Biological and Pharmaceutical Bulletin
Online ISSN : 1347-5215
Print ISSN : 0918-6158
ISSN-L : 0918-6158
Analysis of the Transport of Valproic Acid into Saliva from Serum
Yoshinari SUZUKIToshihiko UEMATSUAtsuhiro MIZUNOToshiaki NINCHOJIKiichiro FUJIIMitsuyoshi NAKASHIMA
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1994 Volume 17 Issue 2 Pages 340-344


A study was conducted to explore whether a positive correlation between serum and salivary concentrations of the well-known antiepileptic drug, valproic acid (VPA), in epileptic patients could be explained by facilitated diffusion. The total concentration in saliva (Cs) would be related to the apparent ratio (Rapp=100·Cs/Ct) of Cs to the total concentration in serum (Ct) as follows : Cs=A·Rapp+B. This equation can be illustrated with microcomputer-simulated figures by assuming a process of facilitated diffusion for the transport of VPA into saliva from blood by the mechanism of monocarboxylic acid absorption through the intestinal brush-border membrane vesicles. The above equation has been proved to be valid when applied to the data reported separately by Gugler and coworkers and by Nitsche and Mascher, who evaluated the pharmacokinetics of VPA. Moreover, we can estimate the serum concentration with the salivary concentration using the above equation.

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