Effects of Sho-saiko-to on the pharmacokinetics and pharmacodynamics of tolbutamide in rats

J Pharm Pharmacol. 1998 Feb;50(2):231-6. doi: 10.1111/j.2042-7158.1998.tb06181.x.

Abstract

Although Sho-saiko-to (Xiao Chai Hu Tang), a major Chinese traditional medicine, is frequently prescribed with other synthetic or biotechnological drugs for the treatment of various chronic diseases, there is a dearth of information about interactions between sho-saiko-to and co-administered drugs. This paper reports the effects of Sho-saiko-to on the pharmacokinetics and glucose responses of a sulphonylurea hypoglycaemic agent, tolbutamide, after their oral administration in rats. After oral administration of tolbutamide (50 mg kg(-1)) with or without Sho-saiko-to extract powder (300 mg kg(-1)) to male Sprague-Dawley rats cannulated in the jugular vein, plasma tolbutamide and glucose levels were periodically measured. Co-administration of Sho-saiko-to tended to elevate the plasma tolbutamide concentration in the absorption phase. A two-compartment lag-time model was found to describe the plasma tolbutamide concentration-time data. The maximum concentration of tolbutamide was significantly increased and time to reach the maximum concentration was reduced to about 70% by co-administration with Sho-saiko-to. There was no significant change in area under the curve or in the elimination half-life of tolbutamide. The extent of the lowering effect of tolbutamide on plasma glucose levels was increased up to 0.75 h and decreased after 5 h after co-administration of Sho-saiko-to. In conclusion, these studies suggest that sho-saiko-to slightly hastens the gastrointestinal absorption of tolbutamide. Furthermore, it is considered that elevation of the gastrointestinal absorption rate by Sho-saiko-to might potentiate the hypoglycaemic effect of this sulphonylurea in the early period after oral administration.

MeSH terms

  • Administration, Oral
  • Animals
  • Blood Glucose / drug effects
  • Drug Interactions
  • Drugs, Chinese Herbal / pharmacology*
  • Hypoglycemic Agents / pharmacokinetics*
  • Hypoglycemic Agents / pharmacology*
  • Hypolipidemic Agents / pharmacology*
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Tolbutamide / pharmacokinetics*
  • Tolbutamide / pharmacology*

Substances

  • Blood Glucose
  • Drugs, Chinese Herbal
  • Hypoglycemic Agents
  • Hypolipidemic Agents
  • saiko-keishi-to
  • Tolbutamide