Pharmacokinetics of talinolol is modified by barnidipine: implication of P-glycoprotein modulation

Pharmazie. 2017 Jan 10;72(1):29-34. doi: 10.1691/ph.2017.6786.

Abstract

Concomitant administration of P-glycoprotein substrates and inhibitors may cause pharmacokinetic drug interactions leading to increased concentrations associated with serious side effects and toxicities. Barnidipine is a longacting calcium-channel blocker and potent inhibitor of P-glycoprotein in vitro, and talinolol is a beta-blocker and probe substrate of P-glycoprotein. This study was designed to investigate the effects of single and repeated oral doses of barnidipine on talinolol pharmacokinetics in rats. In the single-dose study, talinolol (20 mg/kg) alone and with barnidipine at low (1 mg/kg) and high doses (10 mg/kg) were orally administered to rats. In the repeated-dose study, rats were treated with barnidipine (1 mg/kg/day) or vehicle only for four days, then with talinolol (20 mg/kg, on day 5). Blood samples were collected at 0.5, 1, 2, 4, 6 h following last dose and plasma talinolol levels were determined by HPLC. Compared to the control, Cmax of talinolol elevated 10% (p=0.79) and 110% (p<0.05); plasma AUC0-6h increased 33% (p=0.41) and 46% (p<0.05) following low and high single doses of barnidipine co-administration, respectively. In the repeated-dose study, Cmax and AUC0-6h of talinolol increased 131% (p<0.05) and 130% (p<0.05) respectively, following co-administration of a low barnidipine dose. Double-peaks were observed when single or repeated low doses of barnidipine were co-administered. There may be coupling between occurrence of double-peak phenomenon and P-glycoprotein inhibition. Increment of talinolol bioavailability upon low and high doses of barnidipine co-administration may be due to P-glycoprotein inhibition. The higher increase of talinolol plasma AUC0-6h due to the repeated doses of barnidipine may be explained by downregulation of P-glycoprotein.

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics*
  • ATP Binding Cassette Transporter, Subfamily B / metabolism
  • Adrenergic beta-Antagonists / pharmacokinetics*
  • Animals
  • Area Under Curve
  • Biological Availability
  • Calcium Channel Blockers / pharmacology*
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Nifedipine / analogs & derivatives*
  • Nifedipine / pharmacology
  • Propanolamines / pharmacokinetics*
  • Rats

Substances

  • ATP Binding Cassette Transporter, Subfamily B
  • Adrenergic beta-Antagonists
  • Calcium Channel Blockers
  • Propanolamines
  • mepirodipine
  • talinolol
  • Nifedipine