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Br J Clin Pharmacol. 1974 Jun;1(3):229-32. doi: 10.1111/j.1365-2125.1974.tb00241.x.

The influence of urinary pH on the elimination of mexiletine.

British journal of clinical pharmacology

M A Kiddie, C M Kaye, P Turner, T R Shaw

Affiliations

  1. Department of Clinical Pharmacology, St Bartholomew's Hospital, London.

PMID: 22454952 PMCID: PMC1402565 DOI: 10.1111/j.1365-2125.1974.tb00241.x

Abstract

1 The plasma elimination half-life of mexiletine was measured in four subjects when the urine was rendered (a) acidic and (b) alkaline. 2 Urinary acidification (pH 5.0) was associated with a plasma elimination half-life of 2.8 h and 57.5% of the intravenous dose was excreted in the urine within 48 hours. When the urine was alkaline (pH 8.0) the half-life increased to 8.6 h with negligible amounts of drug appearing in the urine. 3 Urinary pH varies widely in cardiac patients and should be controlled or monitored to provide better therapeutic precision with mexiletine.

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