Home LiteratureArticle Details
PMID: 1493081 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Co-regulation of phenytoin and tolbutamide metabolism in humans.

British journal of clinical pharmacology ·Vol. 34 ·No. 6 ·1992-12-00 ·Pages 494-8

Tassaneeyakul W, Veronese ME, Birkett DJ, Doecke CJ, McManus ME, Sansom LN, Miners JO

Abstract

1. The disposition of phenytoin and tolbutamide was compared in eighteen healthy young adults separately administered single therapeutic doses (sodium phenytoin 300 mg, tolbutamide 500 mg) of the two drugs. 2. Within the group, ratios of ranges of total and unbound areas under the plasma concentration-time curves were similar for both drugs. 3. There were significant (P < 0.001) correlations between total (r = 0.88) and unbound (r = 0.86) areas under the plasma phenytoin and tolbutamide concentration-time curves. 4. The results are consistent with the involvement of the same cytochrome P-450 isoenzyme(s) in the metabolism of tolbutamide and phenytoin.

MeSH Terms
Adult Blood Proteins/metabolism Chromatography, High Pressure Liquid Drug Interactions Female Humans Male Phenytoin/blood,pharmacokinetics Protein Binding Tolbutamide/blood,pharmacokinetics
Chemicals
Blood Proteins Phenytoin Tolbutamide
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Tassaneeyakul W
Department of Clinical Pharmacology, Flinders Medical Centre, Bedford Park, South Australia.
Veronese M E
Birkett D J
Doecke C J
McManus M E
Sansom L N
Miners J O
References (31)
31 references, click to expand
  1. The effect of different oral anticoagulants on diphenylhydantoin (DPH) and tolbutamide metabolism.
    Acta Med Scand. 1976;199(6):513-5 PMID: 59517
  2. The effect of sulphinpyrazone on oxidative drug metabolism in man: inhibition of tolbutamide elimination.
    Eur J Clin Pharmacol. 1982;22(4):321-6 PMID: 7106168
  3. Induction of drug metabolism in man after rifampicin treatment measured by increased hexobarbital and tolbutamide clearance.
    Eur J Clin Pharmacol. 1975 Dec 19;9(2-3):219-27 PMID: 1233266
  4. Tolbutamide and phenytoin hydroxylations by cDNA-expressed human liver cytochrome P4502C9.
    Biochem Biophys Res Commun. 1991 Mar 29;175(3):1112-8 PMID: 2025243
  5. Phenytoin: pharmacogenetic polymorphism of 4'-hydroxylation.
    Pharmacol Ther. 1990;46(3):341-7 PMID: 2188267
  6. Validation of the tolbutamide metabolic ratio for population screening with use of sulfaphenazole to produce model phenotypic poor metabolizers.
    Clin Pharmacol Ther. 1990 Mar;47(3):403-11 PMID: 2311340
  7. Genetic factors influencing the metabolism of tolbutamide.
    Pharmacol Ther. 1989;44(2):147-55 PMID: 2519343
  8. Relationship between the metabolism of antipyrine, hexobarbitone and theophylline in man as assessed by a 'cocktail' approach.
    Br J Clin Pharmacol. 1988 Oct;26(4):373-84 PMID: 3190987
  9. Hepatic metabolism of tolbutamide: characterization of the form of cytochrome P-450 involved in methyl hydroxylation and relationship to in vivo disposition.
    J Pharmacol Exp Ther. 1987 Jun;241(3):1112-9 PMID: 3598900
  10. Normal metabolism of debrisoquine and theophylline in a slow tolbutamide metaboliser.
    Aust N Z J Med. 1985 Jun;15(3):348-9 PMID: 3864428
  11. Influence of rifampicin and isoniazid on the kinetics of phenytoin.
    Br J Clin Pharmacol. 1985 Oct;20(4):323-6 PMID: 4074601
  12. Diphenylhydantoin half-life in man and its inhibition by phenylbutazone: the role of genetic factors.
    Acta Med Scand. 1973 Jun;193(6):561-4 PMID: 4738705
  13. Close correlation of acetaminophen clearance with that of conjugated benzodiazepines but not oxidized benzodiazepines.
    Eur J Clin Pharmacol. 1983;25(1):113-5 PMID: 6617712
  14. The effect of different sulfonamides on phenytoin metabolism in man.
    Acta Med Scand Suppl. 1979;624:106-10 PMID: 284708
  15. Clinical pharmacokinetics of phenytoin.
    Clin Pharmacokinet. 1979 May-Jun;4(3):153-69 PMID: 383353
  16. Mechanisms of inhibition of tolbutamide metabolism: phenylbutazone, oxyphenbutazone, sulfaphenazole.
    Clin Pharmacol Ther. 1977 Nov;22(5 Pt 1):573-9 PMID: 913025
  17. Effect of fluconazole on the disposition of phenytoin.
    Clin Pharmacol Ther. 1991 Apr;49(4):420-5 PMID: 2015731
  18. Relationship between phenytoin and tolbutamide hydroxylations in human liver microsomes.
    Br J Clin Pharmacol. 1991 Feb;31(2):125-30 PMID: 2049228
  19. Pharmacokinetic drug interactions with phenytoin (Part I).
    Clin Pharmacokinet. 1990 Jan;18(1):37-60 PMID: 2178849
  20. The genetic polymorphism of debrisoquine/sparteine metabolism--clinical aspects.
    Pharmacol Ther. 1990;46(3):377-94 PMID: 2188269
  21. Drug interactions with fluconazole.
    Rev Infect Dis. 1990 Mar-Apr;12 Suppl 3:S327-33 PMID: 2330488
  22. Genetic polymorphism of S-mephenytoin hydroxylation.
    Pharmacol Ther. 1989;43(1):53-76 PMID: 2675129
  23. Lack of effect of erythromycin on the pharmacokinetics of single oral doses of phenytoin.
    Br J Clin Pharmacol. 1988 Sep;26(3):330-3 PMID: 3179171
  24. Selective inhibition of drug oxidation after simultaneous administration of two probe drugs, antipyrine and tolbutamide.
    Eur J Clin Pharmacol. 1988;34(2):157-63 PMID: 3383988
  25. Inhibition of tolbutamide elimination by cimetidine but not ranitidine.
    J Clin Pharmacol. 1986 May-Jun;26(5):372-7 PMID: 3700691
  26. Cotrimoxazole as an inhibitor of oxidative drug metabolism: effects of trimethoprim and sulphamethoxazole separately and combined on tolbutamide disposition.
    Br J Clin Pharmacol. 1985 Nov;20(5):482-5 PMID: 3878154
  27. Extent of urinary excretion of p-hydroxyphenytoin in healthy subjects given phenytoin.
    Ther Drug Monit. 1985;7(3):283-9 PMID: 4049465
  28. Inhibition of drug metabolism by chloramphenicol.
    Lancet. 1969 Dec 27;2(7635):1397-9 PMID: 4188280
  29. The metabolic fate of tolbutamide in man and in the rat.
    J Med Chem. 1966 Jul;9(4):507-10 PMID: 5968015
  30. Failure of 'therapeutic' doses of beta-adrenoceptor antagonists to alter the disposition of tolbutamide and lignocaine.
    Br J Clin Pharmacol. 1984 Dec;18(6):853-60 PMID: 6152176
  31. Antipyretic analgesics in patients on antiepileptic drug therapy.
    Eur J Clin Pharmacol. 1979 May 21;15(4):263-8 PMID: 314381
Article Info
Journal
British journal of clinical pharmacology
Abbr.
Br J Clin Pharmacol
ISSN
0306-5251
Published
1992-12-00
Pages
494-8
Language
English
Region
England
NLM ID
7503323
PMCID
PMC1381450
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com