Piroxicam and 5’-hydroxypiroxicam kinetics following multiple dose administration of piroxicam

C. J. Richardson, K. L. N. Blocka, S. G. Ross and R. K. Verbeeck

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Abstract

Piroxicam (20 mg once daily) was administered orally to six healthy young volunteers for 15 days. Trough steady-state levels of piroxicam and 5prime-hydroxypiroxicam were 5.5 and 1.2 µg/ml, respectively. Piroxicam's plasma half-life (54.9 h) was significantly shorter than that of 5prime-hydroxypiroxicam (70.5 h). Percent unbound piroxicam and 5prime-hydroxypiroxicam in plasma at steady-state averaged 1.10 and 8.07 respectively. An average of 25.2% of the dose was recovered in urine as 5prime-hydroxypiroxicam; approximately two-thirds (17.2%) in the form of the glucuronide conjugate. Average steady-state plasma levels (Css) of piroxicam (7.0 µg/ml) were significantly higher than predicted from a previously reported single dose study (5.3 µg/ml).

Key words  piroxicam - 5prime-hydroxypiroxicam - multiple dosing - steady-state pharmacokinetics - urinary excretion - plasma protein binding

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