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[长期给药后地西泮在脑内区域分布的药代动力学研究。与血浆及红细胞水平的相关性]

[Pharmacokinetic study of the regional cerebral distribution of diazepam following chronic administration. Correlations with plasma and erythrocyte levels].

作者信息

Hariton C, Jadot G, Mesdjian E, Valli M, Bouyard P, Mandel P

出版信息

J Pharmacol. 1983 Oct-Dec;14(4):425-36.

PMID:6142983
Abstract

The kinetic profile of diazepam (DZP) was studied in plasma, erythrocytes, and eleven discrete brain areas of the rat, after intramuscular subchronic administration (15 days-5 mg/kg). DZP was rapidly distributed in brain areas. Its concentrations and its kinetic parameters were not uniform in the different brain areas we studied. The results showed the highest content of DZP in the hypothalamus, followed by the nucleus caudatus and the colliculi. Our data presented the erythrocyte as a "deep compartment". Comparatively to the results obtained after single administration, this study showed an increase of the apparent elimination half-life. Indeed, one observes a 2 fold increase for the plasma, and a 3.5 fold increase for the cerebral compartment. In the three brain areas studied (nucleus caudatus, hippocampus, and cerebellum) we observed a linear relationship with plasmatic or erythrocytic levels (0.978 less than or equal to r less than or equal to 0.992). It seems important to be considered in clinical pharmacology.

摘要

在大鼠肌肉注射亚慢性给药(15天,5毫克/千克)后,研究了地西泮(DZP)在血浆、红细胞和大鼠11个离散脑区中的动力学特征。DZP在脑区中迅速分布。在我们研究的不同脑区中,其浓度和动力学参数并不一致。结果显示,下丘脑的DZP含量最高,其次是尾状核和丘。我们的数据表明红细胞是一个“深部隔室”。与单次给药后获得的结果相比,本研究显示表观消除半衰期增加。确实,观察到血浆增加了2倍,脑区增加了3.5倍。在研究的三个脑区(尾状核、海马体和小脑)中,我们观察到与血浆或红细胞水平呈线性关系(0.978≤r≤0.992)。这在临床药理学中似乎很重要。

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