Effect of colestipol,a new bile acid sequestrant,on the absorption of phenprocoumon in man

Summary The effect of colestipol, a basic anion-exchange resin, which lowers the serum cholesterol level, has been examined on the absorption of phenprocoumon in four human volunteers,in vivo. Plasma concentrations of phenprocoumon were determined after the simultaneous ingestion either of 8 g colestipol or 4 g placebo (microcrystalline cellulose) and 12 mg phenprocoumon according to a randomized crossover repetition design. The plasma levels were not affected by colestipol, suggesting that it had no effect on the absorption of phenprocoumon. —In vitro, the phenprocoumon-binding capacity of colestipol was the same as that of cholestyramine, except in buffers at pH 5 when there was a marked decrease in the colestipol binding.