Effect of ketoprofen and indomethacin on methotrexate pharmacokinetics in mice plasma and tumor tissues

• Published in: European journal of drug metabolism and pharmacokinetics Vol. 38; no. 1; pp. 27 - 32
• Main Authors: Elmorsi, Yasmine M., El-Haggar, Sahar M., Ibrahim, Osama M., Mabrouk, Mokhtar M.
• Format: Journal Article
• Language: English
• Published: Paris Springer-Verlag 01.03.2013
• Subjects: Animals; Anti-Inflammatory Agents, Non-Steroidal - administration & dosage; Anti-Inflammatory Agents, Non-Steroidal - pharmacology; Antimetabolites, Antineoplastic - administration & dosage; Antimetabolites, Antineoplastic - adverse effects; Antimetabolites, Antineoplastic - blood; Antimetabolites, Antineoplastic - pharmacokinetics; Area Under Curve; Biomedical and Life Sciences; Biomedicine; Carcinoma, Ehrlich Tumor - blood; Carcinoma, Ehrlich Tumor - drug therapy; Carcinoma, Ehrlich Tumor - metabolism; Chromatography, High Pressure Liquid; Drug Interactions; Female; Half-Life; Human Physiology; Indomethacin - administration & dosage; Indomethacin - pharmacology; Injections, Intraperitoneal; Ketoprofen - administration & dosage; Ketoprofen - pharmacology; Medical Biochemistry; Metabolic Clearance Rate; Methotrexate - administration & dosage; Methotrexate - adverse effects; Methotrexate - blood; Methotrexate - pharmacokinetics; Mice; Multidrug Resistance-Associated Proteins - antagonists & inhibitors; Multidrug Resistance-Associated Proteins - metabolism; Original Paper; Pharmaceutical Sciences/Technology; Pharmacology/Toxicology; Pharmacy; Solid Ehrlich Carcinoma; Indomethacin; Methotrexate; Renal transporters; NSAIDs; Ketoprofen
• ISSN: 0378-7966; 2107-0180
• DOI: 10.1007/s13318-012-0113-x

Methotrexate (MTX) has been used in combination with nonsteroidal anti-inflammatory drugs in the treatment of inflammatory diseases as well as malignancies. Severe adverse effects with this combination may occur, usually resulting from inhibition of renal transporters. Solid Ehrlich Carcinoma was experimentally induced by implantation of Ehrlich Ascites Carcinoma cells subcutaneously into the thigh of mice, and after 30 days, mice were divided into three groups: Group I that served as control group received MTX (50 mg/kg, i.p.); Group II received ketoprofen (100 mg/kg, i.p.) and then after half an hour received MTX (50 mg/kg, i.p.); Group III received indomethacin (10 mg/kg, i.p.) and then after half an hour received MTX (50 mg/kg, i.p.). Plasma and tissue samples were collected at different time points and then MTX concentrations were determined by HPLC. The injection of ketoprofen or indomethacin before MTX injection resulted in significant increase in the AUC and CP max of MTX ( p  < 0.05) and significant decrease in CL/F and Vd/F of MTX ( p  < 0.05) in mice plasma. The effects were more significant after injection of indomethacin than in case of ketoprofen. The study showed that administration of ketoprofen or indomethacin prior to MTX caused significant decrease in MTX elimination and significant increase in MTX extent of absorption which may lead to severe adverse effects if coadministered in human.