METHODS: Diabetic rats were randomly assigned to four groups, with six rats in each group. Group 1 was administered distilled water. Group 2 was administered V. amygdalina aqueous leaf extract alone. Group 3 was administered metformin alone. Group 4 was co-administered V. amygdalina extract plus metformin. Blood was collected at predetermined intervals, and plasma metformin levels were measured with liquid chromatography. The area under the curve (AUC0-t), maximum plasma concentration (Cmax), time to reach Cmax (Tmax), half-life (t1/2), and clearance (CL), were calculated based on noncompartment analysis. The effect of the extract on CYP2C9, CYP3A4, and UGT activities was determined using a Fluorometric Screening Kit.
RESULTS: The combined treatment altered the pharmacokinetic parameters of metformin. The Tmax increased from 90±0.18 min to 180±0.13 min and the Cmax, increased from 0.91±0.32 μg/mL to 2.153±0.28 μg/mL. Additionally, the AUC(0-t) increased from 118.25±1.37 μg min mL-1 to 301.006±1.96 μg min mL-1 and the t1/2 increased from 34.69±0.61 min to 101.321±0.55 min. However, the CL rate was decreased. The extract inhibited CYP3A4 and CYP2C9 enzyme activities.
CONCLUSIONS: The alteration of pharmacokinetic parameters by the extract suggests potential herb-drug interactions.