Effects of itraconazole, dexamethasone and naringin on the pharmacokinetics of nadolol in rats

Drug Metab Pharmacokinet. 2013;28(4):356-61. doi: 10.2133/dmpk.dmpk-12-rg-111. Epub 2013 Feb 19.

Abstract

The aim of the present study was to clarify the involvement of P-glycoprotein (P-gp) or organic anion transporting polypeptide (Oatp) 1a5 in the pharmacokinetics of nadolol (NDL), a non-metabolized hydrophilic β-adrenoceptor blocker, in rats. Pretreatment with itraconazole (ICZ, P-gp inhibitor, 50 mg/kg) for 30 min before oral administration of NDL (10 mg/kg) significantly increased the area under the plasma concentration-time curve (AUC₀₋∞)of NDL by 1.7-fold compared with control. Intragastric administration of dexamethasone (DEX, 8 mg/kg) for 4 consecutive days increased P-gp level in the intestine and the liver. In line with this, DEX pre-treatment decreased maximum plasma concentration (C(max)) of NDL by 28% of control. To inhibit the intestinal Oatp1a5, naringin (NRG, 0.145 mg/kg) was preadministered orally for 30 min before the oral administrations of NDL or celiprolol (CEL, 10 mg/kg, Oatp1a5 substrate). Although NRG markedly reduced C(max) and AUC₀₋∞ of CEL by 60% and 65% of control, respectively, little difference was observed in the plasma concentration of NDL between NRG and control. These results suggest that P-gp is greatly involved in the pharmacokinetics of NDL, while the involvement of Oatp1a5 in the pharmacokinetics of NDL may be less than that of celiprolol in rats.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / metabolism*
  • Adrenergic beta-Antagonists / pharmacokinetics
  • Animals
  • Celiprolol / pharmacokinetics
  • Dexamethasone / pharmacology*
  • Flavanones / pharmacology*
  • Intestinal Absorption / drug effects
  • Itraconazole / pharmacology*
  • Male
  • Nadolol / pharmacokinetics*
  • Organic Anion Transporters, Sodium-Independent / antagonists & inhibitors
  • Rats
  • Rats, Sprague-Dawley

Substances

  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Adrenergic beta-Antagonists
  • Flavanones
  • Organic Anion Transporters, Sodium-Independent
  • Slco1a1 protein, rat
  • Slco1a5 protein, rat
  • Itraconazole
  • Nadolol
  • Dexamethasone
  • Celiprolol
  • naringin