Clinical Evaluation of Acetaminophen–Galgeuntang Interaction Based on Population Approaches

Autor: Quyen Thi Tran, So Jung Park, Hyun-moon Back, Lien Thi Ngo, Duc Tuan Cao, Hung Van Nguyen, Sangkeun Jung, Jung-woo Chae, Yang Chun Park, Hwi-yeol Yun
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Pharmaceutics, Vol 12, Iss 12, p 1182 (2020)
Druh dokumentu: article
ISSN: 1999-4923
DOI: 10.3390/pharmaceutics12121182
Popis: Galgeuntang (GGT), a traditional herbal medicine, is widely co-administered with acetaminophen (AAP) for treatment of the common cold, but this combination has not been the subject of investigation. Therefore, we investigated the herb–drug interaction between GGT and AAP by population pharmacokinetics (PKs) modeling and simulation studies. To quantify PK parameters and identify drug interactions, an open label, three-treatment, three-period, one-sequence (AAP alone, GGT alone, and AAP and GGT in combination) clinical trial involving 12 male healthy volunteers was conducted. Ephedrine (EPD), the only GGT component detected, was identified using a one-compartment model. The PKs of AAP were described well by a one-compartment model and exhibited two-phase absorption (rapid followed by slow) and first-order elimination. The model showed that EPD significantly influenced the PKs of AAP. The simulation results showed that at an AAP dose of 1000 mg × 4 times daily, the area under the concentration versus time curve of AAP increased by 16.4% in the presence of GGT compared to AAP only. In conclusion, the PKs of AAP were affected by co-administration of GGT. Therefore, when AAP is combined with GGT, adverse effects related to overdose of AAP could be induced possibly.
Databáze: Directory of Open Access Journals
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