3.2 Effects of DXM on the pharmacokinetics of ATV and its metabolites in rats
After a single oral dose of ATV with or without DXM, the plasma concentrations of ATV, o- ATV, and p- ATV at each time point were determined, as presented in Figure 2. Meanwhile, the pharmacokinetic parameters of ATV, o- ATV, and p- ATV are presented in Table 6. Herein, DXM increased the plasma exposure of ATV substantially. Compared with ATV alone, the Cmax (peak plasma concentration) of ATV was increased by 0.388 times with DXM, and the AUC(0-t) and AUC(0-∞) were increased by 1.156 times (P < 0.05) and 1.550 times (P< 0.05), respectively. Moreover, the AUC(0-t)and AUC(0-∞) values of the two active metaboliteso- ATV and p- ATV were increased with DXM, although there were no statistical differences found in the Cmaxvalues, which were only slightly increased by 0.313 times and 0.106 times, respectively. AUC(0-t) and AUC(0-∞) of o- ATV were increased by 1.320 times (P < 0.05) and 1.420 times (P < 0.05), respectively. Furthermore, the corresponding values for p- ATV were increased by 1.209 times (P < 0.05) and 1.676 times (P < 0.05), respectively. The tmax (time to peak plasma concentration) remained statistically unaltered by DXM, for atorvastatin and its active metabolites. DXM lengthened the t1⁄2 (elimination half-life) of ATV, o- ATV, and p- ATV by 1.304 times (P < 0.05), 1.196 times (P < 0.05), and 1.457 times (P < 0.05), respectively.