Abstract
Objective: To compare concentrations of the separate enantiomers of mefloquine (MQ), total racemic MQ and the carboxylic acid metabolite in different blood fractions at steady state.
Setting:
Human volunteer laboratory, Unit of Clinical Pharmacology, Karolinska Institute.
Volunteers:
Ten healthy adult Caucasian volunteers.
Methods:
Drug concentrations were determined by high-performance liquid chromatography (HPLC).
Results:
Trough concentrations of the (+)RS enantiomer were higher in venous whole blood than in plasma and serum (mean ratios, 1.41 and 1.38). For the other enantiomer, (−)SR, concentrations were lower in whole blood than in plasma (mean ratio 0.89) and for the metabolite this ratio was 0.5.
Conclusion:
Stereoselective distribution might be important for antimalarial activity and should be considered when pharmacokinetic studies are performed.
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Received: 12 September 1995/Accepted in revised form 26 January 1996
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Hellgren, U., Jastrebova, J., Jerling, M. et al. Comparison between concentrations of racemic mefloquine, its separate enantiomers and the carboxylic acid metabolite in whole blood serum and plasma. E J Clin Pharmacol 51, 171–173 (1996). https://doi.org/10.1007/s002280050180
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DOI: https://doi.org/10.1007/s002280050180