The influence of lithium on the antidiuretic effect of desmopressin.

Torbjörn Callréus, Ing-Britt Holmquist, Stefan Lundin, Peter Höglund

Research output: Contribution to journalArticlepeer-review

Abstract

The objective of this study was to investigate the graded influence from lithium on the antidiuretic effects of desmopressin. Eight healthy male subjects participated in this open, randomised cross-over study with two periods comprising 6 days each. For each subject, one of the study days (6th day) was preceded by a period of lithium treatment. On the study days the subjects were orally water loaded to achieve a state of overhydration with a high urine flow rate. When a steady-state diuresis was achieved after approximately 2 h, 0.396 microg of desmopressin was administered intravenously as a bolus injection. An indirect-response model, where desmopressin was assumed to inhibit the elimination of response, was fitted to the urine osmolarity data. The effects of the independent variables, Uflow(baseline) (baseline urine flow rate), R0 (baseline osmolarity) and serum lithium concentration, on IC50 (concentration producing 50% of the maximum inhibition) could be expressed by multiple linear regression. In conclusion, we found that an indirect-response model can be a useful tool in investigating and describing the pharmacodynamic interaction between drugs, in this particular case, between lithium and desmopressin.
Original languageEnglish
Pages (from-to)1279-1285
JournalJournal of Pharmacy and Pharmacology
Volume54
Issue number9
Publication statusPublished - 2002

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Clinical Chemistry and Pharmacology (013250300), Division of Nursing (Closed 2012) (013065000)

Subject classification (UKÄ)

  • Pharmacology and Toxicology
  • Medicinal Chemistry

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