Abstract

The pharmacokinetics of hydrocortisone were examined following single doses of 5-, 10-, 20-, and 40-mg hydrocortisone suspensions to healthy male volunteers. Endogenous hydrocortisone was suppressed by giving 2mg of dexamethasone the night before hydrocortisone administration. Plasma samples obtained serially for 12hr after hydrocortisone administration were assayed by reversed-phase high-pressure liquid chromatography using a fixed-wavelength (254nm) UV absorbance detector. Drug absorption was rapid, with mean maximum plasma hydrocortisone concentrations occurring within 60min of dosing. Subsequent drug elimination was monophasic with mean elimination half-lives increasing from 1.2hr for the 5-mg dose to 1.7hr for the 40-mg dose. Increases in AUC and Cmax with increasing dose were linear but not directly proportional to dose size. This was attributed to dose-dependent absorption or to loss of drug during the first-pass through the liver.

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