The Effects of Frusemide and Probenecid on the Pharmacokinetics of Phenprocoumon
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We have studied the pharmacokinetics of phenprocoumon with and without co-administration of frusemide and probenecid in two groups of 17 healthy volunteers. Frusemide 40 mg b.i.d. for 7 days did not interact with phenprocoumon to a significant extent. Probenecid 500 mg q.i.d. for 7 days significantly accelerated the overall elimination of phenprocoumon, as indicated by a decrease in AUC from 295 to 157 micrograms.h.ml-1, and a reduction in the fraction of the dose excreted by the kidneys. The data are consistent with inhibition of the glucuronidation of phenprocoumon by probenecid. Its accelerated elimination may be a consequence of the increased formation of hydroxylated metabolites.
Macdonald J, Wallace S, Herman R, Verbeeck R Eur J Clin Pharmacol. 1995; 47(6):519-23.
PMID: 7768255 DOI: 10.1007/BF00193705.