Pharmacokinetics and antihypertensive effects of low dose clonidine during chronic therapy.

Abstract:

:Using a sensitive and specific radioimmunoassay the pharmacokinetic disposition of clonidine was determined in hypertensive patients after a single dose and then after 5, 28 and 56 days of chronic dosing with 75 micrograms bd. Following a single dose of clonidine maximal plasma concentrations of 0.34 +/- 0.06 ng/ml were achieved after 3.6 +/- 1.2 hours. After 5 days of repetitive dosing the maximal concentration was significantly higher, 0.66 +/- 0.06 ng/ml and remained so throughout chronic therapy (P = 0.018). The AUC, Tmax and T1/2 did not differ significantly between the acute dose and the chronic dosing pharmacokinetic studies. Clonidine also produced a significant fall in blood pressure. Supine diastolic blood pressure fell from 106 +/- 5 mmHg predose to 99 +/- 6 mmHg 2 hours after the first dose (P less than 0.05). The corresponding values after cyclopenthiazide alone were 108 +/- 8 and 105 +/- 8 mmHg (P = 0.13). Similar falls in blood pressure were produced during chronic therapy.

journal_name

J Clin Pharmacol

authors

Anavekar SN,Howes LG,Jarrott B,Syrjanen M,Conway EL,Louis WJ

doi

10.1002/j.1552-4604.1989.tb03335.x

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

321-6

issue

4

eissn

0091-2700

issn

1552-4604

journal_volume

29

pub_type

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