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Siberian Scientific Medical Journal

2019 year, number 6

STUDYING THE PHARMACOKINETIC PARAMETERS OF NEW NORMOTHYMIC DRUG BASED ON THE COMPLEX OF LITHIUM CITRATE, ALUMINUM OXIDE AND POLYMETHYLSILOXANE

Maksim Aleksandrovich KOROLEV1, Vladimir Iosifovich KONENKOV1, Lyubov Nikiforovna RACHKOVSKAYA1, Konstantin Igorevich ERSHOV2, German Igorevich BAYKALOV1,3, Natalya Evgen’evna BAYKALOVA1,3, Kseniya Igorevna BAKHAREVA1, Pavel Gennad’evich MADONOV1,3
1Research Institute of Clinical and Experimental Lymphology - Branch of Federal Research Center Institute of Cytology and Genetics of SB RAS
2Novosibirsk State Medical University of Minzdrav of Russia
3Novosibirsk State Medical University of Minzdrav of Russia
Keywords: нормотимик, цитрат лития, оксид алюминия, полиметилсилоксан, фармакокинетика, normotymic, lithium citrate, aluminum oxide, polymethylsiloxane, pharmacokinetics

Abstract

For the treatment of bipolar affective disorders, lithium preparations are the most famous and effective. But the main problem with the use of lithium preparations is the narrow «therapeutic corridor». An urgent task is the creation of dosage forms of lithium with a slow release and a wide therapeutic range. The study object was a new normotymic drug based on lithium, aluminum oxide and polymethylsiloxane. Due to the new carrier matrix lithium is released from its porous structure gradually providing a prolonged effect and maintaining an optimal concentration in the blood which also helps to minimize side effects. The purpose of the study was to explore the pharmacokinetic parameters of a normotymic drug based on a complex lithium citrate, aluminum oxide and polymethylsiloxane (LOAP). Material and methods: for the assessment of pharmacokinetic parameters the method of atomic emission spectrometry with inductively coupled plasma and two-chamber modeling were used. Results and discussion. The pharmacokinetic data showed a linear nature of pharmacokinetics of the drug based on LOAP as the foundation of data of the lithium’s amount in the blood plasma of rabbits after intragastric administration at doses of 200, 400 and 800 mg/kg. The drug with intragastric administration at a dose of 800 mg/kg is well absorbed from the gastrointestinal tract, with bioavailability (F) 74 %. This dose shows the maximum increase of the area under the pharmacokinetic curve (AUC - 32787.1 (ng × h)/ml), and indicators of elimination constant (Kel - 0.062 h-1), clearance (Сl - 0.09 l/(kg × h)), elimination half-life (T1/2β - 11.436 h) in comparison with other doses remain unchanged.