Nöschel H, Peiker G, Schröder S, Meinhold P, Müller B
Zentralbl Gynakol. 1982;104(23):1514-8.
Pharmacokinetic parameters may be influenced by pregnancy and labour. A number of antibiotics and chemotherapeutics were studied by the authors who found reduction of fictitious initial concentration as well as increase of both volume of distribution and total clearance. Elimination half-life was found to be prolonged with significance only in women in labour (ampicillin). Studies into drug concentrations and their metabolites did not provide any evidence to change of biotransformation in gravidity. Doses of antimicrobially acting chemopharmaceuticals in gravidity should be close to upper limits.
药代动力学参数可能会受到妊娠和分娩的影响。作者对多种抗生素和化疗药物进行了研究,发现虚拟初始浓度降低,分布容积和总清除率均增加。仅在分娩期妇女中发现消除半衰期延长(氨苄西林)。对药物浓度及其代谢产物的研究未提供任何证据表明妊娠期间生物转化发生改变。妊娠期间抗菌化学药物的剂量应接近上限。