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基于单次浓度测定的维持剂量预测:以锂为例对二室模型药物的普遍适用性

Maintenance-dose prediction based on a single determination of concentration: general applicability to two-compartment drugs with reference to lithium.

作者信息

Zimmerman C L, Slattery J T

出版信息

J Pharm Sci. 1983 Nov;72(11):1262-6. doi: 10.1002/jps.2600721107.

DOI:10.1002/jps.2600721107
PMID:6644587
Abstract

A general approach to the selection of the maintenance dose (Dm) required to give a desired steady-state concentration of drug based on a single determination of concentration after a test dose (C*) is extended to drugs with two-compartment pharmacokinetic characteristics. Using the equation developed, the value of the proportionality factor relating 1/Dm to C was found to be within 3.2% of the value calculated from a published nomogram for lithium. The inherent error is shown to be a function of the value of the hybrid rate constants alpha and beta, as well as the value of an intercompartmental transfer rate constant, k21, in an individual.

摘要

一种基于单次试验剂量后浓度测定值(C*)来选择达到所需药物稳态浓度所需维持剂量(Dm)的通用方法被扩展到具有二室药代动力学特征的药物。利用所推导的方程,发现将1/Dm与C相关联的比例因子的值与根据已发表的锂元素列线图计算出的值相差在3.2%以内。内在误差显示为个体中混合速率常数α和β的值以及隔室间转运速率常数k21值的函数。

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J Pharm Sci. 1983 Nov;72(11):1262-6. doi: 10.1002/jps.2600721107.
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Prediction of maintenance dose required to attain a desired drug concentration at steady-state from a single determination of concentration after an initial dose.根据初始剂量后单次浓度测定预测达到稳态时所需的维持剂量,以获得所需的药物浓度。
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