Stereospecific effect of naloxone hydrochloride on cyanide intoxication

Toxicol Appl Pharmacol. 1986 May;83(3):525-30. doi: 10.1016/0041-008x(86)90235-8.

Abstract

Cyanide intoxication in mice can be antagonized by the opiate antagonist, (-)naloxone HCl, alone or in combination with sodium thiosulfate and/or sodium nitrite. Potency ratios, derived from LD50 values, were compared in groups of mice pretreated with sodium nitrite (sc, 100 mg/kg), sodium thiosulfate (ip, 1 g/kg), and (-)naloxone HCl (sc, 10 mg/kg) either alone or in various combinations. These results indicate that naloxone HCl provides a significant protection against the lethal effects of potassium cyanide. The protective effect of sodium thiosulfate, but not sodium nitrite, was enhanced with (-)naloxone HCl. The combined administration of sodium nitrite and sodium thiosulfate was further enhanced with (-)naloxone HCl. This protective effect of naloxone HCl against the lethal effect of cyanide appears to be restricted to the (-)stereoisomer, as the (+)stereoisomer, the inactive opiate antagonist, is also inactive in protecting against the lethal effects of cyanide. The mechanism of antagonism is discussed.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Cyanides / poisoning*
  • Lethal Dose 50
  • Male
  • Mice
  • Naloxone / pharmacology*
  • Potassium Cyanide / antagonists & inhibitors
  • Potassium Cyanide / blood
  • Potassium Cyanide / poisoning*
  • Receptors, Opioid / drug effects*
  • Sodium Nitrite / pharmacology
  • Stereoisomerism
  • Thiosulfates / pharmacology

Substances

  • Cyanides
  • Receptors, Opioid
  • Thiosulfates
  • Naloxone
  • sodium thiosulfate
  • Sodium Nitrite
  • Potassium Cyanide