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Related Experiment Videos

Oral triamterene disposition.

F Sörgel, J Hasegawa, E T Lin

    Clinical Pharmacology and Therapeutics
    |September 1, 1985
    PubMed
    Summary
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    Triamterene (T) is rapidly metabolized to hydroxytriamterene sulfate (T-O-SO3H), with higher plasma and urine concentrations of the metabolite. Renal clearance of T exceeded its sulfate metabolite, unaffected by hydrochlorothiazide.

    Area of Science:

    • Pharmacokinetics
    • Drug Metabolism
    • Renal Physiology

    Background:

    • Triamterene (T) is a potassium-sparing diuretic.
    • Previous studies identified hydroxytriamterene (T-OH) and its sulfate conjugate (T-O-SO3H) as major metabolites.
    • The precise kinetic profile and interconversion of these metabolites require further elucidation.

    Purpose of the Study:

    • To characterize the pharmacokinetics of triamterene (T) and its metabolites.
    • To quantify the formation and elimination of hydroxytriamterene sulfate (T-O-SO3H).
    • To assess the impact of hydrochlorothiazide coadministration on T disposition.

    Main Methods:

    • High-performance liquid chromatography (HPLC) was employed for quantitative analysis.
    • Plasma and urine samples were analyzed to determine drug and metabolite concentrations.

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  • Renal clearance of T and its metabolite was calculated.
  • Main Results:

    • Triamterene (T) is rapidly hydroxylated and subsequently conjugated to hydroxytriamterene sulfate (T-O-SO3H).
    • The intermediate T-OH metabolite was undetectable in plasma and urine.
    • Plasma T-O-SO3H concentrations were 7-26 fold higher than T; urine concentrations were 4-13 fold higher.
    • Renal clearance of T (314.5 ml/min) was greater than that of T-O-SO3H (206.1 ml/min).
    • Hydrochlorothiazide did not alter renal clearance of T or T-O-SO3H, despite increasing urine flow and pH.
    • Triamterene bioavailability was lower and more variable from capsules compared to suspension.

    Conclusions:

    • Hydroxylation followed by rapid sulfation is the primary metabolic pathway for triamterene (T).
    • Hydroxytriamterene sulfate (T-O-SO3H) is the predominant circulating and excreted metabolite.
    • Renal excretion of T is more efficient than its sulfate metabolite.
    • Hydrochlorothiazide does not significantly impact triamterene pharmacokinetics or its metabolite's renal clearance.
    • Formulation influences triamterene bioavailability, with suspensions offering better absorption.