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人体中安替比林不同代谢途径的研究。口服与静脉注射给药以及尿液收集时间的影响。

Studies of the different metabolic pathways of antipyrine in man. Oral versus i.v. administration and the influence of urinary collection time.

作者信息

Danhof M, van Zuilen A, Boeijinga J K, Breimer D D

出版信息

Eur J Clin Pharmacol. 1982;21(5):433-41. doi: 10.1007/BF00542332.

Abstract

The pharmacokinetics of antipyrine in plasma and saliva, and urinary excretion of its major metabolites, were studied following i.v. and oral administration of antipyrine 500 mg to 6 healthy volunteers. Data from both plasma and saliva showed that the oral bioavailability of antipyrine given as an aqueous solution was complete. The saliva/plasma concentration ratio was constant with time from about 3 h onwards, with a mean value of 0.87 after oral and 0.91 after i.v. administration. It is concluded that the pharmacokinetic parameters of antipyrine can be satisfactorily established on the basis of salivary data, although the volume of distribution and clearance values are then slightly too high. After i.v. administration, 3.8 +/- 1.9% of the dose was excreted in urine as unchanged antipyrine in 48 h, 24.9 +/- 6.3% as 4-hydroxyantipyrine, 16.5 +/- 3.2% as norantipyrine, 13.0 +/- 2.2% as 3-hydroxymethyl-antipyrine and 5.8 +/- 1.0% as 3-carboxy-antipyrine. No significant differences were observed following oral administration. The half-lives calculated from the linear part of the urinary excretion rate curves of the metabolites were about the same for oral and i.v. administration, and were of the same order of magnitude as the elimination half-life of parent drug in plasma and saliva. It is important for determination of the ultimate metabolite ratio that urine is collected for at least 36 h, because there is a delay in the excretion of 3-hydroxymethyl-antipyrine in urine.

摘要

对6名健康志愿者静脉注射和口服500毫克安替比林后,研究了安替比林在血浆和唾液中的药代动力学及其主要代谢产物的尿排泄情况。血浆和唾液的数据均表明,以水溶液形式给予的安替比林口服生物利用度良好。从大约3小时起,唾液/血浆浓度比随时间保持恒定,口服给药后平均值为0.87,静脉注射后为0.91。结论是,尽管分布容积和清除率值略高,但基于唾液数据可以令人满意地确定安替比林的药代动力学参数。静脉注射后,48小时内剂量的3.8±1.9%以未变化的安替比林形式经尿液排泄,24.9±6.3%以4-羟基安替比林形式排泄,16.5±3.2%以去甲安替比林形式排泄,13.0±2.2%以3-羟甲基安替比林形式排泄,5.8±1.0%以3-羧基安替比林形式排泄。口服给药后未观察到显著差异。根据代谢产物尿排泄率曲线的线性部分计算的半衰期,口服和静脉注射给药时大致相同,且与母体药物在血浆和唾液中的消除半衰期处于同一数量级。由于3-羟甲基安替比林在尿液中的排泄存在延迟,因此收集尿液至少36小时对于确定最终代谢产物比例很重要。

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