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The influence of food on the pharmacokinetics of amlodipine and losartan after single-dose of its compound tablets in healthy Chinese subjects

机译:食物对中国健康受试者单剂复方氨氯地平和氯沙坦的药代动力学的影响

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We aim to identify the effects of food on the pharmacokinetics (PK) of amlodipine, losartan and losartan's active metabolite (EXP3174) after oral administration of the Compound Amlodipine Tablets with single dose in healthy Chinese subjects. 12 subjects took the compounds (10 mg/100 mg, amlodipine/losartan) at the conditions of a high-fat breakfast and an overnight fast with a washout period of 14 days. Plasma samples were obtained at scheduled time, and determined by HPLC-MS/MS for the concentrations of amlodipine and HPLC-MS for the concentrations of losartan and EXP3174, respectively. PK parameters were calculated using Software Drug and Statistics (Version 2.0). When tablets were co-administered with food, there was no significant difference of AUC for amlodipine and losartan, but the AUC of EXP3174 was reduced by 19.1%. Meanwhile, the Cmax of amlodipine, losartan and EXP3174 were reduced by 11.4%, 20.0% and 41.4%, and the Tmax of losartan and EXP3174 were 1.3 and 1.8 h longer, respectively. No significant difference was found at t1/2 following food intake. In conclusion, the Compound Amlodipine Tablets, are affected by food administration by reducing the AUC of EXP3174. It is thus suggested that the Compound Amlodipine Tablets should be administered 1 h before or 2 h after meal.
机译:我们的目的是在健康的中国受试者中口服单剂量的复方氨氯地平片后,确定食物对氨氯地平,氯沙坦和氯沙坦的活性代谢物(EXP3174)的药代动力学(PK)的影响。 12名受试者在高脂早餐和禁食过夜的情况下服用化合物(10毫克/ 100毫克,氨氯地平/氯沙坦),禁食时间为14天。在预定时间获得血浆样品,并通过HPLC-MS / MS测定氨氯地平的浓度,并通过HPLC-MS测定氯沙坦和EXP3174的浓度。使用软件药物和统计软件(2.0版)计算PK参数。片剂与食物合用时,氨氯地平和氯沙坦的AUC没有显着差异,但EXP3174的AUC降低了19.1%。同时,氨氯地平,氯沙坦和EXP3174的Cmax分别降低了11.4%,20.0%和41.4%,氯沙坦和EXP3174的Tmax分别延长了1.3 h和1.8 h。进食后t1 / 2时未发现明显差异。总之,通过减少EXP3174的AUC,化合物Amlodipine片剂会受到食品管理的影响。因此建议,化合物氨氯地平片应在饭前1小时或饭后2小时服用。

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