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      Simultaneous modelling of the Michaelis-Menten kinetics of paracetamol sulphation and glucuronidation.

      Clinical and Experimental Pharmacology & Physiology

      Acetaminophen, analogs & derivatives, blood, chemistry, metabolism, pharmacokinetics, therapeutic use, Adult, Chromatography, High Pressure Liquid, Cross-Over Studies, Cysteine, Dose-Response Relationship, Drug, Female, Humans, Male, Molecular Structure, Pain, drug therapy, Time, Young Adult

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          Abstract

          1. The aim of the present study was to perform an in vivo estimation of the Michaelis-Menten constants of the major metabolic pathways of paracetamol (APAP). 2. A two-occasion, single-dose cross-over trial was performed using 60 and 90 mg/kg doses of APAP in healthy patients undergoing third molar dental extraction. Plasma samples were collected over 24 h and urine was collected for 8 h after dosing. Twenty patients were enrolled in the study and complete data for plasma and urine were available for both doses for 13 volunteers who were included in the analysis; seven of the volunteers were men, the median age (range) was 22 years (19-31) and the median weight (range) was 68 kg (50-86). 3. The mean (95% CI) k(m) for APAP glucuronidation was 6.89 mmol/L (3.57-10.22) and the V(max) was 0.97 mmol/h per kg (0.65-1.28). The k(m) for APAP sulphation was 0.097 mmol/L (0.041-0.152) and the V(max) was 0.011 mmol/h per kg (0.009-0.013). For the combined excretion of APAP-cysteine and APAP-mercapturate, the k(m) was 0.303 mmol/L (0.131-0.475) and the V(max) was 0.004 mmol/h per kg (0.002-0.005). 4. The estimates for in vivo Michaelis-Menten constants for APAP glucuronidation and sulphation were in the order of those reported previously using in vitro methods.

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          Author and article information

          Journal
          18759860
          10.1111/j.1440-1681.2008.05029.x

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