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Reduced Renal Clearance of Oxypurinol During a 400 Calorie Protein‐Free Diet
Author(s) -
Kitt Therese M.,
Park Glen D.,
Spector Reynold,
Tsalikian Eva
Publication year - 1989
Publication title -
the journal of clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.92
H-Index - 116
eISSN - 1552-4604
pISSN - 0091-2700
DOI - 10.1002/j.1552-4604.1989.tb03239.x
Subject(s) - allopurinol , calorie , uric acid , medicine , endocrinology , metabolite , kidney , chemistry , renal function , pharmacology
A decrease in dietary protein intake lowers the clearance of a number of substances excreted principally by the kidney including uric acid and oxypurinol, the major metabolite of allopurinol. We studied the kinetics of uric acid and oxypurinol in seven healthy volunteers on a normal protein diet (2600 calories; 100 g protein) followed by a 400 calorie, protein‐free diet. A 600 mg dose of allopurinol was given orally after 6 days of the normal protein diet and again after 2 days of the 400 calorie, protein‐free diet. Two major findings emerged: first, the renal clearance of oxypurinol was reduced from 21.2 ± 1.9 ml/min during the normal protein diet to 12.3 ± 1.2 ml/min (P < .05) during the 400 calorie, protein‐free diet, and second, there was a striking diurnal difference in oxypurinol renal clearance with a 41% decrease in the oxypurinol clearance at night (8 pm to 8 am ) versus day (8 am to 8 pm ) on the 400 calorie, protein‐free diet.