Transdermally administered nicotine accumulates in gastric juice

Transdermal nicotine patches (Nicorette 15 mg.16 h-1) were administered to 7 healthy volunteers. Nicotine concentrations in gastric juice were monitored for 8 h via a naso-gastric tube and so was nicotine in saliva and plasma. Nicotine accumulated in gastric juice, the average concentration being 60...

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Veröffentlicht in:European journal of clinical pharmacology 1996, Vol.51 (3-4), p.315-318
Hauptverfasser: LINDELL, G, LUNELL, E, GRAFFNER, H
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container_title European journal of clinical pharmacology
container_volume 51
creator LINDELL, G
LUNELL, E
GRAFFNER, H
description Transdermal nicotine patches (Nicorette 15 mg.16 h-1) were administered to 7 healthy volunteers. Nicotine concentrations in gastric juice were monitored for 8 h via a naso-gastric tube and so was nicotine in saliva and plasma. Nicotine accumulated in gastric juice, the average concentration being 60.6-times higher than in plasma. In saliva, too, the concentration was higher than in plasma, the average ratio being 10.5. These results strongly suggested ion-trapping of nicotine base in the acidic gastric juice and possibly also in the acinar cells, followed by active secretion. It is hypothesised that accumulation in saliva occurs via a similar mechanism. Pretreatment with omeprazole did not increase the pH to a sufficiently high degree to test the hypothesis that the accumulation of nicotine in gastric juice was pH dependent. Transdermal administration of nicotine produced a high intragastric concentration. The clinical consequence of this effect of long-term nicotine replacement therapy during smoking cessation is unclear.
doi_str_mv 10.1007/s002280050204
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Nicotine concentrations in gastric juice were monitored for 8 h via a naso-gastric tube and so was nicotine in saliva and plasma. Nicotine accumulated in gastric juice, the average concentration being 60.6-times higher than in plasma. In saliva, too, the concentration was higher than in plasma, the average ratio being 10.5. These results strongly suggested ion-trapping of nicotine base in the acidic gastric juice and possibly also in the acinar cells, followed by active secretion. It is hypothesised that accumulation in saliva occurs via a similar mechanism. Pretreatment with omeprazole did not increase the pH to a sufficiently high degree to test the hypothesis that the accumulation of nicotine in gastric juice was pH dependent. Transdermal administration of nicotine produced a high intragastric concentration. 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subjects Administration, Cutaneous
Adult
Biological and medical sciences
Female
Gastric Acidity Determination
Gastric Juice - metabolism
Humans
Male
Medical sciences
Middle Aged
Nicotine - administration & dosage
Nicotine - pharmacokinetics
Saliva - metabolism
Tobacco, tobacco smoking
Toxicology
title Transdermally administered nicotine accumulates in gastric juice
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