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British Journal of Anaesthesia, 2000, Vol. 85, No. 4 512-519
© 2000 The Board of Management and Trustees of the British Journal of Anaesthesia

Pharmacokinetics of rectal paracetamol after repeated dosing in children

T. W. Hahn1,*, S. W. Henneberg2, R. J. Holm-Knudsen2, K. Eriksen2, S. N. Rasmussen3 and M. Rasmussen1

1Department of Pharmaceutics and 3Department of Pharmacology, The Royal Danish School of Pharmacy, Universitetsparken 2, DK-2100 Copenhagen, Denmark. 2Department of Anaesthesiology, Copenhagen University Hospital, Blegdamsvej 9, DK-2100 Copenhagen, Denmark

Twenty-three children(aged between 9 weeks and 11 yr) were given paracetamol suppositories 25 mgkg–1 every 6 h (maximum 5 days) after major surgery andserum and saliva concentrations were measured. There was a good correlation(r=0.91, P<0.05) between saliva andserum concentrations. A one-compartment linear model withfirst-order elimination and absorption and lag-time was fitted tothe data (ADAPT II). At steady state, the mean (SD)concentration was 15.2 (6.8) mg litre–1. Mean (SD) time to reach 90% of the steady state concentrationwas 11.4 (8.6) h. Body weight, age and body surface area were wellcorrelated (P<0.05) with clearance and apparent volume ofdistribution. There was no evidence of accumulation leading tosupratherapeutic concentrations during this dosing schedule for a mean ofapproximately 2–3 days.

Br J Anaesth 2000; 85: 512–9

* Corresponding author


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