Okuma M, Iikura Y
Department of Pediatrics, Okinawa Hokubu Hospital.
Arerugi. 1999 Jun;48(6):589-96.
Sustained-release theophylline (Theodur) drysyrup was administered to 23 children aged 3-8 years and its pharmacokinetics were analyzed. Blood was drawn 9 times during 24 hours for serum theophylline concentrations after reaching to the steady state. Results were as follows: (1) All of 9 serum theophylline concentrations were between 5-15 micrograms/ml among 20 children. (2) Serum theophylline concentrations were higher than 15 micrograms/ml in three children. Two of them showed decreased clearance and body weight of the other was significantly heavier than the average weight for her height. (3) VdTD and theophylline clearance each showed 0.77-0.88 L/kg and 0.070-0.091 L/kg/hr. (4) Tmax was 2.9-3.5 hours and T1/2 was 7.1-8.8 hours. (5) There were no significant differences in pharmacokinetics paramaters between each age group. Therefore, sustained-release theophylline (Theodur) drysyrup 16 mg/kg/day seems to be reasonable dose for 3-8 years but monitoring of serum theophylline concentrations is advisable if possible.
对23名3至8岁儿童服用了缓释茶碱(茶喘平)干糖浆,并对其药代动力学进行了分析。在达到稳态后,于24小时内9次采血测定血清茶碱浓度。结果如下:(1)20名儿童的9次血清茶碱浓度均在5至15微克/毫升之间。(2)3名儿童的血清茶碱浓度高于15微克/毫升。其中2名清除率降低,另1名儿童体重明显高于其身高对应的平均体重。(3)VdTD和茶碱清除率分别为0.77至0.88升/千克和0.070至0.091升/千克/小时。(4)Tmax为2.9至3.5小时,T1/2为7.1至8.8小时。(5)各年龄组之间的药代动力学参数无显著差异。因此,16毫克/千克/天的缓释茶碱(茶喘平)干糖浆剂量对于3至8岁儿童似乎是合理的,但如有可能,建议监测血清茶碱浓度。