TABLE 1

Pharmacokinetic outcomes of loperamide and N-desmethylloperamide in 16 healthy volunteers administered loperamide (16 mg) with 240 ml of water or GFJ

Values denote the geometric mean (90% confidence intervals) unless indicated otherwise.

OutcomeWaterGFJGFJ/Water Ratio
Loperamide
Cmax (nM)6.5 (5.3–8.1)10 (8.2–13)1.58 (1.33–1.88)a
 AUC0-72h (nM · h)105 (87–126)180 (149–220)1.72 (1.58–1.87)a
 AUC0-inf (nM · h)118 (96–145)203 (165–250)1.73 (1.58–1.89)a
 Cl/F (l/h)285 (232–351)165 (134–203)0.57 (0.53–0.62)a
 Terminal t1/2 (h)23.3 (20.7–26.3)23.2 (20.8–26.0)1.04 (0.94–1.16)
Tmax (h) [median (range)]3.0 (0.5–12)5.0 (2.0–6.0)b
N-Desmethylloperamide
Cmax (nM)7.9 (6.7–9.2)7.7 (6.6–9.0)0.98 (0.83–1.15)
 AUC0-72h (nM · h)271 (253–290)290 (270–310)1.04 (0.99–1.10)
Tmax (h) [median (range)]5.5 (2.0–12)7.0 (4.0–26)b
Metabolite/parent AUC ratio
 (AUCm/AUCp)0-72h2.6 (2.2–3.1)1.6 (1.3–1.9)
  • AUCm, AUC of N-desmethylloperamide; AUCp, AUC of loperamide.

  • a Outside the predefined no-effect range (0.75–1.33).

  • b Not significant (P < 0.05, Wilcoxon signed-rank test).