N. Kurosawa et al., ABSORPTION AND 1ST-PASS-EFFECT OF SALBUTA MOL AFTER INTRADUODENAL ANDINTRARECTAL ADMINISTRATION IN RABBITS, Yakugaku zasshi, 113(10), 1993, pp. 698-704
To understand the previous result of higher bioavailability of rectal
salbutamol (SB) compared with oral SB, in situ experiments using rabbi
t duodenal and rectal loop were carried out. After the intravenous (i.
v.) and intraportal (i.p.) dosing of SB, fraction of dose which avoids
the hepatic first-pass-effect (Fh) was calculated from the areas unde
r the blood concentration-time curve (AUC). The Fh was about 10% and u
nchanged significantly with increasing i.p. dose (5-20 mg). Intraduode
nal (i.d.) or intrarectal (i.r.) dosing of SB was made after the i.v.
and i.p. dosing, and the AUC's and the residual amount in the loop wer
e obtained to estimate the parameters. The results of the i.d. and i.r
. dosing were as follows; for the extent of bioavailability (EBA), 7.7
+/-1.5% and 14.5+/-2.3%, for the fraction of dose absorbed (fa), 93.9/-3.7% and 33.8+/-3.3%, and for the fraction of absorbed SB which avoi
ds first-pass-effects (F), 8.4+/-1.9% and 43.0+/-6.0% (mean+/-S. E., n
=4). Consequently, SB dosed i.d. was absorbed completely, and received
first-pass-metabolism in the mucosa (about 20%) and then in the liver
(about 90%), which caused the low bioavailability. While, in i.r. dos
ing, SB absorption was poor. However, higher bioavailability was obtai
ned owing to about 40% of rectal venous blood flow which bypasses the
liver and negligible first-pass-metabolism in the mucosa (about 4%).