Multiple effects of sibutramine on ejaculation and on vas deferens and seminal vesicle contractility

Sibutramine is an inhibitor of norepinephrine and 5-HT reuptake largely used in the management of obesity. Although a fairly safe drug, postmarketing adverse effects of sibutramine were reported including abnormal ejaculation in men. This study investigates the effects of sibutramine on ejaculation...

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Veröffentlicht in:Toxicology and applied pharmacology 2009-09, Vol.239 (3), p.233-240
Hauptverfasser: Nojimoto, Fernanda D., Piffer, Renata C., Kiguti, Luiz Ricardo de A., Lameu, Claudiana, de Camargo, Antônio C.M., Pereira, Oduvaldo C.M., Pupo, André S.
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container_issue 3
container_start_page 233
container_title Toxicology and applied pharmacology
container_volume 239
creator Nojimoto, Fernanda D.
Piffer, Renata C.
Kiguti, Luiz Ricardo de A.
Lameu, Claudiana
de Camargo, Antônio C.M.
Pereira, Oduvaldo C.M.
Pupo, André S.
description Sibutramine is an inhibitor of norepinephrine and 5-HT reuptake largely used in the management of obesity. Although a fairly safe drug, postmarketing adverse effects of sibutramine were reported including abnormal ejaculation in men. This study investigates the effects of sibutramine on ejaculation and vas deferens and seminal vesicle contractility. Adult male rats received sibutramine (5; 20; or 50 mg kg − 1 , ip) and after 60 min were exposed to receptive females for determination of ejaculation parameters. The vasa deferentia and seminal vesicles of untreated rats were mounted in isolated organ baths for recording of isometric contractions and HEK293 cells loaded with fluorescent calcium indicator were used to measure intracellular Ca 2+ transients. Sibutramine 5 and 20 mg kg − 1 reduced ejaculation latency whereas 50 mg kg − 1 increased ejaculation latency. Sibutramine 3 to 30 μM greatly increased the sensitivity of the seminal vesicle and vas deferens to norepinephrine, but at concentrations higher than 10 μM there were striking depressions of maximal contractions induced by norepinephrine, carbachol and CaCl 2. In HEK293 cells, sibutramine 10 to 100 μM inhibited intracellular Ca 2+ transients induced by carbachol. Depending on the doses, sibutramine either facilitates or inhibits ejaculation. Apart from its actions in the central nervous system, facilitation of ejaculation may result from augmented sensitivity of smooth muscles to norepinephrine while reductions of intracellular Ca 2+ may be involved in the delayed ejaculation observed with high doses of sibutramine.
doi_str_mv 10.1016/j.taap.2009.05.021
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subjects 60 APPLIED LIFE SCIENCES
Abnormal ejaculation
Adrenergic alpha-1 Receptor Agonists
ADULTS
Animals
Appetite Depressants - adverse effects
Biological and medical sciences
Calcium - metabolism
Calcium Chloride - pharmacology
CALCIUM CHLORIDES
CALCIUM IONS
Carbachol - pharmacology
Cell Line
CENTRAL NERVOUS SYSTEM
Cyclobutanes - adverse effects
Dose-Response Relationship, Drug
DOSES
Ejaculation - drug effects
Female
Humans
In Vitro Techniques
Isometric Contraction - drug effects
Male
MALE GENITALS
Medical sciences
MEN
METABOLIC DISEASES
Neurotransmitter Agents - pharmacology
NORADRENALINE
Norepinephrine - pharmacology
Premature ejaculation
RATS
Rats, Wistar
Receptors, Muscarinic - metabolism
Seminal vesicle
Seminal Vesicles - drug effects
Seminal Vesicles - metabolism
SENSITIVITY
Sibutramine
Toxicology
Vas deferens
Vas Deferens - drug effects
Vas Deferens - metabolism
title Multiple effects of sibutramine on ejaculation and on vas deferens and seminal vesicle contractility
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