文摘
Side effects and excessive potentiation of drug efficacy caused by polypharmacy are becoming important social issues. The apparent partition coefficient of indomethacin (log P鈥?sub>IND) increases in the presence of lidocaine, and this is used as a physicochemical model for investigating polypharmacy. We examined the changes in log P鈥?sub>IND caused by clinically used local anesthetics鈥攍idocaine, tetracaine, mepivacaine, bupivacaine, and dibucaine鈥攁nd by structurally similar basic drugs鈥攑rocainamide, imipramine, and diltiazem. The quantitative structure鈥揳ctivity relationship study of log P鈥?sub>IND showed that the partition coefficient values (log PLA) and the structural entropic terms (螖Sobs, log f) of the additives affect log P鈥?sub>IND. These results indicate that the local anesthetics and structurally similar drugs function as phase-transfer catalysts, increasing the membrane permeability of indomethacin via heterogeneous intermolecular association. Therefore, we expect that the potency of indomethacin, an acidic nonsteroidal anti-inflammatory drug, will be increased by concurrent administration of the other drugs.