Bentué-Ferrer Danièle, Tribut Olivier, Verdier Marie-Clémence
Laboratoire de Pharmacologie Biologique, CHU Pontchaillou, Rennes, France.
Therapie. 2010 Jan-Feb;65(1):47-9. doi: 10.2515/therapie/2009064. Epub 2010 Mar 8.
Pregabaline, a second generation antiepileptic, is marketed in France since 2005. It is also indicated in the treatment of painful neuropathy and in generalized anxious disorder. Its pharmacokinetic profile: low metabolism and no binding to plasma proteins, is not in favour of the necessity of a TDM. But other studies would be necessary to concluded more definitively. Pregabalin however, required a dosage adjustment in case of renal insufficiency. The values of the plasma concentrations found after various doses are in agreement in the different studies, without that we can define a therapeutic range. For this molecule, the level of proof of the interest of TDM was estimated in: remaining to estimate.
普瑞巴林是第二代抗癫痫药,自2005年起在法国上市。它也被用于治疗疼痛性神经病变和广泛性焦虑症。其药代动力学特征:低代谢且不与血浆蛋白结合,这使得治疗药物监测(TDM)并非必要。但需要更多研究才能得出更确切的结论。然而,普瑞巴林在肾功能不全时需要调整剂量。不同研究中各种剂量后的血浆浓度值是一致的,但我们无法确定一个治疗范围。对于这种药物,TDM的益处的证据水平估计为:有待评估。