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一种“每日一次给药”的缓释茶碱制剂:处置与药代动力学。

A "once a day administration" sustained-release theophylline formulation: disposition and pharmacokinetics.

作者信息

Soubeyrand J, Comet F, Gillet A, Georges D, Brazier J L

出版信息

Eur J Clin Pharmacol. 1984;27(3):325-8. doi: 10.1007/BF00542169.

DOI:10.1007/BF00542169
PMID:6510460
Abstract

The pharmacokinetics of a new sustained-release preparation of theophylline (Dilatrane à Action Prolongée capsules filled with homogenous microgranules) has been after its studied administration to 7 healthy volunteers at 8 p.m. in order to achieve therapeutic levels at night and in the morning. In separate trials the test dose of 500 or 600 mg was administered for 7 days, once daily at 8 p.m. Plasma theophylline levels were measured by capillary gas chromatography with a mass specific detector after pentylation, using internal standards labelled with stable isotopes (15N-1,3 and 13C-2 theophylline). The new sustained-release preparation showed a monophasic regular absorption phase with very low inter-individual variability. After administration, the plasma level stayed within 80% of the peak levels for 8.5 +/- 1.5 h. There was a good correlation between the dose and the steady state plasma level (r = 0.9587; p less than 0.05). This preparation can be chronically administered once daily day at 8 p.m. in order to achieve a therapeutic level during the night and the morning, and to provide sufficient protection during the nycterohemeral period, with a once dose a day schedule.

摘要

为了在夜间和早晨达到治疗水平,对7名健康志愿者于晚上8点给予一种新型茶碱缓释制剂(填充均匀微颗粒的长效氨茶碱胶囊)后,研究了其药代动力学。在单独试验中,给予500或600mg的试验剂量,连续7天,每天晚上8点给药一次。使用稳定同位素标记的内标物(15N-1,3和13C-2茶碱),戊基化后通过带质量特异性检测器的毛细管气相色谱法测定血浆茶碱水平。新型缓释制剂呈现单相规则吸收相,个体间变异性非常低。给药后,血浆水平在峰值水平的80%范围内维持8.5±1.5小时。剂量与稳态血浆水平之间存在良好相关性(r = 0.9587;p<0.05)。该制剂可以每天晚上8点长期给药一次,以便在夜间和早晨达到治疗水平,并在昼夜期间提供足够的保护,采用每日一次给药方案。

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引用本文的文献

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Influence of hyperlipidic food on the kinetics of slow-release formulations of theophylline.
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本文引用的文献

1
Disposition and clinical pharmacokinetics of theophylline after administration of a new sustained release tablet.一种新型缓释片给药后茶碱的处置及临床药代动力学
Eur J Clin Pharmacol. 1981;21(1):39-44. doi: 10.1007/BF00609586.
2
Pharmacokinetics of theophylline. Application to adjustment of the clinical dose of aminophylline.茶碱的药代动力学。在氨茶碱临床剂量调整中的应用。
Clin Pharmacol Ther. 1972 May-Jun;13(3):349-60. doi: 10.1002/cpt1972133349.
3
Dosage of theophylline in bronchial asthma.支气管哮喘中茶碱的剂量
N Engl J Med. 1975 Jun 5;292(23):1218-22. doi: 10.1056/NEJM197506052922305.
4
Oral aminophylline therapy. Increased dosage requirements in children.口服氨茶碱治疗。儿童所需剂量增加。
JAMA. 1977 Apr 4;237(14):1453-5. doi: 10.1001/jama.237.14.1453.
5
Monitoring serum theophylline levels.监测血清茶碱水平。
Clin Pharmacokinet. 1978 Jul-Aug;3(4):294-312. doi: 10.2165/00003088-197803040-00003.
6
Clinical pharmacokinetics of theophylline.茶碱的临床药代动力学
Clin Pharmacokinet. 1978 Jul-Aug;3(4):267-93. doi: 10.2165/00003088-197803040-00002.
7
Factors affecting theophylline clearances: age, tobacco, marijuana, cirrhosis, congestive heart failure, obesity, oral contraceptives, benzodiazepines, barbiturates, and ethanol.影响茶碱清除率的因素:年龄、烟草、大麻、肝硬化、充血性心力衰竭、肥胖、口服避孕药、苯二氮䓬类药物、巴比妥类药物和乙醇。
J Pharm Sci. 1979 Nov;68(11):1358-66. doi: 10.1002/jps.2600681106.