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卡托普利对高血压患者的药效学、药代动力学及临床疗效

[Pharmacodynamics, pharmacokinetics and clinical effectiveness of captopril in patients with hypertension].

作者信息

Kukes V G, Nasyrov Sh N, Volchenok V I, Toporova E A, Abdunazarov T A

出版信息

Kardiologiia. 1990 Mar;30(3):28-32.

PMID:2199718
Abstract

Captopril was tested for pharmacokinetics. Its hypotensive effect was compared with plasma renin activity (PRA) and blood captopril levels in single and prolonged administrations of its various doses in 58 hypertensive patients. When a single dose (25 mg) of captopril was given, a relationship was found between its hypotensive effect and higher blood concentration, baseline PRA. The detection rate of its antihypertensive effect was not related to the baseline PRA. The efficient and safe dose of captopril was shown to be 75-150 mg daily, maintaining its blood concentration within ranges of 75-175 ng/ml.

摘要

对卡托普利进行了药代动力学测试。在58例高血压患者中,比较了单次及长期服用不同剂量卡托普利时其降压效果与血浆肾素活性(PRA)及血液中卡托普利水平的关系。给予单次剂量(25毫克)卡托普利时,发现其降压效果与较高的血药浓度、基线PRA之间存在关联。其降压效果的检出率与基线PRA无关。结果表明,卡托普利的有效安全剂量为每日75 - 150毫克,可使血药浓度维持在75 - 175纳克/毫升范围内。

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