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Effect of Allopurinol on the Pharmacokinetics of 6Mercaptopurine in Rabbits1

1. 2. 3. 4. Lambros Tterlikkis2, James L. Day, Donald A. Brown, and Edward C. Schroeder3

+ Author Affiliations 1. School of Pharmacy, Florida A & M University, Tallahassee, Florida 32307 + Author Notes

3 Present address: School of Veterinary Medicine, University of Tennessee, Knoxville, Tenn.

Abstract

The effect of allopurinol on the pharmacokinetics of 6mercaptopurine (6MP) was studied in rabbits. 6MP alone and in combination with allopurinol was administered i.v. at two dosage levels (2.5 and 20 mg/kg). The plasma concentrations of 6MP and its major metabolite,

6-thiouric acid, were assayed by high-performance liquid chromatography. Plasma levels of 6MP decay biexponentially. The influence of allopurinol on the pharmacokinetic parameters of 6MP was as follows: (a) a 2-fold increase in the halflife and area under the concentration-time curve; (b) a 2-fold decrease in the total body clearance; and (c) an approximate 3-fold decrease in elimination rate constant. The influence of allopurinol on the pharmacokinetic

parameters of 6-thiouric acid was negligible. The results suggest that allopurinol serves to increase the plasma level of 6MP by inhibiting its catabolism and thus contributing to a greater availability of 6MP to the tissues.

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