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口服盐酸曲马多在灵缇犬体内的药代动力学及抗伤害感受作用

Pharmacokinetics and antinociceptive effects of oral tramadol hydrochloride administration in Greyhounds.

作者信息

Kukanich Butch, Papich Mark G

机构信息

Department of Anatomy and Physiology, College of Veterinary Medicine, Kansas State University, Manhattan, KS 66506, USA.

出版信息

Am J Vet Res. 2011 Feb;72(2):256-62. doi: 10.2460/ajvr.72.2.256.

Abstract

OBJECTIVE

To determine the pharmacokinetics of tramadol, the active metabolite O-desmethyltrcamadol, and the metabolites N-desmethyltramadol and N,O-didesmethyltramadol after oral tramadol administration and to determine the antinociceptive effects of the drug in Greyhounds.

ANIMALS

6 healthy 2- to 3-year-old Greyhounds (3 male and 3 female), weighing 25.5 to 41.1 kg.

PROCEDURES

A mean dose of 9.9 mg of tramadol HCl/kg was administered PO as whole tablets. Blood samples were obtained prior to and at various points after administration to measure plasma concentrations of tramadol and its metabolites via liquid chromatography with mass spectrometry. Antinociceptive effects were determined by measurement of pain-pressure thresholds with a von Frey device.

RESULTS

Tramadol was well tolerated, and a significant increase in pain-pressure thresholds was evident 5 and 6 hours after administration. The mean maximum plasma concentrations of tramadol, O-desmethyltramadol, N-desmethyltramadol, and N,O-didesmethyltramadol were 215.7, 5.7, 379.1, and 2372 ng/mL, respectively. The mean area-under-the-curve values for the compounds were 592, 16, 1,536, and 1,013 h·ng/mL, respectively. The terminal half-lives of the compounds were 1.1, 1.4, 2.3, and 3.6 hours, respectively. Tramadol was detected in urine 5 days, but not 7 days, after administration.

CONCLUSIONS AND CLINICAL RELEVANCE

Oral tramadol administration yielded antinociceptive effects in Greyhounds, but plasma concentrations of tramadol and O-desmethyltramadol were lower than expected. Compared with the approved dose (100 mg, PO) in humans, a mean dose of 9.9 mg/kg, PO resulted in similar tramadol but lower O-desmethyltramadol plasma concentrations in Greyhounds.

摘要

目的

确定口服曲马多后,其活性代谢物O-去甲基曲马多以及代谢物N-去甲基曲马多和N,O-双去甲基曲马多的药代动力学,并确定该药物对灵缇犬的镇痛作用。

动物

6只健康的2至3岁灵缇犬(3只雄性和3只雌性),体重25.5至41.1千克。

步骤

以整片形式经口给予平均剂量为9.9毫克盐酸曲马多/千克。给药前及给药后不同时间点采集血样,通过液相色谱-质谱联用测定血浆中曲马多及其代谢物的浓度。通过使用von Frey装置测量疼痛压力阈值来确定镇痛效果。

结果

曲马多耐受性良好,给药后5和6小时疼痛压力阈值显著升高。曲马多、O-去甲基曲马多、N-去甲基曲马多和N,O-双去甲基曲马多的平均最大血浆浓度分别为215.7、5.7、379.1和2372纳克/毫升。这些化合物的平均曲线下面积值分别为592、16、1536和1013小时·纳克/毫升。这些化合物的末端半衰期分别为1.1、1.4、2.3和3.6小时。给药后5天在尿液中检测到曲马多,但7天后未检测到。

结论及临床意义

口服曲马多对灵缇犬有镇痛作用,但曲马多和O-去甲基曲马多的血浆浓度低于预期。与人类批准剂量(100毫克,经口)相比,平均剂量9.9毫克/千克经口给药在灵缇犬体内产生的曲马多血浆浓度相似,但O-去甲基曲马多血浆浓度较低。

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