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盐酸二甲双胍在健康杂种犬中的药代动力学和口服生物利用度

Pharmacokinetics and oral bioavailability of metformin hydrochloride in healthy mixed-breed dogs.

作者信息

Johnston Charlotte A, Dickinson Valerie S MacDonald, Alcorn Jane, Gaunt M Casey

出版信息

Am J Vet Res. 2017 Oct;78(10):1193-1199. doi: 10.2460/ajvr.78.10.1193.

Abstract

OBJECTIVE To investigate the pharmacokinetics of metformin hydrochloride in healthy dogs after IV and oral bolus administrations and determine the oral dose of metformin that yields serum concentrations equivalent to those thought to be effective in humans. ANIMALS 7 healthy adult mixed-breed dogs. PROCEDURES Each dog was given a single dose of metformin IV (mean ± SD dose, 24.77 ± 0.60 mg/kg) or PO (mean dose, 19.14 ± 2.78 mg/kg) with a 1-week washout period between treatments. For each treatment, blood samples were collected before and at intervals up to 72 hours after metformin administration. Seventy-two hours after the crossover study, each dog was administered metformin (mean dose, 13.57 ± 0.55 mg/kg), PO, twice daily for 7 days. Blood samples were taken before treatment initiation on day 0 and immediately before the morning drug administration on days 2, 4, 6, and 7. Serum metformin concentrations were determined by means of a validated flow injection analysis-tandem mass spectrometry method. RESULTS After IV or oral administration to the 7 dogs, there was high interindividual variability in mean serum metformin concentrations over time. Mean ± SD half-life of metformin following IV administration was 20.4 ± 4.1 hours. The mean time to maximum serum concentration was 2.5 ± 0.4 hours. Mean systemic clearance and volume of distribution were 24.1 ± 7.8 mL/min/kg and 44.8 ± 23.5 L/kg, respectively. The mean oral bioavailability was 31%. CONCLUSIONS AND CLINICAL RELEVANCE The study data indicated that the general disposition pattern and bioavailability of metformin in dogs are similar to those reported for cats and humans.

摘要

目的 研究健康犬静脉注射和口服大剂量盐酸二甲双胍后的药代动力学,并确定能产生与认为对人类有效的血清浓度相当的二甲双胍口服剂量。动物 7只健康成年杂种犬。方法 每只犬静脉注射(平均±标准差剂量,24.77±0.60 mg/kg)或口服(平均剂量,19.14±2.78 mg/kg)单剂量二甲双胍,两次治疗之间有1周的洗脱期。对于每次治疗,在二甲双胍给药前及给药后长达72小时的间隔时间采集血样。交叉研究72小时后,每只犬口服二甲双胍(平均剂量,13.57±0.55 mg/kg),每日两次,共7天。在第0天治疗开始前以及第2、4、6和7天早晨给药前立即采集血样。血清二甲双胍浓度通过经验证的流动注射分析-串联质谱法测定。结果 对7只犬进行静脉注射或口服给药后,平均血清二甲双胍浓度随时间存在较高的个体间变异性。静脉注射后二甲双胍的平均±标准差半衰期为20.4±4.1小时。达到最大血清浓度的平均时间为2.5±0.4小时。平均全身清除率和分布容积分别为24.1±7.8 mL/min/kg和44.8±23.5 L/kg。平均口服生物利用度为31%。结论及临床意义 研究数据表明,二甲双胍在犬体内的总体处置模式和生物利用度与猫和人类报道的相似。

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