The pharmacokinetics and activation of proguanil in man: consequences of variability in drug metabolism

Br J Clin Pharmacol. 1990 Oct;30(4):593-8. doi: 10.1111/j.1365-2125.1990.tb03818.x.

Abstract

1. Based on the ratio of drug to active metabolite excreted in urine approximately 3% of a healthy Caucasian population showed a reduced ability to convert proguanil to cycloguanil. 2. Pharmacokinetic analysis showed that this observation resulted from a reduced oral clearance of proguanil in these individuals (245, 534 and 552 ml min-1) compared with the rest of the population (858 +/- 482 ml min-1). 3. Peak plasma concentrations of active metabolite were significantly lower in these subjects (54.2, 26.8 and 51.7 ng ml-1) compared with the rest of the population (141 +/- 45.2 ng ml-1). 4. The observed variability may result from the polymorphic metabolism of proguanil in man.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biotransformation
  • Chromatography, High Pressure Liquid
  • Humans
  • Proguanil / blood
  • Proguanil / pharmacokinetics*
  • Proguanil / urine
  • Spectrophotometry, Ultraviolet
  • Triazines / blood
  • Triazines / urine

Substances

  • Triazines
  • cycloguanil
  • Proguanil