Piperine (l-peperoyl piperidine), an alkaloid extracted from Piper nig
rum Linn is an inhibitor of hepatic and other enzymes involved in the
biotransformation of drugs. In the present study piperine showed a dos
e dependent synergistic effect on nimesulide induced antinociception,
in the acetic acid induced writhing test in mice. Piperine at a dose o
f 10 mg/kg significantly (p < 0.001) increased the analgesic activity
of nimesulide administered at a submaximal dose of 6.5 mg/kg, In the f
ormalin test, nimesulide alone (10 mg/kg, oral) did not modify phase I
or nociceptor mediated pain while a combination of nimesulide (10 mg/
kg) with piperine (10 mg/kg) significantly decreased it. In phase IT o
r inflammatory pain, duration of formalin induced behaviour was 80 +/-
7 s, 61 +/- 7.3 s and 5.33 +/- 3.3 s in control, nimesulide treated a
nd piperine plus nimesulide treated groups respectively, indicating a
synergistic activity of piperine with nimesulide, The antinociceptive
effect correlated well with increased plasma concentration of nimesuli
de, The plasma concentration after oral administration of nimesulide (
10 mg/kg) alone was 8.03 +/- 0.99 ug/mL. However, when it was administ
ered with piperine (10 mg/kg), the plasma concentration of nimesulide
increased to 11.9 +/- 0.23 ug/mL. This indicates that piperine inhibit
s the biotransformation and metabolism of nimesulide leading to signif
icantly (p < 0.05) higher levels of drug in the systemic circulation.
The findings of the present study suggest that piperine could be used
as a biological enhancer when coadministered with nimesulide, (C) 1998
John Wiley & Sons, Ltd.