Summary1. Two formulations of [1'C]-amiloride were compared in six oedema-free subjects in single-dose (20 mg) studies separated by a two-week interval.2. Calculation of the elimination rate constant (Ke), half-life (T*) and apparent volume of distribution (Vd) from serum and urinary data showed no significant difference between the two formulations. The Vd values (350 to 380 litres) were greater than total body fluid volume suggesting extravascular sequestration of amiloride. 3. Serum and urinary amiloride levels were similar with both formulations. Pharmacokinetic parameters were similar to those of an earlier report based on one formulation. 4. The calculated amiloride concentration in the renal distal tubule (3 ,uM to 20 /.M) was similar to, but higher than, reported in vitro concentrations of amiloride which reduced sodium transport in isolated membranes.
IitroductionAmiloride is an effective natriuretic and diuretic compound which also reduces urinary potassium loss (Baer, Jones, Spitzer & Russo, 1967; Baba, Lant, Smith, Townshend & Wilson, 1968). In the course of a study of the bioavailability of two different formulations of amiloride, an opportunity was provided to confirm earlier work on its clinical pharmacology (Weiss, Hersey, Dujovne & Bianchine, 1969) and to compare effective urinary concentrations of the diuretic in man with those required to inhibit sodium transport in animal tissues in vitro.
MethodsThe two formulations of amiloride were administered in random sequence to six oedema-free subjects in single-dose studies separated by a two-week interval.
SubjectsThere were six male subjects, aged 35 to 56 years (mean 49 years) without cardiovascular, renal or hepatic disease. Four convalescent patients, who had had orthopaedic operations at least four weeks previously, agreed to participate in the study. The other two subjects were healthy members of departmental staff.