Liu Yuan-Rong, Zhan Shu-Yu, Zheng Bo-Hong, Fang Meng-Ting, Feng Yi-Han, Zhang Jie, Li Ming-Juan, Ding Bao-Yue
Medical College of Jiaxing University Jiaxing 314001, China.
Zhongguo Zhong Yao Za Zhi. 2021 Apr;46(7):1752-1762. doi: 10.19540/j.cnki.cjcmm.20201204.601.
Traditional Chinese medicine(TCM) injections boast a definite efficacy and have been widely used in clinic. However, the problems in medication safety have been attracted increasing attention. Pharmacokinetics is of significance to guiding TCM injection administration regimen design and improving safety and effectiveness in clinical use. In recent years, with the improvement of ideas, technology and methods of TCM studies, the pharmacokinetic studies of TCM injections have been broadly performed, with a notable progress. This paper reviewed the advance in pharmacokinetics studies of TCM injections in recent ten years, which mainly focused on pre-clinical concentration-time course, distribution, metabolism and excretion in vivo based on analysis techniques, pharmacokinetic interactions of constitutes, impact of pathological state, pharmacokinetic interactions between TCM injection and chemical drugs, and clinical pharmacokinetics studies of TCM injections, in the expectation of providing reference for studies on quality control, product development and rational clinical use of TCM injections.
中药注射剂疗效确切,已在临床广泛应用。然而,其用药安全问题日益受到关注。药代动力学对于指导中药注射剂给药方案设计、提高临床使用的安全性和有效性具有重要意义。近年来,随着中药研究思路、技术和方法的改进,中药注射剂的药代动力学研究广泛开展,取得了显著进展。本文综述了近十年来中药注射剂药代动力学研究的进展,主要集中在基于分析技术的临床前体内浓度-时间过程、分布、代谢和排泄,成分的药代动力学相互作用,病理状态的影响,中药注射剂与化学药物的药代动力学相互作用以及中药注射剂的临床药代动力学研究,以期为中药注射剂的质量控制、产品研发和临床合理使用研究提供参考。