Clinical Pharmacology Laboratory, Institute for Infectious Diseases, University of Bern, Bern, Switzerland.
Department for Horses, University of Leipzig, Leipzig, Germany.
Electrophoresis. 2021 Sep;42(17-18):1826-1831. doi: 10.1002/elps.202100115. Epub 2021 May 22.
The enantioselectivity of the pharmacokinetics of methadone was investigated in anesthetized Shetland ponies after a single intravenous (0.5 mg/kg methadone hydrochloride; n = 6) or constant rate infusion (0.25 mg/kg bolus followed by 0.25 mg/kg/h methadone hydrochloride; n = 3) administration of racemic methadone. Plasma concentrations of l-methadone and d-methadone and their major metabolites, l- and d-2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), respectively, were analyzed by CE with highly sulfated γ-cyclodextrin as chiral selector and electrokinetic analyte injection from liquid/liquid extracts prepared at alkaline pH. In both trials, the d-methadone concentrations were lower than those of l-methadone and the d-EDDP levels were lower than those of L-EDDP. For the case of a single intravenous bolus injection, the plasma concentration versus time profile of methadone enantiomers was analyzed with a two-compartment pharmacokinetic model. l-methadone showed a slower elimination rate constant, a lower body clearance, and a smaller steady-state volume of distribution than d-methadone. d-methadone and d-EDDP were eliminated faster than their respective l-enantiomers. This is the first study that outlines that the disposition of racemic methadone administered to anesthetized equines is enantioselective.
在麻醉的设得兰矮种马中研究了盐酸美沙酮的药代动力学的对映选择性,在单次静脉内(0.5mg/kg 盐酸美沙酮;n = 6)或恒速输注(0.25mg/kg 推注后 0.25mg/kg/h 盐酸美沙酮;n = 3)给予外消旋美沙酮后。通过 CE 用高度硫酸化的 γ-环糊精作为手性选择剂和从在碱性 pH 下制备的液/液提取物中进行电动分析物注射,分析了 l-美沙酮和 d-美沙酮及其主要代谢物 l-和 d-2-亚乙基-1,5-二甲基-3,3-二苯基吡咯烷(EDDP)的血浆浓度。在这两种情况下,d-美沙酮的浓度均低于 l-美沙酮,而 d-EDDP 的水平则低于 L-EDDP。对于单次静脉内推注,用两室药代动力学模型分析了美沙酮对映体的血浆浓度-时间曲线。与 d-美沙酮相比,l-美沙酮的消除率常数较慢,清除率较低,稳态分布体积较小。 d-美沙酮和 d-EDDP 的消除速度快于各自的 l-对映体。这是第一项概述在麻醉的马中给予外消旋美沙酮的处置具有对映选择性的研究。