Bioanalytical Method for Simultaneous Quantification of Itraconazole and Atorvastatin in Human Plasma.

Kunjan B Bodiwala, Flora J Pujara, Avinash D Khadela, Shrinivas S Savale
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Abstract

Introduction: Drug-drug interactions between statins and azole antifungal agents, due to the inhibition of the CYP3A4 enzyme by antifungals, increase the risk of adverse effects from statins. Thus, a precise bioanalytical method for quantifying Itraconazole and Atorvastatin in human plasma is essential.

Materials and methods: A liquid chromatographic method with protein precipitation and liquidliquid extraction was developed. Rosuvastatin calcium served as the internal standard. The method was validated per ICH M10 and USFDA guidelines and used to analyze spiked plasma samples.

Results: The method effectively separated Itraconazole, Atorvastatin, and the internal standard without plasma interference. It achieved linear responses for each drug in the 0.1-3.0 μg/mL range with regression coefficients > 0.99. The RSD for within-run and between-run responses was < 5%, and the average recovery exceeded 64%.

Discussion: The method accurately and precisely measured each analyte at the LLOQ level (0.1 μg/mL). A sensitive and selective bioanalytical HPLC method was developed, validated, and applied for the simultaneous estimation of Itraconazole and Atorvastatin in human plasma.

Conclusion: This method ensures safe and effective co-administration of these medications in clinical practice, benefiting patient care.

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同时定量人血浆中伊曲康唑和阿托伐他汀的生物分析方法。
他汀类药物与唑类抗真菌药物之间的药物相互作用,由于抗真菌药物抑制CYP3A4酶,增加了他汀类药物不良反应的风险。因此,一种精确的测定血浆中伊曲康唑和阿托伐他汀含量的生物分析方法是必要的。材料与方法:建立了蛋白质沉淀-液体萃取的液相色谱法。瑞舒伐他汀钙作为内标。该方法根据ICH M10和USFDA指南进行了验证,并用于分析加标血浆样品。结果:该方法能有效分离伊曲康唑、阿托伐他汀和内标,无血浆干扰。各药物在0.1 ~ 3.0 μg/mL范围内呈线性反应,回归系数> 0.99。运行内和运行间的RSD < 5%,平均回收率超过64%。讨论:该方法在定量限(0.1 μg/mL)水平上准确、准确地测定了每种分析物。建立了一种灵敏、选择性的高效液相色谱(HPLC)方法,用于同时测定人血浆中伊曲康唑和阿托伐他汀的含量。结论:该方法保证了临床用药安全有效,有利于患者的护理。
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