The metabolism and pharmacokinetics of orally administered naproxen
were studied in 10 children aged 6-13 years. 3 patients received the drug for antipyresis
and 7 for postoperative pain. The mean elimination rate constant was greater in the febrile
children than the postoperative patients, 0.064 h^-1 vs. 0.051 h^-1. 71 % of total drug recovered
in urine was naproxen, and 29 % was excreted as the desmethyl metabolite. 60 and
63% of naproxen and desmethyl naproxen, respectively, were excreted as conjugates. Area
under the curve and fraction of dose recovered in the urine were reduced in the postoperative
patients, suggesting reduced gastrointestinal absorption of the drug compared to the
febrile patients.
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