Comparative analysis of the effect of Reamberin and Methadoxyl on the course of acute severe ethanol poisoning

Abstract

Introduction. One of the ways to improve the quality of intensive therapy in severe forms of acute alcohol poisoning is the inclusion in the complex of measures of means capable of reducing the manifestations of oxidative stress.   The aim of the work was a comparative evaluation of the effectiveness of drugs Reamberin and Methadoxyl in acute severe ethanol poisoning on rats.   Materials and methods. Acute severe alcohol poisoning was modeled in Wistar rats by 40 % ethanol solution at a dose 8,6 g/kg. The studied drugs were administered infusively in the volume of 20 ml/kg for 60 min at an average rate of 0.33 ml/min/kg. The comparative efficacy of infusion therapy was evaluated according to the severity of coma and its duration.   Results. Ethanol caused coma of different severity in animals. At the end of infusion therapy, the death of some animals was observed. The life expectancy of dead animals receiving Reamberin was 4 times higher than that of animals of the control group and animals receiving Metadoxyl. The most significant decrease in the severity of coma and its duration was observed in rats receiving Reamberin. Minimal differences in the frequency of respiratory movements from the background at the end of infusion occurred in the same animals. Discussion Established in acute ethanol poisoning the presence of supportive therapy with Reamberin of neurological status and external respiratory function during infusion is a justification for the inclusion of the drug in the complex of intensive care in this critical condition.   Conclusions. It was experimentally shown that Reamberin, unlike Methadoxyl, significantly reduced the severity of alcohol coma at the end of infusion administration. Reamberin increased the life expectancy of dead animals compared to the control and rats receiving Methadoxyl, and also caused minimal differences in respiratory rate relative to the background at the end of infusion, which had the character of a trend. Reamberin demonstrated greater efficacy with respect to the course of acute severe ethanol poisoning than Methadoxyl.