Premium
Single‐ and multiple‐dose pharmacokinetics of ziprasidone in healthy young and elderly volunteers
Author(s) -
Wilner K. D.,
Tensfeldt T. G.,
Baris B.,
Smolarek T. A.,
Turncliff R. Z.,
Colburn W. A.,
Hansen R. A.
Publication year - 2000
Publication title -
british journal of clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.216
H-Index - 146
eISSN - 1365-2125
pISSN - 0306-5251
DOI - 10.1046/j.1365-2125.2000.00148.x
Subject(s) - ziprasidone , pharmacokinetics , dosing , medicine , analysis of variance , morning , antipsychotic , schizophrenia (object oriented programming) , psychiatry
Aims To compare the pharmacokinetics of ziprasidone in healthy young (18–45 years) men and women, and healthy elderly ( ≥ 65 years) men and women. Methods Eight young men, 11 young women, 8 elderly men and 8 elderly women were given oral ziprasidone 40 mg day − 1 , in two evenly divided daily doses, for 7 days, followed by a single 20 mg dose on day 8. Serum samples were collected immediately before the morning dose on days 1–8, for up to 12 h after dosing on day 1 and for up to 96 h after dosing on day 8. The resulting data were used to derive pharmacokinetic parameters of ziprasidone in each age and gender group. Results Steady‐state serum concentrations of ziprasidone were achieved within 2–3 days. The steady‐state pharmacokinetics of ziprasidone, determined 8 days after the initiation of treatment, were similar in the young men, elderly men and young women. Assessment of gender effects by analysis of variance revealed statistically significant differences in C max (85 vs 69 ng ml − 1 ) and t max (3.19 vs 4.81 h) but no differences in AUC(0,12 h) or λ z . Assessment of age effects by analysis of variance revealed statistically significant differences in AUC(0,12 h) (560 vs 465 ng ml − 1 h), C max (85 vs 69 ng ml − 1 ) and λ z (0.126 vs 0.197 l h − 1 ) but no difference in t max . Assessment of age and gender effects by analysis of covariance, with body weight as the covariate, did not reveal any significant differences. The mean t ½,z in the young men, young women, elderly men and elderly women were 3.1, 4.1, 5.7 and 5.3 h, respectively. Standard deviations of the means for the pharmacokinetic parameters for the elderly women tended to be large. Conclusions The influence of age and gender on the pharmacokinetics of ziprasidone is not clinically significant.