Differential Pharmacokinetic Interplay of Atorvastatin on Lacosamide and Levetiracetam on Experimental Convulsions in Mice

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BACKGROUND: The beneficial effects of statins, other than their hypocholesterolemia role, have been well documented, however, their use as an adjuvant drug with other antiseizure drugs, in the treatment of epilepsy is poorly understood.

OBJECTIVE: This study aimed to investigate the symbiotic effect of ATOR along with either lacosamide (LACO) or levetiracetam (LEVE) on experimentally induced epilepsy (Maximal electro-shock-MES or pentylenetetrazol- PTZ) in mice models.

METHODS: Conventional elevated-maze (EPM) and rotarod methods were performed to observe the behavioral effects.

RESULTS: In both the animal models, we found that co-administration of ATOR along with LACO showed a significant reduction in hind-limb extension (HLE) and clonic convulsion (CC) responses, respectively, but not in the ATOR+LEVE treated group. Intriguingly, comparable Straub tail response and myoclonic convulsion as the diazepam (DIA) group were observed only in the ATOR+LACO treated group. Moreover, a significant muscle-grip strength was observed in both groups. Also, pharmacokinetic analysis has indicated that the mean plasma concentration of ATOR peaked at 2nd hr in the presence of LACO but marginally peaked in the presence of LEVE. An Insilico study has revealed that ATOR has a higher binding affinity toward neuronal sodium channels.

CONCLUSION: This study has demonstrated that the plasma concentration of ATOR was potentiated in the presence of LACO, but not in the presence of LEVE and it has provided significant protection against both the electro and chemo-convulsive models in mice. This could be due to the symbiotic pharmacokinetic interplay of ATOR with LACO, and possibly, this interplay may interfere with sodium channel conductance.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Current drug metabolism - 24(2023), 9 vom: 15., Seite 645-655

Sprache:

Englisch

Beteiligte Personen:

Rajangam, Jayaraman [VerfasserIn]
Lakshmanan, Arun Prasath [VerfasserIn]
Palei, Narahari N [VerfasserIn]
Elumalai, Karthikeyan [VerfasserIn]
Kotakonda, Muddukrishnaiah [VerfasserIn]
Prakash, R [VerfasserIn]
Latha, P [VerfasserIn]

Links:

Volltext

Themen:

44YRR34555
563KS2PQY5
A0JWA85V8F
Anticonvulsants
Atorvastatin
Epilepsy
Journal Article
Lacosamide
Levetiracetam
Pentylenetetrazol
Pharmacokinetics.

Anmerkungen:

Date Completed 16.12.2023

Date Revised 16.12.2023

published: Print

Citation Status MEDLINE

doi:

10.2174/0113892002253895231020100743

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364130326