Bernasconi R, Caliari S, Latini R, Leopaldi D, Porzio S, Salimbeni A
Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Eur J Drug Metab Pharmacokinet. 1992 Oct-Dec;17(4):269-74. doi: 10.1007/BF03190159.
Pharmacokinetics and metabolism of diltiazem and a new analogue, LR-A/113, have been studied in the rat. Conscious rats, with the jugular vein cannulated, received the compounds by intravenous (3 mg/kg body weight) or oral (50 mg/kg body weight) route. Parent compounds and their N-demethyl and N-deacetyl metabolites were assayed at serial times in blood. Half-life of elimination of diltiazem was significantly shorter than that of LR-A/113, both after oral (37 +/- 9 vs 59 +/- 26 min) and intravenous (29 +/- 12 vs 57 +/- 16 min) administration. N-deacetyl-diltiazem concentrations after oral administration were higher than the parent compound and N-demethyldiltiazem; LR-A/113 blood concentrations were higher than those of its two metabolites. Metabolites were measurable only in traces after intravenous administration. Oral bioavailability was very low, 3.5% for diltiazem and 4.2% for LR-A/113. In conclusion, the substitution of a methyl by an isopropyl group appears to slow in vivo elimination of the analogue of diltiazem, LR-A/113.
在大鼠中研究了地尔硫䓬及其新类似物LR - A/113的药代动力学和代谢情况。将颈静脉插管的清醒大鼠通过静脉注射(3毫克/千克体重)或口服(50毫克/千克体重)途径给予这些化合物。在不同时间点测定血液中的母体化合物及其N - 去甲基和N - 去乙酰基代谢物。口服(37±9分钟对59±26分钟)和静脉注射(29±12分钟对57±16分钟)给药后,地尔硫䓬的消除半衰期均明显短于LR - A/113。口服给药后,N - 去乙酰基地尔硫䓬的浓度高于母体化合物和N - 去甲基地尔硫䓬;LR - A/113的血药浓度高于其两种代谢物。静脉注射后,代谢物仅能检测到微量。口服生物利用度非常低,地尔硫䓬为3.5%,LR - A/113为4.2%。总之,用异丙基取代甲基似乎减缓了地尔硫䓬类似物LR - A/113在体内的消除。