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The influence of renal insufficiency and haemodialysis on the kinetics of ciprofibrate.
Author(s) -
Ferry N,
Bernard N,
Pozet N,
Gardes E,
Cuisinaud G,
Labeeuw M,
Zech PY,
Sassard J
Publication year - 1989
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 - 10.1111/j.1365-2125.1989.tb03560.x
Subject(s) - renal function , medicine , pharmacokinetics , endocrinology , pah clearance , urology , excretion , effective renal plasma flow , renal blood flow
1. The kinetics of the hypolipidaemic drug, ciprofibrate, were studied after a single oral dose (100 mg) in subjects with normal renal function (n = 6), patients with mild (n = 6) and severe (n = 6) renal insufficiency as well as in haemodialysed patients (n = 5). 2. Under fasting conditions, ciprofibrate, was absorbed rapidly in subjects with normal renal function, and its apparent elimination half‐life was approximately 81 h. Both renal clearance (0.15 ml min‐1) and cumulative renal excretion (less than 7% of the administered dose) were low. 3. Mild renal insufficiency did not alter the pharmacokinetics of ciprofibrate, but severe renal impairment significantly reduced both its renal clearance and cumulative urinary excretion and increased the apparent elimination half‐life. 4. A 5 h haemodialysis session did not lower the plasma concentrations of ciprofibrate. 5. It is concluded that, from a pharmacokinetic point of view, a reduction in the dosage of ciprofibrate should be considered in patients with a glomerular filtration rate below 30 ml min‐1/1.73 m2.