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Disposition of monodesethylamodiaquine after a single oral dose of amodiaquine and three regimens for prophylaxis againstPlasmodium falciparum malaria

European Journal of Clinical Pharmacology volume 33, pages 409–414 (1987)Cite this article

Summary

The disposition of monodesethylamodiaquine was studied in four healthy subjects after a single oral dose of 10 mg/kg amodiaquine base.

Amodiaquine was not found in any sample, but the major metabolite monodesethylamodiaquine was detected and was assumed to be the sole derivative that contributed significantly to antimalarial activity in the blood. The best fit for the decay of the metabolite was obtained with a three-compartment model. The half-lives of the first two phases were 3.2 to 11.4 h for t1/2α1 and 22.7 to 50.3 h for t1/2α2 in plasma. The half-life of the terminal phase ( t1/2β) was between 9 and 18.2 days. The concentration in whole blood was 4- to 6-times higher than in plasma.

Three schedules (alternate days, weekly, daily) of the conventional prophylactic dose of 10 mg/kg per week were compared in six other healthy subjects. There were significant differences in the plasma monodesethylamodiaquine levels between the three schedules.

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Affiliations

  1. INSERM U13 and Institut de Médecine et d'Epidémiologie Africaines, Hôpital Claude Bernard, France

    E. Pussard, F. Verdier, F. Faurisson, J. Le Bras & M. C. Blayo

  2. INSERM U26, Hôpital Fernand Widal, Paris, France

    J. M. Scherrmann

Authors
  1. E. Pussard
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  2. F. Verdier
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  3. F. Faurisson
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  4. J. M. Scherrmann
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  5. J. Le Bras
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  6. M. C. Blayo
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Pussard, E., Verdier, F., Faurisson, F. et al. Disposition of monodesethylamodiaquine after a single oral dose of amodiaquine and three regimens for prophylaxis againstPlasmodium falciparum malaria. Eur J Clin Pharmacol 33, 409–414 (1987). https://doi.org/10.1007/BF00637639

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  • DOI: https://doi.org/10.1007/BF00637639

Key words

  • amodiaquine
  • Plasmodium falciparum malaria
  • monodesethylamodiaquine
  • HPLC
  • pharmacokinetics
  • prophylaxis
  • metabolism