Summary
The pharmacokinetics of centchroman (ormeloxifene), a nonsteroidal antifertility agent, was determined in 4 nursing mothers in the postpartum period after a single 30mg oral dose of the drug. The concentration-time profile of centchroman in serum and milk were not parallel. The milk/serum (M/S) area under the curve ratio of centchroman was 1.47 ± 0.56. Individual mean M/S concentration ratios of centchroman showed significant interindividual variation (range 0.38 to 1.94). A comparison of pharmacokinetic parameters in the nursing women with those reported previously in nonlactating women showed an insignificant difference; time to maximum concentration occurred later in milk than in maternal serum. The average infant dose of centchroman via breast milk, assuming a weekly milk intake of 1.05 L/kg and 100% absorption, would be 7.43 ± 3.18% per week of the maternal dose.
Similar content being viewed by others
References
American Academy of Pediatrics, Committee on Drugs. Transfer of drugs and other chemicals in human milk. Paediatrics 1994; 93: 137–50
Kamboj VP, Kar AB, Ray S, et al. Antifertility activity of 3,4-trans-2,2-dimethyl-3-phenyl-4-(p-(3-pyrrolidinoethoxy)-phenyl)-7-methoxychroman. Indian J Exp Biol 1971; 9: 103–5
Kamboj VP, Ray S, Dhawan BN. New products: centchroman. Drugs Today 1992; 28: 227–32
Lal J, Asthana OP, Nityanand S, et al. Pharmacokinetics of centchroman in healthy female subjects after oral administration. Contraception 1995; 52: 297–300
Paliwal JK, Gupta RC, Grover PK, et al. High-performance liquid chromatography determination of centchroman in human serum and application to single-dose pharmacokinetics. Pharm Res 1989; 6: 1048–51
Paliwal JK, Grover PK, Asthana OP, et al. Excretion of centchroman in breast milk. Br J Clin Pharmacol 1994; 38: 485–6
Thomas J. Factors controlling drugs in human milk. East Pharm 1992; 416: 89–95
Wilson JT, Brown RD, Hinson JL, et al. Pharmacokinetic pitfalls in the estimation of the breast milk/plasma ratio for drugs. Ann Rev Pharmacol Toxicol 1985; 25: 667–89
Lal J, Paliwal JK, Grover PK, et al. Simultaneous liquid chromatographic determination of centchroman and its 7-demethylated metabolite in serum and milk. J Chromatogr B 1994; 658: 197–9
Welling PG. In: Pharmacokinetics process & mathematics, ACS Monograph 185, American Chemical Society, Washington, DC, 1986; 229–37
Gibaldi M, Perrier D. Pharmacokinetics. In: Drugs and pharmaceutical sciences. New York: Marcel Dekker Inc, 1982; 409–17
Atkinson HC, Begg EJ, Darlow BA. Drugs in human milk: clinical pharmacokinetic considerations. Clin Pharmacokinet 1988; 14: 217–40
Atkinson HC, Begg EJ, Darlow BA. Guide to safety of drugs in human milk. Clinical pharmacokinetics drug data handbook. Sydney: Adis Press, 1990; 4: 125–64
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gupta, R.C., Nityanand, S., Asthana, O.P. et al. Pharmacokinetics of Centchroman in Nursing Women and Passage into Breast Milk. Clin. Drug Invest. 11, 305–309 (1996). https://doi.org/10.2165/00044011-199611050-00007
Published:
Issue Date:
DOI: https://doi.org/10.2165/00044011-199611050-00007