title: Enhanced elimination of warfarin during treatment with cholestyramine.
abstract: 1 The elimination and anticoagulant activity of a single intravenous dose of warfarin (1.0-1.2 mg/kg) without and with concomitant cholestyramine treatment (about 4 g three times daily) was studied in five healthy male subjects. 2 Cholestyramine treatment decreased the biological half-life of plasma warfarin (from a mean value of 2 days -1.3 days) and increased the total clearance of this drug (from a mean value of 37 ml kg-1 day-1--53 ml kg--1 day--1). 3 The total anticoagulant effect per dose of warfarin, as measured by the area under the effect v time curve, was also reduced by cholestyramine (average reduction of about 25%). 4 Warfarin possibly undergoes enterohepatic recycling in man which can be interrupted by cholestyramine.
mesh_terms: D000328:Adult; D000925:Anticoagulants; D002792:Cholestyramine Resin / Q000494:pharmacology*; D005260:Female; D006207:Half-Life; D006801:Humans; D007700:Kinetics; D008297:Male; D008875:Middle Aged; D011517:Prothrombin Time; D013997:Time Factors; D014859:Warfarin / Q000378:metabolism* / Q000494:pharmacology
chemical_list: D000925:Anticoagulants; D002792:Cholestyramine Resin; D014859:Warfarin