Langston V C, Koritz G D, Davis L E, Neff-Davis C
Department of Veterinary Biosciences, College of Veterinary Medicine, University of Illinois, Urbana 61801.
Am J Vet Res. 1989 Apr;50(4):493-7.
The disposition of theophylline in healthy ruminating calves was best described by a first-order 2-compartment open pharmacokinetic model. The drug had a mean elimination half-life of 6.4 hours and a mean distribution half-life of 22 minutes. Total body clearance averaged 91 ml/kg/h. The mean values for the pharmacokinetic volume of the central compartment, pharmacokinetic volume of distribution during the terminal phase, and volume of distribution at steady state were 0.502, 0.870, and 0.815 L/kg, respectively. Theophylline was readily absorbed after oral administration to the ruminating calf, with a mean fraction of 0.93 absorbed. The plasma concentrations after oral dosing peaked in approximately 5 to 6 hours, with a mean absorption half-life of 3.7 hours. A flip-flop model (rate constant of input is much smaller than the rate constant of output) of drug absorption was not found because the elimination process roughly paralleled that of the study concerning IV administration. In a multiple-dose trial that used a dosage regimen based on single-dose pharmacokinetic values, clinically normal calves responded as predicted. However, diseased calves had higher than expected plasma concentrations after being given multiple oral doses of theophylline at 28 mg/kg once daily. Overt signs of toxicosis were not seen, but this aspect of the drug was not formally investigated. Theophylline can be used as an ancillary therapeutic agent to treat bovine respiratory disease, but not without risk. The suggested oral dose of theophylline at 28 mg/kg of body weight once daily should be tailored to each case.(ABSTRACT TRUNCATED AT 250 WORDS)
健康反刍小牛体内茶碱的处置情况,用一级二室开放药代动力学模型描述最为合适。该药物的平均消除半衰期为6.4小时,平均分布半衰期为22分钟。总体清除率平均为91毫升/千克/小时。中央室药代动力学容积、终末相药代动力学分布容积和稳态分布容积的平均值分别为0.502、0.870和0.815升/千克。茶碱经口服给予反刍小牛后易于吸收,平均吸收分数为0.93。口服给药后血浆浓度在约5至6小时达到峰值,平均吸收半衰期为3.7小时。未发现药物吸收的翻转模型(输入速率常数远小于输出速率常数),因为消除过程大致与静脉给药研究的过程平行。在一项基于单剂量药代动力学值的给药方案的多剂量试验中,临床正常的小牛反应如预期。然而,患病小牛在每天一次给予28毫克/千克茶碱多次口服后,血浆浓度高于预期。未观察到明显的中毒迹象,但未对该药物的这方面进行正式研究。茶碱可作为辅助治疗剂用于治疗牛呼吸道疾病,但并非没有风险。建议的茶碱口服剂量为28毫克/千克体重,每日一次,应根据具体情况调整。(摘要截短至250字)