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Lookup NU author(s): Dr Zelal Kharaba
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Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.BACKGROUND: Metoclopramide is mainly metabolized by CYP2D6, CYP3A4, CYP2C19, and CYP1A2 enzymes, while cilostazol is also metabolized by CYP3A4, CYP2C19, and CYP1A2 enzymes. AIM: This study evaluates the effect of cilostazol on the pharmacokinetics of oral metoclopramide. METHODS: This was a randomized, two-phase cross-over pharmacokinetic study separated by a 4-week wash-out time period, 12 healthy non-smoking volunteers received metoclopramide 20 mg as a single oral dose and after 4 weeks, cilostazol 100 mg twice daily for 4 days then with metoclopramide 20 mg on test day. Serial blood samples were analyzed by using a validated high-performance liquid chromatography-ultraviolet method to determine maximum plasma drug concentration (Cmax), time to reach (Tmax), and area under the curve (AUC0-∞) of metoclopramide. RESULTS: Cilostazol increased the mean Cmax, AUC0-∞ and half-life (T1/2) of metoclopramide by 6%, 27% and by 0.79 %, respectively. In addition, Tmax of metoclopramide was delayed by cilostazol. CONCLUSION: The results showed delayed Tmax of metoclopramide by cilostazol, which could lead to the conclusion that cilostazol affects the absorption of metoclopramide. Both drugs when necessary to administer together must not be administered at the same time especially when given in gastroparesis patients.
Author(s): Kaukab I, Hussain Shah SN, Kharaba Z, Murtaza G, Saad AA, Ahmad S
Publication type: Article
Publication status: Published
Journal: Current Drug Metabolism
Year: 2019
Volume: 20
Issue: 11
Pages: 924-928
Online publication date: 01/09/2019
Acceptance date: 02/04/2019
ISSN (print): 1389-2002
ISSN (electronic): 1875-5453
Publisher: Bentham Science Publishers Ltd.
URL: https://doi.org/10.2174/1389200220666191105115805
DOI: 10.2174/1389200220666191105115805
PubMed id: 31702486
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