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Plasma and synovial fluid meclofenamic acid concentrations in patients with rheumatoid arthritis of the knee

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Summary

We have measured plasma and synovial fluid concentrations of meclofenamic acid at 2, 4, 8, and 12 h during steady-state administration (100 mg three times daily for 4–7 days). Paired plasma and synovial samples were obtained pre-treatment and at one of the above times in twelve patients with a diagnosis of rheumatoid arthritis. In addition, the extent of protein binding of meclofenamic acid was assessed in vitro in the pre-treatment plasma and synovial fluid specimens.

Peak total concentrations of 1.73 and 0.86 µg·ml−1 were observed in plasma (at 2 h) and synovial fluid (at 4 h) respectively. The extent of protein binding was 99.7 and 99.6% (not significantly different) in plasma and synovial fluid respectively.

The results of this study are compared to those from similar reported studies of other nonsteroidal anti-inflamatory compounds.

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References

  1. Wallis WJ, Simkin PA (1983) Antirheumatic drug concentrations in human synovial fluid and synovial tissue, observations on extravascular pharmacokinetics. Clin Pharmacokinet 8: 496–522

    Google Scholar 

  2. Fleishaker JC, McNamara PJ (1985) Performance of a diffusional clearance model for β-lactam antimicrobial agents as influenced by extravascular protein binding and interstitial fluid kinetics. Antimicrob Agents Chemother 28: 369–374

    Google Scholar 

  3. Fowler PD, Shadforth MF, Crook PR, John VA (1983) Plasma and synovial fluid concentrations of diclofenac sodium and its major hydroxylated metabolites during long-term treatment of rheumatoid arthritis. Eur J Clin Pharmacol 25: 389–394

    Google Scholar 

  4. Chan KKH, Kunjbala HV, Brandt KD (1987) In vitro protein binding of diclofenac sodium in plasma and synovial fluid. J Pharm Sci 76: 105–108

    Google Scholar 

  5. Wanwimolruk S, Brooks PM, Birkett DJ (1983) Protein binding of non-steroidal anti-inflammatory drugs in plasma and synovial fluid of arthritic patients. Br J Clin Pharmacol 15: 91–94

    Google Scholar 

  6. Fowler PD, Dawes PT (1985) Osmosin: Its effect on plasma and synovial fluid kinetics of indomethacin. Eur J Clin Pharmacol 27: 689–691

    Google Scholar 

  7. Emori HE, Champion GD, Bluestone R, Paulus HE (1973) Simultaneous pharmacokinetics of indomethacin in serum and synovial fluid. Ann Rheum Dis 32: 433–435

    Google Scholar 

  8. Gallo JM, Gall Eplasma, Gillespie WR, Albert KS, Perrier D (1986) Ibuprofen kinetics in plasma and synovial fluid of arthritic patients. J Clin Pharmacol 26: 65–70

    Google Scholar 

  9. Aarons L, Salisbury R, Alam-Siddiqi M, Taylor L, Grennan DM (1986) Plasma and synovial fluid kinetics of flurbiprofen in rheumatoid arthritis. Br J Clin Pharmacol 21: 155–163

    Google Scholar 

  10. Dromgoole SH, Furst DE, Desiraju RK, Nayak RK, Kirschenbaum MA, Paulus HE (1982) Tolmetin kinetics and synovial fluid prostaglandin E levels in rheumatoid arthritis. Clin Pharmacol Ther 32: 371–377

    Google Scholar 

  11. Boctor AM, Eickholt M, Pugsley TA (1986) Meclofenamate sodium is an inhibitor of both the 5-lipoxygenase and cyclooxygenase pathways of the arachidonic acid cascade in vitro. Prostaglandins Leukotrienes Med 23: 229–238

    Google Scholar 

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Koup, J.R., Thomas, D., Tucker, E. et al. Plasma and synovial fluid meclofenamic acid concentrations in patients with rheumatoid arthritis of the knee. Eur J Clin Pharmacol 35, 199–202 (1988). https://doi.org/10.1007/BF00609253

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  • DOI: https://doi.org/10.1007/BF00609253

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