Objective: The aim was to test a group of 21-aminosteroids, U74006F, U75412E, and U74500E, known as lazaroids, for their ability to prevent alterations in neonatal rat cardiac myocytes exposed to solutions containing a xanthine oxidase mediated free radical generating system. Methods: Myocytes were either left untreated (non-treated cultures) or pretreated for 15 min with the drug vehicle or one of the lazaroids. Myocytes were either examined as non-exposed control cultures or exposed to the free radical generating system for 60 min. Measurement of [H-3]arachidonate label in a lipid extract of the culture medium and release of lactate dehydrogenase (LDH) into the medium were analysed. Results: Myocytes not treated with lazaroids and vehicle treated myocytes exposed to free radicals showed a significant release of [H-3]arachidonate and lactate dehydrogenase (LDH). At a dose 1 x 10(-5) M, all lazaroid treated myocytes showed significantly lower release of [H-3]arachidonate measured in the total lipid extract compared to the non-treated or vehicle treated cultures. Release of [H-3]arachidonate was significantly lower for the myocytes treated with U74006F and U74500E at 1 X 10(-6) M concentration. Only the U74006F treated myocytes showed protection at 1 X 10(7) M. LDH release was significantly attenuated at a dose of 1 x 10(-5) M for the U75412E treated myocytes and at 1 X 10(-5) and 1 x 10(-6) M for the U74500E treated myocytes compared to the myocytes not pretreated with a lazaroid and exposed to free radicals. Conclusions: Lazaroids provide protection against the release of [H-3]arachidonate and LDH from myocardial cells exposed to free radical mediated injury. U74006F appeared to have the higher efficacy, at equal molar concentrations, in protecting against the release of [H-3]arachidonate, whereas U74500E was observed to have the higher potency in inhibiting LDH release.