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Free Content Evidence for increased metabolism of chloroquine during the early third trimester of human pregnancy

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Abstract:

Summary Objective 

To examine the possibility of a different extent of chloroquine (CQ) metabolism in human pregnancy by determining blood level profiles of the drug and its major metabolite, desethylchloroquine (CQM). Methods 

Five women in the early third trimester of pregnancy and five non-pregnant women received each a single 600 mg oral dose of CQ and blood samples were collected at pre-determined intervals following drug administration. Plasma concentrations of CQ and CQM were analysed by an established HPLC method. Results 

The Cmax and AUC0--48 h of CQM were significantly higher in the pregnant than the non-pregnant group (P = 0.009). The ratio AUC(CQ)/AUC(CQM) ranged from 0.09 to 0.35 among pregnant women, and from 1.70 to 4.81 among non-pregnant women. Conclusion 

Results from this preliminary study indicate an occurrence of induction of metabolism of CQ in the early third trimester of pregnancy. In view of toxicological importance of CQ metabolites, it is suggested that caution should be exercised in evaluation of higher dosage regimen of CQ in pregnant women.

Keywords: chloroquine; human pregnancy; increased metabolism

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2004.01227.x

Affiliations: 1:  School of Pharmacy, College of Medicine, University of Lagos, Lagos, Nigeria 2:  Faculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Nigeria 3:  Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

Publication date: May 1, 2004

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