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        <identifier>oai:meral.edu.mm:recid/3155</identifier>
        <datestamp>2021-12-13T00:37:38Z</datestamp>
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          <dc:title>Effects of Diclofenac and Ibuprofen on Pharmacokinetics of Ciprofloxacin in Myanmar Healthy Volunteers</dc:title>
          <dc:creator>Aye Pwint Phyu</dc:creator>
          <dc:creator>Nang Hla Hla Win</dc:creator>
          <dc:creator>Khin Thein Oo</dc:creator>
          <dc:creator>Khin Chit</dc:creator>
          <dc:creator>Khin Hnin Pwint</dc:creator>
          <dc:creator>Thinzar Myo</dc:creator>
          <dc:description>&lt;p&gt;The present study was done to explore the pharmacokinetics of ciprofloxacinthat was altered by co-administration of either diclofenac or&amp;nbsp;ibuprofen. The study was conducted on twelve Myanmar healthy volunteers&amp;nbsp;and divided into three phases with a wash out period of one week in&amp;nbsp;between phases. In phase, ciprofloxacin 500 mg was given to all volunteers,&amp;nbsp;ciprofloxacin 500 mg with diclofenac 50 mg was given to same volunteers&amp;nbsp;in phase 2 and ciprofloxacin 500 mg with ibuprofen 400 mg was given in&amp;nbsp;phase 3. Blood samples were collected at 0, 0.5, 1, 2, 3, 4, 6 and 8 hours\&amp;nbsp;after drugs administration and ciprofloxacin concentrations in plasma&amp;nbsp;samples were analyzed by HPLC with UV detection. It was found that&amp;nbsp;mean clearance was reduced from 0.38&amp;plusmn;0.11 Lhr-1kg-1 in ciprofloxacin&amp;nbsp;alone to 0.30&amp;plusmn;0.07 Lhr-1kg-1 and 0.28&amp;plusmn;0.09 Lhr-1kg-1 in ciprofloxacin with&amp;nbsp;diclofenac and ciprofloxacin with ibuprofen (p=0.019). Similarly, the mean&amp;nbsp;elimination rate constants (Kel) was significantly reduced from 0.24&amp;plusmn;0.03 hr-1&amp;nbsp;in&amp;nbsp;ciprofloxacin alone to 0.18&amp;plusmn;0.024 hr-1 in ciprofloxacin with diclofenac&amp;nbsp;and 0.12&amp;plusmn;0.03 hr-1 in ciprofloxacin with ibuprofen co-administration&amp;nbsp;(p=0.000). Increase in AUC of ciprofloxacin was founded that AUC of&amp;nbsp;ciprofloxacin alone was 13.51&amp;plusmn;1.91 &amp;mu;gml-1.hr, ciprofloxacin with diclofenac&amp;nbsp;was 17.36&amp;plusmn;2.67 &amp;mu;gml-1.hr and with ibuprofen was 18.43&amp;plusmn;4.08 &amp;mu;gml-1.hr,&amp;nbsp;respectively (p=0.001).&lt;/p&gt;</dc:description>
          <dc:date>2015-10-20</dc:date>
          <dc:identifier>http://hdl.handle.net/20.500.12678/0000003155</dc:identifier>
          <dc:identifier>https://meral.edu.mm/records/3155</dc:identifier>
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