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The Contribution of cocoa additive to cigarette smoking addiction

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Page 166 <strong>of</strong> 207 RIVM report 650270002<br />

Oc<strong>to</strong>pamine<br />

Other<br />

Critical assessment<br />

Oc<strong>to</strong>pamine is known <strong>to</strong> exert adrenergic effects in mammals, although specific<br />

recep<strong>to</strong>rs have been cloned only in invertebrates. Oc<strong>to</strong>pamine stimulates α2 and ß3adrenergic<br />

recep<strong>to</strong>rs in rats. Furthermore, it affected the cAMP level in the cell via<br />

the D1-recep<strong>to</strong>r. No data are available on the pulmonary effects <strong>of</strong> inhaled<br />

oc<strong>to</strong>pamine. Because oc<strong>to</strong>pamine is much less potent than noradrenaline on the α and<br />

ß-adrenergic recep<strong>to</strong>rs, it is likely that a large amount <strong>of</strong> oc<strong>to</strong>pamine needs <strong>to</strong> be<br />

inhaled <strong>to</strong> affect the pulmonary system. Oc<strong>to</strong>pamine has positive chronotropic and<br />

inotropic effectson dog heart, but is significantly less potent than noradrenaline.<br />

Oc<strong>to</strong>pamine has a central hypotensive effect, and a peripheral hypertensive or<br />

hypotensive effect in rats depending on the α or ß-adrenergic effect. Oc<strong>to</strong>pamine does<br />

affect the central catechol amine level and thus affects the CNS.<br />

Conclusion<br />

No data are available on inhaled oc<strong>to</strong>pamine effect on the pulmonary system. Based<br />

on the in vitro data, oc<strong>to</strong>pamine is less potent than noradrenaline and therefore a large<br />

amount <strong>of</strong> oc<strong>to</strong>pamine needs <strong>to</strong> be inhaled <strong>to</strong> affect the pulmonary system.<br />

PHARMACOKINETICS<br />

Absorption<br />

<strong>The</strong> enteric absorption is complete. However, metabolic enzymes in the gut <strong>of</strong> human<br />

are responsible for a significant ‘first pass effect’ (29).<br />

Bioavailability<br />

<strong>The</strong> urinary excretion <strong>of</strong> the unchanged drug and its metabolites has been compared<br />

after intravenous and oral administration <strong>of</strong> 3 H-oc<strong>to</strong>pamine <strong>to</strong> eight patients. Identical<br />

amounts <strong>of</strong> 3 H-activity (80% <strong>of</strong> the dose) were excreted after the two routes <strong>of</strong><br />

dosing. Significant differences were found in the fraction <strong>of</strong> free urinary oc<strong>to</strong>pamine,<br />

which amounted <strong>to</strong> 10.5% <strong>of</strong> the dose after infusion and 0.58% after oral<br />

administration (29). <strong>The</strong>se differences indicate that the bioavailability through oral<br />

exposure is significantly lower than through i.v. exposure.<br />

Distribution<br />

<strong>The</strong> physiologically more active m-oc<strong>to</strong>pamine has been found in association with poc<strong>to</strong>pamine<br />

in 10 organs <strong>of</strong> the rat. m-Oc<strong>to</strong>pamine is present in concentrations equal<br />

<strong>to</strong> those <strong>of</strong> p-oc<strong>to</strong>pamine in heart, spleen, and liver and in concentrations from 30 <strong>to</strong><br />

60% <strong>of</strong> p-oc<strong>to</strong>pamine in adrenals, vas deferens, brain, kidney, large intestine, bladder,<br />

and lungs. In vivo inhibition <strong>of</strong> monoamine oxidase (MAO) markedly increased the<br />

concentrations <strong>of</strong> both m- and p-oc<strong>to</strong>pamine in all organs examined. Both amines<br />

were virtually absent from all organs except the adrenals following chemical<br />

sympathec<strong>to</strong>my with 6-hydroxydopamine, thereby establishing that m- and poc<strong>to</strong>pamine<br />

are localized within sympathic nerve endings (28).<br />

3 H-oc<strong>to</strong>pamine was found <strong>to</strong> be accumulated in human platelets, achieving a<br />

maximum concentration gradient <strong>of</strong> 30:1 (30).<br />

<strong>The</strong> measured concentration (ng/g wet tissue) <strong>of</strong> oc<strong>to</strong>pamine in rat brain was as<br />

follows: whole brain (less cerebellum) (0.6); hypothalamus (3.2); striatum (0.5) and<br />

cortex (0.6). Administration <strong>of</strong> pargyline (MAO-B inhibi<strong>to</strong>r) resulted in an increase

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