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      Plasma concentrations and bioavailability of propranolol by oral, rectal, and intravenous administration in man.

      Biopharmaceutics & Drug Disposition
      Administration, Oral, Administration, Rectal, Adult, Biological Availability, Humans, Infusions, Intravenous, Kinetics, Male, Propranolol, administration & dosage, blood

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          Abstract

          Eight normal male volunteers received 80 mg doses of propranolol by the oral and rectal routes and 2.2 mg by intravenous administration in a crossover fashion. Plasma concentrations of propranolol were measured by a gas chromatographic method using an electron capture detector. Individual subject concentration-time data were analysed and results indicated that the data fit a two compartment model with first order absorption. An approximately two-fold higher plasma propranolol concentration was observed after rectal administration as compared with oral dosing. Statistical analysis of the difference in the total AUCs indicates a significantly higher bioavailability of propranolol administered by the rectal route. The reduced bioavailability after oral administration indicates a substantial first pass effect but that it is possible to bypass the liver, at least partially, by giving the drug rectally to man.

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