Effects of charcoal, sodium bicarbonate, and ammonium chloride on chlorpropamide kinetics.

Author: KärkkäinenS, NeuvonenP J

Paper Details 
Original Abstract of the Article :
The effects of activated charcoal, sodium bicarbonate, and ammonium chloride by mouth on chlorpropamide kinetics was studied in six healthy subjects. Activated charcoal, 50 gm, given immediately after 250 mg chlorpropamide reduced its absorption by 90%, but when given in repeated doses from 6 hr on ...See full text at original site
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引用元:
https://doi.org/10.1038/clpt.1983.50

データ提供:米国国立医学図書館(NLM)

Navigating the Complexities of Chlorpropamide Kinetics

This research explores the impact of various substances on the kinetics of chlorpropamide, a medication used to treat type 2 diabetes. The study investigates the effects of activated charcoal, sodium bicarbonate, and ammonium chloride on the absorption, elimination, and half-life of chlorpropamide in healthy individuals. The study found that activated charcoal significantly reduced the absorption of chlorpropamide when administered immediately after ingestion, but repeated doses did not alter the drug's half-life. Sodium bicarbonate shortened the half-life of chlorpropamide, while ammonium chloride prolonged it. The study also observed a strong correlation between urinary pH and the renal clearance of chlorpropamide, suggesting that urinary pH plays a significant role in the elimination of the drug. These findings provide valuable insights into the factors influencing chlorpropamide pharmacokinetics, offering important guidance for managing potential intoxications.

The Role of Urinary pH in Drug Elimination

The study reveals the crucial role of urinary pH in determining the elimination rate of chlorpropamide. By understanding this relationship, clinicians can adjust the drug's elimination rate through urine alkalinization or acidification, potentially mitigating the effects of overdose or intoxication. This knowledge allows for more effective management of chlorpropamide treatment.

Implications for Treatment and Management

This research suggests that the effectiveness of chlorpropamide therapy can be influenced by factors such as diet and urinary pH. Individuals taking chlorpropamide might benefit from adjusting their diet to optimize the drug's elimination and minimize the risk of complications. By considering the influence of urinary pH, healthcare professionals can tailor treatment strategies to optimize the efficacy of chlorpropamide while minimizing potential side effects.

Dr. Camel's Conclusion

Think of chlorpropamide like a camel caravan crossing the desert. The journey is long and arduous, and the caravan needs to be carefully managed. This research sheds light on the factors that can affect the caravan's progress, helping us to ensure a smooth and successful journey across the vast desert of drug metabolism.

Date :
  1. Date Completed 1983-04-15
  2. Date Revised 2019-05-11
Further Info :

Pubmed ID

6297841

DOI: Digital Object Identifier

10.1038/clpt.1983.50

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SNS
PICO Info
in preparation
Languages

English

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