Effect of cholestyramine on the disposition of pentachlorophenol in rhesus monkeys

Three male rhesus monkeys were provided with a bile duct by-pass and dosed twice with 14 C-pentachlorophenol (50 mg/kg po) 4 wk apart. During the first day after each dose, the monkeys excreted about 20, 0.5, and 20% of the dose into urine, feces, and bile, respectively. While the animats continued to receive basal diet after the first dose, starting 24 h after the second dose their diet was supplemented with 4% cholestyramine for 6 consecutive days. A comparison of control to treatment period (d 2-6) shows that cholestyramine reduced the urinary excretion of pentachiorophenoi from 35 to 5% and increased the fecat excretion from 3 to 54% of the dose administered. Cholestyramine, in addition to changing the major route of excretion of pentachiorophenoi elimination, also markedly reduced the body burden of pentachiorophenoi as total excretion (urinary plus fecal) was enhanced by 40%. Up to 30% of the dose was excreted into bile in 7 d during the control period, indicating considerable enterohepatic circulation of pentachiorophenoi. Cholestyramine decreased the amount of pentachiorophenoi in the bile from 70 to 52% of the dose, which coincided with a similar decrease in the urine. This effect suggests that a considerable portion of pentachiorophenoi in urine originates from the enterohepatic circulation. Moreover, the increase in the fecal excretion (52% of dose) of pentachioro-phenoi, as a result of the treatment, exceeded by far the decrease seen in the urine (30% of dose) or bile (18% of dose), suggesting that, in addition to interfering with the enterohepatic cycle of pentachiorophenoi, cholestyramine also increases its elimination directly across the intestinal wall.