Flurbiprofen concentration in soft tissues is higher after topical application than after oral administration

Br J Clin Pharmacol. 2013 Mar;75(3):799-804. doi: 10.1111/j.1365-2125.2012.04394.x.

Abstract

Aim: To compare tissue concentrations of flurbiprofen resulting from topical application and oral administration according to the regulatory approved dosing guidelines.

Method: Sixteen patients were included in this study. Each patient was randomly assigned to the topical application or oral administration group. In each group, a pair of tapes or a tablet, containing a total of 40 mg flurbiprofen, was administered twice at 16 and 2 h before the surgery.

Results: The flurbiprofen concentration in the fat, tendon, muscle and periosteum tissues was significantly higher (P < 0.0330) after topical application (992 ng g⁻¹ [95% CI 482, 1503], 944 [95% CI 481, 1407], 492 [95% CI 248, 735], and 455 [95% CI 153, 756], respectively) than after oral administration (150 ng g⁻¹ [95% CI 84, 217], 186 [95% CI 118, 254], 82 [95% CI 49, 116],and 221 [95% CI, 135, 307], respectively).

Conclusion: Topical application is an effective method to deliver flurbiprofen to the human body, particularly to soft tissues near the body surface.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue / metabolism*
  • Administration, Oral
  • Administration, Topical
  • Adolescent
  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacokinetics*
  • Biological Availability
  • Female
  • Flurbiprofen / pharmacokinetics*
  • Humans
  • Male
  • Muscles / metabolism*
  • Periosteum / metabolism*
  • Tendons / metabolism*
  • Tissue Distribution
  • Young Adult

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Flurbiprofen