Literature DB >> 9145885

Pharmacokinetics of zidovudine after rectal administration in human immunodeficiency virus-infected patients.

U Wintergerst1, B Rolinski, J R Bogner, G Notheis, F D Goebel, A A Roscher, B H Belohradsky.   

Abstract

We evaluated the pharmacokinetics of rectally administered zidovudine (ZDV) in 10 human immunodeficiency virus-infected adults. After rectal administration of an aqueous ZDV solution (250 mg of ZDV), mean peak ZDV levels were 1.3 +/- 0.7 micromol/liter (mean +/- standard deviation) versus 5.0 +/- 2.2 micromol/liter (P < 0.0001) after oral intake of a 250-mg ZDV capsule. The half-life at beta phase was 87.8 +/- 39.6 min for rectally administered ZDV versus 55.8 +/- 20.1 min (P = 0.035) for orally administered ZDV. The mean area under the concentration-time curve from 0 min to infinity was 232 +/- 181 micromol/liter x min after rectal administration versus 362 +/- 110 micromol/liter x min after oral intake. Although the two routes were not bioequivalent, ZDV was absorbed considerably after rectal administration, with a pharmacokinetic profile resembling that of a sustained-release device.

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Year:  1997        PMID: 9145885      PMCID: PMC163866     

Source DB:  PubMed          Journal:  Antimicrob Agents Chemother        ISSN: 0066-4804            Impact factor:   5.191


  15 in total

1.  Probenecid and zidovudine metabolism.

Authors:  D M Kornhauser; B G Petty; C W Hendrix; A S Woods; L J Nerhood; J G Bartlett; P S Lietman
Journal:  Lancet       Date:  1989-08-26       Impact factor: 79.321

2.  Pharmacokinetics and bioavailability of zidovudine in humans.

Authors:  M R Blum; S H Liao; S S Good; P de Miranda
Journal:  Am J Med       Date:  1988-08-29       Impact factor: 4.965

3.  A multicenter trial of oral zidovudine in children with advanced human immunodeficiency virus disease. The Protocol 043 Study Group.

Authors:  R E McKinney; M A Maha; E M Connor; J Feinberg; G B Scott; M Wulfsohn; K McIntosh; W Borkowsky; J F Modlin; P Weintrub
Journal:  N Engl J Med       Date:  1991-04-11       Impact factor: 91.245

4.  Enhanced transdermal delivery of zidovudine in rats and human skin.

Authors:  T Seki; C Toeda; T Kawaguchi; K Juni; K Sugibayashi; Y Morimoto
Journal:  Chem Pharm Bull (Tokyo)       Date:  1990-11       Impact factor: 1.645

5.  Effect of probenecid on the renal and nonrenal clearances of zidovudine and its distribution into cerebrospinal fluid in the rabbit.

Authors:  M A Hedaya; R J Sawchuk
Journal:  J Pharm Sci       Date:  1989-09       Impact factor: 3.534

6.  Plasma and cerebrospinal fluid pharmacokinetics of 3'-azido-3'-deoxythymidine: a novel pyrimidine analog with potential application for the treatment of patients with AIDS and related diseases.

Authors:  R W Klecker; J M Collins; R Yarchoan; R Thomas; J F Jenkins; S Broder; C E Myers
Journal:  Clin Pharmacol Ther       Date:  1987-04       Impact factor: 6.875

7.  Effect of continuous intravenous infusion of zidovudine (AZT) in children with symptomatic HIV infection.

Authors:  P A Pizzo; J Eddy; J Falloon; F M Balis; R F Murphy; H Moss; P Wolters; P Brouwers; P Jarosinski; M Rubin
Journal:  N Engl J Med       Date:  1988-10-06       Impact factor: 91.245

8.  Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group.

Authors:  E M Connor; R S Sperling; R Gelber; P Kiselev; G Scott; M J O'Sullivan; R VanDyke; M Bey; W Shearer; R L Jacobson
Journal:  N Engl J Med       Date:  1994-11-03       Impact factor: 91.245

9.  Simultaneous quantification of zidovudine and its glucuronide in serum by high-performance liquid chromatography.

Authors:  S S Good; D J Reynolds; P de Miranda
Journal:  J Chromatogr       Date:  1988-09-23

10.  The pharmacokinetics of zidovudine administered by continuous infusion in children.

Authors:  F M Balis; P A Pizzo; R F Murphy; J Eddy; P F Jarosinski; J Falloon; S Broder; D G Poplack
Journal:  Ann Intern Med       Date:  1989-02-15       Impact factor: 25.391

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  1 in total

1.  Lack of absorption of didanosine after rectal administration in human immunodeficiency virus-infected patients.

Authors:  U Wintergerst; B Rolinski; B Sölder; J R Bogner; E Wolf; H Jäger; A A Roscher; B H Belohradsky
Journal:  Antimicrob Agents Chemother       Date:  1999-03       Impact factor: 5.191

  1 in total

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