SIMULTANEOUS EFFECT OF LEFLUNOMIDE WITH IMIPRAMINE AND FLUOXETINE IN CARRAGEENAN INDUCED ACUTE ARTHRITIC MODEL Authors: Jahan N , KHAN MM, NAEEM A, ASLAM F, MEHJABBEN
ABSTRACT
Background: Rheumatoid arthritis is a chronic systematic autoimmune inflammatory disease in
which patients suffer from aggravation of tissue pain, swelling around the joints and also face its
associated depression.
Objectives: To evaluate the effect of simultaneous administration of leflunomide and antidepressant
drugs i.e. imipramine and fluoxetine on arthritis and its associated depression on
carrageenan induced arthritic rats.
Methodology: Arthritis was induced by intradermal injection of 0.1ml of 1% carrageenan in
right hind paw of female Sprague-Dawley rats. Drugs were given orally on second day after the
induction of arthritis. Paw volume was measured by Vernier Caliper to evaluate arthritic
progression and forced swimming test was conducted for neurobehavioral analysis.
Results and conclusion:Maximum anti-arthritic activity was observed in carrageenan induced
arthritis group receiving leflunomidealone. Leflunomideanti-arthritic activity decreased a little
bit with both anti-depressant drugs i.e. fluoxetine and imipramine. Decrease in activity was
observed in both rats receiving fluoxetine than in rats receiving imipramine. Furthermore, the
forced swimming test also indicatedthat leflunomide affects anti-depressant activity of fluoxetine
and imipramine.
Key words: Rheumatoid arthritis, Depression, Leflunomide, Imipramine, Flouxetine
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