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Absence of a significant pharmacokinetic interaction between hydrochlorothiazide and triamterene when coadministered

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Abstract

Hydrochlorothiazide, triamterene, and hydroxytriamterene sulfate were monitored in the plasma and urine of 24 healthy young men taking single doses of a liquid preparation containing both hydrochlorothiazide and triameterene, liquid preparations containing either of these drugs alone, and a combination tablet recently formulated with a dose ratio of hydrochlorothiazide: triamterene (1∶1,5) found to give optimal potassium-sparing effect. In contradiction to a recent publication, no interaction between the drugs affecting the bioavailability or renal clearance of either could be demonstrated. The previous report of drug-drug interaction probably arose from formulationrelated problems with bioavailability from the two capsule and two tablet products which had been studied. A well-formulated hydrochlorothiazide-triamterene combination tablet promotes plasma concentrations and urinary excretion of hydrochlorothiazide, triamterene, and hydroxytriamterene sulfate which are virtually identical to those seen after either a combination liquid dosage form or simple liquid forms containing only one of the two drugs.

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References

  1. K. B. Hansen and A. D. Bender. Changes in serum potassium levels occurring in patients treated with triamterene and a triamterene-hydrochlorothiazide combination.Clin. Pharmacol. Ther. 8:392–399 (1966).

    Google Scholar 

  2. R. E. Spiekerman, K. G. Berge, and D. L. Thurber. Potassium-sparing effects of triamterene in the treatment of hypertension.Circulation 34:524–531 (1966).

    Article  CAS  PubMed  Google Scholar 

  3. P. J. Tannenbaum, E. Rosen, T. Flanagan, and A. P. Crosley, Jr. The influence of dosage form on the activity of a diuretic agent.Clin. Pharmacol. Ther. 9:598–604 (1968).

    CAS  PubMed  Google Scholar 

  4. C. D. Blume, R. L. Williams, R. A. Upton, E. T. Lin, and L. Z. Benet. Bioequivalence study of a newtablet formulation of hydrochlorothiazide.Am. J. Med. 77(Suppl. 5A):59–61 (1984).

    Article  CAS  PubMed  Google Scholar 

  5. V. P. Shah, M. A. Walker, V. K. Prasad, J. Lin, G. Knapp, and B. E. Cabana. Preliminary observations on dissolution and bioavailability of triamterene-hydrochlorothiazide combination products.Biopharm. Drug. Dispos. 5:11–19 (1984).

    Article  CAS  PubMed  Google Scholar 

  6. Metropolitan Life Insurance Bulletin. New York. Metropolitan Life Insurance Company, November–December, 1959.

  7. E. T. Lin, Hydrochlorothiazide in plasma and urine. In P. M. Kabra and L. J. Marton (eds.),Clinical Liquid Chromatography, Vol. I, Analysis of Exogenous Compounds. CRC Press, Boca Raton, Fia, 1984, pp. 115–118.

    Google Scholar 

  8. E. T. Lin. Triamterene and its metabolite in plasma and urine. In ref. 7, pp. 123–127.

    Google Scholar 

  9. F. Sorgel, E. T. Lin, J. Hasegawa, and L. Z. Benet. Liquid Chromatographic analysis of triamterene and its major metabolite, hydroxytriamterene sulfate in blood, plasma and urine.J. Pharm. Sci. 73:831–833 (1984).

    Article  CAS  PubMed  Google Scholar 

  10. B. Beermann and M. Groschinsky-Grind. Clinical pharmacokinetics of diuretics.Clin. Pharmacokin. 5:221–245 (1980).

    Article  CAS  Google Scholar 

  11. C. Niemeyer, G. Hasenfuss, U. Wais, H. Knauf, M. Schafer-Korting, and E. Mutschier. Pharmacokinetics of hydrochlorothiazide in relation to renal function.Eur. J. Clin. Pharmacol. 24:661–665 (1983).

    Article  CAS  PubMed  Google Scholar 

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Data Management and Analysis were achieved largely by the NIH-sponsored PROPHET Computing System (Proc. Natl. Comp. Exp.,43: 457, 1974).

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Upton, R.A., Williams, R.L., Lin, E.T. et al. Absence of a significant pharmacokinetic interaction between hydrochlorothiazide and triamterene when coadministered. Journal of Pharmacokinetics and Biopharmaceutics 12, 575–586 (1984). https://doi.org/10.1007/BF01059553

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  • DOI: https://doi.org/10.1007/BF01059553

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