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[药物蓄积与剂量确定(作者译)]

[Drug accumulation and dose finding (authors' transl)].

作者信息

Kurz H

出版信息

Arzneimittelforschung. 1977 Feb;27(2A):250-3.

PMID:577170
Abstract

Accumulation following repeated doses is no individual behavior of a drug, but always happens if the rate of invasion of a drug exceeds its rate of evasion. Using parameters such as dosing interval and biological half-life of a drug, its rate of accumulation as well as the equilibrium drug concentration in the body can be calculated. The initial dose and the maintenance dose can be calculated in a similar way. For an individual case the reliability of data calculated on the basis of mean values for biological halflife may be limited by the statistical variation of means and by factors altering the elimination of the drug, e.g. pathological changes or the influence of drugs given additionally. Nevertheless, these data may serve as a guidance to the physician to help him find the individual dosage for his patient.

摘要

重复给药后的蓄积并非某一种药物的个体行为,而是只要药物的进入速率超过其消除速率就总会发生。利用诸如给药间隔和药物生物半衰期等参数,可以计算其蓄积速率以及体内药物的平衡浓度。初始剂量和维持剂量也可以用类似方法计算。对于个别病例,基于生物半衰期平均值计算的数据的可靠性可能会受到平均值的统计变化以及改变药物消除的因素(如病理变化或额外给予药物的影响)的限制。然而,这些数据可为医生提供指导,帮助他为患者找到个体化的剂量。

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