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儿童血浆中卡马西平-10,11-环氧化物/卡马西平的比例改变:抗惊厥药物相互作用的证据。

Altered ratio of carbamazepine-10,11-epoxide/carbamazepine in plasma of children: evidence of anticonvulsant drug interaction.

作者信息

Schoeman J F, Elyas A A, Brett E M, Lascelles P T

出版信息

Dev Med Child Neurol. 1984 Dec;26(6):749-55. doi: 10.1111/j.1469-8749.1984.tb08168.x.

DOI:10.1111/j.1469-8749.1984.tb08168.x
PMID:6440824
Abstract

A method of measuring carbamazepine-10,11-epoxide (CBZ-10,11-EPOX) has been developed and used to monitor plasma concentrations in children suffering from various forms of epilepsy. Children stabilised on standard doses of CBZ alone showed a ratio of CBZ-10,11-EPOX/CBZ of 18.92 +/- 8.08, expressed as a percentage of the CBZ concentration, while those on multiple-drug therapy (with the exception of benzodiazepines and phenobarbitone) showed both increased values of CBZ-10,11-EPOX/CBZ ratio and increased absolute concentrations of CBZ-10,11-EPOX in plasma. These changes correlated with clinical side-effects which could not be attributed to CBZ itself or to the other drugs administered concurrently.

摘要

一种测量卡马西平 - 10,11 - 环氧化物(CBZ - 10,11 - EPOX)的方法已被开发出来,并用于监测患有各种形式癫痫的儿童的血浆浓度。仅使用标准剂量卡马西平稳定病情的儿童,其CBZ - 10,11 - EPOX/CBZ比值(以CBZ浓度的百分比表示)为18.92±8.08,而接受多药治疗(苯二氮卓类和苯巴比妥除外)的儿童,其CBZ - 10,11 - EPOX/CBZ比值升高,且血浆中CBZ - 10,11 - EPOX的绝对浓度也升高。这些变化与临床副作用相关,而这些副作用不能归因于卡马西平本身或同时使用的其他药物。

相似文献

1
Altered ratio of carbamazepine-10,11-epoxide/carbamazepine in plasma of children: evidence of anticonvulsant drug interaction.儿童血浆中卡马西平-10,11-环氧化物/卡马西平的比例改变:抗惊厥药物相互作用的证据。
Dev Med Child Neurol. 1984 Dec;26(6):749-55. doi: 10.1111/j.1469-8749.1984.tb08168.x.
2
Correlation between plasma carbamazepine-10,11-epoxide concentration and drug side-effects in children with epilepsy.癫痫患儿血浆卡马西平-10,11-环氧化物浓度与药物副作用的相关性
Dev Med Child Neurol. 1984 Dec;26(6):756-64. doi: 10.1111/j.1469-8749.1984.tb08169.x.
3
Carbamazepine 10, 11 epoxide concentrations in epileptics on carbamazepine alone and in combination with other anticonvulsants.仅服用卡马西平以及与其他抗惊厥药联合服用的癫痫患者体内卡马西平10, 11环氧化物的浓度。
Br J Clin Pharmacol. 1983 Dec;16(6):747-9. doi: 10.1111/j.1365-2125.1983.tb02257.x.
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Carbamazepine and carbamazepine-10,11-epoxide serum concentrations in epileptic children.癫痫患儿的卡马西平和卡马西平-10,11-环氧化物血清浓度
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Influence of carbamazepine-10,11-epoxide on the serum level of valproic acid in epileptic patients on combined treatment with carbamazepine and valproic acid.卡马西平-10,11-环氧化物对癫痫患者联合使用卡马西平和丙戊酸治疗时丙戊酸血清水平的影响。
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The necessity of adjusting the dosage of zonisamide when coadministered with other anti-epileptic drugs.
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The influence of polytherapy on the relationships between serum carbamazepine and its metabolites in epileptic children.联合治疗对癫痫患儿血清卡马西平及其代谢物之间关系的影响。
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Ther Drug Monit. 1996 Dec;18(6):660-5. doi: 10.1097/00007691-199612000-00006.

引用本文的文献

1
Physiologically Based Pharmacokinetic Modeling-Based Evaluation of Current Carbamazepine and Valproic Acid Dosing Guidelines for Pediatric Epilepsy Treatment.基于生理药代动力学模型对儿童癫痫治疗中当前卡马西平和丙戊酸给药指南的评估。
Paediatr Drugs. 2025 Jul 2. doi: 10.1007/s40272-025-00707-4.
2
Clinical pharmacokinetics of antiepileptic drugs in paediatric patients. Part II. Phenytoin, carbamazepine, sulthiame, lamotrigine, vigabatrin, oxcarbazepine and felbamate.抗癫痫药物在儿科患者中的临床药代动力学。第二部分。苯妥英、卡马西平、舒噻美、拉莫三嗪、氨己烯酸、奥卡西平和非氨酯。
Clin Pharmacokinet. 1995 Nov;29(5):341-69. doi: 10.2165/00003088-199529050-00004.
3
Antiepileptic drugs. A review of clinically significant drug interactions.
抗癫痫药物。具有临床意义的药物相互作用综述。
Drug Saf. 1993 Sep;9(3):156-84. doi: 10.2165/00002018-199309030-00003.
4
Clinical pharmacokinetics and pharmacological effects of carbamazepine and carbamazepine-10,11-epoxide. An update.卡马西平和卡马西平 - 10,11 - 环氧化物的临床药代动力学及药理作用。最新进展。
Clin Pharmacokinet. 1986 May-Jun;11(3):177-98. doi: 10.2165/00003088-198611030-00001.