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两种口服制剂(速释和缓释)在犬体内的哌醋甲酯药代动力学。

Pharmacokinetics of methylphenidate following two oral formulations (immediate and sustained release) in the dog.

机构信息

Dipartimento di Clinica Veterinaria, Università di Pisa, Pisa, Italy.

出版信息

Vet Res Commun. 2010 Jun;34 Suppl 1:S73-7. doi: 10.1007/s11259-010-9388-z.

Abstract

Methylphenidate (MPH) is an immediate-release (IR) or sustained-release (SR) drug used to treat attention-deficit hyperactivity disorder. Eight dogs were randomly assigned to two treatment groups, using an open, single-dose, two-treatment, two-period, randomized, crossover design. Each subject received a single dose of 20 mg d,l-MPH IR or SR tablet. After blood collections at specific times, the concentrations of d,l-MPH in plasma were evaluated by high-performance liquid chromatography. Following both IR and SR oral administration of d,l-MPH, the animals did not show any side effects, except that mild hyperkinesia was observed in a few subjects belonging to the IR treatment group. After both administrations, the concentration data for d,l-MPH in plasma displayed a characteristic, one-compartment drug model. The relative bioavailability of the SR formulation was 30.58 +/- 13.73%. Significant differences between the two administrations were found in T(max), C(max), AUC, and Cl. Despite low drug concentrations in the blood, the SR formulation ensured uniformity of d,l-MPH plasma concentrations and, thus, a simpler and easier titration. In conclusion, the tested dosage appears to be too low for clinical application in canines, and an increase in dosing is suggested. Further pharmacodynamics studies are necessary to support this speculation.

摘要

哌醋甲酯(MPH)是一种用于治疗注意力缺陷多动障碍的即时释放(IR)或缓释(SR)药物。8 只狗被随机分配到两个治疗组,采用开放、单次、两治疗、两周期、随机、交叉设计。每个研究对象接受 20mg d,l-MPH IR 或 SR 片剂的单次剂量。在特定时间采集血样后,通过高效液相色谱法评估血浆中 d,l-MPH 的浓度。在口服给予 d,l-MPH 的 IR 和 SR 后,动物除了在属于 IR 治疗组的少数几只动物中观察到轻微的多动外,没有表现出任何副作用。两种给药后,d,l-MPH 血浆浓度数据呈现出特征性的单室药物模型。SR 制剂的相对生物利用度为 30.58 +/- 13.73%。在 T(max)、C(max)、AUC 和 Cl 方面,两种给药之间存在显著差异。尽管血液中的药物浓度较低,但 SR 制剂确保了 d,l-MPH 血浆浓度的均匀性,从而使滴定更加简单和容易。总之,测试剂量对于犬类的临床应用似乎太低,建议增加剂量。需要进一步的药效学研究来支持这一推测。

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