Skip to main content
Top
Published in: Clinical Drug Investigation 6/2003

01-06-2003 | Short Communication

Salivary Flow Rates and Pharmacokinetics in Healthy Japanese and Caucasian Volunteers Administered Oral Pilocarpine

A Comparative Study

Authors: Dr Richard Wasnich, Susan Gallagher, Stacy Stanek, John R. MacDonald, Guhan Balan, Yasuhiro Omori, Imao Mikoshiba

Published in: Clinical Drug Investigation | Issue 6/2003

Login to get access

Excerpt

Salivary insufficiency and the resultant xerostomia are consequences of tissue damage from radiotherapy used in the management of head and neck cancer[1,2]and from Sjögren’s syndrome, an autoimmune disease in which lymphocytic infiltrates destroy moisture-producing exocrine glands.[3]Consequences of xerostomia include oral discomfort, difficulty in eating and swallowing solid food and speaking without the additional aid of water, problems with phonation, and detrimental effects to the oral cavity, including dental caries and tooth loss as well as difficulty in wearing dentures. These events result in a significant decrease in quality of life and marked impairment in the activities of daily living for these patients. …
Footnotes
1
1 The use of tradenames is for product identification only and does not imply endorsement.
 
Literature
1.
go back to reference Horiot J-C, Lipinski F, Schraub S, et al. Post-radiation severe xerostomia relieved by pilocarpine: a prospective French cooperative study. Radiother Oncol 2000; 55: 233–9CrossRefPubMed Horiot J-C, Lipinski F, Schraub S, et al. Post-radiation severe xerostomia relieved by pilocarpine: a prospective French cooperative study. Radiother Oncol 2000; 55: 233–9CrossRefPubMed
2.
go back to reference Taylor SE, Al-Hashimi I. Pilocarpine, an old drug; a new formulation. Tex Dent J 1996 Oct; 113: 9–14PubMed Taylor SE, Al-Hashimi I. Pilocarpine, an old drug; a new formulation. Tex Dent J 1996 Oct; 113: 9–14PubMed
3.
go back to reference Fox RI, Stern M. Sjogren’s syndrome: mechanisms of pathogenesis involve interaction of immune and neurosecretory systems. Scand J Rheumatol 2002; 31 Suppl. 116: 3–13 Fox RI, Stern M. Sjogren’s syndrome: mechanisms of pathogenesis involve interaction of immune and neurosecretory systems. Scand J Rheumatol 2002; 31 Suppl. 116: 3–13
4.
go back to reference Johnson JT, Ferretti GA, Nethery WJ, et al. Oral pilocarpine for post-irradiation xerostomia in patients with head and neck cancer. N Engl J Med 1993; 329: 390–5CrossRefPubMed Johnson JT, Ferretti GA, Nethery WJ, et al. Oral pilocarpine for post-irradiation xerostomia in patients with head and neck cancer. N Engl J Med 1993; 329: 390–5CrossRefPubMed
5.
go back to reference LeVeque FG, Montgomery M, Potter D, et al. A multicenter, randomized, double-blind, placebo-controlled, dose-titration study of oral pilocarpine for treatment of radiation induced xerostomia in head and neck cancer patients. J Clin Oncol 1993; 11: 1124–31 LeVeque FG, Montgomery M, Potter D, et al. A multicenter, randomized, double-blind, placebo-controlled, dose-titration study of oral pilocarpine for treatment of radiation induced xerostomia in head and neck cancer patients. J Clin Oncol 1993; 11: 1124–31
6.
go back to reference Papas A, Charney M, Golden H, et al. The effectiveness of oral pilocarpine HC1 tablets for the treatment of dry mouth symptoms associated with Sjögren’s syndrome: a dose titration study [abstract]. Arthritis Rheum 1997; 40: 9CrossRef Papas A, Charney M, Golden H, et al. The effectiveness of oral pilocarpine HC1 tablets for the treatment of dry mouth symptoms associated with Sjögren’s syndrome: a dose titration study [abstract]. Arthritis Rheum 1997; 40: 9CrossRef
7.
go back to reference Vivino FB, Al-Hashimi I, Khan Z, et al. Pilocarpine tablets for the treatment of dry mouth and dry eye symptoms in patients with Sjogren syndrome: a randomized, placebo-controlled, fixed-dose, multicenter trial. P92-01 Study Group. Arch Intern Med 1999; 159: 174–81CrossRefPubMed Vivino FB, Al-Hashimi I, Khan Z, et al. Pilocarpine tablets for the treatment of dry mouth and dry eye symptoms in patients with Sjogren syndrome: a randomized, placebo-controlled, fixed-dose, multicenter trial. P92-01 Study Group. Arch Intern Med 1999; 159: 174–81CrossRefPubMed
8.
go back to reference Aromdee C, Fawcett JP, Ferguson MM, et al. Serum pilocarpine esterase activity and response to oral pilocarpine. Biochem Mol Med 1996; 59: 57–61CrossRefPubMed Aromdee C, Fawcett JP, Ferguson MM, et al. Serum pilocarpine esterase activity and response to oral pilocarpine. Biochem Mol Med 1996; 59: 57–61CrossRefPubMed
9.
go back to reference Aromdee C, Ferguson MM, Ledger R, et al. A pilot study of the disposition of pilocarpine in plasma, saliva and urine after a single oral dose. Eur J Pharm Sci 1999; 8: 81–3CrossRefPubMed Aromdee C, Ferguson MM, Ledger R, et al. A pilot study of the disposition of pilocarpine in plasma, saliva and urine after a single oral dose. Eur J Pharm Sci 1999; 8: 81–3CrossRefPubMed
11.
go back to reference Gibaldi M, Perrier D. Pharmacokinetics. 2nd ed. New York Marcel Dekker, 1982 Gibaldi M, Perrier D. Pharmacokinetics. 2nd ed. New York Marcel Dekker, 1982
12.
go back to reference Wasnich R, Lin X, Ruckle J. Comparative studies between Japanese and Caucasians in Hawaii [abstract]. Third Annual Meeting of the Japanese Society of Clinical Pharmacology: 2001 Jun 9; Osaka, Japan Wasnich R, Lin X, Ruckle J. Comparative studies between Japanese and Caucasians in Hawaii [abstract]. Third Annual Meeting of the Japanese Society of Clinical Pharmacology: 2001 Jun 9; Osaka, Japan
13.
go back to reference St Peter JV, Lambrecht LJ, Gunderson BW, et al. Pharmacokinetics of pilocarpine in subjects with varying degrees of renal function. J Clin Pharmacol 2000 Dec; 40: 1470–5 St Peter JV, Lambrecht LJ, Gunderson BW, et al. Pharmacokinetics of pilocarpine in subjects with varying degrees of renal function. J Clin Pharmacol 2000 Dec; 40: 1470–5
Metadata
Title
Salivary Flow Rates and Pharmacokinetics in Healthy Japanese and Caucasian Volunteers Administered Oral Pilocarpine
A Comparative Study
Authors
Dr Richard Wasnich
Susan Gallagher
Stacy Stanek
John R. MacDonald
Guhan Balan
Yasuhiro Omori
Imao Mikoshiba
Publication date
01-06-2003
Publisher
Springer International Publishing
Published in
Clinical Drug Investigation / Issue 6/2003
Print ISSN: 1173-2563
Electronic ISSN: 1179-1918
DOI
https://doi.org/10.2165/00044011-200323060-00005

Other articles of this Issue 6/2003

Clinical Drug Investigation 6/2003 Go to the issue

Original Research Article

Dermatomycoses of the Glabrous Skin