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DOI: 10.1055/s-0031-1296384
Comparative Bioavailability of Two Dexamethasone Tablet Formulations in Indonesian Healthy Volunteers
Publication History
Publication Date:
13 December 2011 (online)

Abstract
Aim:
To compare the bioavailability of two dexamethasone (CAS 50-02-2) tablet formulations–4 mg Dexmethsone® tablets as test formulation and 4 mg tablets of the originator product as reference formulation.
Methods:
The study was conducted according to an open-label, randomized two-way crossover design with a one-week washout period. Twenty-four volunteers received a single dose of two tablets of the two different dexamethasone formulations. Blood samples for pharmacokinetic profiling were taken up to 24 h after drug administration in fasting condition. Plasma concentrations of dexamethasone were determined with a validated HPLC method using an ultraviolet detector. Pharmacokinetic parameters were calculated from observed plasma concentration-time profiles.
Result:
The mean AUC0–t, AUC0–∞ and Cmax were 501.61 ng • h/ml, 518.88 ng • h/ml and 98.02 ng/ml, respectively for the test formulation and 507.10 ng • h/ml, 525.20 ng • h/ml and 97.82 ng/ml, respectively, for the reference formulation. The median Tmax for both formulations was 0.75 h. Plasma elimination half-lives (t1/2) were 3.44 h (test) and 3.38 h (reference). The point estimates and 90% confidence intervals (CI) for AUC0–t, AUC0–∞ and Cmax were 98.92% (94.62–103.41%), 98.80% (94.51–103.28%) and 100.20% (91.43–109.81%), respectively, satisfying the bioequivalence criteria of the European Committee for Proprietary Medicinal Products and the US Food and Drug Administration guidelines.
Conclusion:
These results indicate that the two formulations of dexamethasone are bioequivalent and thus may be prescribed interchangeably.
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References
- 1 Kim JH, Kim TW, Ryu MH, Chang HM, Lee SH, Lee JS. A randomized crossover study comparing ramosetron plus dexamethasone with ramosetron alone in the prevention of cisplatin-induced emesis. Clin Drug Invest. 2005; 25 (3) 191-7
- 2 Henzi I, Walder B, Tramer MR. Dexamethasone for the prevention of postoperative nausea and vomiting: a quantitative systematic review. Anaesth Analg. 2000; 90 (1) 186-94
- 3 Lopez-Olaondo L, Carrascosa F, Pueyo FJ, Monedero P, Busto N, Saez A. Combination of ondansetron and dexamethasone in the prophylaxis of postoperative nausea and vomiting. Br J Anaesth. 1996; 76: 835-40
- 4 Czock D, Keller F, Rasche FM, Haussler U. Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005; 44 (1) 61-98
- 5 CPMP Committee for Propietary Medicinal Products. Note for Guidance on The Investigation of Bioavailability and Bioequivalence (CPMP/EWP/QWP/1401/98). London: EMEA; 2001.
- 6 Kovarik JM, Purba HS, Pongowski M, Gerbeau C, Humbert H, Mueller EA. Pharmacokinetics of dexamethasone and valspodar, a p-glycoprotein (mdrl) modulator: implications for coadministration. Pharmacotherapy. 1998; 18 (6) 1230-6