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Published on: July 4, 2014
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.
Abstract:
Asthma is a public health problem for developed countries. It attacks all age groups but often starts in childhood. Theophylline ethanoate of piperazine in a suppository form is one of the treatments of asthmatic children. The pharmacokinetics of theophylline were evaluated in 24 healthy male subjects after administration of theophylline ethanoate of piperazine suppositories (PR) (Minophylline 500 mg. Alexandria Co.) and single injection intravenous (IV) of theophylline ethanoate of piperazine (Minophylline ampoules 500 mg Alexandria Co.). The theophylline serum levels were determined by an ELISA method. Peak theophylline plasma concentration, Cmax, (mean +/- S.D) was 21.5 +/- 2.10 microg/mL & 14 +/- 0.90 microg/mL; AUC(0-t), values were 80.9 and 67. 4 microg x ml x hr for the reference IV preparation and suppositories, respectively. The median peak time, Tmax, was 0.5 hr for theophylline rectal administration. The above mentioned results demonstrate the possibilities of using theophylline (Minophylline Suppositories--500 mg Alexandria Co.) in asthmatic children in rural and desert areas away from health care personnel.
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