肼屈嗪与呋塞米在高血压患者中的相互作用。

Interactions of dihydralazine with furosemide in hypertonic patients.

作者信息

Siegmund W, Kairies M, Franke G, Donner I, Biebler K E

出版信息

Int J Clin Pharmacol Ther Toxicol. 1987 Mar;25(3):148-51.

Abstract

In 9 hypertensive patients stage II we studied whether dihydralazine, which is known to increase the renal blood flow, influences the elimination of furosemide (40 mg i.v.) when given additionally over a period of 2 weeks (75 mg daily). The results were compared with data from 9 healthy volunteers. The most important alterations in hypertonics were significantly increased half-lives (28.0 +/- 3.7 and 35.1 +/- 5.7 min), distribution coefficients (0.105 +/- 0.017 and 0.132 +/- 0.028 ml/g) and unchanged plasma clearances (2.62 +/- 0.33 and 2.59 +/- 0.27 ml min-1 X kg-1). Pretreatment with dihydralazine resulted in normalization of distribution coefficients (0.134 +/- 0.027 and 0.102 +/- 0.020 ml/g), decrease in plasma clearance (2.55 +/- 0.29 and 2.08 +/- 0.23 ml min-1 X kg-1) without alterations in half-lives (36.3 +/- 6.0 and 34.2 +/- 7.0 min). The authors conclude that the effects after dihydralazine co-medication are only distribution mediated.

摘要

在9例II期高血压患者中，我们研究了已知可增加肾血流量的双肼屈嗪在额外给药2周（每日75毫克）时是否会影响静脉注射40毫克呋塞米的消除。将结果与9名健康志愿者的数据进行比较。高血压患者最重要的变化是半衰期显著延长（分别为28.0±3.7分钟和35.1±5.7分钟）、分布系数增加（分别为0.105±0.017毫升/克和0.132±0.028毫升/克）以及血浆清除率不变（分别为2.62±0.33毫升·分钟⁻¹·千克⁻¹和2.59±0.27毫升·分钟⁻¹·千克⁻¹）。用双肼屈嗪预处理可使分布系数正常化（分别为0.134±0.027毫升/克和0.102±0.020毫升/克），血浆清除率降低（分别为2.55±0.29毫升·分钟⁻¹·千克⁻¹和2.08±0.23毫升·分钟⁻¹·千克⁻¹），而半衰期无变化（分别为36.3±6.0分钟和34.2±7.0分钟）。作者得出结论，联合使用双肼屈嗪后的效应仅由分布介导。