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[10名健康非酒精依赖受试者在静脉输注3小时酒精时联用与未联用西咪替丁后的酒精药代动力学]

[Pharmacokinetics of alcohol after 3-hour intravenous infusion with and without cimetidine in 10 healthy non-alcoholic subjects].

作者信息

Couzigou P, Fleury B, Bourjac M, Betbeder A M, Vinçon G, Richard-Molard B, Albin H, Amouretti M, Béraud C

出版信息

Gastroenterol Clin Biol. 1984 Feb;8(2):103-8.

PMID:6698348
Abstract

Ethanol metabolism was studied in ten male non-alcoholic subjects following the constant intravenous infusion of ethanol (1.2 g/kg) administered during three hours with and without cimetidine. Pharmacokinetic analysis was performed on the pseudolinear portion of the elimination curve. The mean peak ethanol concentrations were not significantly different with and without cimetidine. There was no acceleration of ethanol metabolism at high concentrations: the ethanol elimination rate was similar above and under 17 mM, with and without cimetidine. Cimetidine administration had no effect on pharmacokinetic parameters of ethanol (area under the curve, Km and Vm). The fact that the ethanol elimination rate is similar whatever be its concentration and the absence of modifications of the pharmacokinetic parameters by cimetidine are not in favor of an important role of the microsomal ethanol oxidizing system (MEOS) in the ethanol metabolism of nonalcoholic subjects. The data do not allow to examine the role of MEOS in ethanol metabolism after chronic alcohol consumption.

摘要

在10名男性非酒精性受试者中,研究了在持续3小时静脉输注乙醇(1.2 g/kg)的情况下,使用和不使用西咪替丁时乙醇的代谢情况。对消除曲线的伪线性部分进行了药代动力学分析。使用和不使用西咪替丁时,乙醇的平均峰值浓度无显著差异。在高浓度下乙醇代谢没有加速:无论有无西咪替丁,乙醇在17 mM以上和以下的消除率相似。给予西咪替丁对乙醇的药代动力学参数(曲线下面积、Km和Vm)没有影响。无论乙醇浓度如何,其消除率相似,且西咪替丁未改变药代动力学参数,这一事实不支持微粒体乙醇氧化系统(MEOS)在非酒精性受试者乙醇代谢中起重要作用。这些数据无法检验慢性饮酒后MEOS在乙醇代谢中的作用。

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