Powis G, Snow D H
J Pharmacol Exp Ther. 1978 Jun;205(3):725-31.
There are now several examples showing that experimentally induced changes in hepatic blood flow can have a marked effect upon the elimination of certain high clearance drugs. Changes in hepatic blood flow produced by exercise might therefore be expected to influence the clearance of these drugs. There was an increase of up to 100%, compound to control values, in the plasma levels of propranolol in horses given either d- or dl-propranolol, 0.2 mg/kg b.wt., and then subjected to sustained exercise for 30 minutes. There was, however, no similar increase with exercise in the plasma levels of antipyrine in horses given antipyrine, 50 mg/kg b.wt. Intravenous infusions of adrenaline, 1 microgram/kg b.wt./min for 10 minutes also produced an increase of about 70% in the plasma levels of d-propranolol.
目前有几个例子表明,实验诱导的肝血流变化可对某些高清除率药物的消除产生显著影响。因此,运动引起的肝血流变化可能会影响这些药物的清除率。给体重0.2mg/kg的马匹注射d-或dl-普萘洛尔,然后进行30分钟的持续运动,马匹血浆中普萘洛尔水平比对照值增加了高达100%。然而,给体重50mg/kg的马匹注射安替比林后,运动并未使血浆中安替比林水平出现类似升高。静脉注射肾上腺素,剂量为1微克/千克体重/分钟,持续10分钟,也使d-普萘洛尔的血浆水平增加了约70%。