Stein G E, LeBel M, Flor S C, Zinny M
Department of Medicine, Michigan State University, East Lansing.
Curr Med Res Opin. 1991;12(8):479-84. doi: 10.1185/03007999109111658.
The relative bioavailability and pharmacokinetics of ofloxacin tablets and a reference oral solution of ofloxacin were compared in 32 normal male subjects using a randomized two-way crossover design. After an overnight fast, subjects were randomized to receive a single 200 mg or 300 mg dose of ofloxacin (tablet or solution) and blood samples were obtained prior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours after the dose. After a 5-day wash-out period, subjects were administered the same dose but of the other formulation, and blood samples were collected in an identical manner. Plasma concentrations of ofloxacin were determined by high-pressure liquid chromatography. The results showed that ofloxacin tablets were more slowly absorbed when compared to the solution and mean peak plasma concentrations were obtained in about 1.5 hours for the tablet preparation. Maximum plasma concentrations were higher after administration of the solution (Cmax = 2.24 micrograms/ml, 200 mg; Cmax = 3.25 micrograms/ml, 300 mg) compared to the tablet (Cmax = 1.74 micrograms/ml, 200 mg; 2.61 micrograms/ml, 300 mg). The bioavailability of ofloxacin tablets was greater than 98% compared to the solution. The other pharmacokinetic parameters were similar between the two dosage formulations. Ofloxacin tablets revealed an apparent volume of distribution of 1.5 l/kg, an elimination half-life of 5.6 hours, and a total clearance of 251 ml/min. In addition, a linear increase in plasma concentrations was observed when the dose of ofloxacin was increased. In summary, ofloxacin tablets was found to be reliably bioavailable and bioequivalent to the reference solution.
采用随机双向交叉设计,在32名正常男性受试者中比较了氧氟沙星片与氧氟沙星参比口服溶液的相对生物利用度和药代动力学。经过一夜禁食后,受试者随机接受200mg或300mg单剂量的氧氟沙星(片剂或溶液),并在给药前以及给药后0.5、1、1.5、2、3、4、6、8、12、16、24、36、48、72、96和120小时采集血样。经过5天的洗脱期后,给予受试者相同剂量但另一种剂型的药物,并以相同方式采集血样。采用高压液相色谱法测定血浆中氧氟沙星的浓度。结果表明,与溶液剂相比,氧氟沙星片吸收较慢,片剂制剂的平均血浆峰浓度在约1.5小时时达到。与片剂(Cmax = 1.74μg/ml,200mg;2.61μg/ml,300mg)相比,溶液剂给药后的最大血浆浓度更高(Cmax = 2.24μg/ml,200mg;Cmax = 3.25μg/ml,300mg)。与溶液剂相比,氧氟沙星片的生物利用度大于98%。两种剂型之间的其他药代动力学参数相似。氧氟沙星片的表观分布容积为1.5L/kg,消除半衰期为5.6小时,总清除率为251ml/min。此外,当氧氟沙星剂量增加时,观察到血浆浓度呈线性增加。总之,发现氧氟沙星片生物利用度可靠,且与参比溶液生物等效。