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年龄对安乃近药代动力学的影响。

Effect of age on the pharmacokinetics of dipyrone.

作者信息

Zylber-Katz E, Granit L, Stessman J, Levy M

机构信息

Department of Medicine A. Hadassah University Hospital, Jerusalem, Israel.

出版信息

Eur J Clin Pharmacol. 1989;36(5):513-6. doi: 10.1007/BF00558078.

DOI:10.1007/BF00558078
PMID:2753071
Abstract

The pharmacokinetics of the dipyrone metabolite, 4-methylaminoantipyrine (MAA) was evaluated, following the administration of a single oral dose of dipyrone 1.0 g to 12 young (21-30 years) and 9 elderly (73-90 years) healthy volunteers. Maximal concentration, time to peak and absorption rate of MAA were similar for both groups. The elimination half-life was 2.6 (0.2) h for the young and 4.5 (0.5) h for the elderly subjects. Total clearance of MAA, corrected for lean body mass (LBM), was lower in the elderly than in the young 2.65 vs 3.97 ml.min-1.kg-1 LBM. There was no differences between the groups in the apparent volume of distribution. A good correlation was found between the total body clearance of MAA and the creatinine clearance, which was also reduced in the elderly (r = 0.61).

摘要

在向12名年轻(21 - 30岁)和9名老年(73 - 90岁)健康志愿者单次口服1.0 g安乃近后,对安乃近代谢产物4 - 甲基氨基安替比林(MAA)的药代动力学进行了评估。两组的MAA最大浓度、达峰时间和吸收速率相似。年轻受试者的消除半衰期为2.6(0.2)小时,老年受试者为4.5(0.5)小时。经去脂体重(LBM)校正后,老年组MAA的总清除率低于年轻组,分别为2.65 vs 3.97 ml·min⁻¹·kg⁻¹ LBM。两组间的表观分布容积无差异。发现MAA的全身清除率与肌酐清除率之间存在良好的相关性,肌酐清除率在老年人中也降低(r = 0.61)。

相似文献

1
Effect of age on the pharmacokinetics of dipyrone.年龄对安乃近药代动力学的影响。
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2
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3
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本文引用的文献

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Should clearance be normalised to body surface or to lean body mass?清除率应按体表面积还是去脂体重进行标准化?
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Formation and excretion of dipyrone metabolites in man.人身上安乃近代谢产物的形成与排泄。
Eur J Clin Pharmacol. 1992;42(2):187-91. doi: 10.1007/BF00278482.
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Kinetics and metabolism of pyrazolones (propyphenazone, aminopyrine and dipyrone).吡唑啉酮类(保泰松、氨基比林和安乃近)的动力学与代谢
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Relationship between saliva levels of metamizol metabolites, bioavailability and analgesic efficacy.安乃近代谢物的唾液水平、生物利用度与镇痛效果之间的关系。
Arzneimittelforschung. 1983;33(7):985-8.
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Pharmacokinetics of aspirin and salicylate in elderly subjects and in patients with alcoholic liver disease.阿司匹林和水杨酸盐在老年受试者及酒精性肝病患者中的药代动力学。
Eur J Clin Pharmacol. 1983;25(2):253-61. doi: 10.1007/BF00543800.
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Plasma kinetics of dipyrone metabolites in rapid and slow acetylators.速乙酰化者和慢乙酰化者中安乃近代谢物的血浆动力学
Eur J Clin Pharmacol. 1984;27(4):453-8. doi: 10.1007/BF00549594.
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Plasma protein binding of dipyrone metabolites in man.人身上安乃近代谢物的血浆蛋白结合情况。
Eur J Clin Pharmacol. 1985;29(1):67-71. doi: 10.1007/BF00547371.
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Risks of agranulocytosis and aplastic anemia. A first report of their relation to drug use with special reference to analgesics. The International Agranulocytosis and Aplastic Anemia Study.粒细胞缺乏症和再生障碍性贫血的风险。关于它们与药物使用关系的首次报告,特别提及镇痛药。国际粒细胞缺乏症和再生障碍性贫血研究。
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