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Rapid degradation of oseltamivir phosphate in clinical samples by plasma esterases.

Abstract
The anti-influenza drug oseltamivir is an ester prodrug activated by hepatic carboxylesterases. Plasma esterases also convert up to 31.8% of the parent compound to the active metabolite after 4 h ex vivo, with wide interindividual variation. This source of error is removed by adding the esterase inhibitor dichlorvos to blood collection tubes.
AuthorsNiklas Lindegardh, Geraint R Davies, Tinh Hien Tran, Jeremy Farrar, Pratap Singhasivanon, Nicholas P J Day, Nicholas J White
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 50 Issue 9 Pg. 3197-9 (Sep 2006) ISSN: 0066-4804 [Print] United States
PMID16940130 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Antiviral Agents
  • Organophosphates
  • Prodrugs
  • Oseltamivir
  • Esterases
Topics
  • Adult
  • Antiviral Agents (blood, pharmacokinetics)
  • Esterases (blood, metabolism)
  • Female
  • Humans
  • Male
  • Organophosphates (blood, pharmacokinetics)
  • Oseltamivir (blood, pharmacokinetics)
  • Prodrugs (pharmacokinetics)

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