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吡洛芬在年轻志愿者和老年患者中的药代动力学。

Pharmacokinetics of pirprofen in young volunteers and elderly patients.

作者信息

Rooney L, Kendall M J, Main A, Hosie J, John V A

出版信息

Eur J Clin Pharmacol. 1985;29(1):73-7. doi: 10.1007/BF00547372.

Abstract

Plasma concentrations of pirprofen were measured in 11 elderly arthritic patients and 6 healthy young volunteers at the beginning and end of 8 days treatment with 400 mg doses twice daily. The mean ages of the two groups were 74.5 and 21.8 years, respectively. There were no statistically significant differences in peak concentrations, times to peak, areas under the curve or terminal elimination half-lives between the groups after single dosing. Repeated dosing increased plasma drug concentrations in both groups but the extent was as predicted from the single dose data. Again there were no statistically significant differences between the groups, although pre-dosing plasma concentrations were higher in the elderly compared with the young individuals. The results of this relatively small study suggest that advancing age and arthritic disease appear to have little influence on the pharmacokinetics of pirprofen and no modification in the dosage recommendation in elderly patients without overt renal or hepatic impairment is indicated.

摘要

在11名老年关节炎患者和6名健康年轻志愿者中,于每日两次服用400毫克剂量、为期8天的治疗开始时和结束时测量了吡洛芬的血浆浓度。两组的平均年龄分别为74.5岁和21.8岁。单剂量给药后,两组之间的峰值浓度、达峰时间、曲线下面积或终末消除半衰期均无统计学显著差异。重复给药使两组的血浆药物浓度均升高,但升高程度与单剂量数据预测的一致。两组之间再次无统计学显著差异,尽管老年患者给药前的血浆浓度高于年轻个体。这项规模相对较小的研究结果表明,年龄增长和关节炎疾病似乎对吡洛芬的药代动力学影响不大,对于无明显肾或肝功能损害的老年患者,无需调整剂量建议。

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