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Pharmacokinetics of Amlodipine and Olmesartan After Administration of Amlodipine Besylate and Olmesartan Medoxomil in Separate Dosage Forms and as a Fixed‐Dose Combination
Author(s) -
Rohatagi Shashank,
Lee James,
Shenouda Magdy,
Haworth Stephen,
Bathala Mohinder Singh,
Allison Mark,
Rubets Igor,
Heyrman Reinilde,
Noveck Robert,
Salazar Daniel E.
Publication year - 2008
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 - 10.1177/0091270008322176
Subject(s) - olmesartan , amlodipine , bioequivalence , pharmacokinetics , pharmacology , medicine , crossover study , blood pressure , placebo , alternative medicine , pathology
The pharmacokinetics of amlodipine and olmesartan in healthy volunteers after coadministration of amlodipine besylate and olmesartan medoxomil concomitantly as separate dosage forms and together in a fixed‐dose combination tablet were characterized in 5 phase I, randomized, crossover studies. The mean steady‐state pharmacokinetics of amlodipine and olmesartan were similar when olmesartan medoxomil 40 mg/day and amlodipine 10 mg/day were administered separately or concomitantly for 10 days. The total and maximum exposure to amlodipine and olmesartan after administration of fixed‐dose combination amlodipine/olmesartan medoxomil 10 mg/40 mg was bioequivalent to amlodipine 10 mg plus olmesartan medoxomil 40 mg. The ratio of least squares mean and 90% confidence intervals for the area under the drug concentration‐time curve from time zero to time t, from time zero to infinity, and the maximum observed plasma drug concentration of amlodipine and olmesartan fell within the prespecified range for bioequivalence (80.0%‐125.0%). The area under the drug concentration‐time curve from time zero to time t, from time zero to infinity, and the maximum observed plasma drug concentration of both drugs also met the prespecified criterion for bioequivalence when the fixed‐dose combination tablet was taken 30 minutes after a high‐fat breakfast. Total exposure to amlodipine and olmesartan was dose‐proportional after administration of olmesartan medoxomil 10 mg to 40 mg in the fixed‐dose combination formulation with amlodipine 5 mg to 10 mg. From a pharmacokinetic perspective, the 2 drugs are well suited to coadministration in a fixed‐dose combination.