Alvimopan

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Absorption Alvimopan's high affinity for the peripheral mu-receptor results in an absolute oral bioavailability of less than 7%.
Volume of distribution
  • 30±10 L
Protein binding 80% to 90% of systemically available alvimopan is bound to plasma protein.
Metabolism
Alvimopan undergoes no significant hepatic metabolism, but is metabolized by intestinal flora. Gut metabolism produces an active metabolite with no clinically significant contribution to drug effect.
Route of elimination Biliary secretion was considered the primary pathway for alvimopan elimination. Unabsorbed drug and unchanged alvimopan resulting from biliary excretion were then hydrolyzed to its ‘metabolite’ by gut microflora.
Half life 10 to 17 hours (gut metabolite: 10 to 18 hours)
Clearance
  • 402 +/- 89 mL/min
Toxicity Not Available
Affected organisms
  • Humans and other mammals

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