| RRC ID |
43126
|
| 著者 |
Amioka K, Kuzuya T, Kushihara H, Ejiri M, Nitta A, Nabeshima T.
|
| タイトル |
Carvedilol increases ciclosporin bioavailability by inhibiting P-glycoprotein-mediated transport.
|
| ジャーナル |
J Pharm Pharmacol
|
| Abstract |
Carvedilol is often used to treat hypertension and for prophylaxis in vascular sclerosis in renal transplant recipients, who require concomitant treatment with ciclosporin. However, there are few reports regarding the pharmacokinetic interactions between carvedilol and ciclosporin. We have investigated the potential effects of carvedilol on the pharmacokinetics of ciclosporin, and examined the inhibitory effects of carvedilol on P-glycoprotein-mediated transcellular transport using Caco2 cells. Ciclosporin alone or with carvedilol was orally or intravenously administered to rats. The oral administration of carvedilol (10 mg kg(-1)) with ciclosporin (10 mg kg(-1)) increased the whole blood concentration of ciclosporin. When ciclosporin (3 mg kg(-1)) was intravenously administered with carvedilol (3 mg kg(-1)), there was no difference in the whole blood ciclosporin concentration between administration with and without carvedilol. Co-administration with carvedilol increased ciclosporin bioavailability from 33% to 70%. In Caco2 cells, carvedilol caused a concentration-dependent increase in the intracellular accumulation of ciclosporin, and its effect was comparable with that of verapamil. Carvedilol considerably raised the concentration of ciclosporin in the blood and this interaction was associated with the absorption phase of ciclosporin. This interaction was caused by the inhibition of P-glycoprotein-mediated transport by carvedilol in the intestine.
|
| 巻・号 |
59(10)
|
| ページ |
1383-7
|
| 公開日 |
2007-10-1
|
| DOI |
10.1211/jpp.59.10.0008
|
| PMID |
17910813
|
| MeSH |
ATP Binding Cassette Transporter, Subfamily B, Member 1 / drug effects
ATP Binding Cassette Transporter, Subfamily B, Member 1 / metabolism*
Administration, Oral
Adrenergic beta-Antagonists / administration & dosage
Adrenergic beta-Antagonists / pharmacology*
Animals
Biological Availability
Biological Transport
Caco-2 Cells
Calcium Channel Blockers / pharmacology
Carbazoles / administration & dosage
Carbazoles / pharmacology*
Carvedilol
Cyclosporine / administration & dosage
Cyclosporine / pharmacokinetics*
Dose-Response Relationship, Drug
Drug Interactions
Humans
Immunosuppressive Agents / administration & dosage
Immunosuppressive Agents / pharmacokinetics*
Injections, Intravenous
Intestinal Absorption
Male
Propanolamines / administration & dosage
Propanolamines / pharmacology*
Rats
Rats, Wistar
Verapamil / pharmacology
|
| IF |
2.571
|
| 引用数 |
7
|
|
WOS 分野
|
PHARMACOLOGY & PHARMACY
|
| リソース情報 |
| ヒト・動物細胞 |
CACO-2(RCB0988) |
