Pharmacokinetics of oral 17 beta-estradiol.
The pharmacokinetics of oral 17 beta-estradiol (E2) were evaluated: only a limited amount of information is available on the subject. Because of the first passage hepatic effect, the blood levels of estrone (E1) are greater than those of E2; similar profiles exist for oral E1 sulfate, micronized E2 and E2 valerate. However, the short-term effects of oral E2 versus E1 on hepatic parameters may vary somewhat. Peak levels of E1 and E2 are achieved four hours after the administration of 1 mg of E2 and average 200 and 40-50 pg/mL, respectively. A dose-response relationship exists for serum levels achieved after oral E2 administration. Twelve-hour values are representative of the 24-hour profile. With prolonged use, the 24-hour levels may be equally representative and serum E2 levels increase, suggesting some cumulative effects. Smoking enhances the hepatic metabolism of oral estrogen and results primarily in a lower unbound E2 level.
Lobo
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Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles 90033.
Cassidenti
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D000284:Administration, Oral; D004305:Dose-Response Relationship, Drug; D004339:Drug Compounding; D004958:Estradiol / Q000008:administration & dosage / Q000031:analogs & derivatives / Q000378:metabolism / Q000493:pharmacokinetics*; D004970:Estrone / Q000031:analogs & derivatives / Q000493:pharmacokinetics; D006801:Humans; D012738:Sex Hormone-Binding Globulin / Q000493:pharmacokinetics; D012907:Smoking / Q000378:metabolism
D012738:Sex Hormone-Binding Globulin; C015856:estrone-3-glucuronide; D004970:Estrone; D004958:Estradiol; C017296:estrone sulfate