Bioavailability of intramuscularly administered tenoxicam relative to
single oral and relative to intravenous doses was determined in two se
parate randomized crossover studies. Twelve healthy volunteers (12 mal
es, age 20-30 years) received a rapid intravenous injection and a sing
le intramuscular dose and 12 other subjects (11 males, 1 female, age 2
1-25 years) a single oral and a single intramuscular dose of 20 mg of
tenoxicam on two different occasions. The wash-out period between the
two consecutive treatments was 4 weeks. Plasma concentrations after do
sing were determined by a specific HPLC method. Differences in tenoxic
am concentration-time profiles after the different routes of administr
ation were limited to the first 2 h after dosing. Later, plasma concen
trations were almost superimposable within and across the two studies.
The extent of absorption of intramuscularly administered tenoxicam wa
s complete (mean+/-CV per cent: F(abs) 0.99+/-20 per cent) with no dif
ference between the two extravascular administrations (F(rel) 0.95+/-1
0 per cent, intramuscular vs oral). After intramuscular administration
tenoxicam was more rapidly absorbed compared to the oral dose (T(max)
0.71 h+/-80 per cent vs 1.4 h+/-62 per cent; p > 0.05). Peak concentr
ations after oral and intramuscular administration (C(max) 2.5 mg l-1/-19 per cent vs 2.7 mg l-1+/-14 percent; p < 0.05) were very similar.