The effects of intravenous regional guanethidine and reserpine. a controlled study

McKain, C.W.; Urban, B.J.; Goldner, J.L.

Journal of Bone and Joint Surgery. American Volume 65(6): 808-811

1983


ISSN/ISBN: 0021-9355
PMID: 6863363
Document Number: 200220
We investigated the effects of intravenous regional injection of guanethidine and reserpine in a prospective, randomized, double-blind study of seven volunteers. The sympatholytic activities of these drugs were assessed separately for cholinergic and adrenergic function. Cold challenge was employed to magnify the effect on digital temperatures and alterations in pulse-volume. Only guanethidine significantly increased temperature (p less than 0.025) after cold challenge, this effect lasting for three days. No anticholinergic effect was found. Intravenous regional guanethidine may be useful in the treatment of vasospastic disorders and as prophylaxis for surgically treated patients in whom this complication may be expected to occur.

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