Table 2. Comparison of the Pharmacokinetic Parameters of Various PPIs

Parameter
Esomeprazole
Lansoprazole
Omeprazole
Pantoprazole
Rabeprazole
Bioavailablitiy
90%
80%
30-40%
77%
52%
Acid liable
Yes
Yes
Yes
Yes
Yes
Enteric-coated formulation
Yes
Yes
Yes
Yes
Yes
Time to peak
1.5 hours
1.7 hours
0.5-3.5 hours
2.5 hours
2-5 hours
Half-life
1.2-1.5 hours
< 2 hours
0.5-1 hour
1-1.9 hours
1-2 hours
Excreted unchanged in
the urine
< 1%
< 1%
0 %
0 %
0 %
  Cytochrome P450   pathway*
CYP2C19, CYP3A4
CYP3A, CYP2C19
CYP2C9, CYP2C8, CYP2C18, CYP2C19, CYPA3/4, CYP3A1A2
CYP2C19, CYP3A4
CYP3A, CYP2C19
Protein binding
97%
97%
95%
98%
96.3%

* = predominate pathway is highlighted in bold

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