Le Bigot J F, Lavene D, Kiechel J R
Laboratoires Sandoz, Rueil-Malmaison.
Nephrologie. 1987;8(3):135-41.
The pharmacokinetic properties of cyclosporine and mainly its absorption and hepatic elimination can vary in each patient in relation to the subject's individual characteristics (inter-subject variability), as well as in an individual patient during his treatment because of clinical episodes or drug interactions (intra-subject variabilities). Therefore, it appears compulsory to follow regularly cyclosporine blood levels or even to characterise each subject following a dose-test during the initiation of treatment, in order to adapt an individual posology aiming to minimise as far as possible the risk of nephrotoxicity.
环孢素的药代动力学特性,主要是其吸收和肝脏消除,在每个患者中可能因个体特征(个体间变异性)而有所不同,并且在个体患者的治疗过程中,由于临床事件或药物相互作用(个体内变异性)也会有所变化。因此,在治疗开始时定期监测环孢素血药浓度,甚至在剂量试验后对每个患者进行特征描述,似乎是必要的,以便调整个体化给药方案,尽可能降低肾毒性风险。