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Review
. 2022 Apr 29;24(3):59.
doi: 10.1208/s12248-022-00714-0.

Does Food Affect the Pharmacokinetics of Non-orally Delivered Drugs? A Review of Currently Available Evidence

Peng Zou  1
Affiliations
Review

Does Food Affect the Pharmacokinetics of Non-orally Delivered Drugs? A Review of Currently Available Evidence

Peng Zou. AAPS J. .

Abstract

The food effects for orally administered drugs have been widely investigated and reviewed. In contrast, our knowledge of food effects for non-orally administered drugs is scarce. In this review paper, we did a literature survey to collect clinical food effect data for non-orally administered drugs. Our survey retrieved 18 drugs, including thirteen intravenously (IV), two subcutaneously (SC), one intradermally (ID), one pulmonary, and one rectally administered drug. The food effect data show that food intake can increase the absorption of SC and ID administered peptides and proteins with MW < 30 kDa by 30-50%. On the other hand, food intake can increase the elimination of IV and inhaled drugs with moderate and high hepatic extraction and reduce drug exposure by up to 35%. The food effect knowledge can be used to mitigate potential efficacy and safety risks of non-orally administered drugs.

Keywords: food effects; inhalation; intradermal; intravenous; subcutaneous.

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References

    1. Singh BN. Effects of food on clinical pharmacokinetics. Clin Pharmacokinet. 1999;37(3):213–55. https://doi.org/10.2165/00003088-199937030-00003 . - DOI - PubMed
    1. Xiao J, Tran D, Zhang X, Zhang T, Seo S, Zhu H, et al. Biliary excretion-mediated food effects and prediction. AAPS J. 2020;22(6):124. https://doi.org/10.1208/s12248-020-00509-1 . - DOI - PubMed
    1. Zhang T, Zou P. Assessing food effects on oral drug absorption based on the degree of renal excretion. AAPS J. 2021;23(3):47. https://doi.org/10.1208/s12248-021-00570-4 . - DOI - PubMed
    1. Koziolek M, Alcaro S, Augustijns P, Basit AW, Grimm M, Hens B, et al. The mechanisms of pharmacokinetic food-drug interactions - a perspective from the UNGAP group. Eur J Pharm Sci. 2019;134:31–59. https://doi.org/10.1016/j.ejps.2019.04.003 . - DOI - PubMed
    1. Lew SW, Bosch JP. Effect of diet on creatinine clearance and excretion in young and elderly healthy subjects and in patients with renal disease. J Am Soc Nephrol. 1991;2(4):856–65. https://doi.org/10.1681/ASN.V24856 . - DOI - PubMed

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