Skip to main content
Log in

Chloroquine kinetics in the undernourished

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The plasma and whole blood kinetics of chloroquine was studied in 7 normal and 8 undernourished subjects following a single oral dose of 600 mg. The terminal half-lives were similar in both groups. The AUC was also similar in the 2 groups, even though a higher dose per kg body weight was administered to the undernourished. This was probably because of faster clearance in this group. Chloroquine uptake by erythrocytes, its main site of action in malaria, was also comparable in the two groups. The plasma concentration of chloroquine over a period of time was found to be similar in 4 normal and 4 undernourished subjects following administration of 1.5 g of the drug in divided doses. The undernourished appear, therefore, to handle chloroquine in such a way that they do not suffer a greater risk of toxicity than normals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Berliner RW, Earle DP Jr, Taggart JV, Zubrod G, Welch WI, Conan NJ, Bauman E, Scudder ST, Shannon JA (1948) Studies on the chemotherapy of human malarias. The physiological disposition, antimalarial activity and toxicity of several derivatives of 4-aminoquinoline. J Clin Invest [Suppl] 27: 98–103

    Google Scholar 

  2. Buchanan N, Davis M, Danhof M, Breimer DD (1980) Antipyrine metabolite formation in children in acute phase of malnutrition and after recovery. Br J Clin Pharmacol 10: 363–368

    Google Scholar 

  3. Campbell TC (1977) Nutrition and Drug metabolizing enzymes. Clin Pharmacol Ther 22: 699–706

    Google Scholar 

  4. Frisk-Holmberg M, Berkvist Y, Domeij-Nyberg B, Hellstrom L, Jansonn F (1979) Chloroquine serum concentrations and side effects. Evidence for dose dependent kinetics. Clin Pharmacol Ther 25: 345–350

    Google Scholar 

  5. Hathcock JN, Coon J (1978) Nutrition and drug interactions. Academic Press, New York

    Google Scholar 

  6. Homeida M, Karrar ZA, Roberts CJC (1979) Drug metabolism in undernourished children: a study with antipyrine. Arch Dis Child 54: 299–302

    Google Scholar 

  7. Krishnaswamy K (1978a) Drug metabolism and pharmacokinetics in malnutrition. Clin Pharmacokinet 3: 216–240

    Google Scholar 

  8. Krishnaswamy K (1978b) Nutrition and drug metabolism. Indian J Med Res 68: 109–120

    Google Scholar 

  9. McChesney EW, Banks WF Jr, McAnliff JP (1962) Laboratory studies of the 4-amino quinoline antimalarials II plasma levels of chloroquine and hydroxychloroquine in man after various oral dosage regimes. Antibiot Chemother 12: 583–594

    Google Scholar 

  10. Narang RK, Mehta S, Mathur VS (1979) Pharmacokinetics study of antipyrine in malnourished children. Am J Clin Nutr 30: 1979–1982

    Google Scholar 

  11. Peters W (1970) Chemotherapy and drug resistance in malaria. Academic Press, London New York p 175

    Google Scholar 

  12. Wharton BA and McChesney EW (1970) Chloroquine metabolism in kwashiorkor. J Trop Paediatr 16: 130–132

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tulpule, A., Krishnaswamy, K. Chloroquine kinetics in the undernourished. Eur J Clin Pharmacol 24, 273–276 (1983). https://doi.org/10.1007/BF00613831

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00613831

Key words

Navigation