Larsen F G, Nielsen-Kudsk F, Jakobsen P, Kragballe K
Department of Dermatology, Marselisborg Hospital, Aarhus, Denmark.
Pharmacol Toxicol. 1989 Nov;65(5):393-7. doi: 10.1111/j.1600-0773.1989.tb01196.x.
A study of the pharmacokinetics of etretinate in 7 psoriatic patients with liver fibrosis or liver cirrhosis is reported. Maximum plasma concentrations occurred within 1.5-4.0 hr. Absorption lag-times ranged from 0.3-2.5 hr, whereas the apparent absorption first order half-times (t1/2ka) were within the range of 0.3-1.2 hr. As judged from the AUC-values corrected for dose and body weight a six-fold interindividual variation existed with regard to the systemic availability of etretinate. Absorption and disposition rates of etretinate in subjects with hepatic fibrosis increasing to cirrhosis were not significantly altered compared with previous results in psoriatic patients with normal liver function.
本文报道了对7例患有肝纤维化或肝硬化的银屑病患者进行的维甲酸药代动力学研究。血浆最大浓度出现在1.5 - 4.0小时内。吸收延迟时间为0.3 - 2.5小时,而表观吸收一级半衰期(t1/2ka)在0.3 - 1.2小时范围内。根据校正剂量和体重后的AUC值判断,维甲酸的全身可用性存在6倍的个体间差异。与先前肝功能正常的银屑病患者的结果相比,肝纤维化至肝硬化患者中维甲酸的吸收和处置率没有显著改变。