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Pharmacokinetic and Pharmacodynamic Interactions of Ethanol and Propofol in Rabbits

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Abstract

Propofol is a short-acting intravenous anesthetic which is rapidly metabolized by glucuronidation and ring hydroxylation catalyzed by cytochrome P450. In clinical trials, it was found that patients receiving both ethanol and propofol injection in the surgery awoke significantly earlier than those who were injected propofol alone. To investigate pharmacokinetic and pharmacodynamic interactions of propofol and ethanol, propofol was injected alone and in combination with ethanol to rabbits. Propofol was injected intravenously at a dose rate of 15 mg kg−1. Ethanol was injected intraperitoneally at a dose rate of 2.5 mg kg−1. An LC assay with native fluorescence detection was developed and validated for determining the concentration of propofol in rabbit plasma and the effect of co-injected ethanol on the plasma pharmacokinetics of propofol in rabbits. Co-injection of ethanol decreased the maximum plasma concentration (C max) and area under the plasma concentration–time curve (AUC0–∞) of propofol by 53.28 and 53.42%, respectively, as compared to the control (P < 0.001). Concomitant ethanol also caused a 66.67% increase in plasma clearance (CL) (P < 0.001). These may partially explain the finding that co-injected ethanol reduced the anesthetic effect of propofol by introducing hepatic microsomal drug-metabolizing enzymes activity in rabbits.

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Acknowledgments

This study was supported by a grant from the National Natural Science Foundation of China (National Natural Science Foundation of China, Beijing, China. Grant No. 30972837).

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Authors and Affiliations

  1. Department of Pharmacy, Union Hospital, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China

    Xue-Jia Zhai, Zhou Shu, Dong-Sheng Chen & Yong-Ning Lu

  2. Department of Anesthesia, Union Hospital, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China

    Shi-Hai Zhang

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  1. Xue-Jia Zhai
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Correspondence to Yong-Ning Lu.

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Zhai, XJ., Shu, Z., Zhang, SH. et al. Pharmacokinetic and Pharmacodynamic Interactions of Ethanol and Propofol in Rabbits. Chroma 72, 981–985 (2010). https://doi.org/10.1365/s10337-010-1757-9

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