Abstract:
:Moexipril [2-[(1-ethoxycarbonyl)-3-phenylpropyl]amino-1-oxopropyl]-6, 7-dimethoxy-1,2,3,4-tetrahydroisoquinoline-3-carboxylic acid (S,S,S)], an ester prodrug of an ACE inhibitor, was formulated in controlled-release preparations with a range of in vitro release rates, to provide a prolonged input of drug in vivo. However, pharmacokinetic studies with the controlled-release dosage forms in humans produced plasma profiles with the same characteristics and time to peak as an immediate-release capsule. In vitro dissolution data from the controlled-release dosage form, as well as the known characteristics of the polymer used to control drug release from the dosage form, suggest no reason to suspect an abrupt halt to the in vivo release of the drug after 1-2 hr. The lack of sustained blood levels is, therefore, most likely due to failure of the GI tract to absorb the drug beyond some location in the upper small intestine, i.e., site-specific absorption. This theory is supported by a series of computer simulations involving moexipril and the active moiety, moexipril diacid. Possible mechanisms include poor drug permeability, a pH effect whereby the zwitterionic form of the drug is more rapidly absorbed, and esterase cleavage of moexipril to the poorly absorbed moexipril diacid.
journal_name
Pharm Resjournal_title
Pharmaceutical researchauthors
Grass GM,Morehead WTdoi
10.1023/a:1015919413103subject
Has Abstractpub_date
1989-09-01 00:00:00pages
759-65issue
9eissn
0724-8741issn
1573-904Xjournal_volume
6pub_type
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journal_title:Pharmaceutical research
pub_type: 杂志文章
doi:10.1023/a:1015815614959
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journal_title:Pharmaceutical research
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journal_title:Pharmaceutical research
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journal_title:Pharmaceutical research
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journal_title:Pharmaceutical research
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更新日期:1998-02-01 00:00:00
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journal_title:Pharmaceutical research
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更新日期:1997-08-01 00:00:00
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journal_title:Pharmaceutical research
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更新日期:1994-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2008-09-01 00:00:00
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journal_title:Pharmaceutical research
pub_type: 杂志文章
doi:10.1023/a:1018904825958
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更新日期:1999-09-01 00:00:00
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更新日期:2011-02-01 00:00:00
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journal_title:Pharmaceutical research
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更新日期:1997-06-01 00:00:00
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更新日期:2016-03-01 00:00:00
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journal_title:Pharmaceutical research
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更新日期:1992-09-01 00:00:00
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更新日期:2006-03-01 00:00:00
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更新日期:2005-01-01 00:00:00
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journal_title:Pharmaceutical research
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更新日期:2007-03-01 00:00:00
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journal_title:Pharmaceutical research
pub_type: 杂志文章
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更新日期:1997-03-01 00:00:00