Tidd M J, Collins W T, Chamberlain J
J Int Med Res. 1976;4(2):86-95. doi: 10.1177/030006057600400202.
The bioavailabilities of three spironolactone tablet formulations specially selected for major differences in in vitro dissolution tests were compared in normal male volunteers by measuring plasma and urinary levels of the pharmacologically active spironolactone metabolite canrenone. It was possible to demonstrate small but statistically significant differences in plasma canrenone concentration-time curves derived from the three formulations together with significant differences in the time course of urinary canrenone excretion. The bioavailabilities of the three formulations did not differ significantly although the tablet with the poorest in vitro dissolution produced a significant delayed peak canrenone concentration. The dissolution rate methodology and results are described and an approach to the development of improved in vitro dissolution tests for spironolactone is suggested. The use of a new method for canrenone estimation resulted in the incidental detection of two other quantitatively significant spironolactone metabolites and preliminary information is given on these.
通过测量具有药理活性的螺内酯代谢物坎利酮的血浆和尿液水平,在正常男性志愿者中比较了三种专门选择的在体外溶出试验中有显著差异的螺内酯片剂制剂的生物利用度。可以证明,三种制剂的血浆坎利酮浓度-时间曲线存在微小但具有统计学意义的差异,同时尿坎利酮排泄的时间过程也存在显著差异。尽管体外溶出最差的片剂使坎利酮浓度峰值出现显著延迟,但三种制剂的生物利用度并无显著差异。描述了溶出速率方法和结果,并提出了一种改进螺内酯体外溶出试验的开发方法。一种新的坎利酮估算方法的使用偶然检测到另外两种在数量上具有重要意义的螺内酯代谢物,并给出了关于它们的初步信息。