Experiment 66815

Details

PropertyValue
Pharmacology
Administration routeORAL
OrganismCitrus paradisi (RUTACEAE)
CitationLIBERSA,CC: BRIQUE,SA: MOTTE,KB: CARON,JF: GUEDON-MOREAU,LM: HUMBERT,L: VINCENT,A: DEVOS,P: LHERMITTE,MA:. (2000). DRAMATIC INHIBITION OF AMIODARONE METABOLISM INDUCED BY GRAPEFRUIT JUICE.. 49(4)
Amount utilized
Compound isolated
DiseaseELEVEN HEALTHY ADULT VOLUNTEERS TOOK PART IN A SINGLE SEQUENCE, REPEATED-MEASURES DESIGN STUDY. EACH SUBJECT, WHO HAD BEEN EVALUATED 6 MONTHS PREVIOUSLY FOR AMIODARONE PHARMACOKINETICS, WAS GIVEN A SINGLE ORAL DOSE OF AMOIDARONE (17 MG KG-1) WITH THREE GLASSES OF 300 ML OF GRAPEFRUIT JUICE ON THE SAME DAY. GRAPEFRUIT JUICE COMPLETELY INHIBITED THE PRODUCTION OF N-DEA, THE MAJOR METABOLITE OF AMIODARONE, IN ALL SUBJECTS AND INCREASED THE AREA-UNDER-THE-CURVE (AUC) MAXIMUM CONCENTRATION OF AMIODARONE (CMAX) BY 50% AND 84%, RESPECTIVELY, AS COMPARED WITH THE CONTROL PERIOD DURING WHICH WATER HAD BEEN ADMINISTRATED INSTEAD OF GRAPEFRUIT JUICE. GRAPEFRUIT JUICE DRAMATICALLY ALTERS THE METABOLISM OF AMOIDARONE WITH COMPLETE INHIBITION OF N-DEA PRODUCTION. THESE RESULTS ARE IN AGREEMENT WITH IN VITRO DATA POINTING TO THE INVOLVEMENT OF CYP3 A IN THE METABOLISM OF AMIODARONE AND SUGGESTS THAT THIS INTERACTION SHOULD BE TAKEN INTO ACCOUNT WHEN PRESCRIBING THIS ANTIARRHYTHMIC DRUG.
Dose amount900.0 ML
Number2
Qualitative resultACTIVE
AnimalHUMAN ADULT
Per unitDAY
Dose expressionDOSE
ExtractJUICE
GenderMALE