Effect of antacids and ranitidine on the single-dose pharmacokinetics of fosamprenavir

Antimicrob Agents Chemother. 2005 Jan;49(1):467-9. doi: 10.1128/AAC.49.1.467-469.2005.

Abstract

Single doses of MAALOX TC and ranitidine were administered separately with 1,400 mg of fosamprenavir (FPV). MAALOX TC decreased the area under the concentration-time curve from 0 to 24 h (AUC(0-24)) for plasma amprenavir (APV) by 18% and the maximum concentration of drug in serum (C(max)) by 35%; the plasma APV concentration at 12 h (C(12)) increased by 14%. Ranitidine at 300 mg decreased the AUC(0-24) for plasma APV by 30% and C(max) by 51%; C(12) was unchanged. FPV may be coadministered with antacids without concern and without separation in dosing; however, caution is recommended when FPV is coadministered with histamine(2)- receptor antagonists or proton pump inhibitors.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Aluminum Hydroxide / administration & dosage
  • Aluminum Hydroxide / pharmacology*
  • Antacids / administration & dosage
  • Antacids / pharmacology*
  • Anti-Ulcer Agents / administration & dosage
  • Anti-Ulcer Agents / pharmacology*
  • Area Under Curve
  • Carbamates
  • Drug Administration Schedule
  • Drug Combinations
  • Drug Interactions
  • Furans
  • HIV Protease Inhibitors / administration & dosage
  • HIV Protease Inhibitors / pharmacokinetics*
  • Humans
  • Magnesium Hydroxide / administration & dosage
  • Magnesium Hydroxide / pharmacology*
  • Organophosphates / administration & dosage
  • Organophosphates / pharmacokinetics*
  • Ranitidine / administration & dosage
  • Ranitidine / pharmacology*
  • Sulfonamides / administration & dosage
  • Sulfonamides / blood
  • Sulfonamides / pharmacokinetics*

Substances

  • Antacids
  • Anti-Ulcer Agents
  • Carbamates
  • Drug Combinations
  • Furans
  • HIV Protease Inhibitors
  • Organophosphates
  • Sulfonamides
  • aluminum hydroxide, magnesium hydroxide, drug combination
  • Aluminum Hydroxide
  • amprenavir
  • Ranitidine
  • Magnesium Hydroxide
  • fosamprenavir