Summary
The novel benzodiazepine derivative, meclonazepam (3-methylclonazepam) has been found to be orally effective at high doses against all stages of schistosomiasis. Animals studies have shown it to have a high therapeutic index and a profile of behavioural activity typical of the benzodiazepines. The effects of single oral doses of meclonazepam, 1, 2 and 4 mg on central arousal, psychomotor performance and subjective mood were studied in two double-blind placebo controlled studies in healthy volunteers. In doses exceeding 1 mg, meclonazepam caused marked dose-related impairment in cognitive and psychomotor functions as well as shifts in mood reflecting sedation and ataxia. These effects were most prominent in the first 3 h after administration, with moderate sedation still present 6 h after the 4 mg dose. The implications of these findings for the use of benzodiazepine agents in the treatment of schistosomiasis are discussed.
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References
Baard AP, Sommers DK, Honiball PJ, Fourie ED, du Toit LE (1979) Preliminary results in human schistosomiasis with Ro 11-3128. S Afr Med J 55: 617–618
Bennett JL (1980) Characteristics of antischistosomal benzodiazepine binding sites in Schistosoma mansoni. J Parasitol 66: 742–747
Bond AJ, Lader MH (1973) The residual effects of flurazepam. Psychopharmacologia (Berl) 32: 223–255
Bond AJ, Lader MH (1974) The use of visual analogue scales in rating subjective feelings. Br J Med Psychol 47: 211–218
Clarke PRF, Eccersley PS, Frisby JP, Thornton JA (1970) The amnesic effect of valium. Br J Anaesth 42: 690–697
Darragh A, Lambe R, Kenny M, Brick I, Taaffe W, O'Boyle C (1982a) Ro 15-1788 antagonises the central effects of diazepam in man without altering diazepam bioavailability. Br J Clin Pharmacol 14: 677–682
Darragh A, Lambe R, Brick I, O'Boyle C (1982b) Antagonism of the central effects of 3-methylclonazepam. Br J Clin Pharmacol 14: 871–872
Eysenck JJ, Eysenck SBG (1964) Manual for the Eysenck personality inventory. University of London Press
Ghoneim MM, Mewaldt SP (1975) Effects of diazepam and scopolamine on storage, retrieval and organisational processes in memory. Psychopharmacologia (Berl) 44: 257–262
Hunkeler W, Mohler H, Pieri L, Polc R, Bonetti EP, Cumin R, Schaffner R, Haefely W (1981) Selective antagonists of benzodiazepines. Nature 290: 514–516
Kanto J (1981) Benzodiazepines as oral premedicants. Br J Anaesth 53: 1179–1188
McKay AC, Dundee JW (1980) Effect of oral benzodiazepines on memory. Br J Anaesth 52: 1247–1257
McNair DM (1973) Anti-anxiety drugs and human performance. Arch Gen Psychiatr 29: 611–617
Mohler H, Okada J (1977) Benzodiazepine receptor demonstration in the central nervous system. Science 198: 849–851
O'Boyle CA, Harris D (1984) Sedative and anxiolytic effects of oral temazepam. Ir J Med Sci 153: 39–40
O'Boyle CA, Lambe R, Darragh A, Brick I (1983a) Antagonism of the central effects of meclonazepam in man by Ro 15-1788. Ir J Med Sci 152: 210–211
O'Boyle CA, Lambe R, Darragh A, Taaffe W, Brick I, Kenny M (1983b) Ro 15-1788 antagonises the effects of diazepam in man without affecting its bioavailability. Br J Anaesth 55: 349–355
O'Boyle CA, Lambe R, Darragh A, Brick I (1984) The central effects of acute and repeated doses of meclonazepam in man. Br J Clin Pharmacol 17: 202P.
Pax R, Bennett JL, Fetterer R (1978) A benzodiazepine derivative and praziquantel: Effects on musculature of Schistosoma mansoni and Schistosoma japonicum. Naunyn Schmiedeberg's Arch Pharmacol 304: 309–315
Schallek W (1978) Pre-clinical pharmacology of the anxiolytics. In: Clarke WG, DelGiudice J (eds) Principles of psychopharmacology. Academic Press, New York, pp 325–342
Stohler HR (1978) Ro 11-3128, a novel schistosomicidal compound. In: Siegenthaler W, Luthy R (eds) Current chemotherapy. Proceedings of the 10th International Congress of Chemotherapy, vol 1. American Society for Microbiology, Washington DC, pp 147–148
Wittenborn JR (1978) Behavioural toxicity in normal humans as a model for assessing behavioural toxicity in patients. In: Lipton JA, Di Mascio A, Killam KF (eds) Psychopharmacology: A generation of progress. Raven Press, New York, pp 791–797
Wittenborn JR (1979) Effects of benzodiazepines on psychomotor performance. Br J Clin Pharmacol 7 [Suppl 1]: 61s-67s
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O'Boyle, C., Lambe, R. & Darragh, A. Central effects in man of the novel schistosomicidal benzodiazepine meclonazepam. Eur J Clin Pharmacol 29, 105–108 (1985). https://doi.org/10.1007/BF00547377
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DOI: https://doi.org/10.1007/BF00547377