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 Research Article Open Access 
Assessment of Bioavailability of Rifampicin as a Component of Anti-tubercular Fixed Dose Combination Drugs Marketed in Pakistan
Shahzad Hussain6* , Farnaz Malik1, Wajahat Mehmood2, Abdul Hameed3, Humanyun Riaz5 , and Muhammad Rizwan4
1NIH, PAKISTAN
2DCTMD, NIH, Islamabad, Pakistan
3Menzies University, Australia
4QAU, Islamabad, Pakistan
5Punjab university, Lahore Pakistan
6Telemedicines Department, Holy Familly hospital, Rawalpindi, Pakistan
*Corresponding author: Shahzad Hussain,
NIH, PAKISTAN,
E-mail: shshaikh2001@yahoo.com
 
Received February 12, 2010; Accepted May 12, 2010; Published May 12, 2010
Citation: Hussain S, Malik F, Mehmood W, Hameed A, Riaz H, et al. (2010) Assessment of Bioavailability of Rifampicin as a Component of Anti-tubercular Fixed Dose Combination Drugs Marketed in Pakistan. J Bioequiv Availab 2: 067- 071. doi:10.4172/jbb.1000033
 
Copyright: © 2010 Hussain S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 
 
Abstract
The World Health Organization (WHO) recommended DOTS program recommends treatment of TB with a combination of three to five drugs. However, international bodies like the WHO and IUTLD (international union against tuberculosis and ling disease) recommend the use of only those fixed dose combinations that have proven in vivo bioavailability. The present study was conducted to test the in vivo bioavailability of some of the formulations currently marketed in Pakistan on twenty six healthy volunteers as a three sequence, three period cross-over study. Rifampicin was administered in three different formulations out of which one (Formulation A) acted as a standard against which the other two formulations; Formulation B (Fixed dose combination without pyrazinamide) and formulation C (Fixed dose combination with pyrazinamide) were tested. Thirteen blood samples including a pre-dose sample were drawn over a period of 24 hours. Plasma samples were analyzed for rifampicin concentration by an HPLC method and critical pharmacokinetic parameters were calculated. Although, based on the confi dence intervals for the ratios of geometric means of pharmacokinetic parameters none of the test formulations B or C could be declared bioequivalent, nevertheless effective formulations for the treatment of TB in Pakistan. 
 
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