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氟卡尼:非线性动力学证据。

Flecainide: evidence of non-linear kinetics.

作者信息

Boriani G, Strocchi E, Capucci A, Callivà R, Frabetti L, Ambrosioni E, Magnani B

机构信息

Institute of Cardiovascular Diseases, University of Bologna, Italy.

出版信息

Eur J Clin Pharmacol. 1991;41(1):57-9. doi: 10.1007/BF00280107.

DOI:10.1007/BF00280107
PMID:1782978
Abstract

The pharmacokinetics of flecainide has been studied in 12 patients with ventricular arrhythmias, both after single administration and during chronic treatment. Both the half-life and the AUC were significantly increased during chronic treatment. This suggests that the kinetics of flecainide might be non-linear also in patients with normal kidney and liver function. The increase in plasma flecainide levels during chronic treatment could not be predicted, so close monitoring of its plasma levels is advisable.

摘要

已对12例室性心律失常患者单次给药后及长期治疗期间氟卡尼的药代动力学进行了研究。长期治疗期间,半衰期和曲线下面积均显著增加。这表明,在肾功能和肝功能正常的患者中,氟卡尼的动力学也可能是非线性的。长期治疗期间血浆氟卡尼水平的升高无法预测,因此建议密切监测其血浆水平。

相似文献

1
Flecainide: evidence of non-linear kinetics.氟卡尼:非线性动力学证据。
Eur J Clin Pharmacol. 1991;41(1):57-9. doi: 10.1007/BF00280107.
2
[Kinetics of intravenously administered flecainide in patients with acute myocardial infarct].[急性心肌梗死患者静脉注射氟卡尼的药代动力学]
Clin Ter. 1989 Feb 15;128(3):183-9.
3
Flecainide acetate: critical care administration guidelines.醋酸氟卡尼:重症监护用药指南。
Heart Lung. 1988 Jan;17(1):76-80.
4
Pharmacokinetics of flecainide acetate in patients with severe renal impairment.
Clin Pharmacol Ther. 1988 Apr;43(4):449-55. doi: 10.1038/clpt.1988.57.
5
Oral flecainide pharmacokinetics in patients with impaired renal function.肾功能受损患者口服氟卡尼的药代动力学
J Clin Pharmacol. 1988 Mar;28(3):259-67. doi: 10.1002/j.1552-4604.1988.tb03142.x.
6
The development and testing of intravenous dosing regimens: application to flecainide for the suppression of ventricular arrhythmias.静脉给药方案的制定与测试:应用于氟卡尼抑制室性心律失常
Clin Pharmacol Ther. 1988 May;43(5):499-508. doi: 10.1038/clpt.1988.65.
7
Flecainide acetate: concentration-response relationships for antiarrhythmic and electrocardiographic effects.醋酸氟卡尼:抗心律失常和心电图效应的浓度-反应关系。
Int J Clin Pharmacol Res. 1993;13(4):211-9.
8
[Pharmacodynamics and pharmacokinetics of flecainide in cardiac pre-excitation of the bundle of Kent].[氟卡尼在肯特束心脏预激中的药效学与药代动力学]
Cardiologia. 1989 May;34(5):425-9.
9
Flecainide half-life prolongation in 2 patients with congestive heart failure and complex ventricular arrhythmias.2例充血性心力衰竭合并复杂性室性心律失常患者的氟卡尼半衰期延长。
Clin Pharmacokinet. 1988 Mar;14(3):187-8. doi: 10.2165/00003088-198814030-00007.
10
[Effective dose of flecainide for arrhythmia in children].[氟卡尼治疗儿童心律失常的有效剂量]
Kokyu To Junkan. 1993 Nov;41(11):1079-82.

引用本文的文献

1
Flecainide-induced Increase in QRS Duration and Proarrhythmia during Exercise.氟卡尼在运动期间导致QRS时限增加及促心律失常作用。
Clin Drug Investig. 1997 Jun;13(6):326-37. doi: 10.2165/00044011-199713060-00005.
2
Safety of flecainide.氟卡尼的安全性。
Drug Saf. 2012 Apr 1;35(4):273-89. doi: 10.2165/11599950-000000000-00000.
3
Pharmacokinetic interaction of flecainide and paroxetine in relation to the CYP2D6*10 allele in healthy Korean subjects.健康韩国受试者中,氟卡尼与帕罗西汀的药代动力学相互作用与CYP2D6*10等位基因的关系。

本文引用的文献

1
A family and population study of the genetic polymorphism of debrisoquine oxidation in a white British population.对英国白人人群中异喹胍氧化遗传多态性的家系及群体研究。
J Med Genet. 1980 Apr;17(2):102-5. doi: 10.1136/jmg.17.2.102.
2
Metabolism of flecainide.氟卡尼的代谢
Am J Cardiol. 1984 Feb 27;53(5):41B-51B. doi: 10.1016/0002-9149(84)90501-0.
3
The influence of urinary pH on flecainide excretion and its serum pharmacokinetics.尿液pH值对氟卡尼排泄及其血清药代动力学的影响。
Br J Clin Pharmacol. 2008 Nov;66(5):660-6. doi: 10.1111/j.1365-2125.2008.03267.x. Epub 2008 Jul 24.
Br J Clin Pharmacol. 1984 Apr;17(4):447-51. doi: 10.1111/j.1365-2125.1984.tb02370.x.
4
Flecainide pharmacokinetics in healthy volunteers: the influence of urinary pH.氟卡尼在健康志愿者体内的药代动力学:尿液pH值的影响。
Br J Clin Pharmacol. 1985 Oct;20(4):333-8. doi: 10.1111/j.1365-2125.1985.tb05073.x.
5
Determination of debrisoquine and its 4-hydroxy metabolite in urine by high-performance liquid chromatography.高效液相色谱法测定尿中异喹胍及其4-羟基代谢物
J Chromatogr. 1986 Jan 10;374(1):204-8. doi: 10.1016/s0378-4347(00)83273-9.
6
Drug therapy. Flecainide.药物治疗。氟卡尼。
N Engl J Med. 1986 Jul 3;315(1):36-41. doi: 10.1056/NEJM198607033150106.
7
Flecainide pharmacokinetics after multiple dosing in patients with impaired renal function.氟卡尼在肾功能受损患者多次给药后的药代动力学。
J Clin Pharmacol. 1988 Aug;28(8):727-35. doi: 10.1002/j.1552-4604.1988.tb03207.x.
8
Pharmacokinetics of flecainide in patients with cirrhosis of the liver.氟卡尼在肝硬化患者中的药代动力学。
Clin Pharmacol Ther. 1988 Nov;44(5):566-72. doi: 10.1038/clpt.1988.195.
9
Flecainide half-life prolongation in 2 patients with congestive heart failure and complex ventricular arrhythmias.2例充血性心力衰竭合并复杂性室性心律失常患者的氟卡尼半衰期延长。
Clin Pharmacokinet. 1988 Mar;14(3):187-8. doi: 10.2165/00003088-198814030-00007.
10
Oral flecainide pharmacokinetics in patients with impaired renal function.肾功能受损患者口服氟卡尼的药代动力学
J Clin Pharmacol. 1988 Mar;28(3):259-67. doi: 10.1002/j.1552-4604.1988.tb03142.x.