Objective: the stereospecificity of mefloquine pharmacokinetics in children has been investigated. Patients: Twelve children aged 6 to 24 months were treated for uncomplicated falciparum malaria with a single oral dose of 25 mg · kg-1 racemic mefloquine in combination with sulfadoxine and pyrimethamine. Methods: concentrations of mefloquine enantiomers were determined using a coupled achiral-chiral chromatographic system. Pharmacokinetic parameters were calculated using model-independent analysis. Results: Maximum plasma concentrations, areas under the curve and apparent plasma elimination half-lives were higher for the (-) enantiomer than its antipode. In contrast, the apparent volume of distribution (V/f) and total clearance (Cl/f) values were higher for the (+) enantiomer. Conclusion: the stereoselectivity of mefloquine pharmacokinetics is similar to that observed in adults.
CITATION STYLE
Bourahla, A., Martin, C., Gimenez, F., Singhasivanon, V., Attanath, P., Sabchearon, A., … Farinotti, R. (1996). Stereoselective pharmacokinetics of mefloquine in young children. European Journal of Clinical Pharmacology, 50(3), 241–244. https://doi.org/10.1007/s002280050100
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