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. 2021 Jul 2;10(8):878–889. doi: 10.1002/psp4.12662

TABLE 1.

Predicted versus observed PK parameters of acetaminophen, alprazolam, and caffeine in plasma and milk during lactation

Model parameter Plasma Milk
Observed Predicted Ratio Observed Predicted Ratio
Mean SD Mean SD Mean SD Mean SD
Acetaminophen20
Half‐life (h) 2.74 0.28 2.49 0.74 0.91 2.64 0.63 2.48 0.74 0.94

AUCINF

(mg/L/h)

23.02 6.67 21.68 8.7 0.94 17.38 4.43 17.90 7.19 1.03
fu 0.802 0.0056 0.86 0.01 1.07 0.9745 0.0035 0.99 0.0 1.02
M/P ratio 0.76 0.04 0.83 0.01 1.09
Alprazolam21
Cmax (ng/ml) 8.88 2.69 10.33 3.15 1.16 3.7 1.59 4.68 1.48 1.26
Tmax (h)* 0.6 (0.45–2.65) 1.00 (0.75–1.30) 1.67 1.1 (0.45 – 3.83) 1.00 (0.75–1.30) 0.91
Half‐life (h) 12.52 3.53 11.27 5.27 0.90 14.46 6.27 11.27 5.27 0.78
CLpo (ml/min/kg) 1.15 0.32 1.04 0.36 0.90
M/P ratio 0.36 0.11 0.45 0.05 1.26
Caffeine
Oo et al., 199523
Half‐life (h) 5.6 1.8 5.81 5.29 1.0
CLpo (ml/min/Kg) 1.0 0.2 1.7 1.3 1.7
M/P ratio 0.70 0.06 0.69 0.03 1.0
Stavchansky et al., 198822
Cmax (mg/L) 4.4 1.0 2.5 0.7 0.6 2.8 0.6 1.7 0.5 0.6
Tmax (h) 0.8 0.2 1.4 0.5 1.8 1.1 0.5 1.5 0.5 1.3
Half‐life (h) 7.3 3.6 5.8 5.3 0.8 7.2 3.4 5.8 5.3 0.8
AUCt (mg/L.hr) 33.8 18.6 25.3 20.1 0.7 26.6 11.3 17.4 13.4 0.7
M/P ratio 0.82 0.05 0.70 0.04 0.9
Calvaresi et al., 201625, a
AUCt (mg/L.hr) 10.28 13.93 3.08 1.4
Cmax (mg/L) 2.06 1.40 0.43 0.7
Half‐life (h) 4 5.84 5.27 1.5

Half‐life = elimination half‐life; AUCINF, extrapolated area under the curve to infinity; AUCt, AUC to last time of measurement; fu = fraction unbound; Cmax = maximum concentration; Tmax = time to reach Cmax; CLpo = apparent total body clearance; M/P ratio = milk‐to‐plasma ratio; PK, pharmacokinetic; *median (range)

a

Individual value.