Richter O, Reinhardt D, Stutzinger W
Monatsschr Kinderheilkd. 1983 Feb;131(2):63-5.
For the application of a target concentration strategy for the assessment of dosage regimens pharmacokinetic parameters and their variances must be known. Since pharmacokinetic parameters like the elimination constant or the volume of distribution undergo considerable changes during the perinatal period until early childhood, the application of standard dosage regimens may lead to serious under- or overtreatment. Based on kinetic data of children from the literature and own studies, it is demonstrated, how changes of the volume of distribution and of the elimination constant influence the optimal dosage regimen. The optimal dosage regimen is evaluated using a special criterion of optimality.
为了应用目标浓度策略来评估给药方案,必须了解药代动力学参数及其变异性。由于诸如消除常数或分布容积等药代动力学参数在围产期直至幼儿期会发生相当大的变化,应用标准给药方案可能会导致严重的治疗不足或过度治疗。根据文献和自身研究中儿童的动力学数据,证明了分布容积和消除常数的变化如何影响最佳给药方案。使用一种特殊的最优性标准来评估最佳给药方案。