Archives of Pharmacal Research

, Volume 33, Issue 2, pp 267–273 | Cite as

Enantioselective pharmacokinetics of sibutramine in rat

Research Articles Drug Actions


Racemic sibutramine is widely used to treat obesity owing to its inhibition of serotonin and noradrenaline reuptake in synapses. Although the enantioselective effects of sibutramine and its two active desmethyl-metabolites, monodesmethylsibutramine (MDS) and didesmethylsibutramine (DDS), on anorexia and energy expenditure have been elucidated, the enantioselective pharmacokinetics of sibutramine are still unclear. Therefore, we aimed to characterize the enantioselective pharmacokinetics of sibutramine and its metabolites in plasma and urine following an intravenous and a single oral administration of sibutramine in rats. The absolute bioavailability of sibutramine was only about 7%. The pharmacologically less effective S-isomer of DDS was predominant in the plasma: the Cmax and the AUCinf were 28 and 30 times higher than those of the R-isomer, respectively (p<0.001). In the urine, the concentrations of the R-isomers of hydroxylated DDS and hydroxylated and carbamoylglucuronized MDS and DDS appeared to be 11.3-, 5.1-, and 5.3-times the concentrations of the respective S-isomers. Thus, regardless of increased potency than the S-enantiomers, the R-enantiomers of the sibutramine metabolites MDS and DDS were present at lower concentrations, owing to their rapid biotransformation to hydroxylated and/or carbamoylglucuronized forms and their faster excretion in the urine. The present study is the first to elucidate the enantioselective pharmacokinetics of sibutramine in rats.

Key words

Enantioselective pharmacokinetics Sibutramine Monodesmethylsibutramine Didesmethylsibutramine Isomer 


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Copyright information

© The Pharmaceutical Society of Korea and Springer Netherlands 2010

Authors and Affiliations

  • Keumhan Noh
    • 1
  • Kyoungjin Bae
    • 1
  • Bokyoung Min
    • 1
  • Eunyoung Kim
    • 2
  • Kwang-il Kwon
    • 3
  • Taecheon Jeong
    • 4
  • Wonku Kang
    • 1
  1. 1.College of PharmacyCatholic University of DaeguKyoungbukKorea
  2. 2.Department of PharmacySamsung Medical CenterSeoulKorea
  3. 3.College of PharmacyChungnam National UniversityDaejeonKorea
  4. 4.College of PharmacyYeungnam UniversityKyoungbukKorea

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