Pharmacokinetics of ibuprofen enantiomers in children with cystic fibrosis.

Abstract:

:Chiral inversion of R(-)- to S(+)-ibuprofen in children with cystic fibrosis was investigated. Children with cystic fibrosis (n = 38, ages 2-13 years) were administered a single oral dose of racemic ibuprofen (20 mg/kg), and the pharmacokinetics of ibuprofen was found to be stereoselective. Mean Cmax, AUC, apparent CL/F, and Varea/F of S-ibuprofen were significantly different from those of R-ibuprofen. The enantiomeric ratio of plasma AUC (S:R = 2.09:1) and of free and conjugated ibuprofen in urine (S:R = 13.9:1) of children with cystic fibrosis was not different from reported values for healthy children and adults. No significant gender difference was observed for any of the pharmacokinetic parameters determined. However, there was an inverse linear relationship between the CL/F of R-ibuprofen and age in children with cystic fibrosis. Apparent CL/F was higher in children with cystic fibrosis than previously reported for healthy children; therefore, higher doses of ibuprofen would be necessary for children with cystic fibrosis.

journal_name

J Clin Pharmacol

authors

Dong JQ,Ni L,Scott CS,Retsch-Bogart GZ,Smith PC

doi

10.1177/00912700022009594

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

861-8

issue

8

eissn

0091-2700

issn

1552-4604

journal_volume

40

pub_type

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