Abstract
1 Seven normal volunteers received oral doses of 100 mg dapsone (DDS), 25 mg pyrimethamine (PYR) singly or in combination in random order. 2 Plasma and salivary DDS and plasma monoacetyldapone (MADDS) and PYR were estimated simultaneously by a hitherto unpublished quantitative absorption thin layer chromatographic method. This assay was shown to be satisfactory for pharmacokinetic studies. 3 The half-life of DDS was unaltered by PYR but the apparent volume of distribution was significantly increased from a mean of 1.53 1 kg-1 to 1.93 1 kg-1 and the peak DDS plasma levels measured fell by 17%. 4 The pharmacokinetic parameters of PYR were unchanged by DDS. 5 The half-life of MADDS was unchanged by PYR and was not affected by the acetylator status of the subject. 6 Salivary DDS excretion reflects the free plasma DDS concentration. Administration of PYR with DDS significantly alters the mean saliva/plasma DDS ratio from 0.265 to 0.358 suggesting an increase in free DDS with PYR therapy. 7 In vitro studies of plasma protein DDS binding indicate that DDS binds to a single class of binding sites on human plasma protein and PYR competitively displaces DDS from these sites. 8 The usefulness of salivary drug measurements in detecting increases of free drug in plasma in man is demonstrated.
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- Ahmad R. A., Rogers H. J. Plasma and salivary pharmacokinetics of dapsone estimated by a thin layer chromatographic method. Eur J Clin Pharmacol. 1980 Feb;17(2):129–133. doi: 10.1007/BF00562621. [DOI] [PubMed] [Google Scholar]
- Cavallito J. C., Nichol C. A., Brenckman W. D., Jr, Deangelis R. L., Stickney D. R., Simmons W. S., Sigel C. W. Lipid-soluble inhibitors of dihydrofolate reductase. I. Kinetics, tissue distribution, and extent of metabolism of pyrimethamine, metoprine, and etoprine in the rat, dog, and man. Drug Metab Dispos. 1978 May-Jun;6(3):329–337. [PubMed] [Google Scholar]
- Coffey J. J., Bullock F. J., Schoenemann P. T. Numerical solution of nonlinear pharmacokinetic equations: effects of plasma protein binding on drug distribution and elimination. J Pharm Sci. 1971 Nov;60(11):1623–1628. doi: 10.1002/jps.2600601106. [DOI] [PubMed] [Google Scholar]
- DeAngelis R. L., Simmons W. S., Nichol C. A. Quantitative thin-layer chromatography of pyrimethamine and related diaminopyrimidines in body fluids and tissues. J Chromatogr. 1975 Mar 19;106(1):41–49. doi: 10.1016/s0021-9673(01)81045-1. [DOI] [PubMed] [Google Scholar]
- Fried J., Zietz S. Curve fitting by spline and Akima methods: possibility of interpolation error and its suppression. Phys Med Biol. 1973 Jul;18(4):550–558. doi: 10.1088/0031-9155/18/4/306. [DOI] [PubMed] [Google Scholar]
- Gelber R., Peters J. H., Gordon G. R., Glazko A. J., Levy L. The polymorphic acetylation of dapsone in man. Clin Pharmacol Ther. 1971 Mar-Apr;12(2):225–238. doi: 10.1002/cpt1971122part1225. [DOI] [PubMed] [Google Scholar]
- Gibaldi M., McNamara P. J. Apparent volumes of distribution and drug binding to plasma proteins and tissues. Eur J Clin Pharmacol. 1978 Jul 30;13(5):373–380. doi: 10.1007/BF00644611. [DOI] [PubMed] [Google Scholar]
- Glazko A. J., Dill W. A., Montalbo R. G., Holmes E. L. A new analytical procedure for dapsone. Application to blood-level and urinary-excretion studies in normal men. Am J Trop Med Hyg. 1968 May;17(3):465–473. [PubMed] [Google Scholar]
- Israili Z. H., Cucinell S. A., Vaught J., Davis E., Lesser J. M., Dayton P. G. Studies of the metabolism of dapsone in man and experimental animals: formation of N-hydroxy metabolites. J Pharmacol Exp Ther. 1973 Oct;187(1):138–151. [PubMed] [Google Scholar]
- Jones C. R., Ovenell S. M. Determination of plasma concentrations of dapsone, monoacetyl dapsone and pyrimethamine in human subjects dosed with maloprim. J Chromatogr. 1979 Jun 11;163(2):179–185. doi: 10.1016/s0378-4347(00)81461-9. [DOI] [PubMed] [Google Scholar]
- Peters J. H., Gordon G. R., Ghoul D. C., Tolentino J. G., Walsh G. P., Levy L. The diposition of the antileprotic drug dapsone (DDS) in Philippine subjects. Am J Trop Med Hyg. 1972 Jul;21(4):450–457. doi: 10.4269/ajtmh.1972.21.450. [DOI] [PubMed] [Google Scholar]
- Reidenberg M. M., Drayer D., DeMarco A. L., Bello C. T. Hydralazine elimination in man. Clin Pharmacol Ther. 1973 Nov-Dec;14(6):970–977. doi: 10.1002/cpt1973146970. [DOI] [PubMed] [Google Scholar]
- SMITH C. C., IHRIG J. Persistent excretion of pyrimethamine following oral administration. Am J Trop Med Hyg. 1959 Jan;8(1):60–62. doi: 10.4269/ajtmh.1959.8.60. [DOI] [PubMed] [Google Scholar]
- SMITH C. C., SHCMIDT L. H. Observations on the absoroption of pyrimethamine from the gastrointestinal tract. Exp Parasitol. 1963 Apr;13:178–185. doi: 10.1016/0014-4894(63)90068-7. [DOI] [PubMed] [Google Scholar]
- Weber M. C., de Clarke V., Harwin R. M., Shiff C. J. An extended field trial of pyrimethamine combined with dapsone in the prophylaxis of malaria. Cent Afr J Med. 1975 Sep;21(9):187–192. [PubMed] [Google Scholar]