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食物对口服6-巯基嘌呤的影响。

The effect of food on the oral administration of 6-mercaptopurine.

作者信息

Burton N K, Barnett M J, Aherne G W, Evans J, Douglas I, Lister T A

出版信息

Cancer Chemother Pharmacol. 1986;18(1):90-1. doi: 10.1007/BF00253074.

DOI:10.1007/BF00253074
PMID:3757164
Abstract

The effect of food on the bioavailability of 6-mercaptopurine (6-MP) has been investigated. Seven patients were studied on two separate occasions. On the first occasion 6-MP was administered p.o. after an overnight fast and on the second, 15 min after a standard breakfast. 6-MP concentrations were determined by high-performance liquid chromatography. Variable plasma drug levels were observed between individual subjects in the fasting state. The peak levels of 6-MP were lower and took longer to be achieved following administration after a standard breakfast than after an overnight fast. In two subjects levels were undetectable (less than 20 ng/ml). In view of these observations it is suggested that 6-MP should be administered before food if maximum blood levels are to be achieved.

摘要

已对食物对6-巯基嘌呤(6-MP)生物利用度的影响进行了研究。七名患者在两个不同的时间段接受了研究。第一次,在禁食过夜后口服6-MP;第二次,在标准早餐后15分钟口服。通过高效液相色谱法测定6-MP浓度。在禁食状态下,个体受试者之间观察到血浆药物水平存在差异。与禁食过夜后给药相比,标准早餐后给药后6-MP的峰值水平较低,且达到峰值所需时间更长。在两名受试者中,药物水平检测不到(低于20 ng/ml)。鉴于这些观察结果,建议如果要达到最大血药浓度,6-MP应在进食前给药。

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本文引用的文献

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Comparison of the fed and fasting states on the absorption of melphalan in multiple myeloma.多发性骨髓瘤中进食和禁食状态对美法仑吸收的比较。
Cancer Chemother Pharmacol. 1984;12(3):183-6. doi: 10.1007/BF00256542.
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6-mercaptopurine: pharmacokinetics in animals and preliminary results in children.6-巯基嘌呤:动物体内药代动力学及儿童初步研究结果
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Eur J Clin Pharmacol. 1991;40(6):599-601. doi: 10.1007/BF00279977.
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N Engl J Med. 1983 Apr 28;308(17):1005-9. doi: 10.1056/NEJM198304283081705.
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A novel method for the quantitation of 6-mercaptopurine in human plasma using high-performance liquid chromatography with fluorescence detection.一种采用高效液相色谱-荧光检测法定量测定人血浆中6-巯基嘌呤的新方法。
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