Table 2.
Pharmacokinetic comparison of different dosage regimens of levonorgestrel
Study (year) |
Dose |
P
k
parameters |
Side effects |
|||||||
---|---|---|---|---|---|---|---|---|---|---|
AUC 0–12 (ng-h/ml) | AUC 0–24 (ng-h/ml) | AUC 0-t (ng-h/ml) | AUC 0-∞ (ng-h/ml) | C max (ng/ml) | t max (h) | K el (1/h) | t 1/2 (h) | |||
Gainer et al., (2007) [28] |
1.5 mg |
28.6 |
45.0 |
252.8 |
262.6 |
15.4 |
2.0 |
---- |
29.3 |
---- |
Johansson et al., (2002) [23] |
0.75 mg & 1.5 mg |
A:49.9 |
A:81.3 |
A:139.5 |
---- |
A:7.9 |
A:1.8 |
---- |
A:43.7 |
Nausea, sleepiness, headache. |
B:51.9 |
B:73.2 |
B:136.0 |
|
B:8.4 |
B:1.4 |
|
B:32.0 |
|||
C:88.8 |
C:130.8 |
C:290.9 |
|
C:12.4 |
C:2.5 |
|
C:43.3 |
|||
Kook et al., (2002) [24] |
0.75 mg |
---- |
---- |
111.8 |
123.1 |
14.1 |
1.63 |
0.030 |
24.4 |
Menstrual irregularity |
Sambol et al., (2006) [29] |
0.75 mg |
---- |
---- |
---- |
86.1 |
6.72 |
1.43 |
---- |
21.2 |
Headaches, dizziness, nausea, cramps |
Tremblay et al., (2001) [25] | 0.75 mg | ---- | ---- | ---- | 133.02 | ---- | 2.27 | 0.042 | 21.72 | ---- |
AUC0-t: Area under the plasma concentration time curve calculated by the trapezoidal rule from time 0 until the last time point.
AUC0-∞: Area under the plasma concentration time curve corrected for the previous administration and extrapolated to infinity.
A: One tablet of 0.75 mg levonorgestrel at time −12 h and one tablet at time 0.
B: One tablet of 0.75 mg levonorgestrel at time 0.
C: One tablet of 0.75 mg levonorgestrel at time −24 h and one tablet at time 0.