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环孢素的药代动力学:持续静脉输注速率对肾移植患者的影响。

Pharmacokinetics of cyclosporin: influence of rate of constant intravenous infusion in renal transplant patients.

作者信息

Gupta S K, Legg B, Solomon L R, Johnson R W, Rowland M

机构信息

Department of Pharmacy, University of Manchester.

出版信息

Br J Clin Pharmacol. 1987 Oct;24(4):519-26. doi: 10.1111/j.1365-2125.1987.tb03206.x.

Abstract

1 The pharmacokinetics of cyclosporin were studied in 12 renal transplant patients. Five patients received a constant rate (7 mg kg-1 day-1) intravenous infusion over 72 h and the remainder received rates of 7, 4 and 10 mg kg-1 day-1, consecutively each for at least 24 h. 2 Plasma, separated at 37 degrees C, was analysed by h.p.l.c. 3 The data were best described by a biexponential model. 4 Following the 72 h infusion, a plateau was reached by 24 h and clearance was 0.60 l h-1 kg-1. 5 Clearance associated with the 10 mg kg-1 day-1 infusion rate (0.43 l h-1 kg-1) was estimated to be lower than that following the 4 and 7 mg kg-1 day-1 rates (0.52 and 0.54 l h-1 kg-1 respectively) but the difference is unlikely to be of clinical significance.

摘要
  1. 对12名肾移植患者的环孢素药代动力学进行了研究。5名患者在72小时内接受了恒定速率(7毫克/千克/天)的静脉输注,其余患者分别接受了7、4和10毫克/千克/天的速率,每种速率至少持续24小时。

  2. 在37摄氏度下分离的血浆通过高效液相色谱法进行分析。

  3. 数据用双指数模型能得到最佳描述。

  4. 在72小时输注后,24小时达到平台期,清除率为0.60升/小时/千克。

  5. 估计与10毫克/千克/天输注速率相关的清除率(0.43升/小时/千克)低于4毫克/千克/天和7毫克/千克/天速率后的清除率(分别为0.52和0.54升/小时/千克),但这种差异不太可能具有临床意义。

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本文引用的文献

3
Intravenous cyclosporine kinetics in renal failure.肾衰竭患者静脉注射环孢素的动力学
Clin Pharmacol Ther. 1983 Nov;34(5):638-43. doi: 10.1038/clpt.1983.226.
4
Pharmacokinetics of intravenous cyclosporine in bone marrow transplant patients. Comparison of two assay methods.
Transplantation. 1984 Nov;38(5):511-3. doi: 10.1097/00007890-198411000-00014.
7
Individualization of cyclosporine therapy using pharmacokinetic and pharmacodynamic parameters.
Transplantation. 1985 Nov;40(5):457-76. doi: 10.1097/00007890-198511000-00001.
8
Cyclosporine kinetics in renal transplantation.肾移植中环孢素的动力学
Clin Pharmacol Ther. 1985 Sep;38(3):296-300. doi: 10.1038/clpt.1985.174.
9
Clinical pharmacokinetics of ciclosporin A in bone marrow transplantation patients.
Cancer Chemother Pharmacol. 1985;15(1):76-81. doi: 10.1007/BF00257300.
10
Clinical pharmacokinetics of cyclosporin.环孢素的临床药代动力学
Clin Pharmacokinet. 1986 Mar-Apr;11(2):107-32. doi: 10.2165/00003088-198611020-00002.

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