Digoxin-quinidine interaction. Pharmacokinetic evaluation

W. D. Hager, Paul E Fenster, Michael Mayersohn, D. Perrier, P. Graves, F. I. Marcus, Steven Goldman

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Abstract

Several recent reports have shown that plasma concentrations of digoxin increase when quinidine is administered along with digoxin; the present study was designed to explore the pharmacokinetics of this digoxin-quinidine interaction in six subjects. The elimination half-life of digoxin, although variable, did not change appreciably (42 vs. 44 hours) when quinidine was administered. Other pharmacokinetic values were substantially reduced in the presence of quinidine: total body clearance (from 3.08 to 1.96 ml per minute per kilogram), renal clearance (from 1.64 to 1.09 ml per minute per kilogram) and volume of distribution (from 10.87 to 7.35 liters per kilogram). The results may be explained by the displacement of digoxin from binding sites in tissue by quinidine, causing a rise in the plasma concentration of digoxin. The reduction in renal clearance of digoxin may result also from inhibition of renal secretion of digoxin by quinidine.

Original languageEnglish (US)
Pages (from-to)1238-1241
Number of pages4
JournalNew England Journal of Medicine
Volume300
Issue number22
StatePublished - 1979

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Quinidine
Digoxin
Pharmacokinetics
Kidney
Half-Life
Binding Sites

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Digoxin-quinidine interaction. Pharmacokinetic evaluation. / Hager, W. D.; Fenster, Paul E; Mayersohn, Michael; Perrier, D.; Graves, P.; Marcus, F. I.; Goldman, Steven.

In: New England Journal of Medicine, Vol. 300, No. 22, 1979, p. 1238-1241.

Research output: Contribution to journalArticle

Hager, WD, Fenster, PE, Mayersohn, M, Perrier, D, Graves, P, Marcus, FI & Goldman, S 1979, 'Digoxin-quinidine interaction. Pharmacokinetic evaluation', New England Journal of Medicine, vol. 300, no. 22, pp. 1238-1241.
Hager, W. D. ; Fenster, Paul E ; Mayersohn, Michael ; Perrier, D. ; Graves, P. ; Marcus, F. I. ; Goldman, Steven. / Digoxin-quinidine interaction. Pharmacokinetic evaluation. In: New England Journal of Medicine. 1979 ; Vol. 300, No. 22. pp. 1238-1241.
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