Urinary excretion of phenobarbitone and its metabolites in chronically treated patients

Eur J Clin Pharmacol. 1994;46(5):473-5. doi: 10.1007/BF00191914.

Abstract

The elimination of phenobarbitone (PB) was studied in 14 chronically treated epileptic patients under steady state conditions. PB, [S]-PB-N-glucoside ([S]-PB-N-G) and p-hydroxy-PB (p-OH-PB) were assayed in urine by a HPLC method. Some 57% of the daily dose was recovered in urine, 14% as [S]-PB-N-G, 16% as p-OH-PB (conjugated plus non-conjugated) and 27% as unaltered PB. Thus PB-N-G formation contributed significantly to the elimination of PB during long-term administration of the drug, and there was reason to suspect that some of the PB-N-G formed may have already been degraded to untraced products before excretion from the body.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biotransformation
  • Chromatography, High Pressure Liquid
  • Epilepsy / drug therapy
  • Epilepsy / urine*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Phenobarbital / analogs & derivatives
  • Phenobarbital / pharmacokinetics
  • Phenobarbital / therapeutic use
  • Phenobarbital / urine*

Substances

  • phenobarbital-N-glucoside
  • Phenobarbital