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British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1991 Oct;32(4):501–503. doi: 10.1111/j.1365-2125.1991.tb03938.x

Age does not influence the serum protein binding of bupivacaine.

B T Veering 1, A G Burm 1, M P Gladines 1, J Spierdijk 1
PMCID: PMC1368613  PMID: 1958446

Abstract

The serum protein binding of bupivacaine was studied in 74 subjects, 39 males and 35 females, aged 20-90 years, without evidence of acute or chronic inflammatory disease or malignancy. Subjects were drug free for at least 1 month. The free fractions of bupivacaine did not change with age in either males or females. This is in keeping with the lack of effect of age on AAG concentrations. Free fractions of bupivacaine were slightly higher in females as compared with males. The previously observed decline in clearance of bupivacaine with age probably reflects a concomitant decline in the metabolic activity of hepatic enzymes.

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Selected References

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  1. Burm A. G., van Kleef J. W., de Boer A. G. Gas chromatographic determination of bupivacaine in plasma using a support coated open tubular column and a nitrogen-selective detector. Anesthesiology. 1982 Dec;57(6):527–529. doi: 10.1097/00000542-198212000-00015. [DOI] [PubMed] [Google Scholar]
  2. Davis D., Grossman S. H., Kitchell B. B., Shand D. G., Routledge P. A. The effects of age and smoking on the plasma protein binding of lignocaine and diazepam. Br J Clin Pharmacol. 1985 Feb;19(2):261–265. doi: 10.1111/j.1365-2125.1985.tb02641.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Denson D., Coyle D., Thompson G., Myers J. Alpha 1-acid glycoprotein and albumin in human serum bupivacaine binding. Clin Pharmacol Ther. 1984 Mar;35(3):409–415. doi: 10.1038/clpt.1984.51. [DOI] [PubMed] [Google Scholar]
  4. Ponganis K. V., Stanski D. R. Factors affecting the measurement of lidocaine protein binding by equilibrium dialysis in human serum. J Pharm Sci. 1985 Jan;74(1):57–60. doi: 10.1002/jps.2600740115. [DOI] [PubMed] [Google Scholar]
  5. Routledge P. A., Stargel W. W., Kitchell B. B., Barchowsky A., Shand D. G. Sex-related differences in the plasma protein binding of lignocaine and diazepam. Br J Clin Pharmacol. 1981 Mar;11(3):245–250. doi: 10.1111/j.1365-2125.1981.tb00528.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Schmucker D. L., Woodhouse K. W., Wang R. K., Wynne H., James O. F., McManus M., Kremers P. Effects of age and gender on in vitro properties of human liver microsomal monooxygenases. Clin Pharmacol Ther. 1990 Oct;48(4):365–374. doi: 10.1038/clpt.1990.164. [DOI] [PubMed] [Google Scholar]
  7. Sternberg J. C. A rate nephelometer for measuring specific proteins by immunoprecipitin reactions. Clin Chem. 1977 Aug;23(8):1456–1464. [PubMed] [Google Scholar]
  8. Tozer T. N., Gambertoglio J. G., Furst D. E., Avery D. S., Holford N. H. Volume shifts and protein binding estimates using equilibrium dialysis: application to prednisolone binding in humans. J Pharm Sci. 1983 Dec;72(12):1442–1446. doi: 10.1002/jps.2600721218. [DOI] [PubMed] [Google Scholar]
  9. Tucker G. T., Boyes R. N., Bridenbaugh P. O., Moore D. C. Binding of anilide-type local anesthetics in human plasma. I. Relationships between binding, physicochemical properties, and anesthetic activity. Anesthesiology. 1970 Sep;33(3):287–303. doi: 10.1097/00000542-197009000-00002. [DOI] [PubMed] [Google Scholar]
  10. Tucker G. T., Wiklund L., Berlin-Wahlen A., Mather L. E. Hepatic clearance of local anesthetics in man. J Pharmacokinet Biopharm. 1977 Apr;5(2):111–122. doi: 10.1007/BF01066215. [DOI] [PubMed] [Google Scholar]
  11. Veering B. T., Burm A. G., Souverijn J. H., Serree J. M., Spierdijk J. The effect of age on serum concentrations of albumin and alpha 1-acid glycoprotein. Br J Clin Pharmacol. 1990 Feb;29(2):201–206. doi: 10.1111/j.1365-2125.1990.tb03620.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Veering B. T., Burm A. G., Spierdijk J. Spinal anaesthesia with hyperbaric bupivacaine. Effects of age on neural blockade and pharmacokinetics. Br J Anaesth. 1988 Feb;60(2):187–194. doi: 10.1093/bja/60.2.187. [DOI] [PubMed] [Google Scholar]
  13. Veering B. T., Burm A. G., Vletter A. A., van den Hoeven R. A., Spierdijk J. The effect of age on systemic absorption and systemic disposition of bupivacaine after subarachnoid administration. Anesthesiology. 1991 Feb;74(2):250–257. doi: 10.1097/00000542-199102000-00010. [DOI] [PubMed] [Google Scholar]
  14. Veering B. T., Burm A. G., van Kleef J. W., Hennis P. J., Spierdijk J. Epidural anesthesia with bupivacaine: effects of age on neural blockade and pharmacokinetics. Anesth Analg. 1987 Jul;66(7):589–593. [PubMed] [Google Scholar]
  15. Veering B. T., Burm A. G., van Kleef J. W., Hennis P. J., Spierdijk J. Spinal anesthesia with glucose-free bupivacaine: effects of age on neural blockade and pharmacokinetics. Anesth Analg. 1987 Oct;66(10):965–970. [PubMed] [Google Scholar]
  16. Verbeeck R. K., Cardinal J. A., Wallace S. M. Effect of age and sex on the plasma binding of acidic and basic drugs. Eur J Clin Pharmacol. 1984;27(1):91–97. [PubMed] [Google Scholar]
  17. Wilkinson G. R., Shand D. G. Commentary: a physiological approach to hepatic drug clearance. Clin Pharmacol Ther. 1975 Oct;18(4):377–390. doi: 10.1002/cpt1975184377. [DOI] [PubMed] [Google Scholar]
  18. Woodhouse K. W., Mutch E., Williams F. M., Rawlins M. D., James O. F. The effect of age on pathways of drug metabolism in human liver. Age Ageing. 1984 Nov;13(6):328–334. doi: 10.1093/ageing/13.6.328. [DOI] [PubMed] [Google Scholar]
  19. Wynne H. A., Cope L. H., Mutch E., Rawlins M. D., Woodhouse K. W., James O. F. The effect of age upon liver volume and apparent liver blood flow in healthy man. Hepatology. 1989 Feb;9(2):297–301. doi: 10.1002/hep.1840090222. [DOI] [PubMed] [Google Scholar]

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