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A ready-to-use activated charcoal mixture
Authors:C. M. A. Rademaker   A. van Dijk   M. H. de Vries   F. Kadir  J. H. Glerum
Affiliation:(1) Department of Hospital Pharmacy, University Hospital Utrecht, Catharijnesingel 101, 3511 GV Utrecht, the Netherlands;(2) Department of Pharmacology, Faculty of Pharmacy, University of Utrecht, Catharijnesingel 60, 3511 GH Utrecht, the Netherlands;(3) Department of Biopharmaceutics, University of Utrecht, Utrecht
Abstract:A practical, ready-to-use preparation of activated charcoal (AZU mixture) for application in toxicology has been formulated. Tb establish its efficacy, the formulation was testedin vitro and in dogs. Thein vitro adsorption capacity was compared to that of freshly prepared charcoal suspension in water (CW) and to Carbomix®. Langmuir adsorption coefficients demonstrated small but clinically insignificant differences in adsorption capacity between the preparations. The laxative sodium sulfate did not reduce the adsorption capacity of charcoalin vitro. Dogs were given 60 mg of paracetamol per kg as an oral solution followed by 5 g of activated charcoal preparation. The area under the plasma concentration versus time curve (control 2955±353 mg·min–1·1–1) was significantly reduced following CW (921±453) and AZU (786±270). The premixed AZU charcoal formulation is efficacious, inexpensive and overcomes the problems of bed-side preparation. An isolated vascularly perfused rat small intestine can be used to describe the effect of activated charcoal on the intestinal secretion of theophylline.
Keywords:Adsorption capacity  Charcoal, activated  Clearance enhancement  Paracetamol  Poisoning  Theophylline
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