Pravastatin is a 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhib
itor that reduces plasma cholesterol levels. Some analytical methods h
ave been described for determination of pravastatin levels in biologic
al fluids, but these methods are rather cumbersome and involve expensi
ve specialized equipment, usually not available in a clinical setting.
A new technique, reversed-phase high-performance liquid chromatograph
y (HPLC) with ultraviolet (UV) detection capability, has been develope
d for the analytical determination of pravastatin in plasma. Extractio
n and sample clean-up procedures are simple and rapid to execute, yet
yield chromatograms virtually free of interference from endogenous pla
sma constituents and other antihypercholesterolemic agents or drugs us
ually taken concomitantly with pravastatin. Our detection limit for pr
avastatin was 2 ng/ml. Standard curves were linear between 5 and 200 n
g/ml, with a coefficient of variation (CV) of < 10% at the limits of q
uantitation. This method was used to study pravastatin plasma levels i
n two hypercholesterolemic heart-transplant recipients and two hyperch
olesterolemic nontransplanted patients. We conclude that the method re
ported here would be ideal for therapeutic pravastatin monitoring in p
atients.