H. Kamakura et M. Satake, PHARMACOKINETICS OF (-)-NOREPHEDRINE, (-NOREPHEDRINE AND (+() )-)-NOREPHEDRINE - PLASMA-CONCENTRATIONS, SERUM-PROTEIN BINDING AND URINARY EXCRETIONS/, Yakugaku zasshi, 118(4), 1998, pp. 143-149
The pharmacokinetics of norephedrine enantiomers were determined after
the independent i.v. administration of (+/-)-norephedrine (20 mg/kg),
(-)-norephedrine (10 mg/kg), and (+)-norephedrine (10 mg/kg) to rats.
Significant differences were observed in the pharmacokinetic paramete
rs of each enantiomer when the enantiomers were administered singly an
d as a racemate. For example, the values of total body clearance (Clto
t) and urinary excretion clearance (Clr) of (-)-norephedrine administe
red as a racemate were higher than those of the norephedrine enantiome
r administered singly. The areas under the curve of concentration vers
us time (AUC) of (-)-norephedrine administered as a racemate had a ten
dency to increase. While Cltot of (+)-norephedrine administered as a r
acemate showed a lower value and A UC showed a higher value. The value
of Clr of (+)-norephedrine administered as a racemate showed a tenden
cy to decrease. There was no difference in the in vitro serum protein
binding of (-)- and (+)-norephedrine. The data from this study reveal
that pharmacokinetic interactions exist between the norephedrine enant
iomers and also reveal that the serum protein binding is not concerned
with those interactions. The differences in the pharmacological effec
ts after the individual administration of (-)-norephedrine or (+)-nore
phedrine may be coused by the differences in their concentrations in t
he plasma.