Interindividual Variations of Desmethylation and Hydroxylation of Amitriptyline in a Japanese Psychiatric Population

Autor: Yuji Ozeki, Morikazu Shibasaki, Toshifumi Noguchi, Toshiyuki Someya, Sachiyo Morita, Kazutaka Shimoda, Saburo Takahashi
Rok vydání: 1995
Předmět:
Zdroj: Journal of Clinical Psychopharmacology. 15:175-181
ISSN: 0271-0749
DOI: 10.1097/00004714-199506000-00005
Popis: We measured the concentrations in plasma of amitriptyline and its metabolites, nortriptyline and geometric isomers of 10-hydroxynortriptyline and 10-hydroxyamitriptyline, in 73 Japanese psychiatric patients receiving amitriptyline hydrochloride (Tryptanol; Banyu Pharmaceutical Co. Ltd., Tokyo, Japan) by high-performance liquid chromatography. Although there were large interindividual variations of total drug concentrations and concentrations of parent or intermediate metabolic compounds in plasma, significant positive correlations were observed between these drug concentrations and daily doses of amitriptyline hydrochloride (milligrams per kilogram of body weight). The metabolic ratios for both hydroxylation and desmethylation varied substantially with approximately 8- to 19-fold interindividual variations. Frequency distribution histograms and probit analyses of these parameters identified neither definite poor hydroxylators nor poor desmethylators of amitriptyline.
Databáze: OpenAIRE