Comparative bioavaiability of four commercial quinidine sulfate tablets.

A comparative bioavailability study was performed using four commercially available, chemically equivalent brands of quinidine sulfate tablets. Two 200-mg tablets were administered to 11 different subjects following a completely randomized crossover design. Serum levels, urinary excretion data, and derived pharmacokinetic parameters were compared statistically. There were no statistical differences in the extent of quinidine absorption from the four brands of tablets as evidenced by the cumulative urinary excretion values and the areas under the serum level-time curves. Significant differences in the mean serum levels at 0.5 and 1 hr and differences in the peak times and absorption rate constants indicate that there was a difference in the absorption rate between Treatments A and D and C and D. A significant difference in the peak times also was noted for Treatments B and C. When mean disintegration times for the four tablet formulations were compared with their values for ka, tmax and mean serum levels at 0.5 and 1 hr, rank-order correlations were observed. A considerable degree of variability in quinidine elimination was noted, with half-life values ranging from 2.71 to 8.12 hr (mean half-life of 5.36 hr).

[1]  M. Scheinman,et al.  DISPOSITION KINETICS OF QUINIDINE , 1976, Clinical pharmacology and therapeutics.

[2]  John G. Wagner,et al.  Fundamentals of Clinical Pharmacokinetics , 1975 .

[3]  M. Bogaert,et al.  Serum Levels in Evaluating Antidysrhythmic Therapy , 1974 .

[4]  D. Lowenthal,et al.  Quinidine elimination in patients with congestive heart failure or poor renal function. , 1974, The New England journal of medicine.

[5]  W. J. Westlake,et al.  Use of statistical methods in evaluation of in vivo performance of dosage forms. , 1973, Journal of pharmaceutical sciences.

[6]  S. Riegelman Physiological and pharmacokinetic complexities in bioavailability testing. , 1972, Pharmacology.

[7]  John G. Wagner,et al.  Biopharmaceutics and Relevant Pharmacokinetics , 1971 .

[8]  D. Huntsberger,et al.  Statistical inference in the biomedical sciences , 1970 .

[9]  E. Ditlefsen,et al.  Quinidine concentrations in serum following two different types of delayed-absorption tablets. , 2009, Acta medica Scandinavica.

[10]  N. M. Downie,et al.  Basic Statistical Methods , 1966 .

[11]  A. F. Lyon,et al.  Antiarrhythmic drugs. Part III. Quinidine toxicity , 1965 .

[12]  A. F. Lyon,et al.  Antiarrhythmic drugs. Part II. Clinical use of quinidine , 1965 .

[13]  W. M. Goldberg,et al.  THE RELATIONSHIP OF DOSAGE SCHEDULE TO THE BLOOD LEVEL OF QUINIDINE, USING ALL AVAILABLE QUINIDINE PREPARATIONS. , 1964, Canadian Medical Association journal.

[14]  H. Conn,et al.  SOME CELLULAR AND METABOLIC CONSIDERATIONS RELATING TO THE ACTION OF QUINIDINE AS A PROTOTYPE ANTIARRHYTHMIC AGENT. , 1964, The American journal of medicine.

[15]  E. Varnauskas,et al.  A new quinidine preparation with sustained release. , 2009, Acta medica Scandinavica.

[16]  B. Isaksson,et al.  QUANTITATIVE DETERMINATION OF QUINIDINE IN PLASMA. , 1963, Scandinavian journal of clinical and laboratory investigation.

[17]  H. Gilmore,et al.  Study of a long-acting quinidine preparation: experience in normal subjects and in patients with myocardial abnormality. , 1957, A.M.A. archives of internal medicine.

[18]  J. Sampson,et al.  Studies of Plasma Quinidine Content: III. The Value of Delayed Absorptive Coated Tablets in Oral Quinidine Therapy , 1952, Circulation.

[19]  J. Sampson,et al.  Studies of Plasma Quinidine Content: II. Relation to Toxic Manifestations and Therapeutic Effect , 1950 .

[20]  A. J. Linenthal,et al.  Fluorometric measurement of plasma quinidine and its correlation with cardiac effects in man. , 1947, The Journal of clinical investigation.

[21]  C. A. Poindexter,et al.  Plasma concentrations on quinidine with particular reference to therapeutically effective levels in two cases of paroxysmal nodal tachycardia. , 1946, American heart journal.

[22]  R. Hatcher THE UNITED STATES PHARMACOPEIA. , 1908 .