Short communication
Hemodynamic effects of bupropion in anesthetized dogs
Maria Ondina Paganelli
a
, José Eduardo Tanus-Santos
b
, Maricene Sabha
a
,
Joaquim Francisco do Prado
a
, Marco Vinicíus Chaud
c
, Luís Cláudio Martins
a
, Heitor Moreno Jr.
a,
⁎
a
Cardiovascular Pharmacology and Hypertension Division, Department of Pharmacology, Faculty of Medical Sciences,
State University of Campinas (UNICAMP), CP 6111, 13083-970, Campinas, SP, Brazil
b
Department of Pharmacology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
c
Faculty of Heath Sciences, University Metodista of Piracicaba (UNIMEP), Piracicaba, SP, Brazil
Received 6 October 2005; received in revised form 1 November 2005; accepted 4 November 2005
Abstract
Bupropion is a non-nicotinic drug used in smoking cessation therapy. However, its acute effects remain unclear. In this study, we investigated
the effects of bupropion on hemodynamic parameters in pentobarbital-anesthetized mongrel dogs. Bupropion administered either in bolus
injections (3 or 6 mg/kg, i.v.) or in cumulative doses of 0.01, 0.1, 1, 3 and 10 mg/kg showed, in both studies, a significant increase of mean
pulmonary arterial pressure and pulmonary vascular resistance index. These results show that bupropion can elevate the pulmonary pressure.
Further investigations should be done to test this effect in smokers with chronic obstructive pulmonary disease.
© 2005 Elsevier B.V. All rights reserved.
Keywords: Nicotine; Smoking cessation; Pulmonary hypertension
1. Introduction
Bupropion, which has been prescribed as an antidepressant
(Cicardo et al., 1986), is the first non-nicotinic drug to be used
therapeutically for smoking cessation. The usefulness of
bupropion in smoking cessation is related to the fact that, in
contrast to most antidepressants that selectively inhibit
serotonin reuptake or monoamine oxidase activity, bupropion
inhibits the reuptake of dopamine and noradrenaline (Ascher et
al., 1995). Bupropion has less potent effects on cardiac function
than tricyclic antidepressants and, compared to the latter, has no
anticholinergic or sympathomimetic effects (Soroko and
Maxwell, 1983).
The effectiveness and safety of bupropion have been
demonstrated in many studies (Roose et al., 1991; Holt et al.,
2005). However, its pharmacological profile, dosage and
administration, clinical effectiveness, safety and tolerability
are still a matter of discussion, particularly when the drug is
administered to cardiopathic smokers (Thomson and Rigotti,
2003) or individuals with chronic obstructive pulmonary
disease (Tonstad and Johnston, 2004). Some of the cardiovas-
cular side effects of bupropion include orthostatic hypotension
and the exacerbation of hypertension (Roose et al., 1991), chest
pain (de Graaf and Diemont, 2003) and even myocardial
infarction (Patterson and Herity, 2002).
Although there is considerable information on the effective-
ness and safety of bupropion, very little is known about its
cardiovascular effects mainly on the pulmonary circulation. As
obvious ethical issues restrict invasive investigations in
humans, we performed this study in anesthetizes dogs.
2. Materials and methods
2.1. General procedures
All procedures were approved by the institutional animal
care committee at UNICAMP and the experiments were done in
accordance with the guidelines for animal care and use
published by the National Institutes of Health and the European
Community guidelines for the use of experimental animals.
Thirty-four mongrel dogs (15 ±1 kg) of either sex were
European Journal of Pharmacology 530 (2006) 124 – 127
www.elsevier.com/locate/ejphar
⁎
Corresponding author. Tel.: +55 19 3788 9538; fax: +55 19 3289 2968.
E-mail address: hmoreno@uol.com.br (H. Moreno).
0014-2999/$ - see front matter © 2005 Elsevier B.V. All rights reserved.
doi:10.1016/j.ejphar.2005.11.019