Lack of a pharmacokinetic interaction between oral famciclovir and allopurinol in healthy volunteers

Eur J Clin Pharmacol. 1994;46(4):355-9. doi: 10.1007/BF00194405.

Abstract

Famciclovir has been shown to have potent and selective activity against herpesviruses. The possibility of a pharmacokinetic interaction between the anti-viral agent, famciclovir and allopurinol has been investigated in twelve healthy male volunteers following a single oral dose of famciclovir (500 mg) in the presence and absence of steady-state levels of allopurinol (300 mg). Similarly, the pharmacokinetic profiles of allopurinol and oxypurinol prior to and following a single dose of famciclovir were compared. Mean values of Cmax, AUC and terminal-phase half-life for penciclovir following administration of famciclovir alone at 3.3 micrograms.ml-1, 8.8 micrograms.h.ml-1 and 2.1 h, respectively were unchanged by co-administration of allopurinol. Similarly, mean urinary recovery and renal clearance values of penciclovir following famciclovir alone were 56.8% and 27 l.h-1, and when given with allopurinol 59.7% and 27.5 l.h-1, respectively. No evidence of accumulation of the inactive precursor to penciclovir, BRL 42359, was noted as a result of co-administration of the two drugs. Mean steady-state Cmax, AUC and terminal-phase half-life values for allopurinol after co-administration of allopurinol with famciclovir also appeared unchanged from values obtained after dosing of allopurinol alone, at 2.12 micrograms.ml-1, 5.73 micrograms.h.ml-1 and 1.38 h, respectively. Mean Cmax and AUC values of the active metabolite of allopurinol, oxypurinol were 11.2 micrograms.ml-1 and 96.0 micrograms.h.ml-1, respectively, and these were also unaltered by co-administration of famciclovir with allopurinol, with values of 10.6 micrograms/ml and 89.8 micrograms.h/ml, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Comparative Study

MeSH terms

  • 2-Aminopurine / administration & dosage
  • 2-Aminopurine / analogs & derivatives*
  • 2-Aminopurine / pharmacokinetics
  • Acyclovir / administration & dosage
  • Acyclovir / analogs & derivatives
  • Acyclovir / pharmacokinetics
  • Administration, Oral
  • Adult
  • Allopurinol / administration & dosage
  • Allopurinol / pharmacokinetics*
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / pharmacokinetics*
  • Drug Interactions
  • Famciclovir
  • Guanine
  • Half-Life
  • Humans
  • Male
  • Middle Aged
  • Oxypurinol / administration & dosage
  • Oxypurinol / pharmacokinetics

Substances

  • Antiviral Agents
  • penciclovir
  • 2-Aminopurine
  • Guanine
  • Allopurinol
  • Oxypurinol
  • Famciclovir
  • Acyclovir