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REVIEW article

Front. Pharmacol.

Sec. Translational Pharmacology

Relevant Pharmacokinetics, Bioavailability, And Bioequivalence Studies On Chlorpheniramine Maleate (Various Species): A Review

Provisionally accepted
César  Alas-PinedaCésar Alas-Pineda1*Dennis  J. Pavón-VarelaDennis J. Pavón-Varela1Kristhel  Gaitán-ZambranoKristhel Gaitán-Zambrano1Gustavo  FerrerGustavo Ferrer2
  • 1Department of Research and Development, Moxie Health Group, Florida, United States
  • 2Department of Pulmonary and Critical Care, Aventura Hospital and Medical Center, Aventura, United States

The final, formatted version of the article will be published soon.

Introduction: Chlorpheniramine maleate (CPM) is a first-generation H1-antihistamine widely used for allergic conditions, yet its pharmacokinetic (PK) and bioavailability profiles across species remain poorly characterized. Understanding interspecies variability is critical for translational applications and the development of novel formulations. This review aims to summarize and critically evaluate the pharmacokinetics, bioavailability, species-specific behavior, mechanistic insights, and formulation-dependent variability of CPM, with emphasis on intranasal and buccal administration routes and their translational potential. Methods: We conducted a scoping review in accordance with PRISMA-ScR 2018 Guidelines on studies assessing CPM pharmacokinetics in hu-mans and animal models. The identification phases consisted of keyword terms mesh in PubMed: Search 1: Chlorpheniramine Bioavailability (n=38), Search 2: Chlorpheniramine Bioequivalency (n=14), and Search 3: Intranasal Chlorpheniramine (n=54). Repeated or irrelevant studies were excluded, with a total of 22 studies analyzed, from which 13 are included in the final report. Results: CPM exhibits moderate oral bioavailability (25–50%) and extensive tissue distribution, with a long elimination half-life (~20 h). Intranasal and buccal routes demonstrate faster absorption and partial hepatic bypass. Bioequivalence studies reveal significant formulation-dependent variability, influenced by excipient design, release profiles, and stereochemistry. Conclusions: CPM remains a pharmacologically valuable molecule with underexplored delivery routes and applications. Standardization of formulations, population-specific pharmacokinetics, and further trials are warranted to unlock the full therapeutic potential of this approach beyond classical allergy treatment.

Keywords: Chlorpheniramine, pharmacokinetics, Intranasal drug delivery, bioavailability, drug repurposing, mucosal transport, H1 antihistamines

Received: 02 Nov 2025; Accepted: 29 Nov 2025.

Copyright: © 2025 Alas-Pineda, Pavón-Varela, Gaitán-Zambrano and Ferrer. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: César Alas-Pineda

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.