Rhein and aloe-emodin kinetics from senna laxatives in man

Pharmacology. 1993 Oct:47 Suppl 1:120-4. doi: 10.1159/000139850.

Abstract

Therapeutic doses of two laxatives (Agiolax and Sennatin) were repeatedly administered to 10 healthy volunteers in a two-way change-over design. Blood samples were collected up to 96 h after the first dose, and plasma levels of total aloe-emodin and rhein were determined simultaneously with a sensitive (lower limit of quantification: 0.5 ng aloe-emodin and 2.5 ng rhein per millilitre plasma) and specific fluorometric HPLC method. Aloe-emodin was not detectable in any plasma sample of any subject. Rhein concentration time courses showed highest levels of 150-160 ng/ml and peak maxima at 3-5 h and 10-11 h after dosing probably according to absorption of free rhein and rhein released from prodrugs (e.g. sennosides) by bacterial metabolism, respectively.

MeSH terms

  • Adolescent
  • Adult
  • Anthraquinones / administration & dosage
  • Anthraquinones / pharmacokinetics*
  • Cassia
  • Cathartics / pharmacokinetics*
  • Chromatography, High Pressure Liquid
  • Drug Combinations
  • Humans
  • Intestinal Absorption
  • Male
  • Plant Extracts / administration & dosage
  • Plantago
  • Plants, Medicinal
  • Senna Extract / administration & dosage
  • Sennosides

Substances

  • Anthraquinones
  • Cathartics
  • Drug Combinations
  • Plant Extracts
  • Sennosides
  • ispaghula, senna drug combination
  • Senna Extract
  • rhein
  • danthron