1. [Comparison of serum concentrations of caffeine, 4-methylaminoantipyrine, sulfamethazine and debrisoquin following oral administration of these substances as a cocktail in type II diabetics before and after insulin therapy].
- Author
-
Lautenschlager MT, Viktor S, Müller UA, and Hoffmann A
- Subjects
- Adult, Aged, Anti-Infective Agents administration & dosage, Anti-Infective Agents pharmacokinetics, Caffeine administration & dosage, Caffeine pharmacokinetics, Central Nervous System Stimulants administration & dosage, Central Nervous System Stimulants pharmacokinetics, Debrisoquin administration & dosage, Debrisoquin pharmacokinetics, Diabetes Mellitus, Type 2 drug therapy, Dipyrone administration & dosage, Dipyrone analogs & derivatives, Dipyrone pharmacokinetics, Drug Combinations, Female, Humans, Male, Middle Aged, Sulfamethazine administration & dosage, Sulfamethazine pharmacokinetics, Sympatholytics administration & dosage, Sympatholytics pharmacokinetics, Cytochrome P-450 Enzyme System metabolism, Diabetes Mellitus, Type 2 metabolism, Hypoglycemic Agents therapeutic use, Insulin therapeutic use, Isoenzymes metabolism, Pyrazolones
- Abstract
A cocktail of 4 substances (caffeine/CYP1A/CYP1A2, metamizol/CYP2B, debrisoquin/CYP2D6 and sulfamethazine/N-acetyltransferase) was administered to 15 maturity-onset diabetics before and 6 months after insulin therapy (IT) to examine changes in hepatic biotransformation capacity in humans under pathological conditions. Blood and urine samples were taken 6 h after oral administration of the drugs. There were no differences in acetylation- and hydroxylationsphenotyping before or during IT. However, a significant increase in concentration of free sulfamethazine during IT can be interpreted as induction of N-acetyltransferase by poor metabolic control. Comparison of caffeine-concentration showed no significant differences. Obviously in humans CYP1A2 is not influenced by type-II-diabetes mellitus. Concentration of 4-methyl-antityprine (4-MAA), a metabolite of metamizol, was significantly increased during IT. This results shows a possible induction of CYP2B by poor metabolic control.
- Published
- 1996