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Enhanced elimination of piroxicam by administration of activated charcoal or cholestyramine

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Summary

This study has compared the effect of repeated administration of charcoal and cholestyramine on the elimination of piroxicam.

Eight young adults were given piroxicam as a single dose of 20 mg, on 3 separate occasions. On one of the occasions charcoal was also given. On another occasion cholestyramine was also administered.

The mean elimination half-life after piroxicam alone was 53.1 h. This was reduced to 40.0 h by charcoal administration and to 29.6 h after administration of cholestyramine.

In the second phase of the study 7 elderly subjects received piroxicam 20 mg for 14 days on two occasions. Cholestyramine administration at the end of one of the periods reduced the mean elimination half-life of piroxicam from 52.3 h to 27.3 h.

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Literatur

  • Baciewicz AM, Isaacson ML, Lipscomb GL (1983) Cholestyramine resin in the treatment of digitoxin toxicity. Drug Intell Clin Pharm 17: 57–59

    Google Scholar 

  • Guentert TM, Defoin R, Mosberg H (1988) The influence of cholestyramine on the elimination of tenoxicam and piroxicam. Eur J Clin Pharmacol 34: 283–289

    Google Scholar 

  • Israili ZH, Dayton PG (1984) Enhancement of xenobiotic elimination: Role of intestinal excretion. Drug Metab Rev 15: 1123–1159

    Google Scholar 

  • Karkkainen S, Neuvonen PJ (1985) Effect of oral charcoal and urine pH on dextropropoxyphene pharmacokinetics. Int J Clin Pharmacol Ther Toxicol 23: 219–225

    Google Scholar 

  • Laufen H, Leitold M (1986) The effect of activated charcoal on the bioavailability of piroxicam in man. Int J Clin Pharmacol Ther Toxicol 24: 48–52

    Google Scholar 

  • Levy G (1982) Gastrointestinal clearance of drugs with activated charcoal. N Engl J Med 307: 676–678

    Google Scholar 

  • Neuvonen PJ (1982) Clinical pharmacokinetics of oral activated charcoal in acute intoxications. Clin Pharmacokinet 7: 465–489

    Google Scholar 

  • Renowden S, Westmoreland D, White JP, Routledge PA (1985). Oral cholestyramine increased elimination of warfarin after overdose. Br Med J 291: 513–514

    Google Scholar 

  • Rogers HJ, Spector RG, Morrison PJ, Bradbrook ID (1981) Comparative steady-state pharmacokinetic study of piroxicam and flurbiprofen in normal subjects. Eur J Rheumatol Inflamm 4: 303–308

    Google Scholar 

  • Tilstone WJ, Lawson DH, Omara F, Cunningham F (1981) The steady-state pharmacokinetics of piroxicam: effect of food and iron. Eur J Rheumatol Inflamm 4: 309–313

    Google Scholar 

  • Twomey TM, Bartolucci SR, Hobbs DC (1980) Analysis of piroxicam in plasma by high-performance liquid chromatography. J Chromatogr 183: 104–108

    Google Scholar 

  • Verbeeck RK, Richardson CJ, Blocka LN (1986) Clinical pharmacokinetics of piroxicam. J Rheumatol 13: 789–796

    Google Scholar 

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Ferry, D.G., Gazeley, L.R., Busby, W.J. et al. Enhanced elimination of piroxicam by administration of activated charcoal or cholestyramine. Eur J Clin Pharmacol 39, 599–601 (1990). https://doi.org/10.1007/BF00316105

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  • DOI: https://doi.org/10.1007/BF00316105

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