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丙哌维林在人体中的药代动力学与代谢

On the pharmacokinetics and metabolism of propiverine in man.

作者信息

Haustein K O, Hüller G

机构信息

Institute of Clinical Pharmacology, Medical Academy Erfurt, GDR.

出版信息

Eur J Drug Metab Pharmacokinet. 1988 Apr-Jun;13(2):81-90. doi: 10.1007/BF03191308.

DOI:10.1007/BF03191308
PMID:3208795
Abstract

The pharmacokinetics of 14C-propiverine was studied in 13 volunteers and in 2 patients after a single i.v. injection of 5 mg or after oral administration of 15 mg. To each dose 1.11 MBq 14C-propiverine was added. The radioactivity measured in plasma, urine (and bile fluid), and the metabolites were estimated by an extraction procedure together with TLC and radiochromatography. Propiverine was eliminated from the plasma with a half-life time (t0.5) of 4.1 h (i.v. and per os), while the plasma radioactivity decreased with a t0.5 of 21.2 (i.v.) or 10.4 h (per os). Within 4 days, 84.5 (i.v.) or 53.5% (per os) of the administered radioactivity was excreted in urine. The absorption of radioactivity of propiverine amounted to 84.5%, while the amount of available propiverine was only 48.9%. In two patients with cannulated ductus choledochus, 21.5 or 14.7% of the administered radioactivity was excreted within 2 days. The metabolic pattern of plasma, urine and bile fluid mainly consisted of amine oxides, substances oxidized in the propyl side chain, desalkylated metabolites, substances with a N-demethylated piperidino group or with ester cleavage, and glucuronide conjugates. Unchanged propiverine appeared in plasma, urine and bile at about 6 to 8% of the administered dose.

摘要

在13名志愿者和2名患者中研究了14C-丙哌维林的药代动力学,单次静脉注射5mg或口服15mg后进行研究。每剂添加1.11MBq的14C-丙哌维林。通过萃取程序结合薄层色谱法和放射色谱法估算血浆、尿液(和胆汁)以及代谢物中测得的放射性。丙哌维林从血浆中消除的半衰期(t0.5)为4.1小时(静脉注射和口服),而血浆放射性以21.2(静脉注射)或10.4小时(口服)的t0.5下降。在4天内,84.5%(静脉注射)或53.5%(口服)的给药放射性经尿液排出。丙哌维林的放射性吸收量为84.5%,而可用丙哌维林的量仅为48.9%。在两名胆总管插管患者中,21.5%或14.7%的给药放射性在2天内排出。血浆、尿液和胆汁的代谢模式主要包括氧化胺、丙基侧链氧化的物质、去烷基化代谢物、具有N-去甲基哌啶基团或酯裂解的物质以及葡萄糖醛酸结合物。未变化的丙哌维林在血浆、尿液和胆汁中的出现量约为给药剂量的6%至8%。

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本文引用的文献

1
Studies on the metabolic pattern of propiverine in urine after single administration.
Pharmazie. 1988 Feb;43(2):91-5.
Urothelial effects of oral agents for overactive bladder.
治疗膀胱过度活动症口服药物对尿路上皮的影响
Curr Urol Rep. 2008 Nov;9(6):459-64. doi: 10.1007/s11934-008-0079-z.
4
Oral absorption of propiverine solution and of the immediate and extended release dosage forms: influence of regioselective intestinal elimination.丙哌维林溶液以及速释和缓释剂型的口服吸收:区域选择性肠道消除的影响
Eur J Clin Pharmacol. 2008 Nov;64(11):1085-92. doi: 10.1007/s00228-008-0528-0. Epub 2008 Jul 15.
5
Actions of two main metabolites of propiverine (M-1 and M-2) on voltage-dependent L-type Ca2+ currents and Ca2+ transients in murine urinary bladder myocytes.丙哌维林的两种主要代谢物(M-1和M-2)对小鼠膀胱肌细胞中电压依赖性L型Ca2+电流和Ca2+瞬变的作用。
J Pharmacol Exp Ther. 2008 Jan;324(1):118-27. doi: 10.1124/jpet.107.130021. Epub 2007 Oct 10.
6
Pharmacotherapy for nocturia in the elderly patient.老年患者夜尿症的药物治疗
Drugs Aging. 2007;24(4):325-43. doi: 10.2165/00002512-200724040-00005.
7
Propiverine and metabolites: differences in binding to muscarinic receptors and in functional models of detrusor contraction.丙哌维林及其代谢产物:与毒蕈碱受体结合及逼尿肌收缩功能模型的差异
Naunyn Schmiedebergs Arch Pharmacol. 2006 Nov;374(2):87-97. doi: 10.1007/s00210-006-0103-0. Epub 2006 Oct 20.
8
Treatment of the overactive bladder syndrome with muscarinic receptor antagonists: a matter of metabolites?用毒蕈碱受体拮抗剂治疗膀胱过度活动症:与代谢物有关?
Naunyn Schmiedebergs Arch Pharmacol. 2006 Nov;374(2):79-85. doi: 10.1007/s00210-006-0105-y.
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Pharmacodynamics of propiverine and three of its main metabolites on detrusor contraction.丙哌维林及其三种主要代谢产物对逼尿肌收缩的药效学
Br J Pharmacol. 2005 Jul;145(5):608-19. doi: 10.1038/sj.bjp.0706244.
10
Clinical pharmacokinetics of drugs used to treat urge incontinence.用于治疗急迫性尿失禁药物的临床药代动力学
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