Summary
The pharmacokinetics of disopyramide were determined in 10 healthy volunteers after a 300 mg oral dose and again after a 2mg/kg i.v. dose.
The unbound clearance was 599 ml/min and the unbound renal clearance 310 ml/min. The terminal elimination rate constant of unbound drug was 0.180 h−1 after the i.v. dose and 0.203 h−1 after the oral dose. The absorption rate constant was 0.53−1 and the maximum peak concentration occurred after 3.2 h. The bioavailability was 0.809 using the area under the unbound plasma concentration time curve.
Although a saturable plasma protein binding was found in all subjects the bioavailability using the total concentration, in contrast to theoretical expectations, showed the same value (0.813) as the unbound concentrations.
References
Meffin PJ, Robert EW, Winkle RA, Harapat S, Pers FA, Harrison DC (1979) Role of concentration-dependent plasma protein binding in disopyramide disposition. J Pharmacokinet Biopharm 7: 29–46
Upton RA, Williams RL (1986) The impact of neglecting nonlinear plasma-protein binding on disopyramide bioavailability studies. J Pharmacokinet Biopharm 14: 365–379
Karim A, Nissen S, Azarnoff DL (1982) Clinical pharmacokinetics of disopyramide. J Pharmacokinet Biopharm 10: 465–494
Cunningham JL, Shen DD, Shudo I, Azarnoff DL (1977) The effect of urine pH and plasma protein binding on the renal clearance of disopyramide. Clin Pharmacokinet 2: 373–383
Hinderling PH, Garrett ER (1976) Pharmacokinetics of the antiarrhythmic disopyramide in healthy humans. J Pharmacokinet Biopharm 4: 199–230
Øie S, Jung D (1975) Bioavailability under variable renal clearance conditions. J Pharm Sci 68: 128–129
Kwan KC, Till A (1973) Novel method for bioavailability assessment. J Pharm Sci 62: 1494–1497
Wagner JG (1971) Biopharmaceutics and relevant pharmacokinetics. Drug Intelligence Publications, Hamilton, Ill p 182
Øie S, Gambertoglio JG, Fleckenstein L (1982) Comparison of the disposition of total and unbound sulfisoxazole after single and multiple dosing. J Pharmacokinet Biopharm 10: 157–172
Lima JJ, Haughey DB, Leir CV (1984) Disopyramide pharmacokinetics and bioavailability following the simultaneous administration of disopyramide and14C-disopyramide. J Pharmacokinet Biopharm 12: 289–313
Kabra PM, Chen SH, Marton LJ (1981) Liquid chromatographic determination of antiarrhythmic drugs: Procainamide, lidocaine, quinidine, disopyramide, propranolol. Ther Drug Monit 3: 91–101
Huang JD, Øie S (1983) Comparison of electrocardiographic response and disposition of R- and S-disopyramide in the rabbit. Res Commun Chem Pathol Pharmacol 41: 227–241
Norris RCG, Ahokas JT, Ravenscroft PJ, Henry M (1984) Binding of disopyramide of α-acid glycoprotein in plasma measured by competitive equilibrium dialysis. J Pharm Sci 73: 824–826
Müller WE, Stillbauer AE (1983) Characterization of a common binding site for basic drug on human α-acid glycoprotein (orosomucoid). Naunyn Schmiedeberg's Arch Pharmacol 322: 170–173
Tozer TN, Gambertoglio JG, Furst DE, Avery DS, Holford NHG (1983) Volume shift and protein binding estimates using equilibrium dialysis: Application to prednisolone binding in humans. J Pharm Sci 72: 1442–1446
Huang JD, Chen RRL, Øie S (1984) Microfit: A basic program for nonlinear regression analysis of pharmacokinetic data using a microcomputer. J Taiwan Pharm Assoc 36: 69–81
Gibaldi M, Perrier D (1975) Pharmacokinetics. Marcel Dekker, New York, NY, chapters 1 and 2
Wilkinson GR, Shand DG (1975) A physiological approach to hepatic drug clearance. Clin Pharmacol Ther 18: 29–46
Øie S, Guentert TW, Tozer TN, (1980) Effect of saturable binding on the pharmacokinetics of drugs. A simulation. J Pharm Pharmacol 32: 471–477
Thibonnier M, Holford NHG, Upton RA, Blum CD, Williams RL (1984) Pharmacokinetic-pharmacodynamic analysis of unbound disopyramide directly measured in serial plasma samples in man. J Pharmacokinet Biopharm 12: 559–573
Giacomini KM, Swezy SE, Turner-Tamiyasu K, Blaschke TF (1982) The effect of saturable binding to plasma proteins on the pharmacokinetic properties of disopyramide. J Pharmacokinet Biopharm 10: 1–14
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Braun, J., Sörgel, F., Gluth, W.P. et al. Bioavailability of disopyramide in normal volunteers using unbound concentration. Eur J Clin Pharmacol 32, 625–629 (1987). https://doi.org/10.1007/BF02456000
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DOI: https://doi.org/10.1007/BF02456000