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氯胺酮及其代谢产物在肾功能正常和受损兔体内的动力学。

Kinetics of ketamine and its metabolites in rabbits with normal and impaired renal function.

作者信息

Pedraz J L, Lanao J M, Dominguez-Gil A

出版信息

Eur J Drug Metab Pharmacokinet. 1985 Jan-Mar;10(1):33-9. doi: 10.1007/BF03189695.

DOI:10.1007/BF03189695
PMID:4029219
Abstract

The plasma levels of ketamine, an anaesthetic, and its metabolites were studied in 10 rabbits with normal renal function and in 9 rabbits with varying degrees of experimentally induced renal impairment. All the animals received a single bolus type i.v. dose of 10 mg/kg of the drug. The results obtained reveal an apparent inhibition of the biotransformation of ketamine in rabbits with renal impairment in which the drug is accumulated. The plasma half-life of ketamine ranged from 0.74 h in rabbits with normal renal function to 2.6 h in the animals with severe renal impairment. The plasma levels of norketamine (metabolite I) did not alter significantly in states of renal impairment. However, the kinetics of the other metabolite (II), dehydronorketamine, did change significantly in renal impairment, due to its high renal excretion capacity.

摘要

在10只肾功能正常的兔子和9只不同程度实验性诱导肾损伤的兔子中,研究了麻醉剂氯胺酮及其代谢物的血浆水平。所有动物均接受10mg/kg药物的单次静脉推注剂量。获得的结果显示,在肾损伤且药物蓄积的兔子中,氯胺酮的生物转化明显受到抑制。氯胺酮的血浆半衰期在肾功能正常的兔子中为0.74小时,在严重肾损伤的动物中为2.6小时。去甲氯胺酮(代谢物I)的血浆水平在肾损伤状态下没有显著变化。然而,另一种代谢物(II),即脱氢去甲氯胺酮的动力学在肾损伤时确实发生了显著变化,这是由于其高肾排泄能力。

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本文引用的文献

1
Pharmacokinetics of ketamine and two metabolites in the dog.氯胺酮及其两种代谢物在犬体内的药代动力学。
J Pharmacokinet Biopharm. 1980 Apr;8(2):193-202. doi: 10.1007/BF01065193.
2
Increased D-glucaric acid excretion in children with renal disease.肾病患儿中D-葡萄糖二酸排泄增加。
Int J Clin Pharmacol Ther Toxicol. 1980;18(8):357-60.
3
Does ketamine metabolite II exist in vivo?氯胺酮代谢物II在体内存在吗?
长期使用氯胺酮会损害恐惧条件反射,并使听觉诱发电位产生持久降低。
Neurobiol Dis. 2009 Aug;35(2):311-7. doi: 10.1016/j.nbd.2009.05.012. Epub 2009 May 23.
4
Effects of enzyme induction, renal and cardiac function on ketamine plasma kinetics in patients with ketamine long-term analgosedation.
Eur J Drug Metab Pharmacokinet. 1990 Jul-Sep;15(3):259-63. doi: 10.1007/BF03190213.
Br J Anaesth. 1981 Jul;53(7):778. doi: 10.1093/bja/53.7.778.
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Bioavailability, pharmacokinetics, and analgesic activity of ketamine in humans.
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Drug metabolites in renal failure: pharmacokinetic and clinical implications.肾衰竭中的药物代谢产物:药代动力学及临床意义
Clin Pharmacokinet. 1981 Sep-Oct;6(5):329-45. doi: 10.2165/00003088-198106050-00001.
6
Quantitative determination of ketamine and its metabolites in man by gas-liquid chromatography.气相色谱法定量测定人体中的氯胺酮及其代谢物。
Farmaco Prat. 1983 May;38(5):209-18.
7
Biotransformation and disposition of ketamine.氯胺酮的生物转化与处置
Int Anesthesiol Clin. 1974 Summer;12(2):157-77. doi: 10.1097/00004311-197412020-00018.
8
COMPT, a time-sharing program for nonlinear regression analysis of compartmental models of drug distribution.COMPT,一种用于药物分布房室模型非线性回归分析的分时程序。
J Pharmacokinet Biopharm. 1973 Apr;1(2):137-63. doi: 10.1007/BF01059627.
9
Pharmacokinetics of ketamine in man.氯胺酮在人体中的药代动力学。
Anaesthesist. 1975 Jun;24(6):260-3.