Table 1.
Pharmacokinetic variables of 0.875 mg glibenclamide in 12 healthy volunteers after 3 days of pretreatment with clarithromycin (250 mg twice daily), placebo (control), or grapefruit juice (200 ml thrice daily)
| Variable | Placebo (control) phase | Clarithromycin phase | Grapefruit juice phase |
|---|---|---|---|
| Cmax (ng ml−1) | 43.6 ± 9.24 | 54.0 ± 8.21* | 46.6 ± 9.81 |
| Geometric mean ratio (95% CI) | 1 | 1.25 (1.12, 1.40) | 1.07 (0.93, 1.23) |
| tmax (h) | 1.25 (1–1.5) | 1.5 (1–2) | 1.5 (1–1.5) |
| t1/2 (h) | 2.4 ± 0.32 | 2.3 ± 0.31 | 2.3 ± 0.32 |
| Geometric mean ratio (95% CI) | 1 | 0.96 (0.91, 1.02) | 0.98 (0.90, 1.07) |
| AUC(0,∞) (ng ml−1 h) | 133 ± 40.4 | 177 ± 46.4* | 139 ± 33.7 |
| Geometric mean ratio (95% CI) | 1 | 1.35 (1.21, 1.50) | 1.07 (0.99, 1.15) |
| Metabolite excreted (0–12 h) (U) | 6230 ± 2210 | 7690 ± 1850 | 7160 ± 1640 |
| Geometric mean ratio (95% CI) | 1 | 1.26 (0.88, 1.82) | 1.19 (0.84, 1.67) |
Data are mean values ± SD unless otherwise shown; tmax data are given as median with range. Geometric ratio is clarithromycin or grapefruit juice phase compared with placebo phase. Cmax, peak plasma concentration; tmax, time to reach Cmax; t1/2, half-life; AUC(0,∞), area under the plasma concentration-time curve from time 0 to infinity.
P < 0.01 vs. placebo and grapefruit juice phases.