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Interaction of surface‐active drugs in rabbits
Author(s) -
Rukhadze Marina D.,
Alexishvili Maka M.,
Gonashvili Maia V.,
Sebiskveradze Maya V.
Publication year - 2005
Publication title -
biomedical chromatography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.4
H-Index - 65
eISSN - 1099-0801
pISSN - 0269-3879
DOI - 10.1002/bmc.427
Subject(s) - promethazine , chlorpromazine , pharmacokinetics , chemistry , pharmacology , first pass effect , drug , in vivo , promazine , medicine , biology , microbiology and biotechnology
The interaction of chlorpromazine and promethazine in vivo has been investigated. The drugs were administered to the rabbit orally as a single dose (100 mg of each drug) as well as simultaneously with an interval of 15 min. The presence of multiple peaks at the separate administration of promethazine and chlorpromazine on the one hand, and increase of number of peaks, symbathic character of kinetic curves of mentioned drugs and its prolonged appearance in the systemic circulation of the blood by simultaneous administration on the other hand, may be explained by the intensive presystem metabolism and surface‐activity ability of these drugs, and by the periodic ‘lassitude’ of liver for their capture and elimination (either presystem or systemic). The micelle formation from these drugs in the gastro‐intestinal tract and formation of the mixed micelles on simultaneous administration were also taken into consideration. Chlorpromazine is more strongly captured by the liver at its rst pass through it than promethazine, from comparison of pharmacokinetics of these drugs administered separately. Therefore, chlorpromazine on simultaneous administration occupies the sites of the liver which were covered by promethazine at single dose, thereby substituting promethazine and promoting its transferral into the systemic blood circulation. This results in a large increase in promethazine content in blood, additional peaks appear and the presence of promethazine in the blood is prolonged. The inuence of chlorpromazine on the kinetics of promethazine is especially obvious when chlorpromazine enters the organism rst and more easily occupies those sites in the liver which participate in the capture and elimination of both drugs. Concerning inuence of promethazine on the kinetics of chlorpromazine, promethazine reinforces in some way the ability of liver to capture chlorpromazine, thereby intensifying the presystem metabolism of chlorpromazine and inhibiting its own metabolism. The analogous effect was observed in the study of the inuence of promethazine on the kinetics of carbamazepine. Copyright © 2004 John Wiley & Sons, Ltd.