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Pharmacokinetics in man of theN-acetylated metabolite of proeainamide

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Abstract

The pharmacokinetics of N-acetylprocainamide (NAPA) have been studied in three normal subjects who received 500 mg of this compound by timed intravenous injection. Plasma N APA concentrations and urine excretion were measured by quadrupole mass fragmentography, and a three- compartment pharmacokinetic model was used for data analysis. NAPA elimination half-life and total distribution volume averaged 6.0 hr and 1.38 liters/kg, respectively. Renal excretion of unchanged NAPA accounted for 81% of its elimination, and the mean renal NAPA clearance was 179 ml/min. Approximately 2% of the injected NAPA was deacetylated to procainamide. The fate was not determined of 17% of the NAPA that was estimated to have been eliminated during the 16- hr study period.

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References

  1. J. Dreyfuss, J. J. Ross, Jr., and E. C. Schreiber. Absorption, excretion and biotransformation of procainamide-C14 in the dog and rhesus monkey.Arzneim. Forsch. 21:948–951 (1971).

    CAS  Google Scholar 

  2. J. Dreyfuss, J. T. Bigger, Jr., A. I. Cohn, and E. C. Schreiber. Metabolism of procainamide in rhesus monkey and man.Clin. Pharmacol. Ther. 13:366–371 (1972).

    CAS  PubMed  Google Scholar 

  3. J. Elson, J. M. Strong, W.-K. Lee, and A. J. Atkinson, Jr. Antiarrhythmic potency ofN- acetylprocainamide.Clin. Pharmacol. Ther. 17:134–140 (1975).

    CAS  PubMed  Google Scholar 

  4. E. Karlsson, L. Molin, B. Norlander, and F. Sjöqvist. Acetylation of procaine amide in man studied with a new gas Chromatographie method.Brit. J. Clin. Pharmacol. 1:467–475 (1974).

    Article  CAS  Google Scholar 

  5. E. Karlsson, G. Åberg, P. Collste, L. Molin, B. Norlander, and F. Sjöqvist. Acetylation of procainamide in man. A preliminary communication.Eur. J. Clin. Pharmacol. 8:79–81 (1975).

    Article  CAS  PubMed  Google Scholar 

  6. E. E. Bagwell, D. E. Drayer, M. M. Reidenberg, and J. K. Pruett. Effects of theN-acetyl metabolite of procainamide on transmembrane action potentials of canine His Purkinje cells.Clin. Res. 22:676A (1974).

    Google Scholar 

  7. D. E. Drayer, M. M. Reidenberg, and R. W. Sevy. N-Acetylprocainamide: An active metabolite of procainamide.Proc. Soc. Exp. Biol. Med. 146:358–363 (1974).

    Article  CAS  PubMed  Google Scholar 

  8. J. M. Strong and A. J. Atkinson, Jr. Simultaneous measurement of plasma concentrations of lidocaine and its desethylated metabolite by mass fragmentography.Anal. Chem. 44:2287–2290 (1972).

    Article  CAS  Google Scholar 

  9. W. P. Deiss and P. P. Cohen. Studies in para-aminohippuric acid synthesis in the human: Its application as a liver function test.J. Clin. Invest. 29:1014–1020 (1950).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. C. W. Tabor, M. V. Freeman, J. Baily, and P. K. Smith. Studies on the metabolism of para-aminobenzoic acid.J. Pharmacol. Exp. Ther. 102:98–102 (1951).

    CAS  PubMed  Google Scholar 

  11. M. Berman and M. F. Weiss,SAAM Manual, PHS Publication No. 1073, Government Printing Office, Washington, D.C., 1967.

    Google Scholar 

  12. J. Koch-Weser and S. W. Klein. Procainamide dosage schedules, plasma concentrations, and clinical effects.J. Am. Med. Assoc. 215:1454–1460 (1971).

    Article  CAS  Google Scholar 

  13. S. Riegelman, J. Loo, and M. Rowland. Concept of a volume of distribution and possible errors in the evaluation of this parameter.J. Pharm. Sci. 57:128–133 (1968).

    Article  CAS  PubMed  Google Scholar 

  14. T. Teorell. Kinetics of distribution of substances administered to the body. I. The extravascular modes of administration.Arch. Int. Pharmacodyn. 57:205–225 (1937).

    CAS  Google Scholar 

  15. D. Perrier and M. Gibaldi. Clearance and biologic half-life as indices of intrinsic hepatic metabolism.J. Pharmacol. Exp. Ther. 191:17–24 (1974).

    CAS  PubMed  Google Scholar 

  16. R. L. Galeazzi, T. Lockwood, L. B. Sheiner, and L. Z. Benet. Urinary excretion of procainamide.Clin. Res. 23:219A (1975).

    Google Scholar 

  17. L. C. Mark, H. J. Kayden, J. M. Steele, J. R. Cooper, I. Berlin, E. A. Rovenstine, and B. B. Brodie. The physiological disposition and cardiac effects of procaine amide.J. Pharmacol. Exp. Ther. 102:5–15 (1951).

    CAS  PubMed  Google Scholar 

  18. A. H. Beckett, J. M. Van Dyk, H. H. Chissick, and J. W. Gorrod. Metabolic oxidation on aliphatic basic nitrogen atoms and their α-carbon atoms-Some unifying principles.J. Pharm. Pharmacol. 23:809–812 (1971).

    Article  CAS  PubMed  Google Scholar 

  19. B. B. Brodie, P. A. Lief, and R. Poet. The fate of procaine in man following its intravenous administration and methods for the estimation of procaine and diethylaminoethanol.J. Pharmacol. Exp. Ther. 94:359–366 (1948).

    CAS  PubMed  Google Scholar 

  20. H. Refsum, K. Frislid, P. K. M. Lunde, and K. H. Landmark. Effects of N-acetylprocamamide as compared with procainamide in isolated rat atria.Eur. J. Pharmacol. (in press, 1975).

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Strong, J.M., Dutcher, J.S., Lee, WK. et al. Pharmacokinetics in man of theN-acetylated metabolite of proeainamide. Journal of Pharmacokinetics and Biopharmaceutics 3, 223–235 (1975). https://doi.org/10.1007/BF01066919

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  • DOI: https://doi.org/10.1007/BF01066919

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