Floriddia M L, Castorina M, Drago F
Department of Pharmacology, University of Catania, Italy.
Eur Rev Med Pharmacol Sci. 2000 Jan-Apr;4(1-2):9-13.
Fluoxetine drops and marketed fluoxetine capsules had quite the same Cmax (50.25 +/- 4.43 vs 47.55 +/- 5.29 ng/ml), but significantly different AUC0-t (717.27 +/- 71.29 vs 644.91 +/- 78.91 ng/ml/h). Furthermore the drops were characterised by a very early Tmax (4.61 +/- 0.85 hours) with a highly significant difference in comparison to the capsules reference compound (6.72 +/- 1.23 hours). After log transformation 90% C.I. for Cmax, AUC 0-t and AUC0-. were 1.05, 1.11, 0.82 respectively. The two products, therefore, cannot be considered bioequivalent. Our results demonstrate that fluoxetine drops and capsules significantly differ for their pharmacokinetics, with an earlier Tmax and a higher AUC0-t after the administration of the drops preparation.
氟西汀滴剂与市售氟西汀胶囊的Cmax相当(分别为50.25±4.43与47.55±5.29纳克/毫升),但AUC0-t显著不同(分别为717.27±71.29与644.91±78.91纳克/毫升·小时)。此外,滴剂的特点是Tmax非常早(4.61±0.85小时),与胶囊参比制剂相比差异极显著(6.72±1.23小时)。经对数转换后,Cmax、AUC 0-t和AUC0-的90%置信区间分别为1.05、1.11和0.82。因此,这两种产品不能视为生物等效。我们的结果表明,氟西汀滴剂和胶囊在药代动力学方面有显著差异,服用滴剂制剂后Tmax更早且AUC0-t更高。