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[波内科(bonnecor)在不同心律失常患者中的药效学和药代动力学]

[The pharmacodynamics and pharmacokinetics of bonnecor in patients with different disorders of the heart rhythm].

作者信息

Lozinskiĭ L G, Zamotaev I P, Zeltyn'-Abramov E M, Orlov V A, Beloborodov V L, Kosilova E E, Zalesskaia M A, Tiukavkina N A

出版信息

Farmakol Toksikol. 1990 May-Jun;53(3):61-3.

PMID:2387386
Abstract

The clinical pharmacokinetics and the effect of bonnecor on parameters of the pharmacodynamics were studied in 53 patients with cardiac rhythm disorders, including 23 patients in the acute period of myocardial infarction. At intravenous administration of bonnecor in a dose of 0.4-0.6 mg/kg there was noted a pronounced antiarrhythmic effect with respect to both ventricular and supraventricular cardiac rhythm disorders. Bonnecor exerted no significant effect on the hemodynamic parameters. The pharmacokinetic parameters of bonnecor possess a great variability, the mean values of the parameters are close to the corresponding ones for ethacizine. Along with the unchanged drug one can detect in the blood mono-N-demethylated metabolite. The ranges of effective concentrations and those inducing side effects of the drug are given.

摘要

在53例心律失常患者中研究了波尼可(bonnecor)的临床药代动力学及其对药效学参数的影响,其中包括23例处于心肌梗死急性期的患者。静脉注射剂量为0.4 - 0.6mg/kg的波尼可时,对室性和室上性心律失常均有明显的抗心律失常作用。波尼可对血流动力学参数无显著影响。波尼可的药代动力学参数具有很大的变异性,其参数平均值与乙卡嗪(ethacizine)的相应参数接近。除了未变化的药物外,在血液中还可检测到单N - 去甲基代谢物。给出了该药物的有效浓度范围和引起副作用的浓度范围。

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