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替马西泮在老年患者中的药代动力学。

Pharmacokinetics of temazepam in geriatric patients.

作者信息

Klem K, Murray G R, Laake K

出版信息

Eur J Clin Pharmacol. 1986;30(6):745-7. doi: 10.1007/BF00608229.

DOI:10.1007/BF00608229
PMID:2876901
Abstract

A single dose of temazepam 10 mg, as a solution in soft gelatin capsules, was given to 10 fasting geriatric in-patients (mean age 83 years) in a stable clinical condition. The mean peak plasma concentration was 306 ng/ml, with a median time of 0.75 h to peak concentration. Temazepam was eliminated from plasma in a biexponential manner, with a distribution phase (mean t1/2 alpha = 0.7 h) predominating for 3 h. The drug had a mean elimination half-life of 8.7 h. In a chronic study, in which temazepam 10 mg p.o. was given nightly to 13 patients, the plasma concentrations on Days 3, 5, 8, 12 and 15 were not significantly different from each other, showing rapid attainment of steady state levels and the lack of drug accumulation.

摘要

给10名处于稳定临床状态的空腹老年住院患者(平均年龄83岁)服用单剂量10毫克的替马西泮软胶囊溶液。平均血浆峰浓度为306纳克/毫升,达到峰浓度的中位时间为0.75小时。替马西泮以双指数方式从血浆中消除,分布相(平均t1/2α=0.7小时)占主导地位达3小时。该药物的平均消除半衰期为8.7小时。在一项慢性研究中,每晚给13名患者口服10毫克替马西泮,第3、5、8、12和15天的血浆浓度彼此无显著差异,表明迅速达到稳态水平且无药物蓄积。

相似文献

1
Pharmacokinetics of temazepam in geriatric patients.替马西泮在老年患者中的药代动力学。
Eur J Clin Pharmacol. 1986;30(6):745-7. doi: 10.1007/BF00608229.
2
Bioavailability of temazepam in soft gelatin capsules.替马西泮软胶囊的生物利用度。
Br J Clin Pharmacol. 1979;8(1):31S-35S. doi: 10.1111/j.1365-2125.1979.tb00452.x.
3
Effect of oral contraceptives on triazolam, temazepam, alprazolam, and lorazepam kinetics.口服避孕药对三唑仑、替马西泮、阿普唑仑和劳拉西泮药代动力学的影响。
Clin Pharmacol Ther. 1984 Nov;36(5):683-90. doi: 10.1038/clpt.1984.240.
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Pharmacokinetics of the hypnotic benzodiazepine, temazepam.催眠性苯二氮䓬类药物替马西泮的药代动力学
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5
Acute pharmacokinetic and pharmacodynamic comparison of two different formulations of temazepam.
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Effects of end-stage renal disease and aluminum hydroxide on temazepam kinetics.终末期肾病和氢氧化铝对替马西泮动力学的影响。
Clin Pharmacol Ther. 1985 Apr;37(4):453-9. doi: 10.1038/clpt.1985.70.
7
Pharmacokinetics and metabolism of temazepam in man and several animal species.替马西泮在人和几种动物物种中的药代动力学及代谢情况。
Br J Clin Pharmacol. 1979;8(1):23S-29S. doi: 10.1111/j.1365-2125.1979.tb00451.x.
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The effects of age and chronic liver disease on the elimination of temazepam.
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Effect of age and gender on disposition of temazepam.
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Is temazepam an accumulating hypnotic?
J Clin Pharmacol. 1984 Jan;24(1):58-64. doi: 10.1002/j.1552-4604.1984.tb01814.x.

引用本文的文献

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Adverse drug reactions. An overview of special considerations in the management of the elderly patient.药物不良反应。老年患者管理中的特殊注意事项概述。
Drug Saf. 1990 Nov-Dec;5(6):421-35. doi: 10.2165/00002018-199005060-00003.
2
Hepatic drug metabolism and aging.肝脏药物代谢与衰老
Clin Pharmacokinet. 1990 Nov;19(5):359-89. doi: 10.2165/00003088-199019050-00002.
3
Effect of temazepam on blood pressure regulation in healthy elderly subjects.替马西泮对健康老年受试者血压调节的影响。

本文引用的文献

1
The classification of benzodiazepine hypnotics.苯二氮䓬类催眠药的分类。
Br J Clin Pharmacol. 1983 Sep;16(3):345-7. doi: 10.1111/j.1365-2125.1983.tb02176.x.
2
Effect of subject age and gender on the pharmacokinetics of oral triazolam and temazepam.
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Hypnotic accumulation and hangover in elderly inpatients: a controlled double-blind study of temazepam and nitrazepam.老年住院患者的催眠药物蓄积及宿醉反应:替马西泮与硝西泮的对照双盲研究
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Effect of age and gender on disposition of temazepam.
J Pharm Sci. 1981 Oct;70(10):1104-7. doi: 10.1002/jps.2600701004.
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Chlormethiazole and temazepam.氯美噻唑和替马西泮。
Br Med J (Clin Res Ed). 1981 Feb 7;282(6262):475. doi: 10.1136/bmj.282.6262.475.
6
Improved hypnotic treatment using chlormethiazole and temazepam.使用氯美噻唑和替马西泮改善催眠治疗。
Br Med J. 1980 Mar 1;280(6214):601-4. doi: 10.1136/bmj.280.6214.601.
7
Human pharmacokinetics and bioavailability of temazepam administered in soft gelatin capsules.
Eur J Clin Pharmacol. 1977 Dec 16;12(5):383-6. doi: 10.1007/BF00562455.
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Pharmacokinetics of the hypnotic benzodiazepine, temazepam.催眠性苯二氮䓬类药物替马西泮的药代动力学
Br J Clin Pharmacol. 1979;8(1):37S-38S. doi: 10.1111/j.1365-2125.1979.tb00453.x.