A. Desarro et al., COMPARATIVE CONVULSANT POTENCIES OF 2 CARBAPENEM DERIVATIVES IN C57 AND DBA 2 MICE/, Journal of Pharmacy and Pharmacology, 47(4), 1995, pp. 292-296
The behavioural and convulsant effects of imipenem and meropenem were
studied after intraperitoneal administration in DBA/2 mice, a strain g
enetically susceptible to sound-induced seizure, and in C57 mice, a st
rain not prone to seizure. DBA/2 mice were more susceptible than C57 m
ice to seizures induced by imipenem-cilastatin or meropenem. Imipenem
was also 1.9 times more potent than meropenem in inducing clonus in DB
A/2 mice. To investigate the possibility that the seizure-inducing act
ivity of imipenem might be due to a probenecid-like effect of cilastat
in, animals were treated with imipenem alone. No significant differenc
es were observed between imipenem-cilastatin and imipenem-treated anim
als. Thus, it is reasonable to exclude a probenecid-like effect of cil
astatin. Although the main mechanism for seizure-like activity of imip
enem cannot be easily determined, we believe that several mechanisms m
ay be involved. An increased excitation of the central nervous system
(CNS) by inhibition of GABA binding to receptors and a slow clearance
of imipenem from the CNS may be postulated. Cilastatin did not induce
seizures. In addition, meropenem, a compound structurally related to i
mipenem, showed weak or no convulsant effects.