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Bioavailability of β-acetyldigoxin after single and repeated doses of tablets and solution

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Summary

In eight healthy volunteers the bioavailability of β-acetyldigoxin solution and tablets was measured after single and multiple doses. Plasma and urine data were used to calculate bioavailability by four different methods. The differences obtained and the interindividual variations suggested that different and independent methods should be employed to assess “absolute” and “true” bioavailability. There was no significant difference between the regimens and both preparations had similar bioavailability; mean values (± SD) for the solution were 68.3 ± 8.7 % (single dose) and 68.6±5.9 % (multiple doses), and for the tablets 72.8±7.5 % and 66.1±6.0 %, respectively. For routine measurements, single dose studies with plasma and urine sampling for 24 hours and 48 hours, respectively, were an accurate and practicable procedure.

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References

  1. Berman, M., Weiss, M.F.: SAAM-Manual, Laboratory of Theoretical Biology. Bethesda, Maryland: NIH 1974

    Google Scholar 

  2. Binnion, P.F.: The absorption of digoxin tablets. Clin. Pharmacol. Ther.16, 807–812 (1974)

    Google Scholar 

  3. Fraser, E.J., Leach, R.H., Poston, J.W., Bold, A.M., Culank, L.S., Lipede, A.B.: Dissolution and bioavailability of digoxin tablets. J. Pharm. Pharmacol.25, 968–973 (1973)

    Google Scholar 

  4. Greenblatt, D.M., Duhme, D.W., Koch-Weser, J., Smith, R.W.: Intravenous digoxin as a bioavailability standard: Slow infusion and rapid injection. Clin. Pharmacol. Ther.15, 510–513 (1974)

    Google Scholar 

  5. Greenblatt, D.J., Duhme, D.W., Koch-Weser, J., Smith, T.W.: Equivalent bioavailability from digoxin elixir and rapid-dissolution tablets. J. Amer. med. Ass.229, 1774–1776 (1974a)

    Google Scholar 

  6. Greenblatt, D.J., Duhme, D.W., Koch-Weser, J., Smith, T.W.: Comparison of one- and six-day urinary digoxin excretion in single-dose bioavailability studies. Clin. Pharmacol. Ther.16, 813–816 (1974b)

    Google Scholar 

  7. Greenblatt, D.J., Smith, T.W., Koch-Weser, J.: Bioavailability of drugs: The digoxin dilemma. Clin. Pharmacokin.1, 36–51 (1976)

    Google Scholar 

  8. Heizer, W.D., Smith, T.W., Goldfinger, S.E.: Absorption of digoxin in patients with malabsorption syndromes. New Engl. J. Med.285, 257–259 (1971)

    Google Scholar 

  9. Huffman, D.H., Azarnoff, D.L.: Absorption of orally given digoxin preparations. J. Amer. med. Ass.222, 957–960 (1972)

    Google Scholar 

  10. Huffman, D.H., Manion, C.V., Azarnoff, D.L.: Absorption of digoxin from different oral preparations in normal subjects during steady state. Clin. Pharmacol. Ther.16, 310–317 (1974)

    Google Scholar 

  11. Klink, P.R., Poust, R.I., Colaizzi, J.L., McDonald, Jr., R.H.: Bioavailability and dissolution properties of two commercial digoxin tablets. J. Pharm. Sci.63, 1231–1234 (1974)

    Google Scholar 

  12. Kramer, W.G., Lewis, R.P., Cobb, T.C., Forester, Jr., W.F., Visconti, J.A., Wanke, L.A., Boxenbaum, H.G., Reuning, R.H.: Pharmacokinetics of digoxin: Comparison of a two- and three-compartment model in man. J. Pharmacokin. Biopharm.2, 299–312 (1974)

    Google Scholar 

  13. Lindenbaum, J., Mellow, M.H., Blackstone, M.O., Butler, Jr., V.P.: Variation in biologic availability of digoxin from four preparations. New Engl. J. Med.285, 1344–1347 (1971)

    Google Scholar 

  14. Lindenbaum, J.: Bioavailability of digoxin tablets. Pharmacol. Rev.25, 229–237 (1973)

    Google Scholar 

  15. Lindenbaum, J., Preibisz, J.J., Butler, Jr., V.P., Saha, J.R.: Variation in digoxin bioavailability: A continuing problem. J. chron. Dis.26, 749–754 (1973)

    Google Scholar 

  16. Nyberg, L., Bratt, L., Forsgren, A., Hugosson, S.: Bioavailability of digoxin from tablets. Acta pharm. Suecica11, 447–458 (1974)

    Google Scholar 

  17. Ochs, H., Bodem, G., Hahn, E., Dengler, J.J.: Vergleichende Untersuchungen der biologischen Verfügbarkeit von Digoxin aus Tabletten und Lösung im Langzeitversuch. Klin. Wschr.53, 425–429 (1975)

    Google Scholar 

  18. Preibisz, J.J., Butler, Jr., V.P., Lindenbaum, J.: Digoxin tablet bioavailability: Single-dose and steady-state assessment. Ann. intern. Med.81, 469–474 (1974)

    Google Scholar 

  19. Rietbrock, M., Guggenmos, J., Kuhlmann, J., Hess, U.: Bioavailability and pharmacokinetics of β-methyldigoxin after multiple oral and intravenous doses. Europ. J. clin. Pharmacol.9, 373–379 (1976)

    Google Scholar 

  20. Shah, N., Pytelewski, R., Eisen, J., Jarowski, C.I.: Influence of dispersion method on dissolution rate and bioavailability of digoxin from triturations and compressed tablets. J. pharm. Sci.63, 339–343 (1974)

    Google Scholar 

  21. Shaw, T.R.D., Carless, J.E.: The effect of particle size on the absorption of digoxin. Europ. J. clin. Pharmacol.7, 269–273 (1974)

    Google Scholar 

  22. Smith, T.W., Butler, J.V.P., Haber, E.: Determination of therapeutic and toxic serum concentrations by radioimmunoassay. New Engl. J. Med.281, 1212–1216 (1969)

    Google Scholar 

  23. Steinness, E., Christensen, V., Johansen, H.: Bioavailability of digoxin tablets. Clin. Pharmacol. Ther.14, 949–954 (1973)

    Google Scholar 

  24. Wagner, J.G., Christensen, M., Sakmar, E., Blair, D., Yates, J.D., Willis III, P.W., Sedman, A.J., Stoll, R.G.: Equivalence lack in digoxin plasma levels. J. Amer. med. Ass.224, 199–204 (1973)

    Google Scholar 

  25. White, R.J., Chamberlain, D.A., Howard, M., Smith, T.W.: Plasma concentration of digoxin after oral administration in the fasting and postprandial state. Brit. med. J.1971 I, 380–381

    Google Scholar 

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Klotz, U., Antonin, K.H. & Bieck, P.R. Bioavailability of β-acetyldigoxin after single and repeated doses of tablets and solution. Eur J Clin Pharmacol 10, 417–424 (1976). https://doi.org/10.1007/BF00563078

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  • DOI: https://doi.org/10.1007/BF00563078

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