Kersten L, Bräunlich H
Acta Biol Med Ger. 1981;40(6):837-48.
The postnatal development of the renal lithium elimination is maturated earlier than that of renal sodium excretion. The filtered lithium is reabsorbed to a great amount in the kidney (70-80%). 90% of the administered lithium is eliminated by the kidney. Acetazolamide stimulates the renal lithium excretion in young and adult rats. Other diuretics with different sites of attack are not able to influence the elimination of lithium. Also, a forced diuresis does not change the elimination rate of lithium. The well-known interactions between sodium and ithium must have their cause in extrarenal processes.
肾脏锂排泄的产后发育比肾脏钠排泄的发育成熟得更早。滤过的锂在肾脏中大量重吸收(70%-80%)。所给予的锂90%由肾脏排泄。乙酰唑胺可刺激幼年和成年大鼠的肾脏锂排泄。其他作用部位不同的利尿剂无法影响锂的排泄。此外,强制利尿也不会改变锂的排泄率。钠和锂之间众所周知的相互作用必定源于肾外过程。