Pharmacokinetics of theophylline after administration of suppositories formulation

L I Abou-Basha1, L F Wahman, A Hamza

  • 1Drug Bioavailability Center, National Organization for Drug Control and Research (NODCAR), Cairo, Egypt.

Insights

Rectal theophylline suppositories offer a viable asthma treatment option for children, especially in remote areas. This study found comparable pharmacokinetic profiles, supporting their use when healthcare access is limited.

Area of Science:

  • Pharmacology
  • Pediatrics
  • Public Health

Background:

  • Asthma is a significant public health concern, particularly affecting children.
  • Theophylline ethanoate of piperazine suppositories provide a treatment option for pediatric asthma.
  • Limited healthcare access in rural and desert areas necessitates alternative drug delivery methods.

Purpose of the Study:

  • To evaluate the pharmacokinetics of theophylline ethanoate of piperazine administered rectally via suppositories.
  • To compare the pharmacokinetic profile of rectal theophylline suppositories with intravenous theophylline administration.
  • To assess the suitability of theophylline suppositories for pediatric asthma management in underserved regions.

Main Methods:

  • The study involved 24 healthy male subjects.
  • Pharmacokinetic parameters were assessed after rectal administration of theophylline ethanoate of piperazine suppositories (500 mg).
  • Theophylline serum levels were quantified using an ELISA method, with comparisons to intravenous administration.

Main Results:

  • Peak theophylline plasma concentration (Cmax) was 21.5 +/- 2.10 microg/mL for IV and 14 +/- 0.90 microg/mL for suppositories.
  • Area Under the Curve (AUC(0-t)) values were 80.9 microg x ml x hr for IV and 67.4 microg x ml x hr for suppositories.
  • The median peak time (Tmax) for rectal administration was 0.5 hours.

Conclusions:

  • Theophylline ethanoate of piperazine suppositories demonstrate a favorable pharmacokinetic profile.
  • These suppositories are a potential therapeutic option for managing asthma in children, particularly in areas with limited healthcare access.
  • The findings support the use of Minophylline suppositories in rural and desert settings for pediatric asthma patients.

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