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口服传统青蒿(黄花蒿)制剂后青蒿素的药代动力学研究。

Pharmacokinetic study of artemisinin after oral intake of a traditional preparation of Artemisia annua L. (annual wormwood).

作者信息

Räth Karin, Taxis Katja, Walz Gitta, Gleiter Christoph H, Li Shu-Ming, Heide Lutz

机构信息

Pharmazeutische Biologie, Pharmazeutisches Institut, Universität Tübingen, Tübingen, Germany.

出版信息

Am J Trop Med Hyg. 2004 Feb;70(2):128-32.

Abstract

Artemisia annua L. (annual wormwood) contains the antimalarial artemisinin. Aqueous preparations of the dried herb are included in the pharmacopoeia of the People's Republic of China for treatment of fever and malaria. Fourteen healthy male volunteers received one liter of tea prepared from nine grams of Artemisia annua leaves. Blood samples were taken and artemisinin was detected by reversed phase high-performance liquid chromatography. The mean +/- SD maximum plasma concentration of artemisinin was 240 +/- 75 ng/mL and the mean +/- SD area under the plasma concentration-time curve was 336 +/- 71 ng/mL x hr. Artemisinin was absorbed faster from herbal tea preparations than from oral solid dosage forms, but bioavailability was similar. One liter of an aqueous preparation of nine grams of Artemisia annua contained 94.5 milligrams of artemisinin (approximately 19% of the usually recommended daily dose). Artemisinin plasma concentrations after intake of this herbal tea are sufficient for clinical effects, but insufficient to recommend such preparations as equivalent substitutes for modern artemisinin drugs in malaria therapy.

摘要

青蒿(一年生艾草)含有抗疟药物青蒿素。干燥草药的水制剂被收录于中华人民共和国药典中,用于治疗发热和疟疾。14名健康男性志愿者饮用了由9克青蒿叶制成的一升茶。采集血样并通过反相高效液相色谱法检测青蒿素。青蒿素的平均最大血浆浓度±标准差为240±75纳克/毫升,血浆浓度-时间曲线下的平均面积±标准差为336±71纳克/毫升·小时。与口服固体剂型相比,青蒿素从草药茶制剂中的吸收更快,但生物利用度相似。9克青蒿的一升水制剂含有94.5毫克青蒿素(约为通常推荐日剂量的19%)。饮用这种草药茶后青蒿素的血浆浓度足以产生临床效果,但不足以推荐此类制剂作为疟疾治疗中现代青蒿素药物的等效替代品。

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