European Journal of Clinical Pharmacology

, Volume 22, Issue 5, pp 451–457 | Cite as

Plasma protein binding of etidocaine during pregnancy and labour

  • D. J. Morgan
  • B. B. Koay
  • J. D. Paull


Preliminary studies of the ultrafiltration method for measuring the extent of plasma protein binding of etidocaine showed that etidocaine binding was both pH and concentration dependent. Etidocaine (1 µg/ml) was found to bind avidly to a physiological concentration (74 mg/dl) of α1-acid glycoprotein (α1-AGP) (7.23±0.64%, mean ± SD, unbound). In vitro investigation of etidocaine binding in plasma obtained from blood bank donors and from 19 pregnant women prior to induction of labour, during early labour, mid-labour and delivery showed no difference in etidocaine binding (10.3±3.3%, 7.06±2.66%, 8.15±2.57%, 7.84±3.74% and 9.28±6.06% unbound respectively). There was a significant increase in the mean plasma total free fatty acid (FFA) concentration from pre-labour (0.535±0.240 mM) to delivery (0.948±0.28 mM), while plasma albumin and β-lipoprotein concentrations remained constant. α1-Acid glycoprotein concentration tended to increase slightly from pre-labour to early labour (p<0.1) but was still within the normal physiological range. There was no correlation between etidocaine binding ratio and the concentrations of FFA or plasma proteins except for a poor correlation with the α1-AGP concentration (r=0.361, p<0.05). Storage of plasma and inadequate control of plasma pH during ultrafiltration appeared to give spurious binding values. These studies with the extensively bound basic drug etidocaine suggest that unlike many acidic drugs which are bound predominantly to serum albumin, the binding of α1-AGP — bound basic drugs may be unaffected by pregnancy and labour.

Key words

etidocaine protein binding pregnancy alpha1-acid glycoprotein labour free fatty acids 


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Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • D. J. Morgan
    • 1
  • B. B. Koay
    • 1
  • J. D. Paull
    • 2
  1. 1.Department of PharmaceuticsVictorian College of PharmacyMelbourneAustralia
  2. 2.The Royal Women's HospitalMelbourneAustralia

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