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美西律的临床药理学。

The clinical pharmacology of mexiletine.

作者信息

Campbell N P, Kelly J G, Adgey A A, Shanks R G

出版信息

Br J Clin Pharmacol. 1978 Aug;6(2):103-8. doi: 10.1111/j.1365-2125.1978.tb00833.x.

Abstract
  1. Mexiletine was given to 156 patients by intravenous or oral routes of administration. 2. There was great interpatient variation in kinetics and plasma concentrations with both routes of administration. 3. The mean volume of distribution was 6.63 l/kg. The mean plasma elimination haf-life after chronic oral therapy was 11.31 h. 4. Plasma concentrations between 0.75 and 2.00 microgram/ml were usually effective. Within this therapeutic range severe side effects were uncommon. 5. Plasma concentrations within this range were achieved in 72% of patients when doses of 10--14 mg-1 kg-1 day were given orally.
摘要
  1. 美西律通过静脉或口服途径给予156例患者。2. 两种给药途径在动力学和血浆浓度方面患者间存在很大差异。3. 平均分布容积为6.63升/千克。慢性口服治疗后的平均血浆消除半衰期为11.31小时。4. 血浆浓度在0.75至2.00微克/毫升之间通常有效。在此治疗范围内严重副作用不常见。5. 当口服剂量为10 - 14毫克/千克/天时,72%的患者达到了此范围内的血浆浓度。

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Lancet. 1973 Dec 8;2(7841):1284-8. doi: 10.1016/s0140-6736(73)92868-7.
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Postgrad Med J. 1977;53 Suppl 1:50-5.
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Measurement of plasma mexiletine concentrations.
Postgrad Med J. 1977;53 Suppl 1:48-9.
8
Oral dosage schedules for mexiletine.
Postgrad Med J. 1977;53 Suppl 1:155-7.
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Long-term treatment of ventricular arrhythmias with oral mexiletine.
Am Heart J. 1976 Jan;91(1):58-65. doi: 10.1016/s0002-8703(76)80435-8.

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