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The interaction of erythromycin with theophylline
Authors:O. Paulsen  P. Höglund  L. -G. Nilsson  H. -I. Bengtsson
Affiliation:(1) Department of Pharmacology, University of Frankfurt, Frankfurt/Main, Federal Republic of Germany;(2) Department of Medicine, University of Freiburg, Freiburg, Federal Republic of Germany;(3) School of Pharmacy, University of California, 94143-0446 San Francisco, CA, USA
Abstract:Summary The pharmacokinetics of the antikaliuretic amiloride has been studied in healthy controls and in patients with chronic renal failure or hepatitis. It was 40% bound to protein.In healthy volunteers 49% of an oral dose was recovered unchanged in the urine. The renal clearance of amiloride was about 3 times the creatinine clearance, which means that it was predominantly excreted via tubular secretion.Renal impairment reduced the clearance of amiloride, causing a prolongation of the t1/2 and drug accumulation in plasma. In hepatitis the t1/2 of amiloride was prolonged and the AUC increased. Urinary recovery (Ae) of amiloride was greater in hepatitis patients than in controls.
Keywords:amiloride  pharmacokinetics  renal failure  liver disease  urinary excretion
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