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Effects of Posture and Sleep on the Pharmacokinetics of Paracetamol (Acetaminophen) and Its Metabolites

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Summary

The effects of posture and sleep on the pharmacokinetics of paracetamol (acetaminophen) 500mg and its metabolites were studied in 8 healthy men. The mean residence times for paracetamol or its metabolites were significantly altered by change in posture or by sleep, whereas other pharmacokinetic parameters were unchanged. The change in mean residence time is consistent with a faster absorption of paracetamol during ambulation. The present data suggest that the proposed posture-related changes in volume of distribution do not exist, and that there is no pharmacokinetic basis for a headache being relieved by taking paracetamol and lying down.

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References

  • Clements JA, Heading RC, Nimmo WS, Prescott LF. Kinetics of acetaminophen absorption and gastric emptying in man. Clinical Pharmacology and Therapeutics 24: 429–431, 1980

    Google Scholar 

  • Cummings AJ, King ML, Martin BK. A kinetic study of drug elimination: the excretion of paracetamol and its metabolites in man. British Journal of Pharmacology and Chemotherapy 29: 150–157, 1967

    PubMed  CAS  Google Scholar 

  • Divoll M, Abernathy DR, Ameer B, Greenblatt DJ. Acetaminophen kinetics in the elderly. Clinical Pharmacology and Therapeutics 31: 151–156, 1982

    Article  PubMed  CAS  Google Scholar 

  • Douglas AP, Savage RL, Rawlins MD. Paracetamol (acetaminophen) kinetics in patients with Gilbert’s Syndrome. European Journal of Clinical Pharmacology 13: 209–212, 1978

    Article  PubMed  CAS  Google Scholar 

  • Ferguson GA, Statistical analysis in psychology and education. 4th ed.. chap 19. McGraw-Hill Kogakusha, Tokyo, 1976

    Google Scholar 

  • Forfar JC, Pottage A, Toft AD, Irvine WJ, Clements JA, et al. Paracetamol pharmacokinetics in thyroid disease. European Journal of Clinical Pharmacology 18: 269–273, 1980

    Article  PubMed  CAS  Google Scholar 

  • Forrest J AH, Adrianenssens P, Finlayson N DC, Prescott LF. Paracetamol metabolism in chronic liver disease. European Journal of Clinical Pharmacology 15: 427–431, 1979

    Article  PubMed  CAS  Google Scholar 

  • Gibaldi M, Perrier D, Pharmacokinetics. 2nd ed.. chap. 11. Marcel Dckker, New York, 1982

    Google Scholar 

  • Heading RC, Nimmo J, Prescott LF, Tothill P. The dependence of paracetamol absorption on the rate of gastric emptying. British Journal of Pharmacology 47: 415–421, 1973

    Article  PubMed  CAS  Google Scholar 

  • Knox JH, Jurand J. Determination of paracetamol and its metabolites in urine by high-performance liquid chromatography using reversed-phased bonded supports. Journal of Chromatography 142: 651–670. 1977

    Article  PubMed  CAS  Google Scholar 

  • Levy G Effect of bedrest on distribution and elimination of drugs. Journal of Pharmaceutical Sciences 56: 928–929, 1967

    Article  PubMed  CAS  Google Scholar 

  • Levy G, Yamada H. Drug biotransformation interactions in man III: acetaminophen and salicvlamide. Journal of Pharmaceutical Sciences 60: 215–221, 1971

    Article  PubMed  CAS  Google Scholar 

  • Malan J, Moncrieff J, Bosch E. Chronopharmacokinetics of paracetamol in normal subjects. British Journal of Clinical Pharmacology 19: 843–845, 1985

    Article  PubMed  CAS  Google Scholar 

  • Mattock GL, McGilveray IJ. The effect of food intake and sleep on the absorption of acetaminophen. Revue Canadienne de Biologie 32: 77–84, 1973

    Google Scholar 

  • McGilveray IJ, Mattock GL. Some factors affecting the absorption of paracetamol. Journal of Pharmacy and Pharmacology 24:615–619, 1972

    Article  PubMed  CAS  Google Scholar 

  • Miners JO, Adams JF, Birkett DJ. A simple HPLC assay for urinary paracetamol metabolites and its use to characterize the C3H mouse as a model for paracetamol metabolism studies. Clinical and Experimental Pharmacology and Physiology 11: 209–217, 1984

    Article  PubMed  CAS  Google Scholar 

  • Moore Ede MC. Circadian rhythms of drug effectiveness and toxicity. Clinical Pharmacology and Therapeutics 14: 925–935, 1973

    CAS  Google Scholar 

  • Nimmo WS, Prescott LF. The influence of posture on paracetamol absorption. British Journal of Clinical Pharmacology 5: 348–349, 1978

    Article  CAS  Google Scholar 

  • Perucca E, Richens A. Paracetamol disposition in normal subjects and in patients treated with antiepileptic drugs. British Journal of Clinical Pharmacology 7: 201–206, 1979

    Article  PubMed  CAS  Google Scholar 

  • Prescott LF. Pathological and physiological factors affecting drug absorption, distribution, elimination and response in men. In Gillette & Mitchell (Eds) Concepts in biochemical pharmacology, pp. 234–257, Springer Verlag, Berlin, 1975

    Chapter  Google Scholar 

  • Prescott LF. Kinetics and metabolism of paracetamol and phen-acetin. British Journal of Clinical Pharmacology 10: 2915–2985, 1980

    Google Scholar 

  • Rawlins MD, Henderson DB, Hijab AR. Pharmacokinetics of paracetamol (acetaminophen) after intravenous and oral administration. European Journal of Clinical Pharmacology 11: 283–286, 1977

    Article  PubMed  CAS  Google Scholar 

  • Reinberg A, Smolensky MH. Circadian changes of drug disposition in man. Clinical Pharmacokinetics 7: 401–420, 1982

    Article  PubMed  CAS  Google Scholar 

  • Riches HRC. Streptomycin reactions — relation to exercise. Lancet 1: 540–541, 1954

    Article  Google Scholar 

  • Riegelman S, Collier P. The application of statistical moment theory to the evaluation of in vivo dissolution time and absorption time. Journal of Pharmacokinetics and Biopharma-ceutics 8: 509–534, 1980

    CAS  Google Scholar 

  • Roberts MS, Denton MJ. Effect of posture and sleep on pharmacokinetics 1: amoxycillin. European Journal of Clinical Pharmacology 18: 175–183, 1980

    Article  PubMed  CAS  Google Scholar 

  • Rowland M, Tozer TN, Clinical pharmacokinetics: concepts and applications, chap. 10. Lea and Febiger, Philadelphia, 1980

    Google Scholar 

  • Rumble RH, Roberts MS, Scott AR. The effect of posture on the pharmacokinetics of intravenous benzyl penicillin. European Journal of Clinical Pharmacology 30: 731–734, 1986

    Article  PubMed  CAS  Google Scholar 

  • Rumble RH, Roberts MS, Scott AR. The effects of posture on the pharmacokinetics of intramuscular benzyl penicillin. European Journal of Clinical Pharmacology 33: 629–635, 1988

    Article  PubMed  CAS  Google Scholar 

  • Schmidt H, Roholt K. Penicillin serum concentrations in relation to exercise. Acta Pathologica et Microbiologica Scandinavica 68: 396–400, 1966

    PubMed  CAS  Google Scholar 

  • Shively CA, Vesell ES. Temporal variations in acetaminophen and phenacetin half-life in man. Clinical Pharmacology and Therapeutics 18: 413–424, 1975

    PubMed  CAS  Google Scholar 

  • Swartz RD, Sidell FR. Effects of heat and exercise on the elimination of pralidoxime in man. Clinical Pharmacology and Therapeutics 14: 83–89, 1973

    PubMed  CAS  Google Scholar 

  • Wagner J, Fundamentals of clinical pharmacokinetics, chap. 11. Drug Intelligence Publications, Hamilton, 1975

    Google Scholar 

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Rumble, R.H., Roberts, M.S. & Denton, M.J. Effects of Posture and Sleep on the Pharmacokinetics of Paracetamol (Acetaminophen) and Its Metabolites. Clin Pharmacokinet 20, 167–173 (1991). https://doi.org/10.2165/00003088-199120020-00007

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