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British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1995 Apr;39(4):381–387. doi: 10.1111/j.1365-2125.1995.tb04466.x

The effects of pharmaceutical excipients on small intestinal transit.

D A Adkin 1, S S Davis 1, R A Sparrow 1, P D Huckle 1, A J Phillips 1, I R Wilding 1
PMCID: PMC1365125  PMID: 7640144

Abstract

1. The effect of three iso-osmotic pharmaceutical excipient solutions on gastrointestinal transit were investigated in eight healthy male volunteers. Each subject received 200 ml radiolabelled purified water, or a 200 ml solution of sodium acid pyrophosphate ((SAPP) 1.1 g/200 ml), mannitol (2.264 g/200 ml) or sucrose (4.08 g/200 ml) in a four way cross over design. On each of the study days the volunteers also received five 6 mm diameter non-disintegrating tablets. Dual isotope gamma scintigraphy was used to assess the transit behaviour of the tablets and solutions. 2. There were no significant differences between the gastric emptying times of the four solution formulations. Rapid gastric emptying was observed in all cases (mean t 50% varied from 11-14 min). 3. Small intestinal transit (SIT) times for the SAPP and mannitol solutions were reduced by 39 and 34%, respectively, when compared with the control solution (purified water = 240 min; SAPP = 147 min; mannitol = 158 min). The 95% confidence limits for the mean differences in SIT time between the control and SAPP solutions was 39-94-149 min, and 40-82-124 min between the mannitol and the control. Intestinal transit for the sucrose solution was similar to that for the control solution (sucrose = 229 min). 4. There were no significant differences in the transit times of the non-disintegrating tablet preparations, when co-administered with each solution.(ABSTRACT TRUNCATED AT 250 WORDS)

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Selected References

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  1. Beaugerie L., Flourié B., Pellier P., Achour L., Franchisseur C., Rambaud J. C. Tolérance clinique, absorption intestinale et valeur énergétique de quatre polyols pris à jeun. Gastroenterol Clin Biol. 1991;15(12):929–932. [PubMed] [Google Scholar]
  2. Birkebaek N. H., Memmert K., Mortensen J., Dirksen H., Christensen M. F. Fractional gastrointestinal transit time: intra- and interindividual variation. Nucl Med Commun. 1990 Mar;11(3):247–252. doi: 10.1097/00006231-199003000-00003. [DOI] [PubMed] [Google Scholar]
  3. Camilleri M., Colemont L. J., Phillips S. F., Brown M. L., Thomforde G. M., Chapman N., Zinsmeister A. R. Human gastric emptying and colonic filling of solids characterized by a new method. Am J Physiol. 1989 Aug;257(2 Pt 1):G284–G290. doi: 10.1152/ajpgi.1989.257.2.G284. [DOI] [PubMed] [Google Scholar]
  4. Carlson G. M., Bedi B. S., Code C. F. Mechanism of propagation of intestinal interdigestive myoelectric complex. Am J Physiol. 1972 Apr;222(4):1027–1030. doi: 10.1152/ajplegacy.1972.222.4.1027. [DOI] [PubMed] [Google Scholar]
  5. Charney E. B., Bodurtha J. N. Brief clinical and laboratory observations. J Pediatr. 1981 Jan;98(1):157–158. doi: 10.1016/s0022-3476(81)80563-x. [DOI] [PubMed] [Google Scholar]
  6. Christensen F. N., Davis S. S., Hardy J. G., Taylor M. J., Whalley D. R., Wilson C. G. The use of gamma scintigraphy to follow the gastrointestinal transit of pharmaceutical formulations. J Pharm Pharmacol. 1985 Feb;37(2):91–95. doi: 10.1111/j.2042-7158.1985.tb05013.x. [DOI] [PubMed] [Google Scholar]
  7. Christopher N. L., Bayless T. M. Role of the small bowel and colon in lactose-induced diarrhea. Gastroenterology. 1971 May;60(5):845–852. [PubMed] [Google Scholar]
  8. Code C. F., Marlett J. A. The interdigestive myo-electric complex of the stomach and small bowel of dogs. J Physiol. 1975 Mar;246(2):289–309. doi: 10.1113/jphysiol.1975.sp010891. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Coupe A. J., Davis S. S., Evans D. F., Wilding I. R. Correlation of the gastric emptying of nondisintegrating tablets with gastrointestinal motility. Pharm Res. 1991 Oct;8(10):1281–1285. doi: 10.1023/a:1015855829864. [DOI] [PubMed] [Google Scholar]
  10. Coupe A. J., Davis S. S., Wilding I. R. Variation in gastrointestinal transit of pharmaceutical dosage forms in healthy subjects. Pharm Res. 1991 Mar;8(3):360–364. doi: 10.1023/a:1015849700421. [DOI] [PubMed] [Google Scholar]
  11. Davis S. S., Hardy J. G., Fara J. W. Transit of pharmaceutical dosage forms through the small intestine. Gut. 1986 Aug;27(8):886–892. doi: 10.1136/gut.27.8.886. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hirtz J. The gastrointestinal absorption of drugs in man: a review of current concepts and methods of investigation. Br J Clin Pharmacol. 1985;19 (Suppl 2):77S–83S. doi: 10.1111/j.1365-2125.1985.tb02746.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hyams J. S. Sorbitol intolerance: an unappreciated cause of functional gastrointestinal complaints. Gastroenterology. 1983 Jan;84(1):30–33. [PubMed] [Google Scholar]
  14. Kelly K. A. Gastric emptying of liquids and solids: roles of proximal and distal stomach. Am J Physiol. 1980 Aug;239(2):G71–G76. doi: 10.1152/ajpgi.1980.239.2.G71. [DOI] [PubMed] [Google Scholar]
  15. Kerlin P., Zinsmeister A., Phillips S. Relationship of motility to flow of contents in the human small intestine. Gastroenterology. 1982 Apr;82(4):701–706. [PubMed] [Google Scholar]
  16. Koch K. M., Parr A. F., Tomlinson J. J., Sandefer E. P., Digenis G. A., Donn K. H., Powell J. R. Effect of sodium acid pyrophosphate on ranitidine bioavailability and gastrointestinal transit time. Pharm Res. 1993 Jul;10(7):1027–1030. doi: 10.1023/a:1018918907670. [DOI] [PubMed] [Google Scholar]
  17. Levine R. R. Factors affecting gastrointestinal absorption of drugs. Am J Dig Dis. 1970 Feb;15(2):171–188. doi: 10.1007/BF02235648. [DOI] [PubMed] [Google Scholar]
  18. Malagelada J. R., Robertson J. S., Brown M. L., Remington M., Duenes J. A., Thomforde G. M., Carryer P. W. Intestinal transit of solid and liquid components of a meal in health. Gastroenterology. 1984 Dec;87(6):1255–1263. [PubMed] [Google Scholar]
  19. Notivol R., Carrio I., Cano L., Estorch M., Vilardell F. Gastric emptying of solid and liquid meals in healthy young subjects. Scand J Gastroenterol. 1984 Nov;19(8):1107–1113. [PubMed] [Google Scholar]
  20. Park H. M., Chernish S. M., Rosenek B. D., Brunelle R. L., Hargrove B., Wellman H. N. Gastric emptying of enteric-coated tablets. Dig Dis Sci. 1984 Mar;29(3):207–212. doi: 10.1007/BF01296253. [DOI] [PubMed] [Google Scholar]
  21. Riley S. A., Kim M., Sutcliffe F., Kapas M., Rowland M., Turnberg L. A. Effects of a non-absorbable osmotic load on drug absorption in healthy volunteers. Br J Clin Pharmacol. 1992 Jul;34(1):40–46. doi: 10.1111/j.1365-2125.1992.tb04105.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Salminen E. K., Salminen S. J., Porkka L., Kwasowski P., Marks V., Koivistoinen P. E. Xylitol vs glucose: effect on the rate of gastric emptying and motilin, insulin, and gastric inhibitory polypeptide release. Am J Clin Nutr. 1989 Jun;49(6):1228–1232. doi: 10.1093/ajcn/49.6.1228. [DOI] [PubMed] [Google Scholar]
  23. Saunders D. R., Wiggins H. S. Conservation of mannitol, lactulose, and raffinose by the human colon. Am J Physiol. 1981 Nov;241(5):G397–G402. doi: 10.1152/ajpgi.1981.241.5.G397. [DOI] [PubMed] [Google Scholar]
  24. Smith H. J., Feldman M. Influence of food and marker length on gastric emptying of indigestible radiopaque markers in healthy humans. Gastroenterology. 1986 Dec;91(6):1452–1455. doi: 10.1016/0016-5085(86)90200-3. [DOI] [PubMed] [Google Scholar]
  25. Spiller R. C., Brown M. L., Phillips S. F. Emptying of the terminal ileum in intact humans. Influence of meal residue and ileal motility. Gastroenterology. 1987 Mar;92(3):724–729. doi: 10.1016/0016-5085(87)90024-2. [DOI] [PubMed] [Google Scholar]
  26. Szurszewski J. H. A migrating electric complex of canine small intestine. Am J Physiol. 1969 Dec;217(6):1757–1763. doi: 10.1152/ajplegacy.1969.217.6.1757. [DOI] [PubMed] [Google Scholar]
  27. Torres-Pinedo R., Rivera C. L., Fernández S. Studies on infant diarrhea. II. Absorption of glucose and net fluxes of water and sodium chloride in a segment of the jejunum. J Clin Invest. 1966 Dec;45(12):1916–1922. doi: 10.1172/JCI105496. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Tothill P., McLoughlin G. P., Heading R. C. Techniques and errors in scintigraphic measurements of gastric emptying. J Nucl Med. 1978 Mar;19(3):256–261. [PubMed] [Google Scholar]
  29. Würsch P., Koellreutter B., Schweizer T. F. Hydrogen excretion after ingestion of five different sugar alcohols and lactulose. Eur J Clin Nutr. 1989 Dec;43(12):819–825. [PubMed] [Google Scholar]

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