Effect of Fluoxetine and Paroxetine on Intestinal Motility in Presence of Ondansetron in ex-vivo Model

SSRIs and Ondansetron

  • Ayesha Afzal Wah Medical College, Wah Cantt
  • Ammara Khan Nawaz Sharif Medical College, University of Gujrat, Gujrat
  • Khalida Ajmal Wah Medical College, Wah Cantt
  • Abeera Sikandar Wah Medical College, Wah Cantt
  • Saima Rafiqu Wah Medical College, Wah Cantt
  • Rashida Farooqi Wah Medical College, Wah Cantt
  • Bushra Tayyaba Khan Army Medical College, Rawalpindi
  • Iffat Ara Wah Medical College, Wah Cantt
Keywords: Chemotherapy-Induced Nausea and Vomiting, Ondansetron, Power Lab, Serotonin, SSRIs (selective serotonin reuptake inhibitors).

Abstract

Objective: To understand the effects of fluoxetine and paroxetine with ondansetron on the intestinal motility of rabbit ileum.
Study Design: Observational study.
Place and Duration of Study: The study was conducted from March to April 2018 in a multidisciplinary lab of Army Medical College, Rawalpindi.
Materials and Methods: The contractile effect of intestinal motility was recorded in the power lab. Subjects were twenty four healthy rabbits (Oryctolagus Cuniculus). Semi log dose-response curve was constructed for increasing concentrations of serotonin, ondansetron, fluoxetine, and paroxetine (10-9 to 10-6 M) alone and then in the presence of a fixed concentration of ondansetron (10-6 M) to observe the modulatory role of ondansetron. The serotonin mediated contractions were taken as control.
Results: Ondansetron and serotonin caused an increase in the contractile response of rabbits ileum. A depressive response was observed when the contractions were recorded with increased concentration of fluoxetine and paroxetine in the presence of ondansetron.
Conclusion: Ondansetron when used concomitantly with selective serotonin reuptake inhibitors(SSRIs), abolishes their antidepressant effects by causing a decrease in the intestinal motility of rabbit ileum.

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Published
2020-07-07
Section
Original Article