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缓释胶囊单次及重复给药后的茶碱药代动力学

Theophylline pharmacokinetics following single and repeated administration of slow-release capsules.

作者信息

Torrent J, Izquierdo I, Barbanoj M J, Obach R, Nomen M, Jane F

机构信息

Clinical Pharmacology Research Unit, Hospital Sant Pau, School of Medicine, U.A.B., Spain.

出版信息

Eur J Drug Metab Pharmacokinet. 1988 Oct-Dec;13(4):225-30. doi: 10.1007/BF03190083.

Abstract

The aim of this study was to evaluate the pharmacokinetic profile after single and multidose oral administration of a new slow-release theophylline formulation and the bioavailability at steady-state during two dosing intervals (5th and 8th day) in 6 healthy subjects. A dose of 6 mg/Kg (capsules) was given for the single and at fixed 12 h intervals during 10 days for the multidose schedule. Theophylline kinetics were best described by a one-compartment open model. After single dose the elimination half-life was 7.22 +/- 2.36 h, the Vd area/F was 0.50 +/- 0.07 l/kg and the total clearance/F was 0.86 +/- 0.24 ml/Kg/min, which was similar to results reported in other studies. Steady-state plasma levels were predictable from the kinetic data and were reached between the 4th and 6th dose, falling within the therapeutic range throughout the dosing interval. The percentage of fluctuation remained constant during both intervals, around 33 and 35% respectively. Bioavailability parameter values for the two intervals showed no differences either in extent or in rate. A circadian rythm was confirmed with the mean morning trough values significantly greater than the corresponding mean evening values. From these results it may be concluded that the formulation studied produces few fluctuations of theophylline levels during the 12 h interval between both administrations, thus permitting a good therapeutic cover in chronic therapy.

摘要

本研究的目的是评估6名健康受试者单次和多次口服一种新型缓释茶碱制剂后的药代动力学特征,以及在两个给药间隔期(第5天和第8天)稳态时的生物利用度。单次给药剂量为6 mg/Kg(胶囊),多次给药方案为在10天内每12小时固定给药一次。茶碱动力学最好用单室开放模型描述。单次给药后,消除半衰期为7.22±2.36小时,Vd area/F为0.50±0.07 l/kg,总清除率/F为0.86±0.24 ml/Kg/min,这与其他研究报道的结果相似。根据动力学数据可预测稳态血浆水平,在第4剂和第6剂之间达到稳态,在整个给药间隔期内均落在治疗范围内。两个间隔期内波动百分比均保持恒定,分别约为33%和35%。两个间隔期的生物利用度参数值在程度和速率上均无差异。证实存在昼夜节律,平均早晨谷值显著高于相应的平均晚上值。从这些结果可以得出结论,所研究的制剂在两次给药之间的12小时间隔期内茶碱水平波动较小,因此在慢性治疗中能提供良好的治疗覆盖。

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