Interaction of carbamazepine and promethazine in rabbits

The interaction of carbamazepine and promethazine in rabbits has been investigated. The influence of this interaction on the processes of biotransformation in the liver was revealed. The drugs were administered as single oral doses (100 mg of each drug) as well as simultaneously with an interval of 15 min. The sequence of administration of the drugs was varied. The influence of promethazine on the pharmacokinetics of carbamazepine is expressed by: (a) strong suppression of carbamazepine's level in plasma and appearance of multiple peaks of carbamazepine; (b) suppression of biotransformation of carbamazepine into carbamazepine-10,11-epoxide at the initial stages and its increase in the intermediate stages. These data are explained by the active capture of carbamazepine by liver at its primary transferal through the liver and sufficient presystem elimination of carbamazepine in the presence of promethazine. The character of kinetic curves of promethazine varies substantially under the influence of carbamazepine. However, this change is not as strong as in case of carbamazepine. The concentration of promethazine in plasma varies slightly and multiple peaks are not observed. The rate of terminal elimination of promethazine varies and abrupt prolonged segments of elimination appear at the initial and terminal stages of the process in return. These data perhaps indicate the induction of biotransformation of promethazine in the presence of carbamazepine-an inductor of microsomal liver enzymes. The changes of kinetics of promethazine and carbamazepine by simultaneous administration as compared with their administration separately, as well as a comparative consideration of pharmacokinetics of promethazine and carbamazepine by simultaneous administration show the existence of competition in the elimination between these drugs and the periodic saturation of liver for their biotransformation.     

Interaction of carbamazepine and chlorpromazine in rabbits.

The interaction of carbamazepine and chlorpromazine in rabbits has been studied. The drugs were administrated as single oral doses (200 mg of each drug). The sequence of administration of the drugs was varied. It has been established that by simultaneous administration these drugs decrease absorption of each other in plasma. This may be explained by competition of the drugs to transfer from the gastrointestinal tract into plasma, as well as by the formation of complexes, more or less stable and more or less bound to gastrointestinal tissues. Carbamazepine intensifies the biotransformation of chlorpromazine, which may be caused by the ability of carbamazepine to induce microsomal liver enzymes. Chlorpromazine suppresses the biotransformation of carbamazepine, however. This may be caused by intensive capture of chlorpromazine by liver tissues and by its intensive biotransformation, which in turn is conditioned by its surface-active nature and by the increase of its metabolism with carbamazepine. Therefore the biotransformation of chlorpromazine is increased and metabolism of carbamazepine is reduced. The sequence of administration of the drugs affects their pharmacokinetics significantly.     

共振瑞利散射光谱法对盐酸异丙嗪与盐酸氯丙嗪的同时测定

钼酸铵(AM)与盐酸氯丙嗪(CPZ)及盐酸异丙嗪(PZ)均能反应形成离子缔合物,引起共振瑞利散射(RRS)的显著增强,并出现新RRS光谱.2种反应产物具有相似的RRS光谱特征,其最大散射峰均在365 nm处,且在一定范围内散射增强(Δ_(IRRS))与药物的质量浓度成正比,但RRS强度随药物质量浓度的线性增幅存在显著差异.结合两组分RRS光谱强度的加和性,可建立双组分信号响应的两条同原射线的计量分析法.方法对CPZ 和PZ的检出限分别为4.5、7.7 μg/L,线性范围均为0.03～2.4 mg/L.将该方法用于血清、尿样和非那根止咳糖浆中CPZ和PZ的同时测定,取得满意结果.     

UPLC-MS—MS法测定血液中5种吩噻嗪类药物

建立了超高效液相色谱串联质谱法测定血液中5种吩噻嗪类药物的方法。血液样品经过沉淀蛋白后,在HSSSBC18色谱柱上,经乙腈-0．1％甲酸水溶液梯度洗脱分离,用液相色谱-串联质谱仪以电喷雾电离（ESI＋）、多反应监泖l（MRM）方式进行分析。血液样本中异丙嗪、泰尔登、氯丙嗪、奋乃静、三氟拉嗪提取回收率分剐为62％-65％,71％-97％,66％-107％,72％-95％,77％-96％,检出限分别为0．02,0．01,0．01,0．01,0．01ng／mL。测定结果的相对标准偏差小于7％（n=6）。线性范围为0．05-20ng／mL,相关系数大于0．999。该方法适用于血液中吩噻嗪类药物的分析。     

Effect of water extracts of aloe and some herbs in decreasing blood ethanol concentration in rats. II

Oral administration of ethanol to rats at a dose of 3 g/kg decreased alcohol dehydrogenase (ADH) activity and metabolism of lactate to pyruvate in the liver. The effects of water extracts of Aloe and some other herbs on blood ethanol concentration and on ADH activity in liver cytosol were examined. The water extracts of these herbs caused a faster elimination of ethanol from blood of normal rats when administered orally 30 min before oral administration of ethanol. The rapid elimination of ethanol seems to be due to a protection of ADH activity and the supply of nicotinamide dinucleotide, both of which are reduced by high ethanol concentration. The effects of ethanol in decreasing the enzyme activities relating to its own metabolism occur when high concentrations of ethanol pass through the liver, and thus may primarily appear during the absorption of alcohol from the gastrointestinal tract, when portal concentration of ethanol are very high.     

HPLC in pharmacokinetics and metabolism studies

Summary The use of high-performance liquid chromatography in kinetics and metabolism studies is demonstrated.The following kinetic parameters are ascertained after single oral and intravenous administration of a drug: absorption by areal comparison, elimination constant in the -phase, and clearance.Concentration levels in serum are measured after repeated oral administration on several days, with pharmacokinetic model fit to estimate limit concentrations in the steady state. Species-dependencies in metabolism are investigated in 24-h urines.The necessary characterization of drug and metabolite peaks is obtained by in-series connection of several detectors.The relative bioavailability of a controlled release form is determined by measuring drug concentrations in the blood.     

稳定回归法用于复方氯丙嗪片的测定

本文应用稳定回归法用于紫外重叠光谱的分析。以复方氯丙嗪为例,不经分离,测定了盐酸氯丙嗪和盐酸异丙嗪的含量。与最小二乘回归法比较,提高了测定结果的准确度和精密度。结果满意。     

Simultaneous determination of promethazine,chlorpromazine, and perphenazine by multivariate calibration methods and derivative spectrophotometry

Partial least-squares (PLS) regression, singular value decomposition-based PLS, and an artificial neural network (ANN) were tested as calibration procedures for the simultaneous determination of promethazine, chlorpromazine, and perphenazine by both conventional and derivative spectrophotometry. Comparison of the results revealed that the application of the ANN to the derivative spectra is superior to the application of the 2 PLS methods used. Different binary and ternary synthetic mixtures of the phenothiazine drugs in pure form and in tablets were analyzed by the proposed method, and acceptable results were obtained.     

基于药代动力学和代谢组学研究咖啡因对异丙嗪镇静作用的影响

采用药代动力学和代谢组学方法研究了咖啡因对异丙嗪镇静作用的影响. 首先, 采用航天警戒作业模拟系统和斯坦福睡眠量表, 比较了异丙嗪单独给药和联合咖啡因给药对志愿者认知功能的影响; 然后, 通过Kinetica软件计算异丙嗪在咖啡因联用前后的药代动力学参数变化, 并讨论可能的影响因素; 最后, 使用代谢组学方法对潜在生物标志物进行了鉴定. 实验结果表明, 咖啡因可以对抗异丙嗪的镇静作用, 并改善志愿者的认知功能. 这可能与联合给药后异丙嗪在体内代谢加快, 多巴胺, 去甲肾上腺素和肾上腺素相关通路发生变化有关. 该方法为异丙嗪和咖啡因联合用药研究提供了新思路.     

Sensing phenothiazine drugs at a gold electrode co-modified with DNA and gold nanoparticles.

DNA and gold nanoparticles are co-immobilized at a gold electrode through elaborate self-assembly processes. This configuration has proven to be useful as a sensor for phenothiazine drugs, taking advantage of the well-known, relatively large surface area of gold nanoparticles and the strong intercalation between dsDNA and phenothiazine drugs. This modified electrode has demonstrated good sensitivity and stability towards the oxidation of two model phenothiazine drugs: promethazine and chlorpromazine. A linear dependence between the concentration of phenothiazine drugs and the peak current is observed, with a concentration range of 2.0 x 10(-5)-1.6 x 10(-4) M and 1.0 x 10(-5)-1.2 x 10(-4) M, and a detection limit of 1.0 x 10(-5) M and 7.0 x 10(-6) M, for promethazine and chlorpromazine, respectively.     

吩噻嗪类药物的流动注射在线氧化荧光分析法测定

结合流动注射进样技术,借助时间扫描荧光方式,建立了流动注射在线氧化荧光分析法测定吩噻嗪类药物的新方法。在优化的实验条件下,盐酸氯丙嗪、奋乃静、盐酸异丙嗪的质量浓度分别在0.12~36、0.4~20、0.4~36 mg/L范围内与荧光强度呈良好的线性关系,方法检出限分别为0.003 6、0.02、0.03 mg/L。该方法简便、快速、准确、灵敏度高,用于药物制剂、尿样中吩噻嗪类药物的直接测定,结果满意。     

Titrimetric determination of some phenothiazine derivatives, with ferricyanide

Six phenothiazine drugs (chlorpromazine hydrochloride, promethazine hydrochloride, promazine hydrochloride, perphenazine, acetophenazine maleate and trifluoperazine hydrochloride) have been determined by titration with potassium ferricyanide in phosphoric acid medium with Methylene Blue as a screening indicator. The results were in agreement with those obtained by the official methods.     

流动注射-共振瑞利散射法测定盐酸氯丙嗪和盐酸异丙嗪

在HCl介质中,12-钨磷酸(TP)分别与盐酸氯丙嗪(CPZ)和盐酸异丙嗪(PMZ)反应形成离子缔合物,导致溶液的共振瑞利散射(RRS)显著增强,并产生新的RRS光谱.它们的最大RRS峰位于359 nm (TP-CPZ)和346 nm (TP-PMZ),并且在一定范围内,CPZ和PMZ的浓度与散射强度呈线性关系,据此提出流动注射-共振瑞利散射 (FIA-RRS) 联用技术测定CPZ和PMZ的新方法,CPZ和PMZ的检出限分别为1.7和3.0 μg/L.实验优化了流动注射(FIA)参数和反应条件,并以灵敏度较高的CPZ为例,考察了共存物质的影响.本方法具有良好的选择性和重复性;用于药片和猪肝中CPZ的测定,结果满意.     

Interactions of Human Serum Albumin with Phenothiazine Drugs: Insights from Fluorescence Spectroscopic Studies

This study was based on the use of fluorescence quenching and differentiation between static and dynamic quenching, as well as energy transfer for distance measurements. The interactions of human serum albumin with phenothiazine drugs, i.e. phenothiazine, chlorpromazine, perphenazine and promethazine, were studied and extrapolated important information on quenching mechanism, types of interaction force, binding‐site number and distance between Trp214 in HSA and the bound drugs. This study has great significance in methodology and understanding the protein‐drug interaction mechanism.     

Kinetics of protoporphyrin IX formation in rat oral mucosa and skin after application of 5-aminolevulinic acid and its methylester

The kinetics of accumulation of protoporphyrin IX (PpIX) after topical application of 5-aminolevulinic acid (ALA) and its methylester (5-aminolevulinic acid methylester [ALA-Me]) was studied on rat oral mucosa. The accumulation of PpIX in mucosa and skin after intravenous injection of ALA and ALA-Me was also studied. The elimination rate of PpIX was dependent on drug and dose as well as on administration route. Application of ALA on rat oral mucosa and skin caused a systemic effect with PpIX building up in remote skin sites not exposed to the drugs. No such systemic effect was seen after application of ALA-Me either in mucosa or on skin. Intravenous injection of the drugs (0.2 g/kg) leads to more fluorescence in the skin than topical application of the drug (20%). For mucosa, the opposite is true. Maximal PpIX fluorescence appeared later after application of high concentrations of the drugs (around 8 h for 5% and 20% wt/wt) than after application of low concentrations (around 3-5 h for 1% and 2% wt/wt).     

Simultaneous determination of three banned psychiatric drugs in pig feed and tissue using solid‐phase reactor on‐line oxidizing and HPLC‐fluorescence detection

The banned addition of psychiatric drugs such as phenothiazines to animal feed and foodstuffs increases the risk of human organ lesion. Phenothiazines usually exhibit weak native fluorescence and can be oxidized to strongly fluorescent compounds. In this study, a novel, sensitive and convenient method of HPLC‐fluorescence detection based on post‐column on‐line oxidizing with lead dioxide solid‐phase reactor has been developed for simultaneous determination of three banned psychotropic drugs, promethazine, chlorpromazine and thioridazine. Three compounds were successfully separated on an Agilent TC‐C₁₈ column with mobile phase of acetonitrile (A) and water (B), both containing 0.5% (v/v) formic acid. A gradient elution was programmed and fluorimetric detection was performed at λ_ex/λ_em of 332/373 nm for promethazine, 340/380 nm for chlorpromazine and 352/432 nm for thioridazine. The calibration graphs gave good linearity over the concentration ranges of 30.0–4976.4 µg/L for promethazine, 2.0–2153.2 µg/L for chlorpromazine, and 15.0–3088.0 µg/L for thioridazine, and correlation coefficients (r) were ≥0.995. The method was applied to the determination of phenothiazines in pig feed and pig tissue, and the average spiked recoveries were in the range 69.1–115.4%. Copyright © 2015 John Wiley & Sons, Ltd.     

Depolymerization of hyaluronate by the phototoxic drugs phenothiazines and sulfacetamide

Phenothiazines (promazine, promethazine, chlorpromazine) and sulfacetamide, known as phototoxic drugs, depolymerize aqueous sodium hyaluronate (HA) on exposure to light. The reduction in the HA molecular weight was followed by size-exclusion chromatography with low-angle laser light scattering. In the low-concentration region of the drugs below 0.05 mM, the rate constants of depolymerization increased. The molecular weight of HA was practically unchanged without UV irradiation in the presence of drugs or with UV irradiation in the absence of drugs, indicating the phenothiazines and sulfacetamide require photoenergy to yield any kind of damaging chemical species for HA depolymerization. An involvement of active oxygen radicals in the effects of promazine and promethazine was evidenced by inhibition under anaerobic conditions. Further, addition of mannitol controlled the reaction in the presence of oxygen, pointing to hydroxyl radicals as the damaging agent. Chlorpromazine and sulfacetamide preferably depolymerized HA under anaerobic conditions, suggesting the participation of hydrated electrons. Received: 14 July 1999/Accepted in revised form: 7 September 1999     

Determination and pharmacokinetic study of unbound cefepime in rat bile by liquid chromatography with on-line microdialysis

Biliary excretion and intestinal reabsorption in enterohepatic circulation play major dispositional roles for some drugs. To investigate biliary excretion of drug, we inserted a microdialysis probe into the bile common duct of rat between the liver and the duodenum. In order to avoid the obstruction of bile fluid or bile salt waste, a shunt linear microdialysis probe was used for simultaneous and continuous sampling following intravenous administration of cefepime (50 mg/kg, i.v.). Separation and quantitation of cefepime in the dialysates were achieved using a LiChrosorb RP-18 column (Merck; 250x4.6 mm I.D., particle size 5 microm) maintained at ambient temperature. Samples were eluted with a mobile phase containing 100 mM monosodium phosphoric acid (pH 3.0)-methanol (87:13, v/v). The UV detector wavelength was set at 270 nm. The result indicates that the elimination half-life of cefepime in bile was 64.01+/-9.32 min. This study also served as an example for the microdialysis application in the biliary excretion study of drug.     

Phosphatidylcholine‐Coated Iron Oxide Nanomicelles for In Vivo Prolonged Circulation Time with an Antibiofouling Protein Corona

We report the synthesis of micellar phosphatidylcholine‐coated superparamagnetic iron oxide nanoparticles as a new long circulation contrast agents for magnetic resonance imaging. Oleic acid‐coated Fe₃O₄ nanoparticles were first prepared through thermal degradation and then encapsulated into small clusters with a phosphatidylcholine coating to obtain hydrophilic nanomicelles. A thorough characterization confirmed the chemical nature of the coating and the excellent colloidal stability of these nanomicelles in aqueous media. Magnetization and relaxivity properties proved their suitability as magnetic resonance imaging (MRI) contrast agent and in vitro cell viability data showed low toxicity. Vascular lifetime and elimination kinetics in the liver were assessed by blood relaxometry and by in vivo MRI in rats and compared with “control” particles prepared with a polyethylene glycol derivative. These micellar particles had a lifetime in blood of more than 10 h, much longer than the control nanoparticles (≈2 h), which is remarkable considering that the coating molecule is a small biocompatible zwitterionic phospholipid. The protein corona was characterized after incubation with rat serum at different times by high‐throughput proteomics, showing a higher proportion of bound apolipoproteins and other dysopsonins for the phosphatidylcholine particles. The antibiofouling properties of this corona and its resistance to the adsorption of proteins corroborate the observed enhanced stability and prolonged systemic circulation.     

Potentiometric titration of phenothiazine compounds in chloroform and its use in pharmaceutical analysis

The potentiometric titration of some phenothiazine drugs in chloroform is described. A standard solution of bromine in chloroform was used as titrant and the end-points were detected with a small platinum indicator electrode, and an Ag/AgCl electrode in 0.01M Et(4)NCl in chloroform as reference. A fast redox reaction occurs during the titrations and the phenothiazine ring is oxidized to the phenothiazonium free radical (P(+)). The low dielectric constant of the medium favours the formation of (P(+)Br(-)) ion-pairs or (P(+)Br(-)(3)) ion-pairs on further addition of bromine, which has no influence on the position of the first end-point. The method was used for the determination of promethazine, chlorpromazine, trifluoperazine and thioridazine in pharmaceutical preparations after extraction into chloroform. The relative standard deviation for the determination of 5 mg of all these phenothazines was about 1%.