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吸收改变的药效学相关性:氯甲西泮的研究

Pharmacodynamic correlates of modified absorption: studies with lormetazepam.

作者信息

Pierce D M, Franklin R A, Harry T V, Nicholson A N

出版信息

Br J Clin Pharmacol. 1984 Jul;18(1):31-5. doi: 10.1111/j.1365-2125.1984.tb05018.x.

DOI:10.1111/j.1365-2125.1984.tb05018.x
PMID:6146348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1463588/
Abstract

The bioavailability, pharmacokinetics, and effects on performance of lormetazepam (1 mg) have been compared using soft gelatin capsule and tablet formulations. Lormetazepam was more rapidly absorbed from the soft gelatin capsule (tmax = 1.0 +/- 0.2 h) than from the tablet (tmax = 2.4 +/- 0.4 h), and the plasma concentration-time curve for the capsule was shifted to the left. Bioavailability and elimination kinetics did not differ between the formulations. The number of substitutions in the digit symbol test was reduced between 0.5 and 1.5 h for both formulations (P less than 0.001), but the degree of impairment at 0.5 h was greater after the capsule than after the tablet (P less than 0.01). Visuo-motor co-ordination was impaired from 0.5 to 1.5 h after the tablet and the capsule (P less than 0.01), and extended to 5.5 h after the tablet (P less than 0.05). These observations reflect the differences in the plasma concentration-time curves.

摘要

已使用软胶囊和片剂剂型比较了氯硝西泮(1毫克)的生物利用度、药代动力学及其对行为表现的影响。氯硝西泮从软胶囊中的吸收速度(达峰时间tmax = 1.0±0.2小时)比从片剂中的吸收速度(tmax = 2.4±0.4小时)更快,且软胶囊的血浆浓度-时间曲线向左偏移。两种剂型的生物利用度和消除动力学无差异。两种剂型在0.5至1.5小时之间数字符号测试中的替代次数均减少(P<0.001),但在0.5小时时,软胶囊后的损害程度大于片剂后(P<0.01)。片剂和软胶囊后0.5至1.5小时视觉运动协调能力受损(P<0.01),片剂后该损害持续至5.5小时(P<0.05)。这些观察结果反映了血浆浓度-时间曲线的差异。

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本文引用的文献

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Hypnotic activity and effects on performance of lormetazepam and camazepam--analogues of temazepam.氯美扎酮和卡马西泮(替马西泮类似物)的催眠活性及其对行为表现的影响
Br J Clin Pharmacol. 1982 Mar;13(3):433-9. doi: 10.1111/j.1365-2125.1982.tb01398.x.
2
Kinetics and biotransformation of lormetazepam. II. Radioimmunologic determinations in plasma and urine of young and elderly subjects: first-pass effect.氯美扎酮的动力学与生物转化。II. 青年和老年受试者血浆及尿液中的放射免疫测定:首过效应
Clin Pharmacol Ther. 1980 Nov;28(5):673-9. doi: 10.1038/clpt.1980.220.
3
Commentary: a physiological approach to hepatic drug clearance.述评:肝脏药物清除的生理学方法
Clin Pharmacol Ther. 1975 Oct;18(4):377-90. doi: 10.1002/cpt1975184377.
4
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5
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Br J Clin Pharmacol. 1979;8(1):37S-38S. doi: 10.1111/j.1365-2125.1979.tb00453.x.
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