Enhancement of lithium elimination by multiple-dose sodium polystyrene sulfonate

Acad Emerg Med. 1997 Mar;4(3):175-8. doi: 10.1111/j.1553-2712.1997.tb03736.x.

Abstract

Objective: To determine whether multiple doses of sodium polystyrene sulfonate (SPS) enhance the elimination of IV-administered lithium (Li).

Methods: The study was a placebo-controlled, investigator-unblinded, murine trial of multiple doses of SPS on serum Li concentrations. Seventy-five male CD-1 mice were given IV pretreatment with LiCl (125 mg/ kg) followed by gavage treatments with SPS (5 g/kg/dose) 20, 40, 90, 150, and 210 minutes after LiCl (experimental group) or deionized water at equivalent times (control group). Subgroups of each treatment group were sacrificed at 1, 2, 4, and 6 hours after LiCl administration and blood was collected for Li analysis.

Results: Statistical analyses indicated that the SPS group had lower serum Li concentrations overall than did the control animals. This difference was apparent at the 2-, 4-, and 6-hour time points.

Conclusion: In this murine model, repetitive doses of orogastric SPS enhanced the elimination of parenterally administered Li.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Dose-Response Relationship, Drug
  • Injections, Intravenous
  • Lithium / administration & dosage
  • Lithium / blood*
  • Lithium / poisoning
  • Male
  • Mice
  • Polystyrenes / administration & dosage
  • Polystyrenes / therapeutic use*

Substances

  • Polystyrenes
  • polystyrene sulfonic acid
  • Lithium