Medical Radiology and Radiation Safety. 2015. Vol. 60. No. 1. P. 45-53

REVIEW

V.Y. Kovtun1, V.D. Gladkih1, Y.A. Davidovuch1, E.S. Zhorova2, V.V. Ogorodnikova1, I.K. Belyaev2, V.I. Krasnjuk2

Drug Formulation of the Ca-DTPA and Zn-DTPA

1. Federal State Establishment Science and Engineering Сenter «Pharmzashchita» FMBA of Russia, Khimki, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 2. A.I. Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

ABSTRACT

Purpose: To analyze modern approaches to using of therapeutic forms of DTPA (Ca-DTPA and a Zn-DTPA) for enhance the elimination of transuranium elements and decrease the dose formation of internal exposure.

Materials and methods: The content-analysis of publications related to development, pharmacokinetics and practical using of chelating compounds.

Results: Among the complexons used for prevention and treatment of radionuclide incorporation in the developed countries (the USA, the European community, Japan, China) for medical using allowed Ca-DTPA and Zn-DTPA as inhalations and injection solutions. In Russia Ca-DTPA only is allowed. The comparative characteristic of properties Ca-DTPA and Zn-DTPA testifies to basic uniformity of their biological effect. At the same time Zn-DTPA is characterized by less expressed toxicity and selectivity of action concerning nuclides. Hundreds of patients have been treated with Zn-DTPA; its efficiency, safety and smaller toxicity were shown. In Russia this compound isn’t allowed for medical use. It is necessary to make the maximum efforts for correction of such situation.

Conclusions: Considering features of biological effect of Ca-DTPA and Zn-DTPA the expedient scheme of treatment can be proposed: first Ca-DTPA, second Zn-DTPA. This scheme increases efficiency and reduces negative manifestations of prolonged using of Ca-DTPA in the monotherapy mode.

Key words: chelate, drug formulation, pentacinum, zinkacinum, internally deposited transuranic elements, drug for removing

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For citation: Kovtun VY, Gladkih VD, Davidovuch YA, Zhorova ES, Ogorodnikova VV, Belyaev IK, Krasnjuk VI. Drug Formulation of the Ca-DTPA and Zn-DTPA. Medical Radiology and Radiation Safety. 2015;60(1):45-53. Russian.

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