健常成人におけるgatifloxacinの体内動態に及ぼす鉄剤の併用, 並びに緑茶または牛乳による服薬の影響

  • 柴 孝也
    東京慈恵会医科大学内科学講座第三

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  • Effects of ferrous sulfate, green tea, and milk on the pharmacokinetics of gatifloxacin in healthy humans

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We investigated the effects of concomitant medication of 160 mg of ferrous sulfate (FeSO4), and drug intake with green tea or milk on the pharmacokinetics of 200 mg of gatifloxacin (GFLX) in six healthy male volunteers. The peak serum concentration of unchanged drug and the area under the serum concentration-time curve (AUC0-∞) decreased from 1.97 to 1.00 μg/mL and from 14.2 to 10.1 μg·h/mL, respectively, and the urinary excretion of GFLX over 48 h decreased from 80.8% to 65.2% of dose with FeSO4 On the other hand, these parameters were not changed with green tea and milk, except for the slight reduction of AUC0-∞ to 12.0 μg·h/mL with milk. These results indicated that concomitant medication of FeSO4 decreased the absorption of GFLX, but that intake with green tea and milk had little effect on the pharmacokinetics of GFLX in humans.

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