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与健康志愿者静脉注射14C-溴化地斯的明相比,单次口服地斯的明后的绝对生物利用度、药代动力学、肾脏和胆汁清除率。

Absolute bioavailability, pharmacokinetics, renal and biliary clearance of distigmine after a single oral dose in comparison to i.v. administration of 14C-distigmine-bromide in healthy volunteers.

作者信息

Vree T B, Waitzinger J, Hammermaier A, Radhofer-Welte S

机构信息

Institute of Anesthesiology, Academic Hospital Nijmegen, The Netherlands.

出版信息

Int J Clin Pharmacol Ther. 1999 Aug;37(8):393-403.

Abstract

AIM

The aim of the study was to determine the absolute bioavailability and pharmacokinetics after a single dose oral administration in comparison to i.v. administration of 14C-labelled distigmine-bromide (14C-Ubretid) in healthy male volunteers.

RESULTS

After the intravenous administration, distigmine is eliminated from the body by renal excretion (85%), and for a small fraction by biliary excretion in the feces (4%). This situation is reversed after an oral administration, where 6.5% of the dose is recovered from the urine and 88% from the feces. This means that distigmine after oral administration is hardly absorbed, the calculated bioavailability is 4.65%.

CONCLUSION

The mean absorption time (MAT) after oral administration was 10 h, influencing the t(1/2alpha) (1.4 vs 4.5 h) and the t(1/2beta) (60 vs 70 h) to higher values than after the i.v. administration (p < 0.05).

摘要

目的

本研究的目的是在健康男性志愿者中,与静脉注射14C标记的溴化地斯的明(14C-Ubretid)相比,确定单次口服给药后的绝对生物利用度和药代动力学。

结果

静脉给药后,地斯的明通过肾脏排泄从体内消除(85%),一小部分通过胆汁排泄到粪便中(4%)。口服给药后情况相反,剂量的6.5%从尿液中回收,88%从粪便中回收。这意味着口服给药后地斯的明几乎不被吸收,计算得出的生物利用度为4.65%。

结论

口服给药后的平均吸收时间(MAT)为10小时,与静脉给药后相比,使t(1/2α)(1.4对4.5小时)和t(1/2β)(60对70小时)升高至更高值(p < 0.05)。

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