Document Detail


Enhancement of the oral bioavailability of phenytoin by N-acetylation and absorptive characteristics.
MedLine Citation:
PMID:  9821815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To improve the absorbability of phenytoin (DPH), a prodrug, N-acetyl-DPH (EDPH), was synthesized, and the absorptive characteristics and pharmacokinetics of the prodrug were evaluated in rats. EDPH was rapidly hydrolyzed to DPH in the intestinal fluid and the mucosa (rate constant, 0.055 and 0.169 min(-1), respectively). The plasma concentrations of DPH after intravenous dosing of EDPH declined in a biexponential manner, although two different elimination patterns were observed in these rats. When dosed orally (25 mg/kg, DPH equivalent), the plasma levels of DPH converted from the prodrug were significantly higher and more sustained than those after DPH alone, giving bioavailability 11.4 (rapid decay) and 9.1 times (slow decay) as high, respectively, as that after DPH alone. The concentrations of DPH distributed into the mucosa of the duodenum and jejunum 1 and 5 h after oral dosing of EDPH were significantly higher than those after DPH alone. The prodrug and DPH converted from the prodrug dissolved 2-4 fold more than DPH alone in bile salt solution and bile salt-oleic acid mixed micelles, indicating the increased solubility of the prodrug in the intestinal fluid. It is concluded from the data that such high solubility of EDPH enhanced the intestinal absorption of the prodrug, part of which would be absorbed in the amide form, and thus gave the high bioavailability.
Authors:
T Ogiso; T Tanino; D Kawaratani; M Iwaki; G Tanabe; O Muraoka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Biological & pharmaceutical bulletin     Volume:  21     ISSN:  0918-6158     ISO Abbreviation:  Biol. Pharm. Bull.     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-14     Completed Date:  1999-01-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9311984     Medline TA:  Biol Pharm Bull     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1084-9     Citation Subset:  IM    
Affiliation:
Faculty of Pharmaceutical Sciences, Kinki University, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acetylation
Administration, Oral
Animals
Bile Acids and Salts / chemistry
Biological Availability
Buffers
Hydrolysis
Intestinal Absorption
Intestinal Mucosa / metabolism
Liver / metabolism
Male
Micelles
Phenytoin / analogs & derivatives*,  blood,  chemical synthesis,  chemistry,  pharmacokinetics*,  pharmacology
Prodrugs / chemical synthesis,  pharmacokinetics*
Rats
Rats, Wistar
Solubility
Tissue Distribution
Water / chemistry
Chemical
Reg. No./Substance:
0/Bile Acids and Salts; 0/Buffers; 0/Micelles; 0/N-acetylphenytoin; 0/Prodrugs; 56775-94-1/1-acetyl-3-acetoxy-5',5-diphenylhydantoin; 57-41-0/Phenytoin; 7732-18-5/Water

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


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