La maladie de Parkinson en France (serveur d'exploration)

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Lack of pharmacokinetic interaction between ropinirole and theophylline in patients with Parkinson's disease.

Identifieur interne : 001276 ( PubMed/Checkpoint ); précédent : 001275; suivant : 001277

Lack of pharmacokinetic interaction between ropinirole and theophylline in patients with Parkinson's disease.

Auteurs : C. Thalamas [France] ; A. Taylor ; C. Brefel-Courbon ; S. Eagle ; K. Fitzpatrick ; O. Rascol

Source :

RBID : pubmed:10424323

English descriptors

Abstract

Ropinirole and theophylline have the potential to interact, because they use the same hepatic cytochrome P450 (CYP1A2) as their major metabolic pathway. The present study investigated the effect of steady-state oral theophylline on the pharmacokinetics of ropinirole at steady state and the effect of steady-state ropinirole on the pharmacokinetics of a single intravenous (i.v.) dose of theophylline, both in patients with idiopathic Parkinson's disease (PD).

PubMed: 10424323


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pubmed:10424323

Le document en format XML

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<name sortKey="Thalamas, C" sort="Thalamas, C" uniqKey="Thalamas C" first="C" last="Thalamas">C. Thalamas</name>
<affiliation wicri:level="3">
<nlm:affiliation>Clinical Investigation Centre, University Hospital-INSERM, Toulouse, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Clinical Investigation Centre, University Hospital-INSERM, Toulouse</wicri:regionArea>
<placeName>
<region type="region">Occitanie (région administrative)</region>
<region type="old region">Midi-Pyrénées</region>
<settlement type="city">Toulouse</settlement>
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</affiliation>
</author>
<author>
<name sortKey="Taylor, A" sort="Taylor, A" uniqKey="Taylor A" first="A" last="Taylor">A. Taylor</name>
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<author>
<name sortKey="Brefel Courbon, C" sort="Brefel Courbon, C" uniqKey="Brefel Courbon C" first="C" last="Brefel-Courbon">C. Brefel-Courbon</name>
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<author>
<name sortKey="Eagle, S" sort="Eagle, S" uniqKey="Eagle S" first="S" last="Eagle">S. Eagle</name>
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<name sortKey="Fitzpatrick, K" sort="Fitzpatrick, K" uniqKey="Fitzpatrick K" first="K" last="Fitzpatrick">K. Fitzpatrick</name>
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<name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name>
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<nlm:affiliation>Clinical Investigation Centre, University Hospital-INSERM, Toulouse, France.</nlm:affiliation>
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<name sortKey="Taylor, A" sort="Taylor, A" uniqKey="Taylor A" first="A" last="Taylor">A. Taylor</name>
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<name sortKey="Brefel Courbon, C" sort="Brefel Courbon, C" uniqKey="Brefel Courbon C" first="C" last="Brefel-Courbon">C. Brefel-Courbon</name>
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<name sortKey="Eagle, S" sort="Eagle, S" uniqKey="Eagle S" first="S" last="Eagle">S. Eagle</name>
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<name sortKey="Fitzpatrick, K" sort="Fitzpatrick, K" uniqKey="Fitzpatrick K" first="K" last="Fitzpatrick">K. Fitzpatrick</name>
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<name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name>
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<title level="j">European journal of clinical pharmacology</title>
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<term>Administration, Oral</term>
<term>Aged</term>
<term>Antiparkinson Agents (adverse effects)</term>
<term>Antiparkinson Agents (pharmacokinetics)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Cytochrome P-450 CYP1A2 (metabolism)</term>
<term>Dopamine Agonists (adverse effects)</term>
<term>Dopamine Agonists (pharmacokinetics)</term>
<term>Dopamine Agonists (therapeutic use)</term>
<term>Drug Interactions</term>
<term>Female</term>
<term>Humans</term>
<term>Indoles (adverse effects)</term>
<term>Indoles (pharmacokinetics)</term>
<term>Indoles (therapeutic use)</term>
<term>Injections, Intravenous</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Theophylline (adverse effects)</term>
<term>Theophylline (pharmacology)</term>
<term>Theophylline (therapeutic use)</term>
<term>Vasodilator Agents (adverse effects)</term>
<term>Vasodilator Agents (pharmacology)</term>
<term>Vasodilator Agents (therapeutic use)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Antiparkinson Agents</term>
<term>Dopamine Agonists</term>
<term>Indoles</term>
<term>Theophylline</term>
<term>Vasodilator Agents</term>
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<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Cytochrome P-450 CYP1A2</term>
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<keywords scheme="MESH" type="chemical" qualifier="pharmacokinetics" xml:lang="en">
<term>Antiparkinson Agents</term>
<term>Dopamine Agonists</term>
<term>Indoles</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en">
<term>Theophylline</term>
<term>Vasodilator Agents</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antiparkinson Agents</term>
<term>Dopamine Agonists</term>
<term>Indoles</term>
<term>Theophylline</term>
<term>Vasodilator Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Administration, Oral</term>
<term>Aged</term>
<term>Drug Interactions</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intravenous</term>
<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">Ropinirole and theophylline have the potential to interact, because they use the same hepatic cytochrome P450 (CYP1A2) as their major metabolic pathway. The present study investigated the effect of steady-state oral theophylline on the pharmacokinetics of ropinirole at steady state and the effect of steady-state ropinirole on the pharmacokinetics of a single intravenous (i.v.) dose of theophylline, both in patients with idiopathic Parkinson's disease (PD).</div>
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<PMID Version="1">10424323</PMID>
<DateCreated>
<Year>1999</Year>
<Month>09</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted>
<Year>1999</Year>
<Month>09</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0031-6970</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>55</Volume>
<Issue>4</Issue>
<PubDate>
<Year>1999</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>European journal of clinical pharmacology</Title>
<ISOAbbreviation>Eur. J. Clin. Pharmacol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Lack of pharmacokinetic interaction between ropinirole and theophylline in patients with Parkinson's disease.</ArticleTitle>
<Pagination>
<MedlinePgn>299-303</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Ropinirole and theophylline have the potential to interact, because they use the same hepatic cytochrome P450 (CYP1A2) as their major metabolic pathway. The present study investigated the effect of steady-state oral theophylline on the pharmacokinetics of ropinirole at steady state and the effect of steady-state ropinirole on the pharmacokinetics of a single intravenous (i.v.) dose of theophylline, both in patients with idiopathic Parkinson's disease (PD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Pharmacokinetic parameters (AUC and Cmax) for i.v. theophylline were compared before and after a 4-week period of oral treatment with ropinirole (2 mg t.i.d.) in 12 patients with PD. Patients were then maintained at this dose of ropinirole, and oral theophylline was co-administered at doses of up to 300 mg b.i.d. The parameters AUC, Cmax and tmax for ropinirole were compared before, during and after oral theophylline co-treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Co-administration of ropinirole did not significantly change the pharmacokinetics of i.v. theophylline (mean AUC with and without ropinirole: 68.6 micog x h(-1) x ml(-1) and 70.0 microg x h(-1) x ml(-1), respectively: mean Cmax with and without ropinirole: 11.07 microg x ml(-1) and 11.83 microg x ml(-1), respectively). Similarly, there were no significant changes in ropinirole pharmacokinetics when the drug was co-administered with oral theophylline (mean AUC for ropinirole with and without theophylline: 21.91 ng x h(-1) x ml(-1) and 22.09 ng x h(-1) x ml(-1), respectively; mean Cmax for ropinirole with and without theophylline: 5.65 ng x ml(-1) and 5.54 ng x ml(-1), respectively; median tmax for ropinirole with and without theophylline: 2.0 h and 1.5 h, respectively).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results suggest a lack of significant pharmacokinetic interaction between the two drugs at current therapeutic doses.</AbstractText>
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<DescriptorName UI="D000978" MajorTopicYN="N">Antiparkinson Agents</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
<QualifierName UI="Q000493" MajorTopicYN="Y">pharmacokinetics</QualifierName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
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<DescriptorName UI="D013806" MajorTopicYN="N">Theophylline</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
<QualifierName UI="Q000494" MajorTopicYN="Y">pharmacology</QualifierName>
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<QualifierName UI="Q000494" MajorTopicYN="Y">pharmacology</QualifierName>
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