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. 1973 Feb;47(2):415–421. doi: 10.1111/j.1476-5381.1973.tb08339.x

The dependence of paracetamol absorption on the rate of gastric emptying

R C Heading, J Nimmo, L F Prescott, P Tothill
PMCID: PMC1776534  PMID: 4722050

Abstract

1. The rate of gastric emptying was measured directly in 14 convalescent hospital patients and paracetamol absorption was studied following an oral dose of 1·5 g.

2. Rapid gastric emptying was associated with the early appearance of high peak plasma paracetamol concentrations whereas peak concentrations were low and occurred late when gastric emptying was slow.

3. There was a significant correlation between the rate of gastric emptying and the 0-4 and 0-24 h urinary excretion of paracetamol and its metabolites.

4. In five patients with abnormally slow gastric emptying the mean maximum plasma concentration and 0-4 and 0-24 h urinary excretion of paracetamol were significantly lower than in seven patients with normal gastric emptying rates while the time taken to reach maximum plasma concentrations was longer.

5. Individual differences in the rate of gastric emptying may contribute to variable absorption of many drugs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bianchine J. R., Calimlim L. R., Morgan J. P., Dujuvne C. A., Lasagna L. Metabolism and absorption of L-3,4 dihydroxyphenylalanine in patients with Parkinson's disease. Ann N Y Acad Sci. 1971 Jul 6;179:126–140. doi: 10.1111/j.1749-6632.1971.tb46895.x. [DOI] [PubMed] [Google Scholar]
  2. Diamond L., Doluisio J. T., Crouthamel W. G. Physiological factors affecting intestinal drug absorption. Eur J Pharmacol. 1970 Jul 1;11(1):109–114. doi: 10.1016/0014-2999(70)90261-x. [DOI] [PubMed] [Google Scholar]
  3. GWILT J. R., ROBERTSON A., GOLDMAN L., BLANCHARD A. W. The absorption characteristics of paracetamol tablets in man. J Pharm Pharmacol. 1963 Jul;15:445–453. doi: 10.1111/j.2042-7158.1963.tb12812.x. [DOI] [PubMed] [Google Scholar]
  4. Heading R. C., Tothill P., Laidlaw A. J., Shearman D. J. An evaluation of indium DTPA chelate in the measurement of gastric emptying by scintiscanning. Gut. 1971 Aug;12(8):611–615. doi: 10.1136/gut.12.8.611. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kekki M., Pyörälä K., Mustala O., Salmi H., Jussila J., Siurala M. Multicompartment analysis of the absorption kinetics of warfarin from the stomach and small intestine. Int Z Klin Pharmakol Ther Toxikol. 1971 Oct;5(2):209–211. [PubMed] [Google Scholar]
  6. Koch-Weser J. Pharmacokinetic of procainamide in man. Ann N Y Acad Sci. 1971 Jul 6;179:370–382. doi: 10.1111/j.1749-6632.1971.tb46914.x. [DOI] [PubMed] [Google Scholar]
  7. Kojima S., Smith R. B., Doluisio J. T. Drug absorption. V. Influence of food on oral absorption of phenobarbital in rats. J Pharm Sci. 1971 Nov;60(11):1639–1641. doi: 10.1002/jps.2600601109. [DOI] [PubMed] [Google Scholar]
  8. 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]
  9. Levy G., Gibaldi M., Procknal J. A. Effect of an anticholinergic agent on riboflavin absorption in man. J Pharm Sci. 1972 May;61(5):798–799. doi: 10.1002/jps.2600610529. [DOI] [PubMed] [Google Scholar]
  10. Magnussen M. P. The effect of ethanol on the gastrointestinal absorption of drugs in the rat. Acta Pharmacol Toxicol (Copenh) 1968;26(2):130–144. doi: 10.1111/j.1600-0773.1968.tb00433.x. [DOI] [PubMed] [Google Scholar]
  11. Prescott L. F. Gas-liquid chromatographic estimation of paracetamol. J Pharm Pharmacol. 1971 Oct;23(10):807–808. doi: 10.1111/j.2042-7158.1971.tb08613.x. [DOI] [PubMed] [Google Scholar]
  12. Prescott L. F., Nimmo J. Generic inequivalence--clinical observations. Acta Pharmacol Toxicol (Copenh) 1971;29 (Suppl 3):288–303. doi: 10.1111/j.1600-0773.1971.tb03308.x. [DOI] [PubMed] [Google Scholar]
  13. Prescott L. F. The gas-liquid chromatographic estimation of phenacetin and paracetamol in plasma and urine. J Pharm Pharmacol. 1971 Feb;23(2):111–115. doi: 10.1111/j.2042-7158.1971.tb08622.x. [DOI] [PubMed] [Google Scholar]
  14. Siurala M., Mustala O., Jussila J. Absorption of acetylsalicylic acid b a normal and an atrophic gastic mucosa. Scand J Gastroenterol. 1969;4(3):269–273. [PubMed] [Google Scholar]

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