TABLE 4

Predicted bioavailability of carvedilol enantiomers in different populations

Simulated PopulationR-CarvedilolS-Carvedilol
FgFhfaFFgFhfaF
Healthy adults0.980.350.990.340.960.210.880.17
Extensive metabolizers0.990.350.990.340.960.200.890.17
Poor metabolizers1.000.650.990.640.980.340.890.30
Adults with heart failure0.970.190.740.140.920.110.550.05
Pediatrics with heart failurea0.980.420.990.410.960.270.930.23
  • F, bioavailability; fa, fraction of drug absorbed; Fg, fraction of drug escaping metabolism in the gut; Fh, fraction of drug escaping the hepatic metabolism.

  • a Simulation performed without reducing organ blood flows.