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老年抑郁症患者单次给药后及稳态时米安色林的血药浓度。

Plasma concentrations of mianserin after single dose and at steady-state in depressed elderly patients.

作者信息

Dawling S, Ford S, Ariyanayagam P, O'Neal H, Lewis R R

出版信息

Clin Pharmacokinet. 1987 Jan;12(1):73-8. doi: 10.2165/00003088-198712010-00005.

DOI:10.2165/00003088-198712010-00005
PMID:3816006
Abstract

Plasma mianserin and desmethylmianserin concentrations were measured in 17 clinically depressed elderly patients after a single 30 mg dose of mianserin. The patients then received mianserin 30 mg daily for up to 6 weeks and the plasma concentrations were measured at weekly intervals. The relationship between concentrations of mianserin and desmethylmianserin at steady-state and at 16 and 24 hours after the single test dose was not good enough to be used for prediction of dosage requirements. Reasons for this finding are discussed.

摘要

对17例临床诊断为抑郁症的老年患者单次服用30毫克米安色林后,测定其血浆米安色林和去甲基米安色林浓度。然后患者每天服用30毫克米安色林,持续6周,并每周测定血浆浓度。单次试验剂量后16小时和24小时以及稳态时米安色林和去甲基米安色林浓度之间的关系不足以用于预测剂量需求。讨论了这一发现的原因。

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Plasma concentrations of mianserin after single dose and at steady-state in depressed elderly patients.老年抑郁症患者单次给药后及稳态时米安色林的血药浓度。
Clin Pharmacokinet. 1987 Jan;12(1):73-8. doi: 10.2165/00003088-198712010-00005.
2
Prediction of plasma concentrations of mianserin and desmethylmianserin at steady state from those after an initial dose of mianserin.根据米安色林初始剂量后的血药浓度预测其稳态时米安色林和去甲基米安色林的血药浓度。
Ther Drug Monit. 1993 Apr;15(2):118-21. doi: 10.1097/00007691-199304000-00009.
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引用本文的文献

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A stereochemical investigation of the cytotoxicity of mianserin metabolites in vitro.米安色林代谢物体外细胞毒性的立体化学研究。
Br J Clin Pharmacol. 1989 Jun;27(6):823-30. doi: 10.1111/j.1365-2125.1989.tb03445.x.
2
Variability in the elimination of mianserin in elderly patients.老年患者米安色林消除的变异性。
Br J Clin Pharmacol. 1989 Apr;27(4):445-51. doi: 10.1111/j.1365-2125.1989.tb05392.x.
3
Clinical pharmacokinetic considerations in the elderly. An update.老年人的临床药代动力学考量。最新进展。

本文引用的文献

1
Single-dose kinetics predict steady-state concentrations on imipramine and desipramine.单剂量动力学可预测丙咪嗪和地昔帕明的稳态浓度。
Arch Gen Psychiatry. 1980 Mar;37(3):314-20. doi: 10.1001/archpsyc.1980.01780160084010.
2
Nortriptyline therapy in elderly patients: dosage prediction from plasma concentration at 24 hours after a single 50 mg dose.
Br J Psychiatry. 1981 Nov;139:413-6. doi: 10.1192/bjp.139.5.413.
3
Monitoring of tricyclic antidepressant therapy.
Clin Biochem. 1982 Feb;15(1):56-61. doi: 10.1016/s0009-9120(82)90511-2.
4
Clin Pharmacokinet. 1989 Oct;17(4):236-63. doi: 10.2165/00003088-198917040-00003.
Mianserin: determination of therapeutic dose range.米安色林:治疗剂量范围的确定
Int Pharmacopsychiatry. 1980;15(2):111-7. doi: 10.1159/000468421.
5
Mianserin kinetics in depressed patients.米安色林在抑郁症患者中的药代动力学。
Clin Pharmacol Ther. 1983 Jun;33(6):757-62. doi: 10.1038/clpt.1983.103.
6
The pharmacokinetics of mianserin.米安色林的药代动力学。
Br J Clin Pharmacol. 1983;15 Suppl 2(Suppl 2):313S-322S. doi: 10.1111/j.1365-2125.1983.tb05880.x.
7
The potential therapeutic role of the enantiomers and metabolites of mianserin.米安色林对映体及代谢产物的潜在治疗作用。
Br J Clin Pharmacol. 1983;15 Suppl 2(Suppl 2):269S-276S. doi: 10.1111/j.1365-2125.1983.tb05875.x.
8
Amitriptyline dosage prediction in elderly patients from plasma concentration at 24 hours after a single 100mg dose.根据单次100毫克剂量服用24小时后的血浆浓度预测老年患者的阿米替林剂量
Clin Pharmacokinet. 1984 May-Jun;9(3):261-6. doi: 10.2165/00003088-198409030-00007.
9
Maintenance-dose prediction based on a single determination of concentration: general applicability to two-compartment drugs with reference to lithium.基于单次浓度测定的维持剂量预测:以锂为例对二室模型药物的普遍适用性
J Pharm Sci. 1983 Nov;72(11):1262-6. doi: 10.1002/jps.2600721107.
10
The pharmacokinetics of mianserin in elderly depressed patients.米安色林在老年抑郁症患者中的药代动力学。
Psychiatry Res. 1983 Apr;8(4):281-7. doi: 10.1016/0165-1781(83)90016-1.