Comparison of pulsatile and continuous ritodrine administration: effects on uterine contractility and beta-adrenergic receptor cascade

Am J Obstet Gynecol. 1991 Apr;164(4):1005-11; discussion 1011-2. doi: 10.1016/0002-9378(91)90574-b.

Abstract

In this study we compare the uterine contractility and beta-adrenergic receptor effects of identical doses of ritodrine administered intermittently or continuously for 24 hours in pregnant sheep. Ritodrine was administered intravenously to five animals as a pulse, 16 micrograms/kg every 1.5 hours, whereas five other animals received ritodrine as a continuous infusion of 0.18 microgram/kg/min. Ritodrine plasma concentrations at steady state were comparable in both groups and averaged 18 ng/ml. Animals receiving ritodrine pulses demonstrated no alteration of myometrial beta-adrenergic receptors or adenylyl cyclase activity, and ritodrine inhibited oxytocin-induced contractility comparably at 4 and 24 hours. Animals receiving ritodrine continuously had a significant decrease in myometrial beta-adrenergic receptors and adenylyl cyclase activity, yet ritodrine inhibition of oxytocin-induced uterine contractility was sustained for 24 hours. Oxytocin receptors were not affected by ritodrine administration and were similar in both groups. At the dose studied, oxytocin-induced contractions are comparably inhibited by ritodrine for 24 hours whether the drug is given continuously or in a pulsatile fashion.

Publication types

  • Comparative Study

MeSH terms

  • Adenylyl Cyclases / metabolism
  • Animals
  • Enzyme Activation
  • Female
  • Isoproterenol / pharmacology
  • Myometrium / metabolism
  • Osmolar Concentration
  • Oxytocin / pharmacology
  • Pulsatile Flow
  • Receptors, Adrenergic, beta / drug effects
  • Receptors, Adrenergic, beta / metabolism*
  • Ritodrine / administration & dosage*
  • Ritodrine / blood
  • Ritodrine / pharmacology
  • Sheep
  • Uterine Contraction / drug effects*

Substances

  • Receptors, Adrenergic, beta
  • Oxytocin
  • Adenylyl Cyclases
  • Ritodrine
  • Isoproterenol