Biopharmaceutical history [NCA / SHAM]

posted by Helmut Homepage – Vienna, Austria, 2009-12-04 13:35 (5616 d 15:38 ago) – Posting: # 4431
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Dear D. Labes!

The phrase 'the flatter is better' was used in the mid-1980s of the last century. For some drugs AEs were found to be correlated with fast absorption rates / high Cmax-values (the classical example is nifedipine). Some clinicians went so far to demand modified release formulations ('flatter' profile) for all drugs intended for long term use. Questionable developments following this concept were modified release formulations of drugs with long half-lives (example: amitriptyline). In the meantime it became evident that a 'one-size-fits-all-concept' is not suitable. There are drugs where a fast initial 'ramp' is necessary for the effect. Therefore the concept was abandoned and filed in the history section of biopharmaceutics.

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