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The pharmacokinetics of penicillamine in a female mongrel dog

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Abstract

The pharmacokinetic parameters of D-penicillamine were investigated by administering four intravenous bolus doses, four oral doses, and six constant rate intravenous infusions to a female mongrel dog at dosages comparable to 250, 500, 750, and 1000 mg in man. The pharmacokinetics of D-penicillamine demonstrated nonlinearity in the dog. There was more than proportional increase in the area under the whole blood concentration curve for an increase in the bolus intravenous dose. The steady state whole blood, plasma, and packed cell levels of penicillamine were increased more than proportionately for an increase in the intravenous infusion rate. Total body clearance of penicillamine was decreased by increasing the dose or the infusion rate of penicillamine. Correspondingly, the estimated half-life of unchanged penicillamine in the whole blood was decreased for increased intravenous bolus doses. The renal clearance of penicillamine was nonlinear, decreasing with time during the bolus experiments and increasing at higher infusion rates. The nonrenal clearance was decreased at higher infusion rates, suggesting that a saturable nonrenal elimination process exists for penicillamine in the dog. The nonlinearities that were observed in the dog, if also present in man, may be responsible in part for the dose related side effects reported clinically for penicillamine.

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References

  1. J. M. Walshe. Penicillamine, a new oral therapy for Wilson's disease.Am. J. Med. 21:487–495 (1956).

    Article  CAS  PubMed  Google Scholar 

  2. E. P. Abrams, E. Chain, W. Baker, and R. Robinson. Penicillamine, a characteristic degradation product of penicillin.Nature 151:107 (1943).

    Article  Google Scholar 

  3. Multicenter Trial Group. Controlled trial of D-(-)-penicillamine in severe rheumatoid arthritis.Lancet 1:275 (1973).

    Article  Google Scholar 

  4. Y. Shiokawa, Y. Horiuchi, M. Honma, T. Kageyma, T. Okada, and T. Azuman. Clinical observation of D-penicillamine by multicentre double-blind comparative study in chronic rheumatoid arthritis.Arthritis Rheum. 20:1464–1472 (1977).

    Article  CAS  PubMed  Google Scholar 

  5. R. R. Pal. Colorimetric estimation of Penicillamine.J. Biol. Chem. 234:618–619 (1959).

    CAS  PubMed  Google Scholar 

  6. E. Jellum, V. A. Bacon, W. Patton, W. Pereira, Jr., and B. Halpern. Quantitative determination of biologically important thiols and disulfides by gas-liquid chromatography.Anal. Biochem. 31:339–347 (1969).

    Article  CAS  PubMed  Google Scholar 

  7. E. S. K. Assem. Assay of penicillamine in blood and urine.Curr. Med. Res. Opin. 2:568–572 (1974).

    Article  CAS  PubMed  Google Scholar 

  8. E. S. K. Assem and M. R. Vickers. The immunological assay of penicillamine.Postgrad. Med. J. 50(S2):10–14 (1974).

    CAS  PubMed  Google Scholar 

  9. F. Planas-Bohne. Pharmacokinetics of14C-D-penicillamine.Arzneim.-Forsch. 22:1426–1433 (1972).

    CAS  Google Scholar 

  10. E. Polig and F. Planas-Bohne. Compartmental study on the pharmacokinetics of d-penicillamine.Biophysik 10:321–336 (1973).

    Article  CAS  PubMed  Google Scholar 

  11. A. Ruiz-Torres. On the pharmacokinetics and metabolism, of D- and L-penicillamine 1st communication: blood levels, transport.Arzneim.-Forsch. 24:914–917 (1974).

    CAS  Google Scholar 

  12. A. Ruiz-Torres. On the pharmacokinetics and metabolism of D- and L-penicillamine 2nd communication: distribution of D- and L-penicillamine in the rat organism after oral administration.Arzneim.-Forsch. 24:1043–1046 (1974).

    CAS  Google Scholar 

  13. V. A. Ruiz-Torres and I. Kürten. On the pharmacokinetics and metabolism of D- and L-penicillamine 3rd communication: adsorption, excretion, and metabolism.Arzneim.-Forsch. 24:1258–1261 (1974).

    CAS  Google Scholar 

  14. K. Patzschke and L. A. Wegner. Pharmacokinetic studies after the application of14C-D-penicillamine to rats.Arzneim.-Forsch. 27:1152–1158 (1977).

    CAS  Google Scholar 

  15. P. Wei and A. Sass-Kortsak. Urinary excretion and renal clearance of D-penicillamine in humans and the dog.Gastroenterology 58:288 (1970).

    Google Scholar 

  16. K. Gibbs and J. M. Walshe. Studies with35S-labeled Dl-penicillamine in patients with Wilson's disease.Q. J. Med. 40:275–287 (1971).

    Article  CAS  PubMed  Google Scholar 

  17. K. Patzschke, L. Wegner, H. Kalier, and F. A. Horster. Pharmakokinetische Untersuchungen nach oraler Applikation von radioaktiv markiertem D-penicillamin an probanden.Z. Rheumatol. 36:96–105 (1977).

    CAS  PubMed  Google Scholar 

  18. D. Perrett, W. Sheddon, and A. D. Stephens. Studies on D-penicillamine metabolism in cystinuria and rheumatoid arthritis: Isolation of S-methyl-penicillamine.Biochem. Pharmacol. 25:259–264 (1976).

    Article  CAS  PubMed  Google Scholar 

  19. R. F. Bergstrom, D. R. Kay, and J. G. Wagner. Thein-vitro loss of penicillamine in plasma, albumin solutions, and whole blood: Implications for pharmacokinetic studies of penicillamine.Life Sci. 27:189–198 (1980).

    Article  CAS  PubMed  Google Scholar 

  20. R. Saetre and D. L. Rabinstein. Determination of penicillamine in blood and urine by high performance liquid chromatography.Anal. Chem. 50:276–280 (1978).

    Article  CAS  Google Scholar 

  21. A. S. Russell, R. Saetre, P. Davis, and D. L. Rabenstein. A rapid, sensitive technique to assay penicillamine levels in blood and urine.J. Rheumatol. 6:15–19 (1979).

    CAS  PubMed  Google Scholar 

  22. R. F. Bergstrom, D. R. Kay, and J. G. Wagner. High performance liquid chromatographic determination of penicillamine in whole blood, plasma, and urine.J. Chromatogr. (in press).

  23. B. J. Bowers, Jr., P. Vermeit, and J. Wemer. Stability of D-penicillamine in aqueous solution.Pharm. Weekblad. 112:121–129 (1977).

    Google Scholar 

  24. A. J. Sedman and J. G. Wagner. CSTRIP, a fortran IV computer program for obtaining initial polyexponential parameter estimates.J. Pharm. Sci. 65:1006–1010 (1976).

    Article  CAS  PubMed  Google Scholar 

  25. C. M. Metzler. Biostatistical Technical Report 7292/69/7292/005. The Upjohn Company, Kalamazoo, Mich. November 25, 1969.

    Google Scholar 

  26. R. Runkel, E. Forchielli, H. Sevelius, M. Chaplin, and E. Segre. Nonlinear plasma level response to high doses of naproxen.Clin. Pharmacol. Ther. 15:261–266 (1974).

    CAS  PubMed  Google Scholar 

  27. G. Levy. Effect of plasma protein binding on renal clearances of drugs.J. Pharm. Sci. 69:482–483 (1980).

    Article  CAS  PubMed  Google Scholar 

  28. J. D. Robinson, B. A. Morris, G. W. Aherne, and V. Marks. Pharmacokinetics of a single dose of phenytoin in man measured by radioimmunoassay.Br. J. Clin. Pharmacol. 2:345–349 (1975).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  29. R. F. Bergstrom, D. R. Kay, T. M. Harkcom and J. G. Wagner. Penicillamine kinetics in normal subjects. Clin. Pharmacol. Ther.30:404–413 (1981).

    Article  CAS  PubMed  Google Scholar 

  30. G. Bodemar, B. Norlander, L. Fransson, and A. Walan. The influence of a meal and antacids on cimetidine absorption in patients with peptic ulcer disease.Scand. J. Gastroenterol. 12(S45):12 (1977).

    Google Scholar 

  31. W. A. Colburn, P. C. Hirom, R. J. Parker, and P. Milburn. A pharmacokinetic model for enterohepatic recirculation in the rat: Phenolphthalein, a model drug.Drug. Metab. Dispos. 7:100–102 (1979).

    CAS  PubMed  Google Scholar 

  32. A. Grahnén, C. von Bahr, B. Lindström, and A. Rosén. Bioavailability and pharmacokinetics of cimetidine.Eur. J. Clin. Pharmacol. 16:335–340 (1979).

    Article  PubMed  Google Scholar 

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1980–1981 American Foundation for Pharmaceutical Education Manufacturing and Industrial Pharmacy Fellow

This research was supported in part by a National Institutes of Health Grant (AM-20557-02-51).

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Bergstrom, R.F., Kay, D.R. & Wagner, J.G. The pharmacokinetics of penicillamine in a female mongrel dog. Journal of Pharmacokinetics and Biopharmaceutics 9, 603–621 (1981). https://doi.org/10.1007/BF01061028

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