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静脉注射和透皮给予芬太尼在羊驼体内的药代动力学

Pharmacokinetics of intravenous and transdermal fentanyl in alpacas.

作者信息

Lovasz M, Aarnes T K, Hubbell J A E, Bednarski R M, Lerche P, Lakritz J

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA.

出版信息

J Vet Pharmacol Ther. 2017 Dec;40(6):663-669. doi: 10.1111/jvp.12403. Epub 2017 Mar 19.

DOI:10.1111/jvp.12403
PMID:28317124
Abstract

The purpose of the study was to determine pharmacokinetics of fentanyl after intravenous (i.v.) and transdermal (t.d.) administration to six adult alpacas. Fentanyl was administered i.v. (2 μg/kg) or t.d. (nominal dose: 2 μg kg  hr ). Plasma concentrations were determined using liquid chromatography-mass spectrometry. Heart rate and respiratory rate were assessed. Extrapolated, zero-time plasma fentanyl concentrations were 6.0 ng/ml (1.7-14.6 ng/ml) after i.v. administration, total plasma clearance was 1.10 L hr  kg (0.75-1.40 L hr  kg ), volumes of distribution were 0.30 L/kg (0.10-0.99 L/kg), 1.10 L/kg (0.70-2.96 L/kg) and 1.5 L/kg (0.8-3.5 L/kg) for V , V , and V , respectively. Elimination half-life was 1.2 hr (0.5-4.3 hr). Mean residence time (range) after i.v. dosing was 1.30 hr (0.65-4.00 hr). After t.d. fentanyl administration, maximum plasma fentanyl concentration was 1.20 ng/ml (0.72-3.00 ng/ml), which occurred at 25 hr (8-48 hr) after patch placement. The area under the plasma fentanyl concentration-vs-time curve (extrapolated to infinity) after t.d. fentanyl was 61 nghr/ml (49-93 nghr/ml). The dose-normalized bioavailability of fentanyl from t.d. fentanyl in alpacas was 35.5% (27-64%). Fentanyl absorption from the t.d. fentanyl patch into the central compartment occurred at a rate of approximately 50 μg/hr (29-81 μg/hr) between 8 and 72 hr after patch placement.

摘要

本研究的目的是确定静脉注射(i.v.)和透皮(t.d.)给予6只成年羊驼后芬太尼的药代动力学。芬太尼通过静脉注射(2μg/kg)或透皮给药(标称剂量:2μg·kg·hr)。使用液相色谱 - 质谱法测定血浆浓度。评估心率和呼吸频率。静脉注射后推算的零时血浆芬太尼浓度为6.0ng/ml(1.7 - 14.6ng/ml),总血浆清除率为1.10L·hr·kg(0.75 - 1.40L·hr·kg),Vdss、Varea和Vss的分布容积分别为0.30L/kg(0.10 - 0.99L/kg)、1.10L/kg(0.70 - 2.96L/kg)和1.5L/kg(0.8 - 3.5L/kg)。消除半衰期为1.2小时(0.5 - 4.3小时)。静脉给药后的平均驻留时间(范围)为1.30小时(0.65 - 4.00小时)。透皮给予芬太尼后,最大血浆芬太尼浓度为1.20ng/ml(0.72 - 3.00ng/ml),在贴片放置后25小时(8 - 48小时)出现。透皮给予芬太尼后血浆芬太尼浓度 - 时间曲线下面积(外推至无穷大)为61ng·hr/ml(49 - 93ng·hr/ml)。羊驼透皮给予芬太尼后芬太尼的剂量归一化生物利用度为35.5%(27 - 64%)。贴片放置后8至72小时之间,芬太尼从透皮贴片中吸收进入中央室的速率约为50μg/hr(29 - 81μg/hr)。

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