Skip to main content
Log in

Pharmacokinetics of aspirin and salicylate in elderly subjects and in patients with alcoholic liver disease

  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

Plasma aspirin, salicylate and salicyluric acid concentrations were monitored in young, elderly and alcoholic subjects after ingestion of a single 1.2 g dose of soluble aspirin. The plasma aspirin, salicylate and unbound salicylate concentration-time profiles varied considerably between individual subjects. Most of the pharmacokinetic parameters derived from these profiles were not significantly different between young subjects, elderly subjects and subjects with alcoholic liver disease. Individual plasma albumin concentrations provided a better index of the unbound plasma salicylate clearances and salicylate plasma protein binding than the age of the subject or the presence of alcoholic liver disease. Highest unbound plasma salicylate concentrations were found in subjects with the lowest plasma albumin concentrations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rowland M, Riegelman S, Harris PA, Sholkoff SD (1972) Absorption kinetics of aspirin in man following oral administration of an aqueous solution. J Pharm Sci 61: 379–385

    PubMed  CAS  Google Scholar 

  2. Levy G, Tsuchiya T, Amsel P (1972) Limited capacity for salicyl phenolic glucuronide formation and its effect on the kinetics of salicylate elimination in man. Clin Pharmacol Ther 13: 258–268

    PubMed  CAS  Google Scholar 

  3. Furst DE, Tozer TN, Melmon KL (1979) Salicylate clearance, the resultant of protein binding and metabolism. Clin Pharmacol Ther 26: 380–389

    PubMed  CAS  Google Scholar 

  4. Mandelli M, Tognoni G (1980) Monitoring plasma concentrations of salicylate. Clin Pharmacokinet 5: 424–440

    PubMed  CAS  Google Scholar 

  5. Rainsford KD, Ford NLV, Brooks PM, Watson HM (1980) Plasma aspirin esterases in normal individuals, patients with alcoholic liver disease and rheumatoid arthritis: characterization and the importance of the enzymatic components. Eur J Clin Invest 10: 413–420

    Article  PubMed  CAS  Google Scholar 

  6. Boobis S, Brodie MJ (1977) The effects of chronic alcohol ingestion and alcoholic liver disease on drug-protein binding. Br J Clin Pharmacol 4: 629P

  7. Castleden CM, Volans CN, Raymond K (1977) The effect of ageing on drug absorption from the gut. Age Ageing 6: 138–143

    PubMed  CAS  Google Scholar 

  8. Salem SAM, Stevenson IH (1977) Absorption kinetics of aspirin and quinine in elderly subjects. Br J Clin Pharmacol 4: 397P

  9. Cuny G, Royer RJ, Mur JM, Sero JM, Fauer G, Netter P, Maillard A, Penin F (1979) Pharmacokinetics of salicylate in the elderly. Gerontology 25: 49–55

    PubMed  CAS  Google Scholar 

  10. Graham GG, Champion GD, Day RO, Paull PD (1977) Patterns of plasma concentrations and urinary excretion of salicylate in rheumatoid arthritis. Clin Pharmacol Ther 22: 410–420

    PubMed  CAS  Google Scholar 

  11. Rowland M, Riegelman S (1967) Determination of acetylsalicylic acid and salicylic acid in plasma. J Pharm Sci 56: 717–720

    PubMed  CAS  Google Scholar 

  12. Rumble RH, Roberts MS, Wanwimolruk S (1981) Determination of aspirin and its major metabolites in plasma by highperformance liquid chromotography without solvent extraction. J Chromatogr 225: 252–260

    PubMed  CAS  Google Scholar 

  13. Cham BE, Bochner F, Imhoff DM, Johns D, Rowland M (1980) Simultaneous liquid chromatographic quantitation of salicylic acid, salicyluric acid and gentisic acid in urine. Clin Chem 26: 111–114

    PubMed  CAS  Google Scholar 

  14. Pederson PV (1977) Curve fitting and modeling in pharmacokinetics and some practical experiences with NONLIN and a new program FUNFIT. J Pharmacokinet Biopharm 5: 513–531

    Article  Google Scholar 

  15. Bochner F, Graham GG, Cham BE, Imhoff DM, Haavisto TM (1981) Salicylate metabolite kinetics after several salicylates. Clin Pharmacol Ther 30: 266–275

    Article  PubMed  CAS  Google Scholar 

  16. Koch PA, Schultz CA, Wills RJ, Hallquist SL, Welling PG (1978) Influence of food and fluid ingestion on aspirin bioavailability. J Pharm Sci 67: 1533–1535

    PubMed  CAS  Google Scholar 

  17. Williams RL, Mamelok RD (1980) Hepatic disease and drug pharmacokinetics. Clin Pharmacokinet 5: 528–547

    Article  PubMed  CAS  Google Scholar 

  18. O'Malley K, Laher M, Cusak B, Kelley JG (1980) Clinical pharmacology and the elderly patient. In: Denham MJ (ed) The Treatment of Medical Problems in the Elderly. MTP Press, Lancaster, pp 1–33

    Google Scholar 

  19. Blaschke TF (1977) Protein binding and kinetics of drugs in liver diseases. Clin Pharmacokinet 2: 32–44

    PubMed  CAS  Google Scholar 

  20. Masotti G, Galenti G, Poggesi L, Abbate R, Nevi Serneri GG (1979) Differential inhibition of prostacyclin production and platelet aggregation by aspirin. Lancet 2: 1213–1216

    Article  PubMed  CAS  Google Scholar 

  21. Sitar DS (1980) Letter to the editor. Gerontology 26: 174–175

    Article  Google Scholar 

  22. Wallace S, Whiting B, Runcie J (1976) Factors affecting drug binding in plasma of elderly subjects. Br J Clin Pharmacol 3: 327–330

    PubMed  CAS  Google Scholar 

  23. Harman AW, Frewin DB, Priestly BG, Alexander CBJ (1979) Impairment of hepatic drug metabolism in alcoholics. Br J Clin Pharmacol 7: 45–48

    PubMed  CAS  Google Scholar 

  24. Brodie BB, Burns JJ, Weiner M (1959) Metabolism of drugs in subjects with Laennec's cirrhosis. J Exp Med 1: 290–292

    CAS  Google Scholar 

  25. Slattery JT, Gibaldi M, Koup JR (1980) Prediction of maintenance dose required to attain a desired drug concentration at steady-state from a single determination of concentration after an initial dose. Clin Pharmacokinet 5: 377–385

    PubMed  CAS  Google Scholar 

  26. Levy G, Giacomini KM (1978) Rational aspirin dosage regimens. Clin Pharmacol Ther 23: 247–252

    PubMed  CAS  Google Scholar 

  27. Reynolds RC, Cluff LE (1960) Interaction of serum and so-dium salicylate: changes during acute infection and its influence on pharmacological activity. Bull Johns Hopkins Hosp 107: 278–290

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Roberts, M.S., Rumble, R.H., Wanwimolruk, S. et al. Pharmacokinetics of aspirin and salicylate in elderly subjects and in patients with alcoholic liver disease. Eur J Clin Pharmacol 25, 253–261 (1983). https://doi.org/10.1007/BF00543800

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00543800

Key words

Navigation