al-Habet S M, Rogers H J
Department of Clinical Pharmacology, Guy's Hospital Medical School, University of London, England.
J Clin Pharmacol. 1989 Oct;29(10):922-7. doi: 10.1002/j.1552-4604.1989.tb03256.x.
The urinary excretion of prednisolone was studied in eight normal human volunteers (two women and six men) following intravenous (16, 32, 48 and 64 mg) doses. Urine prednisolone concentrations were determined by a high performance thin layer chromatographic method (HPTLC). The overall mean prednisolone elimination half life in urine following all the intravenous doses as determined by the rate and sigma minus plots was 1.13 +/- 0.25 hour. This was independent of dose and shorter than that found in plasma (4.10 +/- 1.00 s.d. hour). The overall mean percentage of dose excreted unchanged in urine was 16.7 +/- 5.8% following all intravenous and oral doses respectively. About 80% of this amount was excreted within the first 4 hours of the intravenous administration. Renal clearance of prednisolone decreased with time by the first order kinetic (r = 0.790) and its overall value following all IV doses was 0.0183 +/- 0.0103 (s.d.) l/h/kg. The metabolic clearance remained constant with increasing doses from 16 to 64 mg (0.0883 +/- 0.0306 s.d. l/h/kg). From this study it was concluded that a definitive account of the renal elimination of prednisolone and its possible metabolites warrant further investigation. The fraction of the dose excreted unchanged was relatively small and variable suggesting that prednisolone elimination occurs mainly by metabolism.
对8名正常人类志愿者(2名女性和6名男性)静脉注射(16、32、48和64毫克)剂量的泼尼松龙后,对其尿排泄情况进行了研究。采用高效薄层色谱法(HPTLC)测定尿中泼尼松龙浓度。通过速率和sigma减图确定,所有静脉注射剂量后尿中泼尼松龙的总体平均消除半衰期为1.13±0.25小时。这与剂量无关,且短于血浆中发现的半衰期(4.10±1.00标准差小时)。所有静脉注射和口服剂量后,尿中以原形排泄的剂量总体平均百分比分别为16.7±5.8%。静脉注射给药后的前4小时内,约80%的该剂量被排泄。泼尼松龙的肾清除率随时间呈一级动力学下降(r = 0.790),所有静脉注射剂量后的总体值为0.0183±0.0103(标准差)升/小时/千克。随着剂量从16毫克增加到64毫克,代谢清除率保持恒定(0.0883±0.0306标准差升/小时/千克)。从这项研究得出结论,要对泼尼松龙及其可能的代谢产物的肾排泄进行明确说明,还需要进一步研究。以原形排泄的剂量分数相对较小且变化不定,这表明泼尼松龙的消除主要通过代谢进行。