Pharmacokinetics and Dose Proportionality of Loratadine

Abstract
The dose proportionality and pharmacokinetics of loratadine, a new nonsedating antihistamine, were studied in 12 normal volunteers. In a three‐way cross‐over, each volunteer received a single 10‐, 20‐, or 40‐mg loratadine capsule. Blood was collected up to 96 hours after dosing. Plasma loratadine concentrations were determined by radioimmunoassay (RIA), and those of a minor, but active metabolite, descarboethoxyloratadine, by high performance liquid chromatography (HPLC). Concentrations in the disposition phase were fitted to a biexponential equation for pharmacokinetic analysis. For dose proportionality, AUC‐ and Cmax‐dose relationships were evaluated by linear regression. Also, pharmacokinetic parameters and dose‐adjusted AUCs were compared by analysis of variance. Loratadine was rapidly absorbed, reaching Cmax values (4.7, 10.8, and 26.1 ng/mL) at 1.5, 1.0 and 1.2 hours for the 10‐, 20‐, and 40‐mg doses, respectively. The loratadine t1/2β ranged from 7.8 to 11.0 hours. Descarboethoxyloratadine reached Cmax values (4.0, 9.9, and 16.0 ng/mL) at 3.7, 1.5, and 2.0 hours for the 10‐, 20‐, and 40‐mg doses, respectively. Its t1/2β ranged from 17 to 24 hours. For both compounds, AUC‐ and Cmax‐dose relationships were linear and there were no differences in the t1/2β, CL/F, or dose‐adjusted AUC values among the treatments. Loratadine and descarboethoxyloratadine plasma concentrations and pharmacokinetics were not dose dependent.