by the administration of carbon dioxide. Br. L Pharmacol. 12, 457–460 (1957)
Peters, L.: Renal tubular excretion of organic bases. Pharmacol. Rev. 12, 1–35 (1960)
Plummer, A.J., Trappold, I.H., Schneider, J.A., Maxwell, R.A., Earl, A.R.: Ganglion blockade by a new bioquaternary series including chlorisondamine dimethochloride. J. Pharmacol. Exp. Ther. 115, 173–184(1955)
Rall, D.P.: Drug entry into brain and cerebrospinal fluid. In: Concepts in biochemical pharmacology, Part I, handbook of experimental pharmacology, Vol. XXVIII/1. Brodie, B.B., Gillette, J.R. (eds.). Berlin: Springer 1971
Rennick, B.R., Moe, G.K.: Stop-flow localisation of renal tubular excretion of tetraethylam-monium. Am. J. Physiol. 198, 1267–1270 (1960)
Rennick, B.R., Moe, G.K., Lyons, R.H., Hoobler, S.W., Neligh, R.: Absorption and renal excretion of the tetraethylammonium ion. J. Pharmacol. Exp. Ther. 91, 210 (1947)
Rosenheim, M.L.: The treatment of severe hypertension. Br. Med. J. 1954 II, 4898, 1181
Roth, L.L, Barlow, CF.: Isotopes in experimental pharmacology, p.49. Chicago: University of Chicago Press 1964
Schanker, L.S.: Absorption of drugs from the rat colon. J. Pharmac. Exp. Ther. 126, 283–290 (1959)
Schanker, L.S.: Passage of drugs across body membranes. Pharmacol. Rev. 14, 501–530 (1962)
Schanker, L.S.: Absorption of drugs from the gastrointestinal tract. In: Concepts in biochemical pharmacology, Part I, handbook of experimental pharmacology, Vol. XXVIII/1. Brodie, B.B, Gillette, J.R. (eds.). Berlin: Springer 1971
Schanker, L.S., Shore, P.A., Brodie, B.B., Hogben, C.A.M.: Absorption of drugs from the stomach I. The Rat. J. Pharmacol. Exp. Ther. 120, 528–539 (1957)
Schanker, L.S., Tocco, D.J., Brodie, B.B., Hogben, C.A.M.: Absorption of drugs from the rat small intestine. J. Pharmacol. Exp. Ther. 123, 81–87 (1958)
Schanker, L.S., Prokop, L.D., Schou, L, Sisodia, P.: Rapid efflux of some quaternary ammonium compounds from cerebrospinal fluid. Life Sci. 1, 515–521 1962
Schanker, L.S., Prokop, L.D., Schou, L, Sisodia, P.: Rapid efflux of some quaternary ammonium compounds from cerebrospinal fluid Erratum 1 659–611 (1962)
Schribner, B.H., Crawford, M.A., Dempster, W.J.: Urinary excretion by non-ionic diffusion. Am. J. Physiol. 196, 1135–1140(1959)
Smirk, F.H.: Action of a new methonium compound in arterial hypertension. Lancet 1953 I, 457
Spinks, A., Young, E.H.P., Farrington, LA., Dunlop, D.: The pharmacological actions of pempidine and its ethylhomologue. Br. J. Pharmacol. 13, 501–520 (1958)
Stone, C.A., Baer, J.E., Zawoiski, E.J., Beyer, K.H.: Pharmacology and physiological disposition of 3-methylaminoisocamphane (mecamylamine): a secondary amine ganglion-blocking agent. Am. J. Med. Sci. 232, 115 (1956 a)
Stone, D.A., Torchiana, M.L., Navarro, A., Beyer, K.H.: Ganglionic-blocking properties of 3-methylamino-isocamphane hydrochloride, (mecamylamine) a secondary amine. J. Pharmacol. Exp. Ther. 117, 169–183 (1956 b)
Tochino, Y., Schanker, L.S.: Active transport of quaternary ammonium compounds by the choroid plexus, in vitro. Am. J. Physiol. 208, 666–673 (1965)
Torretti, J., Weiner, I.M., Mudge, G.H.: Renal tubular secretion and reabsorption of organic bases in the dog. J. Clin. Invest. 41, 793–804 (1962)
Volle, R.: Ganglionic transmission. Annu. Rev. Pharmacol. 9, 135–146 (1969)
Volle, R., Green, R.E., Peters, L.: Renal tubular transport relationships between N1-methylnico-tinamide (NMN), mecamylamine, quinine, quinidine, and quinacrime in the avian kidney. J. Pharmacol. Exp. Ther. 129, 388–393 (1960)
Wien, R., Mason, D.F.J.: Some actions of hexamethonium and certain homologues. Br. J. Pharmacol. 6, 611–629 (1951)
Wien, R., Mason, D.F.J.: The pharmacological action of a series of phenyl alkaneß-ω bis(tri-alkylammonium) compounds. Br. J. Pharmacol. 8, 306–314 (1953)
Young, I.M.: The placental transfer of hexamethonium bromide in the rabbit and its appearance in the amniotic fluid. J. Physiol. (Lond.) 116, 4 P (1952)
Young, I.: The placental transfer of hexamethonium bromide and the origin of amniotic fluid in the rabbit. J. Physiol. (Lond.) 122, 93–101 (1953)
Young, I.M., de Wardener, H.E., Miles, B.E.: Mechanism of the renal excretion of methonium compounds. Br. Med. J. 1951 II, 1500–1501 (1951)
Zaimis, E.J.: The synthesis of methonium compounds, their isolation from urine, and their photometric determination. Br. J. Pharmacol. 5, 424 (1950)
Zawoiski, E.J., Baer, J.E., Braunschweig, L.W., Paulson, F., Shermer, A., Beyer, K.H.: Gastrointestinal secretion and absorption of 3-methylaminoisocamphane hydrochloride (mecamylamine). J. Pharmacol. Exp. Ther. 122, 442–448 (1958)
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1980 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Mason, D.F.J. (1980). Absorption, Distribution, Fate, and Excretion of Ganglion-Blocking Compounds. In: Kharkevich, D.A. (eds) Pharmacology of Ganglionic Transmission. Handbook of Experimental Pharmacology, vol 53. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67397-9_10
Download citation
DOI: https://doi.org/10.1007/978-3-642-67397-9_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-67399-3
Online ISBN: 978-3-642-67397-9
eBook Packages: Springer Book Archive