Schran H F, McDonald S, Lehr R
Drug Safety and Metabolism Division, Sandoz Research Institute, East Hanover, New Jersey 07936.
Biopharm Drug Dispos. 1988 Jul-Aug;9(4):349-61. doi: 10.1002/bod.2510090404.
The pharmacokinetics and bioavailability of ergoloid mesylates following single administrations of various dose levels (3-9 mg), dosage forms (oral swallow and sublingual tablets, solution) and under different dosing conditions (fasted, with meal) were studied in young healthy volunteers. Male and female subjects showed a similar rate and extent of bioavailable ergoloid after drug treatment. The absorption of ergoloid using either the tablet dosage forms or the drug administered as a solution was rapid, with peak levels of about 60-80 pg ml-1 mg-1 dose achieved after 0.6 to 1.3 h. The elimination half-life for ergoloid in plasma was 2-5 h. Administration of drug with food had no effect on the extent of absorption (AUC) but lowered the absorption rate. This resulted in a reduction of (by 25 per cent) and delay in (by 1 h) achieving peak levels (Cmax). Increasing the ergoloid dose caused a proportional increase in the AUC, but a smaller than proportional increase for Cmax. The tablet formulations provided similar AUCs as the solution; the objective of the sublingual tablet formulation to provide improved bioavailability over the swallow tablet via circumvention of first-pass metabolism was therefore not realized. Transient decreases in blood pressure after ergoloid treatment paralleled the plasma level profiles. Higher ergoloid levels were paired with the larger pressure decreases.
在年轻健康志愿者中研究了不同剂量水平(3 - 9毫克)、剂型(口服片、舌下片、溶液剂)单次给药以及不同给药条件(空腹、进食)下甲磺酸麦角隐亭的药代动力学和生物利用度。男性和女性受试者在药物治疗后显示出相似的生物可利用麦角隐亭的速率和程度。使用片剂剂型或溶液剂给药的麦角隐亭吸收迅速,在0.6至1.3小时后达到约60 - 80 pg ml-1 mg-1剂量的峰值水平。血浆中麦角隐亭的消除半衰期为2 - 5小时。进食时给药对吸收程度(AUC)无影响,但降低了吸收速率。这导致峰值水平(Cmax)降低(降低25%)和延迟(延迟1小时)。增加麦角隐亭剂量导致AUC成比例增加,但Cmax的增加小于比例增加。片剂制剂的AUC与溶液剂相似;因此,舌下片剂制剂通过规避首过代谢来提供比吞咽片更好的生物利用度的目标未实现。麦角隐亭治疗后血压的短暂下降与血浆水平曲线平行。较高的麦角隐亭水平与较大的血压下降相关。