British Journal of Anaesthesia, Vol 84, Issue 1 67-73, Copyright © 2000 by Oxford University Press
LE Mather, SR Edwards, CC Duke and MJ Cousins
Thiopental is a racemate of equimolar R- and S-thiopental enantiomers that
have different potencies in laboratory experiments. We measured
concentrations of R- and S-thiopental in plasma, tissues and brain
microdialysate of rats after computer-controlled infusion of thiopental
i.v. to a plasma concentration of 40 micrograms ml-1 for 20 min in two
pharmacokinetic studies. In study 1, animals were found to maintain their
target plasma concentrations, which then decayed biphasically after
infusion. Brain microdialysate concentrations of both enantiomers increased
from about 3% of corresponding plasma concentrations at 1 min to 9% at 20
min. In study 2, thiopental concentrations were found to be highest at 20
min in CNS tissue, at 30 min in muscle and at 60 min in fat. Tissue:plasma
distribution coefficients of R-thiopental were greater than those of
S-thiopental when calculated from total or unbound plasma concentrations.
We found no pharmacokinetic evidence to support differences between the
thiopental enantiomers in rates of equilibration across the blood-brain
barrier after infusion of rac- thiopental.
ARTICLES
Microdialysis study of the blood-brain equilibration of thiopental enantiomers
Department of Anaesthesia and Pain Management, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, Australia.
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