Literature DB >> 22173281

Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.

Michael W Jann1, Vicky Spratlin, Kathryn Momary, Hailing Zhang, David Turner, Scott R Penzak, Alan Wright, Chad VanDenBerg.   

Abstract

PURPOSE: To assess the effects of venlafaxine extended-release (XR) capsules and desvenlafaxine extended-release (XR) tablets upon indinavir pharmacokinetic properties when co-administrated to healthy volunteers.
METHODS: This was an open-label, two-period, fixed-dose study conducted at the clinical research unit located on a university campus. Twenty-four healthy volunteers enrolled in the study (mean age 28.3 ± 8.0 years). Each subject received a single dose of indinavir 800 mg on day 1. Subsequently, subjects were then randomly assigned to either the venlafaxine XR group (N = 12) or the desvenlafaxine XR group (N = 12). Starting on day 2, venlafaxine XR was dosed at 37.5 mg/day for 4 days and increased to 75 mg/day for 6 days. Desvenlafaxine XR was dosed at 50 mg/day for 10 days. On day 12, indivanvir 800 mg was co-administered to both the venlafaxine XR and the desvenlafaxine XR groups. The pharmacokinetics of indinavir were determined both before and at the end of antidepressant dosing. Plasma indinavir, venlafaxine, and desvenlafaxine concentrations were assayed by high-performance liquid chromatography with ultra-violet (UV) detection. Indinavir pharmacokinetic parameters were calculated by noncompartmental analysis using validated computer software.
RESULTS: Venlafaxine XR and desvenlafaxine XR did not produce any significant changes in indinavir disposition. Both antidepressants were well tolerated by the subjects with only minor adverse side effects.
CONCLUSIONS: No pharmacokinetic drug-drug interaction was demonstrated between venlafaxine XR and indinavir or between desvenlafaxine XR and indinvair. The lack of interaction could be due to the venlafaxine and desvenlafaxine extended-release formulation.

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Year:  2011        PMID: 22173281     DOI: 10.1007/s00228-011-1180-7

Source DB:  PubMed          Journal:  Eur J Clin Pharmacol        ISSN: 0031-6970            Impact factor:   2.953


  23 in total

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Authors:  S E Ball; D Ahern; J Scatina; J Kao
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2.  Venlafaxine and metabolites are very weak inhibitors of human cytochrome P450-3A isoforms.

Authors:  L L von Moltke; S X Duan; D J Greenblatt; S M Fogelman; J Schmider; J S Harmatz; R I Shader
Journal:  Biol Psychiatry       Date:  1997-02-01       Impact factor: 13.382

3.  Induction of drug efflux protein expression by venlafaxine but not desvenlafaxine.

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4.  Sample size calculations for clinical pharmacology studies.

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5.  Influence of P-glycoprotein on the transport and metabolism of indinavir in Caco-2 cells expressing cytochrome P-450 3A4.

Authors:  J H Hochman; M Chiba; J Nishime; M Yamazaki; J H Lin
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Review 7.  Desvenlafaxine: another "me too" drug?

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Journal:  Ann Pharmacother       Date:  2008-08-12       Impact factor: 3.154

8.  HIV prevalence estimates--United States, 2006.

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Review 9.  HIV and depression: 2008 review and update.

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10.  A pharmacokinetic drug-drug interaction study of venlafaxine and indinavir.

Authors:  G M Levin; L A Nelson; C L DeVane; S L Preston; G Eisele; S W Carson
Journal:  Psychopharmacol Bull       Date:  2001
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  2 in total

1.  Development of an enantioselective assay for simultaneous separation of venlafaxine and O-desmethylvenlafaxine by micellar electrokinetic chromatography-tandem mass spectrometry: Application to the analysis of drug-drug interaction.

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Review 2.  Drug-drug interactions involving antidepressants: focus on desvenlafaxine.

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  2 in total

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