Variability in zidovudine serum concentrations

Courtney V. Fletcher, Henry H. Balfour

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

This study explored the variability of zidovudine concentrations with computer simulations anti measured concentrations. A one-compartment oral absorption model was selected to characterize zidovudine disposition. Mean (± standard deviation) values for the pharmacokinetic parameters were taken from the literature. Five different Monte Carlo simulations (50 each) were performed of zidovudine concentrations following repetitive administration of 100-mg oral doses 6 times/day in patients weighing 45-85 kg. A sixth simulation considered a weight-adjusted regimen. Predicted concentrations were compared with those measured in 30 HIV-infected persons receiving 100 mg/dose. Predicted concentrations 1 hour after 100 mg was administered fell in the range of 0.52-5.18 μM; measured values in 30 patients were 0.54-3.07 μM. This study confirms substantial variability in zidovudine serum concentrations. The simulation study of a weight-adjusted regimen suggests one possibility to reduce this variability. These observations provide a basis to explore dosing strategies that control for pharmacokinetic and perhaps pharmacodynamic sources of interpatient variability.

Original languageEnglish (US)
Pages (from-to)1154-1158
Number of pages5
JournalPharmacotherapy
Volume16
Issue number6 I
StatePublished - Nov 1996

ASJC Scopus subject areas

  • Pharmacology (medical)

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