Dorzolamide hydrochloride (MK-507), (-)-(4S, 6S)-4-ethylamino-5, 6-dihydro-6-methyl-4H-thieno-[2, 3-b]-thiopyran-2-sulfonamide-7, 7-dioxide monohydrochloride, is a new topical carbonic anhydrase inhibitor. The binding of dorzolamide and its
N-deethylated metabolite (L-706, 803) to rat erythrocytes was investigated, and the pharmacokinetics of dorzolamide in rats was studied after a single intravenous administration.
1. Dorzolamide was incorporated into rat erythrocytes rapidly, while the uptake of L-706, 803 was slower.
2. There were two types of binding site for dorzolamide and L-706, 803 in rat erythrocytes. For both dorzolamide and L-706, 803, the maximum binding capacity was about 60 μM for the high affinity isozyme and 30 μM for the low affinity isozyme.
3. The Kd values of dorzolamide and L-706, 803 for low affinity binding were 0.387 and 0.497 μM, respectively. The Kd values of dorzolamide and L-706, 803 for high affinity binding were about 1/100 and 1/250 of those for low affinity binding, respectively.
4. After administration of dorzolamide hydrochloride to rats at the dose of 0.5 mg/kg, dorzolamide and L-706, 803 were not detected in plasma. At the dose of 5 mg/kg, the plasma half-lives of dorzolamide and L-706, 803 were 1.0 and 2.6 hr, respectively.
5. At the dose of 0.5 mg/kg, the half-lives of dorzolamide and L-706, 803 in blood were 157 and 116 hr, respectively, and decreased to respective values of 101 and 99 hr after administration of 5 mg/kg.
6. After administration of dorzolamide hydrochloride at the dose of 0.5 mg/ kg, the blood AUC values of dorzolamide and L-706, 803 were 1093 and 115 μg hr/ml, respectively. The AUC value of dorzolamide at the dose of 5 mg/kg decreased by 50% and that of L-706, 803 increased about five-fold.
7. The Vd
ss and CL
tot of dorzolamide were 99.9 ml/kg and 0.46 ml/hr/kg after administration of 0.5 mg/kg and increased 15 and 25-fold after 5 mg/kg, respectively.
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