Influence of Enteral Feedings on Phenytoin Sodium Absorption from Capsules

1988 ◽  
Vol 22 (2) ◽  
pp. 130-133 ◽  
Author(s):  
Lyn Y. Nishimura ◽  
Edward P. Armstrong ◽  
Patricia M. Plezia ◽  
Robert P. Iacono

The influence of enteral feedings (with Ensure) on the absorption of phenytoin sodium from capsules was studied. Six healthy adult volunteers were given a single dose of phenytoin capsules 400 mg po on two occasions. Blood specimens were collected for 48 hours after each dose. In a randomized, crossover fashion, each subject completed the following two phases: (1) phenytoin without enteral feedings, and (2) concomitant enteral feedings before phenytoin and continued at 100 ml/h for ten hours. The areas under the concentration versus time curves from 0-48 hours (AUCo-48) were not significantly different between the two phases (p > 0.5). The percent relative bioavailability of phenytoin with enteral feedings was 101.7 percent. This study suggests that enteral feedings do not affect the serum concentrations of phenytoin after a single dose given in capsule form.


2003 ◽  
Vol 73 (2) ◽  
pp. P47-P47
Author(s):  
J. Grenier ◽  
S. Ciric ◽  
J. Curry ◽  
G. Morelli ◽  
A. Arseneault ◽  
...  


Author(s):  
Aline Barth ◽  
Mohammad Hossain ◽  
Darin B. Brimhall ◽  
Caroline R. Perry ◽  
Courtney A. Tiffany ◽  
...  

Gepotidacin is a novel, first-in-class triazaacenaphthylene antibiotic that may provide a new treatment option for antibiotic-resistant pathogens. Two pharmacokinetic evaluations of oral gepotidacin are presented; a relative bioavailability study that guided formulation development, followed by an adult and adolescent study of the final formulation. In the relative bioavailability study, after gepotidacin administration to 26 healthy adults as free base roller compacted (RC) tablets, free base high shear wet granulation (HSWG) tablets, and mesylate salt reference capsules, the RC tablet exposure ratios and 90% confidence intervals (CIs) were within the 0.80 to 1.25 confidence bounds; however, the HSWG tablet maximum observed concentration (C max ) was higher compared to the reference (ratio: 1.15; 90% CIs: 1.0113, 1.3047). In the healthy adult (n=16) and adolescent (n=17) study, a gepotidacin mesylate salt tablet was evaluated as a 1,500-mg single dose, 2 doses administered 6 or 12 h apart (6,000 mg total), or placebo. Single-dose mean C max was ∼27% higher in adolescents versus adults and area under the concentration-time curve (AUC) was comparable in both populations. After 2 doses were administered, mean C max was similar for both ages and mean AUC was ∼35% higher in adolescents versus adults. Concentrations increased proportionally with dose. Safety-risk profiles were similar in both ages. Across studies, the most common adverse events were gastrointestinal. Overall, the pharmacokinetics of the final gepotidacin mesylate salt tablet have been well-characterized, enrollment of adolescents into the pivotal trials is supported, and dosing intervals were determined that should provide adequate exposures for microbiological efficacy.





2012 ◽  
Vol 9 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Xian-Huo Wang ◽  
Shi-Yong Zhou ◽  
Zheng-Zi Qian ◽  
Hui-Lai Zhang ◽  
Li-Hua Qiu ◽  
...  


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