A sensitive assay is described for the
calcium antagonist
perhexiline maleate. Alkalinized plasma was extracted with nb-
hexane, the organic phase was evaporated, and the residue was dansylated prior to analysis by reversed-phase high-performance liquid chromatography using a fluorescence detector.
Perhexiline was resolved from its mono- and dihydroxylated metabolites, and the limit of sensitivity was 5 ng of
perhexiline/ml. This limit represents approximately 100 times the sensitivity of the previously described GLC assay. Single-dose pharmacokinetic studies were performed with 150- and 300-mg oral doses of
perhexiline maleate in five patients with severe
angina pectoris and impaired left ventricular function. Peak plasma
perhexiline levels occurred 3-6 hr after
drug ingestion in four patients and after 12-18 hr in the fifth patient. The mean elimination half-life, measured 24 hr after
drug ingestion, varied with plasma
perhexiline concentration. It was 11.2 +/- 2.1 hr after the 150-mg dose and 19.1 +/- 2.8 hr after the 300-mg dose. The mean ratio of areas under the concentration-time curve for the 300-versus 150-mg doses ws 5.3:1, suggesting that hepatic metabolism of
perhexiline may be saturable and that the bioavailability of
perhexiline is dose dependent.