Lennernäs H, Regårdh C G
Department of Pharmacy, University of Uppsala, Sweden.
Pharm Res. 1993 Jan;10(1):130-5. doi: 10.1023/a:1018993501426.
The gastrointestinal absorption characteristics of pafenolol following oral administration as a solution in man and rat has previously been found to be a double-peak phenomenon and exhibited dose-dependent bioavailability, despite negligible presystemic metabolism. In both man and rat the first peak appeared approximately 0.5-1 hr postdose and the second, more pronounced peak 3-4 hr postdose. In rat more than 90% of the available dose was absorbed during the second peak. In the present study we investigated the absorption of a solution of pafenolol in rats after intrajejunal and intraileal administration. The resulting blood concentration-time profile of pafenolol exhibited one peak only; the extent of absorption was similar to that observed when the same dose was given orally. The small intestinal transit time of the 14C-PEG 4000 solution was found to be more than 3 hr. The transit rate was higher in the proximal part of the small intestine compared to the more distal part, where the transit of the solution was staggered. In conclusion, the results of the intestinal transit time investigation and the administrations of pafenolol at different levels of the alimentary tract indicate that pafenolol is a drug with a specific absorption site located in the ileocolonic region.
先前已发现,在人和大鼠中,口服帕非诺醇溶液后的胃肠道吸收特性呈双峰现象,且尽管首过代谢可忽略不计,但生物利用度呈现剂量依赖性。在人和大鼠中,第一个峰均出现在给药后约0.5 - 1小时,第二个更明显的峰出现在给药后3 - 4小时。在大鼠中,超过90%的可用剂量在第二个峰期间被吸收。在本研究中,我们研究了帕非诺醇溶液在大鼠空肠内和回肠内给药后的吸收情况。所得帕非诺醇的血药浓度-时间曲线仅显示一个峰;吸收程度与口服相同剂量时观察到的相似。发现14C - PEG 4000溶液在小肠的转运时间超过3小时。与小肠远端相比,小肠近端的转运速率更高,溶液在远端的转运是交错的。总之,肠道转运时间研究以及在消化道不同部位给予帕非诺醇的结果表明,帕非诺醇是一种在回结肠区域具有特定吸收部位的药物。