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Pharmacokinetics of an Immediate-Release Oral Formulation of Fampridine (4-Aminopyridine) in Normal Subjects and Patients with Spinal Cord Injury

Plasma concentration profiles of the K+ channel‐blocking compound Fampridine were obtained from (1) control subjects (n = 6) following oral administration of doses of 10, 15, 20, and 25 mg and (2) patients with spinal cord injury (SCI) (n = 11) following a single oral dose of 10 mg of an immediate‐r...

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Published in:Journal of clinical pharmacology 2003-04, Vol.43 (4), p.379-385
Main Authors: Hayes, K. C., Katz, M. A., Devane, J. G., Hsieh, J. T. C., Wolfe, D. L., Potter, P. J., Blight, A. R.
Format: Article
Language:English
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Summary:Plasma concentration profiles of the K+ channel‐blocking compound Fampridine were obtained from (1) control subjects (n = 6) following oral administration of doses of 10, 15, 20, and 25 mg and (2) patients with spinal cord injury (SCI) (n = 11) following a single oral dose of 10 mg of an immediate‐release formulation. Plasma concentrations were determined using a reversed‐phase ion‐pair high‐performance liquid chromatography (HPLC) assay with ultraviolet light detection employing liquid extraction. The drug was rapidly absorbed with a tmax ∼1 hour for both groups; tmax was independent of dose. Cmax and AUC0‐∞ were linearly related to dose, and t1/2 was 3 to 4 hours for both groups. There were no obvious differences in the (10‐mg) plasma concentration profiles between control subjects and SCI patients. The drug was well tolerated, with only mild and transient side effects of light‐headedness, dysesthesias, and dizziness.
ISSN:0091-2700
1552-4604
DOI:10.1177/0091270003251388