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[肌内注射后通过延长半衰期实现依托芬那酯长效疗效的动物实验证据]

[Animal experimental evidence of the long-lasting efficacy of etofenamate by prolongation of the half-life after intramuscular application].

作者信息

Dell H D, Brons J, Fiedler J, Kamp R, Pelster B

机构信息

Biochemischen Abteilung der Troponwerke GmbH & Co. KG, Köln.

出版信息

Arzneimittelforschung. 1990 Mar;40(3):300-5.

PMID:2346540
Abstract

Animal Experimental Evidence of Long-lasting Liberation of Etofenamate by Half-life Prolongation after Intramuscular Application. The purpose of this investigation was to show in animal experiments that by i.m. injection of etofenamate (active substance of Rheumon i.m.) in oily solution the following effects could be obtained: a fast onset of action (gain of therapeutically relevant drug levels shortly after injection) a long-lasting efficacy (prolonged liberation from the oil depot) and better tolerability as compared to other intramuscularly applicable antiinflammatory drugs (avoidance of high plasma spikes). Etofenamate in rats is liberated with a half-life of 1.29 days from the place of application (cutaneous half-life 8.5 h). Flufenamic acid in muscles is found only in traces. After i.m. administration of etofenamate to dogs maximum plasma levels of etofenamate and flufenamic acid were reached within 2 and 4 h, resp. The mean half-lives of plasma elimination are 14 h for etofenamate and 23.2 h for flufenamic acid formed esterolytically from etofenamate (flufenamic acid oral half-life 2-4 h). Maximum plasma levels after etofenamate are only 6.5-11.8% of the maximum levels after equivalent amounts of flufenamic acid administered orally. According to these data etofenamate i.m. is a drug formulation with fast increasing plasma levels, prolonged half-life and lower maximum plasma levels as compared to orally administered preparations. The results are confirmed in animals (pharmacodynamics, toxicology and tolerability) and man (kinetics, clinical studies).

摘要

肌肉注射后通过半衰期延长实现依托芬那酯长效释放的动物实验证据。本研究的目的是在动物实验中表明,通过肌肉注射油溶液中的依托芬那酯(风湿痛肌肉注射剂的活性物质)可获得以下效果:起效迅速(注射后不久即可达到治疗相关的药物水平)、疗效持久(从油库中持续释放)以及与其他可肌肉注射的抗炎药物相比耐受性更好(避免血浆浓度高峰)。在大鼠中,依托芬那酯从给药部位释放的半衰期为1.29天(皮肤半衰期为8.5小时)。肌肉中仅发现微量氟芬那酸。给狗肌肉注射依托芬那酯后,依托芬那酯和氟芬那酸的最大血浆浓度分别在2小时和4小时达到。依托芬那酯的血浆消除平均半衰期为14小时,由依托芬那酯酯解形成的氟芬那酸的血浆消除平均半衰期为23.2小时(氟芬那酸口服半衰期为2 - 4小时)。与口服等量氟芬那酸后的最大浓度相比,依托芬那酯后的最大血浆浓度仅为其6.5 - 11.8%。根据这些数据可知,与口服制剂相比,肌肉注射依托芬那酯是一种血浆浓度快速升高、半衰期延长且最大血浆浓度较低的药物制剂。这些结果在动物(药效学、毒理学和耐受性)和人体(动力学、临床研究)中得到了证实。

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