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. 2024 Mar 20;5:1373759. doi: 10.3389/fpain.2024.1373759

Table 1.

Pharmacokinetic parameters (mean and range) generated by non-compartmental analysis for fentanyl following placement of two (LDF), four (MDF), and six (HDF) 100 mcg/h matrix patches in healthy adult horses (n = 6).

LDF MDF HDF
Cmax (ng/ml) 1.39 (0.82−1.82) 2.64 (1.21–4.42) 4.11 (2.78−7.12)a
Tmax (h) 12.7 (8.0–16.0) 12.7 (8.0–16.0) 12 (8.0–16.0)
AUCinf (h ng/ml) 42.37 (27.59–55.56) 77.24 (45.62–115.06)a 120.34 (100.66–150.55)a,b
AUC % extrap 0.435 (0.170–0.821) 0.805 (0.088–2.27) 0.448 (0.200–0.846)
HL λZ (h) 7.94 (6.37–11.4) 9.73 (6.50–15.9) 9.18 (6.71–12.2)
λZ (1/h) 0.091 (0.061–0.109) 0.080 (0.044–0.107) 0.079 (0.057–0.103)
Cl/F (ml/min/kg) 15.57 (11.36–22.88) 9,929.3 (5,794.0–14,608.8) 16.01 (12.58–18.81)
Vd/F (L) 5,558.9 (3,535.0–7,202.2) 9,098.9 (3,260.4–16,768.9) 6,583.3 (4,706.2–7,694.1)

Cmax, maximum plasma drug concentration; Tmax, time of maximum plasma drug concentration; AUCinf, area under the curve extrapolated to infinity; AUC % extrap, percent of area under the curve extrapolated; HL λZ, terminal half-life; λZ, terminal slope of the plasma concentration time curve; Cl/F, systemic clearance per fraction absorbed for patch treatments, total systemic clearance for IV treatment; Vd/F, volume of distribution per fraction absorbed for patch treatments and volume of distribution at steady state for intravenous treatment.

a

Significantly greater than LDF (p < 0.008, for both).

b

Significantly greater than MDF (p = 0.002).