Document Detail


Effects of three antacids on the bioavailability of valproic acid.
MedLine Citation:
PMID:  6821035     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effects of three antacid products on the bioavailability of valproic acid were evaluated. Each of seven normal, healthy volunteers received a 500-mg dose of valproic acid alone on one occasion and then with each of three commonly used antacids. Specifically, equal neutralizing capacity doses of 160 meq of Maalox (62 ml), Trisogel (97 ml), or Titralac (42 ml) were administered one and three hours after meals and at bedtime on the same day. Blood samples were obtained at 0, 1, 2, 4, 6, 8, 10, 24, and 32 hours and analyzed for valproic acid by gas liquid chromatography. There was a significant increase in total area under the curve (AUC) (range 3% to 28%, mean 12%) when valproic acid was administered with Maalox (p = 0.026 for total AUC and p = 0.009 for AUC to 32 hours). There was an insignificant trend toward an increase in AUC when valproic acid was administered with the other two antacids. No differences were observed in time to peak serum concentration, height of peak serum concentration, volume of distribution, half-life, or first order elimination rate constant. Caution should be exercised if valproic acid and antacids are administered concomitantly.
Authors:
C A May; W R Garnett; R E Small; J M Pellock
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical pharmacy     Volume:  1     ISSN:  0278-2677     ISO Abbreviation:  Clin Pharm     Publication Date:    1982 May-Jun
Date Detail:
Created Date:  1983-10-08     Completed Date:  1983-10-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8207437     Medline TA:  Clin Pharm     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  244-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Antacids / pharmacology*
Biological Availability
Half-Life
Humans
Hydrogen-Ion Concentration
Time Factors
Valproic Acid / metabolism*
Chemical
Reg. No./Substance:
0/Antacids; 99-66-1/Valproic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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