Abstract
The metabolism of trimethadione (TMO) following oral administration (4 mg kg-1) has been studied in 11 young male and 11 elderly male patients. The elimination half-life (h) of TMO was 11.8 +/- 1.4 (mean +/- s.e. mean) in the young and 23.5 +/- 2.17 in the elderly (P less than 0.01). Total body clearance (1 h-1 kg-1) was 41.4 +/- 2.8 in the young and 29.0 +/- 2.4 in the elderly (P less than 0.01). The apparent volume of distribution (1 kg-1) was 0.67 +/- 0.03 in the young and 0.65 +/- 0.04 in the elderly. Serum dimethadione (DMO)/TMO ratios at 4 h were 0.65 +/- 0.03 in the young and 0.46 +/- 0.03 in the elderly (P less than 0.01). These results suggest that N-demethylation of TMO is inversely related to age.
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- Abernethy D. R., Greenblatt D. J., Shader R. I. Imipramine and desipramine disposition in the elderly. J Pharmacol Exp Ther. 1985 Jan;232(1):183–188. [PubMed] [Google Scholar]
- Branch R. A. Drugs as indicators of hepatic function. Hepatology. 1982 Jan-Feb;2(1):97–105. doi: 10.1002/hep.1840020115. [DOI] [PubMed] [Google Scholar]
- Greenblatt D. J., Divoll M., Abernethy D. R., Harmatz J. S., Shader R. I. Antipyrine kinetics in the elderly: prediction of age-related changes in benzodiazepine oxidizing capacity. J Pharmacol Exp Ther. 1982 Jan;220(1):120–126. [PubMed] [Google Scholar]
- Greenblatt D. J., Divoll M., Abernethy D. R., Moschitto L. J., Smith R. B., Shader R. I. Reduced clearance of triazolam in old age: relation to antipyrine oxidizing capacity. Br J Clin Pharmacol. 1983 Mar;15(3):303–309. doi: 10.1111/j.1365-2125.1983.tb01503.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kobayashi S., Tanaka E., Oguchi K., Yoshida T., Kuroiwa Y., Yasuhara H. A method for estimation of hepatic drug-metabolizing capacity: determination of concentration of trimethadione and its metabolite in human serum. J Pharmacobiodyn. 1984 May;7(5):329–335. doi: 10.1248/bpb1978.7.329. [DOI] [PubMed] [Google Scholar]
- Park B. K. Assessment of the drug metabolism capacity of the liver. Br J Clin Pharmacol. 1982 Nov;14(5):631–651. doi: 10.1111/j.1365-2125.1982.tb04950.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pirotte J., El Allaf D. Effect of age and sex on the N-demethylation rate of 14C-aminopyrine, studied by the breath test. Digestion. 1983;28(4):210–215. doi: 10.1159/000198990. [DOI] [PubMed] [Google Scholar]
- Tanaka E., Ishikawa A., Ono A., Okamura T., Kobayashi S., Yasuhara H., Misawa S. Trimethadione tolerance test for evaluation of functional reserve of the liver in patients with liver cirrhosis and esophageal varices. J Pharmacobiodyn. 1986 Mar;9(3):297–302. doi: 10.1248/bpb1978.9.297. [DOI] [PubMed] [Google Scholar]
- Tanaka E., Kinoshita H., Yoshida T., Kuroiwa Y. Determination of trimethadione and its metabolite by gas chromatography with flame-thermionic detection and its application to pharmacokinetic studies of the drug in carbon tetrachloride-treated rats. J Chromatogr. 1983 Feb 11;272(2):380–384. doi: 10.1016/s0378-4347(00)86143-5. [DOI] [PubMed] [Google Scholar]
- Vestal R. E., Norris A. H., Tobin J. D., Cohen B. H., Shock N. W., Andres R. Antipyrine metabolism in man: influence of age, alcohol, caffeine, and smoking. Clin Pharmacol Ther. 1975 Oct;18(4):425–432. doi: 10.1002/cpt1975184425. [DOI] [PubMed] [Google Scholar]
