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NSAID Pharmacokinetics
From Proteopedia
(Difference between revisions)
| Line 32: | Line 32: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! 22 |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
| Line 66: | Line 66: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! 90 |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
| Line 83: | Line 83: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! 90 |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
| Line 100: | Line 100: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! 2-4 |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
| Line 122: | Line 122: | ||
! Diclofenac (Voltaren) | ! Diclofenac (Voltaren) | ||
|- | |- | ||
| - | ! [[Pharmacokinetics#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] COX-1 (nM) | + | ! [[Pharmacokinetics#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] COX-1 (nM) in Whole Blood |
| - | ! | + | ! Ibuprofen (Advil) |
| - | ! | + | ! Naproxen (Aleve) |
| - | + | ! 440 | |
| - | ! | + | ! 4400 |
| - | ! | + | ! 25400 |
| + | ! 140 | ||
| + | ! 1900 | ||
! 15000 | ! 15000 | ||
| - | ! | + | ! 2900 |
| - | ! | + | ! 278000 |
| - | ! | + | ! 42000 |
| - | ! | + | ! 1900 |
| - | ! | + | ! 110 |
| - | ! | + | ! 63000 |
| - | ! | + | ! 140 |
| - | + | ||
| - | + | ||
|- | |- | ||
| - | ! [[Pharmacokinetics#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] COX-2 (nM) | + | ! [[Pharmacokinetics#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] COX-2 (nM) in Whole Blood |
| - | ! | + | ! Ibuprofen (Advil) |
| - | ! | + | ! Naproxen (Aleve) |
| - | + | ! 6420 | |
| - | ! | + | ! 13900 |
| - | ! | + | ! 329 |
| - | ! | + | ! 50 |
| - | ! | + | ! 55000 |
| - | ! | + | ! 37000 |
| - | ! | + | ! 930 |
| - | ! | + | ! 187000 |
| - | ! | + | ! 11000 |
| - | ! | + | ! 160 |
| - | ! | + | ! 60 |
| - | ! | + | ! 840 |
| - | ! | + | ! 50 |
|- | |- | ||
! [[Pharmacokinetics#Clearance_.28Cl.29|Clearance]] (L/h) | ! [[Pharmacokinetics#Clearance_.28Cl.29|Clearance]] (L/h) | ||
| Line 168: | Line 168: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! 21.23 |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
| Line 185: | Line 185: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! 500 |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
| Line 202: | Line 202: | ||
! Nabumetone (Relafen) | ! Nabumetone (Relafen) | ||
! Acetaminophen (Paracetamol) | ! Acetaminophen (Paracetamol) | ||
| - | ! | + | ! Hepatic (CYP2C9) |
! Ketorolac (Toradol) | ! Ketorolac (Toradol) | ||
! Rofecoxib (Vioxx) | ! Rofecoxib (Vioxx) | ||
Revision as of 16:36, 11 December 2010
| Cyclooxygenase Inhibitor Pharmacokinetics | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Parameter | Ibuprofen (Advil) | Naproxen (Aleve) | Flurbiprofen (Ansaid) | Acetylsalicylic Acid (Aspirin) | Valdecoxib (Bextra) | Celecoxib (Celebrex) | Sulindac (Clinoril) | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | Mefenamic Acid (Ponstel) | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| Tmax (hr) | 1.3 | .92 | 2.3 | Acetylsalicylic Acid (Aspirin) | 2.9 | 2.8 | 3.4 | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | 22 | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| Cmax (ng/ml) | 16200 | 47100 | 19670 | Acetylsalicylic Acid (Aspirin) | 340 | 705 | Sulindac (Clinoril) | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | Mefanamic Acid (Ponstel) | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| Bioavailability (%) | 49-73 | 95 | 96 | 99 | 83 | Celecoxib (Celebrex) | Sulindac (Clinoril) | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | 90 | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| Protein Binding (%) | 99 | 99 | 99 | 99 | 98 | 97 | Sulindac (Clinoril) | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | 90 | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| T1/2 (hr) | 2.4 | 18.7 | 4.77 | Acetylsalicylic Acid (Aspirin) | 8-11 | 11.2 | 7.8 | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | 2-4 | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| AUC (ng/ml/hr) | 67400 | 777400 | 124320 | Acetylsalicylic Acid (Aspirin) | 7548 | 6930 | Sulindac (Clinoril) | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | Mefanamic Acid (Ponstel) | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| IC50 COX-1 (nM) in Whole Blood | Ibuprofen (Advil) | Naproxen (Aleve) | 440 | 4400 | 25400 | 140 | 1900 | 15000 | 2900 | 278000 | 42000 | 1900 | 110 | 63000 | 140 |
| IC50 COX-2 (nM) in Whole Blood | Ibuprofen (Advil) | Naproxen (Aleve) | 6420 | 13900 | 329 | 50 | 55000 | 37000 | 930 | 187000 | 11000 | 160 | 60 | 840 | 50 |
| Clearance (L/h) | 3.4 | Naproxen (Aleve) | Flurbiprofen (Ansaid) | Acetylsalicylic Acid (Aspirin) | 6 | 27.7 | 4.1 | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | 21.23 | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| Dosage (mg) | 400 | 200 | 150 | Acetylsalicylic Acid (Aspirin) | 20 | 200 | 200 | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | 500 | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
| Metabolism | Hepatic (CYP2C9) | Hepatic (CYP2C9) | Hepatic (CYP2C9) | Acetylsalicylic Acid (Aspirin) | Hepatic (CYP3A4 & CYP2C9) | Hepatic (CYP2C9) | Sulindac (Clinoril) | Oxaprozin (Daypro) | Piroxicam (Feldene) | Nabumetone (Relafen) | Acetaminophen (Paracetamol) | Hepatic (CYP2C9) | Ketorolac (Toradol) | Rofecoxib (Vioxx) | Diclofenac (Voltaren) |
For references, see: References
