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健康志愿者单次口服芦氟沙星后的药代动力学的个体间和个体内变异性。

Inter- and intrasubject variabilities in the pharmacokinetics of rufloxacin after single oral administration to healthy volunteers.

作者信息

Imbimbo B P, Broccali G, Cesana M, Crema F, Attardo-Parrinello G

机构信息

Medical Department, Mediolanum Farmaceutici, Milan, Italy.

出版信息

Antimicrob Agents Chemother. 1991 Feb;35(2):390-3. doi: 10.1128/AAC.35.2.390.

Abstract

Rufloxacin is a new long-acting, once-daily quinolone antibacterial agent. We evaluated inter- and intrasubject variations in pharmacokinetics of rufloxacin following oral administration of 400 mg (two capsules) under controlled conditions, at an interval of 2 weeks (periods I and II), to 12 healthy male subjects. Plasma and urine samples were collected up to 48 h after drug administration. Plasma drug levels determined by bioassay were higher than those measured by high-performance liquid chromatography, indicating that one or more active metabolites were formed. Individual high-performance liquid chromatography plasma rufloxacin concentrations were fitted with a one-compartment open model with first-order input. There were considerable variations in the plasma concentration-time profiles among subjects; for example, the elimination half-life in plasma varied from 14.6 to 95.5 h. However, pharmacokinetic parameters calculated for the two periods did not differ significantly. These results suggest that the intrasubject variation in the pharmacokinetics of rufloxacin is usually small in spite of the considerable intersubject variation.

摘要

芦氟沙星是一种新型长效喹诺酮类抗菌剂,每日给药一次。我们在可控条件下,对12名健康男性受试者每隔2周(第I和第II阶段)口服400mg(两粒胶囊)芦氟沙星后的药代动力学的个体间和个体内差异进行了评估。给药后48小时内采集血浆和尿液样本。生物测定法测定的血浆药物水平高于高效液相色谱法测定的水平,表明形成了一种或多种活性代谢物。个体高效液相色谱法测定的血浆芦氟沙星浓度采用具有一级输入的单室开放模型进行拟合。受试者之间的血浆浓度-时间曲线存在相当大的差异;例如,血浆消除半衰期在14.6至95.5小时之间变化。然而,两个阶段计算的药代动力学参数没有显著差异。这些结果表明,尽管个体间差异相当大,但芦氟沙星药代动力学的个体内差异通常较小。

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