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(Chest. 1983;83:328-331.)
© 1983 American College of Chest Physicians

Central agr-Adrenergic Control of Blood Pressure

Effects of Clonidine Withdrawal

Steven J. Augustine M.D.1; Shiro Tachikawa M.D.1; Mustafa F. Lokhandwala M.D.1; and Joseph P. Buckley M.D.1

1 From the Institute for Cardiovascular Studies and Department of Pharmacology, University of Houston, Houston

Studies were undertaken to investigate the role of the CNS in withdrawal hypertension caused by abrupt cessation of long-term clonidine treatment. The studies were conducted on male wistar rats receiving clonidine, 100 µg/kg subcutaneously twice daily for seven days. Withdrawal hypertension occurred 16 to 18 hours following the last injection of clonidine. Pressor responses to posterior hypothalamic stimulation were significantly potentiated in the rats undergoing clonidine withdrawal, and the depressor response to a single injection of 10 µg of clonidine into the lateral cerebral ventricle was significantly attenuated in these animals. Studies on pithed rats demonstrated that destruction of the CNS eliminated the withdrawal hypertension. These data suggest that agr-adrenoreceptors in the nucleus tractus solitarius play an important role in the normal maintenance of blood pressure, and a decrease in sensitivity of these receptors could result in the development of a hypertensive state.






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Copyright © 1983 by the American College of Chest Physicians.