Paalzow L K, Paalzow G H
J Pharm Pharmacol. 1986 Jan;38(1):28-34. doi: 10.1111/j.2042-7158.1986.tb04462.x.
The pharmacokinetics of apomorphine in plasma and brain tissue have been studied in relation to the time courses of effects on heart rate in conscious rats. The kinetic behaviour was investigated after 2 mg kg-1 i.v. and 5 mg kg-1 s.c., respectively. Apomorphine showed a high total plasma clearance (165-207 ml min-1 kg-1) and, despite a relatively large volume of distribution (3.4-4.1 litre kg-1), a biological half-life of about 14 min was obtained irrespective of route of administration. The kinetics in whole brain were identical with those in plasma. Apomorphine produced biphasic effects on the heart rate during the time courses of subcutaneous single doses: a low dose (50 micrograms kg-1) induced pure bradycardia while the doses of 100 micrograms kg-1 and 5 mg kg-1 produced responses oscillating between bradycardia and tachycardia. When we evaluated the relation between apomorphine concentrations and effects on the heart frequency with a composed sigmoid Emax model, apomorphine exhibited a U-shaped steady-state plasma concentration-response curve. Bradycardia appeared after low concentrations, reached a maximum and then decreased with increasing concentrations. A further augmentation of apomorphine concentration resulted in the opposite effect, i.e. tachycardia. Separate concentration-response curves for bradycardia and tachycardia were calculated. The changes in biophase concentration that occur during the absorption and disposition may thus cause the fluctuations between contrasting effects seen during the time course of a single dose.
已研究了阿扑吗啡在血浆和脑组织中的药代动力学与清醒大鼠心率效应时程的关系。分别在静脉注射2mg/kg和皮下注射5mg/kg后研究了其动力学行为。阿扑吗啡显示出较高的总血浆清除率(165 - 207ml·min⁻¹·kg⁻¹),尽管分布容积相对较大(3.4 - 4.1升/kg),但无论给药途径如何,其生物半衰期约为14分钟。全脑的动力学与血浆中的动力学相同。在皮下单次给药的时程中,阿扑吗啡对心率产生双相效应:低剂量(50μg/kg)引起单纯性心动过缓,而100μg/kg和5mg/kg的剂量产生的反应在心动过缓和心动过速之间振荡。当我们用复合S形Emax模型评估阿扑吗啡浓度与心率效应之间的关系时,阿扑吗啡呈现出U形的稳态血浆浓度-反应曲线。低浓度后出现心动过缓,达到最大值,然后随着浓度增加而降低。阿扑吗啡浓度的进一步增加导致相反的效应,即心动过速。计算了心动过缓和心动过速的单独浓度-反应曲线。因此,在吸收和处置过程中发生的生物相浓度变化可能导致单次给药时程中所见的相反效应之间的波动。