Skip to main content

Absorption, Distribution, Fate, and Excretion of Ganglion-Blocking Compounds

  • Chapter

Part of the Handbook of Experimental Pharmacology book series (HEP,volume 53)

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

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

    CrossRef  CAS  Google Scholar 

  • Aquilar, J.A., Boldrey, E.F.: Effect of Arfonad (trimetaphan) on monkey. Anesthesiology 21, 3–12 (1960)

    CrossRef  Google Scholar 

  • Asghar, K., Roth, L.J.: Entry and distribution of hexamethonium in the central nervous system. Biochem. Pharmacol. 20, 2787–2795 (1971 a)

    CrossRef  PubMed  CAS  Google Scholar 

  • Asghar, K., Roth, L J.: Distribution of hexamethonium and other quarternary ammonium compounds in cartilage. J. Pharmacol. Exp. Ther. 176, 83–92 (1971b)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    Google Scholar 

  • Berderka, J., Takernori, A.E., Miller, J.W.: Absorption rates of various substances administered intramuscularly. Eur. J. Pharmacol. 15, 132–136 (1971)

    CrossRef  Google Scholar 

  • Bein, H.J., Meier, R.: Pharmacological investigation of pendiomid: a new ganglion-blocking agent. Schweiz. Med. Wochenschr. 81, 446 (1951)

    PubMed  CAS  Google Scholar 

  • Bennett, G., Tyler, C., Zaimis, E.J.: Mecamylamine and its mode of action. Lancet 1957 II, 218–222

    CrossRef  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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

    CrossRef  Google Scholar 

  • Dollery, C.T., Emslie-Smith, D., Muggleton, D.F.: Plasma pempidine concentration in hypertensives. Br. Med. J. 1960 I, 521–523

    CrossRef  Google Scholar 

  • 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)

    Google Scholar 

  • Dontas, A.S., Nickerson, M.: Central and peripheral components of the actions of “ganglionic” blocking agents. J. Pharmacol. Exp. Ther. 120, 147–159 (1956)

    Google Scholar 

  • 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)

    Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • Ford, R.V., Madison, J.C., Moyer, J.M.: Pharmacology of mecamylamine. Am. J. Med. Sci. 232, 120–143(1956)

    CrossRef  Google Scholar 

  • Franchi, G.: The effect of hepatectomy and nephrectomy on the hypotension caused by trimeta-phan camphorsulphonate. Minerva. Anestesid. 23, 194 (1957)

    CAS  Google Scholar 

  • 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)

    Google Scholar 

  • 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)

    CrossRef  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • Harrington, M.: The absorption and excretion of hexamethonium salts. Clin. Sci. 12, 185–198 (1953)

    Google Scholar 

  • Harrington, M., Kincaid-Smith, P.: Effect of chlorothiazide on the hypotensive action of mecamylamine and on its urinary excretion. Lancet 1958 I, 403–404

    CrossRef  Google Scholar 

  • Harrington, M., Kincaid-Smith, P., Milne, M.D.: Pharmacology and clinical use of pempidine in the treatment of hypertension. Lancet 1958 II, 6–11

    CrossRef  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • Kay, A.W., Smith, A.N.: Effects of oral hexamethonium salts on gastric secretion. Br. Med. J. 1950 II, 807–809

    CrossRef  Google Scholar 

  • La Du, B.N., Mandel, H.G., Way, E.L.: Fundamentals of drug metabolism aand drug dispositon. Baltimore: Williams and Wilkins 1971

    Google Scholar 

  • Levine, R.R.: Presence of certain onium compounds in brain tissue following intravenous administration to rats. Nature (Lond.) 184, 1412–1414 (1959)

    CrossRef  Google Scholar 

  • Levine, R.R.: The physiological disposition of hexamethonium and related compounds. J. Pharmacol. Exp. Ther. 129, 296–304 (1960)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • Levine, R.R., Clark, B.B.: Physiologic disposition of hexamethonium and chemically related compounds. Fed. Proc. 16, 317 (1957)

    Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • McIsaac, R.J.: The relationship between diposition and pharmacological activity of hexamethon-ium-N-methyl C14. J. Pharmacol. Exp. Ther. 135, 335–343 (1962)

    CAS  Google Scholar 

  • McIsaac, R.J.: The uptake of hexamethonium C14 by kidney slices. J. Pharmacol. Exp. Ther. 150, 92–98 (1965)

    PubMed  CAS  Google Scholar 

  • McIsaac, R.J.: The binding of organic bases to kidney cortex slices. J. Pharmacol. Exp. Ther. 168, 6–12 (1969)

    PubMed  CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • Milne, G.E., Oleesky, S.: Excretion of the methonium compounds. Lancet 1951 I, 889–890

    CrossRef  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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

    CrossRef  Google Scholar 

  • Muggleton, D.F., Reading, H.W.: Absorption, metabolism, and clearance of pempidine in the rat. Br. J. Pharmacol. 14, 202–208 (1959)

    CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • Paton, W.D.M., Zaimis, E.J.: The methonium compounds. Pharmacol. Rev. 4, 219–253 (1952)

    PubMed  CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • Peters, L.: Renal tubular excretion of organic bases. Pharmacol. Rev. 12, 1–35 (1960)

    PubMed  CAS  Google Scholar 

  • 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)

    Google Scholar 

  • 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

    Google Scholar 

  • Rennick, B.R., Moe, G.K.: Stop-flow localisation of renal tubular excretion of tetraethylam-monium. Am. J. Physiol. 198, 1267–1270 (1960)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • Rosenheim, M.L.: The treatment of severe hypertension. Br. Med. J. 1954 II, 4898, 1181

    Google Scholar 

  • Roth, L.L, Barlow, CF.: Isotopes in experimental pharmacology, p.49. Chicago: University of Chicago Press 1964

    Google Scholar 

  • Schanker, L.S.: Absorption of drugs from the rat colon. J. Pharmac. Exp. Ther. 126, 283–290 (1959)

    CAS  Google Scholar 

  • Schanker, L.S.: Passage of drugs across body membranes. Pharmacol. Rev. 14, 501–530 (1962)

    PubMed  CAS  Google Scholar 

  • 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

    Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • 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

    CrossRef  PubMed  CAS  Google Scholar 

  • 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)

    Google Scholar 

  • Schribner, B.H., Crawford, M.A., Dempster, W.J.: Urinary excretion by non-ionic diffusion. Am. J. Physiol. 196, 1135–1140(1959)

    Google Scholar 

  • Smirk, F.H.: Action of a new methonium compound in arterial hypertension. Lancet 1953 I, 457

    CrossRef  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • 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)

    Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

  • Tochino, Y., Schanker, L.S.: Active transport of quaternary ammonium compounds by the choroid plexus, in vitro. Am. J. Physiol. 208, 666–673 (1965)

    PubMed  CAS  Google Scholar 

  • 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)

    CrossRef  PubMed  CAS  Google Scholar 

  • Volle, R.: Ganglionic transmission. Annu. Rev. Pharmacol. 9, 135–146 (1969)

    CrossRef  PubMed  CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • Wien, R., Mason, D.F.J.: Some actions of hexamethonium and certain homologues. Br. J. Pharmacol. 6, 611–629 (1951)

    CAS  Google Scholar 

  • 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)

    CAS  Google Scholar 

  • 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)

    Google Scholar 

  • Young, I.: The placental transfer of hexamethonium bromide and the origin of amniotic fluid in the rabbit. J. Physiol. (Lond.) 122, 93–101 (1953)

    CAS  Google Scholar 

  • 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)

    CrossRef  Google Scholar 

  • Zaimis, E.J.: The synthesis of methonium compounds, their isolation from urine, and their photometric determination. Br. J. Pharmacol. 5, 424 (1950)

    CAS  Google Scholar 

  • 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)

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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