J. Geczy et al., The inclusion of fluoxetine into gamma-cyclodextrin increases its bioavailability: behavioural, electrophysiological and pharmacokinetic studies, PSYCHOPHAR, 151(4), 2000, pp. 328-334
The inclusion of a drug into cyclodextrin generally results in the modifica
tion of its physical and chemical properties and sometimes can increase its
oral bioavailability. The aim of this study was to compare the effects of
the fluoxetine HCl/gamma-cyclodextrin complex to that of traditional fluoxe
tine HCl. In the forced swimming test in mice, fIuoxetine HCl/gamma-cyclode
xtrin was more effective than fluoxetine HCl, the ED(30)s being, respective
ly, 9.5 and 26.9 mg/kg PO. Both compounds (10 mg/kg PO) were able to reduce
the tiring rate of dorsal raphe neurons in the rat. However, between-group
s comparisons showed no significant differences between fluoxetine HCl trea
ted animals and the vehicle group, while fluoxetine HCl/gamma-cyclodextrin
appeared significantly more effective than vehicle from minute 25 of the me
asurement period. In healthy volunteers, the relative oral bioavailability,
calculated as the ratio AUC 0-infinity fluoxetine HCl/gamma-cyclodextrin o
n AUC 0-infinity fluoxetine HCl (20 mg PO), was equal to 249.9%. The three
experiments taken together suggest that the complexation of fluoxetine HCl
into gamma-cyclodextrin increases its pharmacological. efficacy in animals,
this effect being related to an enhancement of its oral bioavailability as
demonstrated in human healthy subjects.