Abstract
Rosuvastatin is used to treat dyslipidemia and is metabolized by CYP2C9 that shows variable metabolic activity in males and females. Pharmacokinetics (PK) of drugs varies in males and females that may result in altered drug response and therapeutic efficacy. In current study, PK of rosuvastatin has been evaluated in males and females. A single oral dose (40 mg rosuvastatin), open-label and non-controlled PK study was arranged. A reversed phase HPLC method was applied for quantification of rosuvastatin in serum samples. PK parameters of rosuvastatin were compared in males and females by applying student t test at 95 % confidence interval. The C max, \([{\text{AUC}} ]_{0}^{8}\)and \([{\text{AUC}} ]_{0}^{\infty }\)of rosuvastatin was significantly higher (p < 0.05) in females compared with males. The Vd/F of rosuvastatin was insignificantly higher (p > 0.05) in males compared with females while CL/F was significantly (p < 0.05) faster in males when compared at 95 % confidence interval. Rosuvastatin plasma level was significantly high in females compared with males that may be a possible reason for higher incidence of cardiac myopathy and other side effects in females. The variation in PK of drugs in males and females may require dose adjustment for maximum therapeutic effectiveness and safety.
Similar content being viewed by others
References
Balayssac D, Authier N, Cayre A, Coudore F (2005) Does inhibition of P-glycoprotein lead to drug–drug interactions? Toxicol Lett 156:319–329
Bellosta S, Paoletti R, Corsini A (2004) Safety of statins focus on clinical pharmacokinetics and drug interactions. Circulation (2004) 109:III-50–III-57
Booth M, Hunt J, Miles J, Murray F (1957) Comparison of gastric emptying and secretion in men and women with reference to prevalence of duodenal ulcer in each sex. Lancet 272:657
Choi J, Lee M, Cho J, Lee J, Kim K, Park K (2007) Influence of OATP1B1 genotype on the pharmacokinetics of rosuvastatin in Koreans. Clin Pharmacol Ther 83:251–257
Dressman JB et al (1990) Upper gastrointestinal (GI) pH in young, healthy men and women. Pharm Res 7:756–761
Grube M et al (2006) Modification of OATP2B1-mediated transport by steroid hormones. Mol Pharmacol 70:1735–1741
Harris RZ, Benet LZ, Schwartz JB (1995) Gender effects in pharmacokinetics and pharmacodynamics. Drugs 50:222–239
Ieiri I, Higuchi S, Sugiyama Y (2009) Genetic polymorphisms of uptake (OATP1B1, 1B3) and efflux (MRP2, BCRP) transporters: implications for inter-individual differences in the pharmacokinetics and pharmacodynamics of statins and other clinically relevant drugs. Expert Opin Drug Metab Toxicol 5:703–729
Keskitalo J, Zolk O, Fromm M, Kurkinen K, Neuvonen P, Niemi M (2009) ABCG2 polymorphism markedly affects the pharmacokinetics of atorvastatin and rosuvastatin. Clin Pharmacol Ther 86:197–203
Martin PD, Dane AL, Nwose OM, Schneck DW, Warwick MJ (2002) No effect of age or gender on the pharmacokinetics of rosuvastatin: a new HMG-CoA reductase inhibitor. J Clin Pharmacol 42:1116–1121
Martin PD et al (2003) Metabolism, excretion, and pharmacokinetics of rosuvastatin in healthy adult male volunteers. Clin Ther 25:2822–2835
Meibohm B, Beierle I, Derendorf H (2002) How important are gender differences in pharmacokinetics? Clin Pharmacokinet 41:329–342
Niemi M, Pasanen MK, Neuvonen PJ (2006) SLCO1B1 polymorphism and sex affect the pharmacokinetics of pravastatin but not fluvastatin nast. Clin Pharmacol Ther 80:356–366
Pasanen M, Fredrikson H, Neuvonen P, Niemi M (2007) Different effects of SLCO1B1 polymorphism on the pharmacokinetics of atorvastatin and rosuvastatin. Clin Pharmacol Ther 82:726–733
Shah Y et al (2011) Simultaneous determination of rosuvastatin and atorvastatin in human serum using RP-HPLC/UV detection: method development, validation and optimization of various experimental parameters. J Chromatogr B 879:557–563
Shitara Y, Horie T, Sugiyama Y (2006) Transporters as a determinant of drug clearance and tissue distribution. Eur J Pharm Sci 27:425–446
Trauner M et al (1997) The rat canalicular conjugate export pump (Mrp2) is down-regulated in intrahepatic and obstructive cholestasis. Gastroenterology 113:255–264
Wang H et al (2006) Regulation of BCRP/ABCG2 expression by progesterone and 17β-estradiol in human placental BeWo cells. Am J Physiol Endocrinol Metab 290:E798–E807
Zhang W et al (2006) Role of BCRP 421C> A polymorphism on rosuvastatin pharmacokinetics in healthy Chinese males. Clin Chim Acta 373:99–103
Acknowledgments
We are thankful to University of Peshawar for providing facilities and technical support to conduct the study. We pay special thanks to Ferozsons private limited for providing us with standards of rosuvastatin.
Conflict of interest
No conflict of interest/financial exists.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nazir, S., Iqbal, Z., Shah, Y. et al. Pharmacokinetic study of rosuvastatin in males and females. Eur J Drug Metab Pharmacokinet 40, 313–318 (2015). https://doi.org/10.1007/s13318-014-0211-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13318-014-0211-z