Dihydroergotamine--stimulation of intestinal peristalsis. An experimental and clinical study

Hepatogastroenterology. 1980 Aug;27(4):317-21.

Abstract

In an experimental study in 15 beagle hounds using strain gauges a significantly increased motility in the small and large intestine after dihydroergotamine was observed. Since this assessment did not provide any information about mucus transport, gastro-intestinal passage time in patient and control groups was determined using radioopaque catheter material. While transit time in the patient group was significantly reduced by 2 x 0.5 mg DHE s.c./day, this effect was not observed in controls. We related the significantly reduced passage time after DHE in the patient group to a normalisation of a functional disturbance of regulation. The action of the drug is seen in the blocking of the stress induced increased sympathetic tone, without the side effects often seen after pure alpha-antagonists of the phentolamine type or the adrenergic guanethidine type neuronal blocking agents. The specific efficacy of DHE as a partial alpha-antagonist is pointed out. For the clinician, postoperative gastro-intestinal atony might be an indication for its use.

Publication types

  • Clinical Trial

MeSH terms

  • Animals
  • Clinical Trials as Topic
  • Colon, Sigmoid / physiology
  • Dihydroergotamine / pharmacology*
  • Dihydroergotamine / therapeutic use
  • Dogs
  • Drug Evaluation, Preclinical
  • Female
  • Gastrointestinal Motility / drug effects*
  • Humans
  • Ileum / physiology
  • Intestinal Pseudo-Obstruction / prevention & control
  • Muscle, Smooth / physiology
  • Peristalsis / drug effects*
  • Postoperative Complications / prevention & control
  • Stimulation, Chemical
  • Time Factors

Substances

  • Dihydroergotamine