Effect of omeprazole on the pharmacokinetics of itraconazole

被引:97
作者
Jaruratanasirikul, S [1 ]
Sriwiriyajan, S [1 ]
机构
[1] Prince Songkla Univ, Dept Med, Fac Med, Div Clin Pharmacol, Hat Yai 90112, Songkla, Thailand
关键词
omeprazole; itraconazole;
D O I
10.1007/s002280050438
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Objective: To investigate the effect of omeprazole on the pharmacokinetics of itraconazole. Methods: Eleven healthy volunteers received a single dose of oral itraconazole (200 mg) on days 1 and 15 and oral omeprazole (40 mg) once daily from day 2 to day 15. Itraconazole pharmacokinetics were studied on days 1 and 15. Results: Concentrations of itraconazole were higher when it was taken alone than when it was taken with omeprazole. With concomitant omeprazole treatment, the mean AUC(0-24) and C-max of itraconazole were significantly reduced by 64% and 66%, respectively. Conclusion: Omeprazole affects itraconazole kinetics, leading to a reduction in bioavailability and C-max. These two drugs should not be used together.
引用
收藏
页码:159 / 161
页数:3
相关论文
共 11 条
[1]   EFFECT OF PH ON DISINTEGRATION AND DISSOLUTION OF KETOCONAZOLE TABLETS [J].
CARLSON, JA ;
MANN, HJ ;
CANAFAX, DM .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1983, 40 (08) :1334-1336
[2]   EFFECTS OF AN ACIDIC BEVERAGE (COCA-COLA) ON ABSORPTION OF KETOCONAZOLE [J].
CHIN, TWF ;
LOEB, M ;
FONG, IW .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1995, 39 (08) :1671-1675
[3]   OMEPRAZOLE - A PRELIMINARY REVIEW OF ITS PHARMACODYNAMIC AND PHARMACOKINETIC PROPERTIES, AND THERAPEUTIC POTENTIAL IN PEPTIC-ULCER DISEASE AND ZOLLINGER-ELLISON SYNDROME [J].
CLISSOLD, SP ;
CAMPOLIRICHARDS, DM .
DRUGS, 1986, 32 (01) :15-47
[4]   ITRACONAZOLE - A REVIEW OF ITS PHARMACODYNAMIC AND PHARMACOKINETIC PROPERTIES, AND THERAPEUTIC USE IN SUPERFICIAL AND SYSTEMIC MYCOSES [J].
GRANT, SM ;
CLISSOLD, SP .
DRUGS, 1989, 37 (03) :310-344
[5]  
HEYKANTS J, 1989, MYCOSES S1, V23, P67
[6]   Influence of an acidic beverage (Coca-Cola) on the absorption of itraconazole [J].
Jaruratanasirikul, S ;
Kleepkaew, A .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1997, 52 (03) :235-237
[7]   OMEPRAZOLE - AN UPDATED REVIEW OF ITS PHARMACOLOGY AND THERAPEUTIC USE IN ACID-RELATED DISORDERS [J].
MCTAVISH, D ;
BUCKLEY, MMT ;
HEEL, RC .
DRUGS, 1991, 42 (01) :138-170
[8]   Systemic availability of itraconazole in lung transplantation [J].
Patterson, TF ;
Peters, J ;
Levine, SM ;
Anzueto, A ;
Bryan, CL ;
Sako, EY ;
Miller, OL ;
Calhoon, JH ;
Rinaldi, MG .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1996, 40 (09) :2217-2220
[9]   EFFECTS OF RANITIDINE AND SUCRALFATE ON KETOCONAZOLE BIOAVAILABILITY [J].
PISCITELLI, SC ;
GOSS, TF ;
WILTON, JH ;
DANDREA, DT ;
GOLDSTEIN, H ;
SCHENTAG, JJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (09) :1765-1771
[10]   A HIGH-PERFORMANCE LIQUID-CHROMATOGRAPHIC ASSAY FOR THE DETERMINATION OF ITRACONAZOLE CONCENTRATION USING SOLID-PHASE EXTRACTION AND SMALL SAMPLE VOLUME [J].
RIFAI, N ;
SAKAMOTO, M ;
PLATT, O ;
BRUGNARA, C .
THERAPEUTIC DRUG MONITORING, 1995, 17 (05) :522-525