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偏头痛患者静脉注射和肌肉注射麦角胺后的药代动力学。

Kinetics of ergotamine after intravenous and intramuscular administration to migraine sufferers.

作者信息

Ibraheem J J, Paalzow L, Tfelt-Hansen P

出版信息

Eur J Clin Pharmacol. 1982;23(3):235-40. doi: 10.1007/BF00547560.

DOI:10.1007/BF00547560
PMID:7173294
Abstract

The kinetics of ergotamine has been investigated in migrainous patients using a new, specific, sensitive HPLC assay (detection limit 100 pg/ml plasma). 10 patients were given ergotamine tartrate 0.5 mg i.v. and 5 of them received the same dose i.m. 2-3 weeks later. Blood samples were collected for up to 54 h following administration and the plasma concentration were analysed. After intravenous administration the plasma ergotamine declined rapidly, with and initial distribution half-life of 3 min followed by a mean terminal half-life of 1.86 h (range 90-155 min). The mean total plasma clearance was 11.0 ml kg-1 min-1, and the volume of distribution (Vd beta) was 1847.6 ml kg-1. Individual t1/2 beta showed a positive linear correlation with the individual Vd beta. The intramuscular absorption of ergotamine was rapid and maximum plasma levels were usually obtained 10 min following administration. The biological availability was incomplete and variable at 46.6% (range 28.3-60.8%).

摘要

采用一种新的、特异的、灵敏的高效液相色谱法(血浆检测限为100 pg/ml),对偏头痛患者体内麦角胺的动力学进行了研究。10例患者静脉注射0.5 mg酒石酸麦角胺,其中5例在2至3周后肌肉注射相同剂量。给药后长达54小时采集血样并分析血浆浓度。静脉给药后,血浆麦角胺迅速下降,初始分布半衰期为3分钟,随后平均终末半衰期为1.86小时(范围90至155分钟)。平均总血浆清除率为11.0 ml·kg⁻¹·min⁻¹,分布容积(Vdβ)为1847.6 ml·kg⁻¹。个体t1/2β与个体Vdβ呈正线性相关。麦角胺的肌肉注射吸收迅速,给药后10分钟通常可达到血浆最高水平。生物利用度不完全且变化较大,为46.6%(范围28.3%至60.8%)。

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1
Kinetics of ergotamine after intravenous and intramuscular administration to migraine sufferers.偏头痛患者静脉注射和肌肉注射麦角胺后的药代动力学。
Eur J Clin Pharmacol. 1982;23(3):235-40. doi: 10.1007/BF00547560.
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引用本文的文献

1
Low bioavailability of ergotamine tartrate after oral and rectal administration in migraine sufferers.偏头痛患者口服和直肠给药后酒石酸麦角胺的生物利用度较低。
Br J Clin Pharmacol. 1983 Dec;16(6):695-9. doi: 10.1111/j.1365-2125.1983.tb02243.x.
2
Linear pharmacokinetics of intravenous ergotamine tartrate.静脉注射酒石酸麦角胺的线性药代动力学。
Eur J Clin Pharmacol. 1985;29(1):61-6. doi: 10.1007/BF00547370.
3
Clinical pharmacokinetics of ergotamine in migraine and cluster headache.麦角胺在偏头痛和丛集性头痛中的临床药代动力学。

本文引用的文献

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Further observations in craniovascular studies.
Neurology. 1957 Jan;7(1):52-5. doi: 10.1212/wnl.7.1.52.
2
The effect of single dose ergotamine tartrate on peripheral arteries in migraine patients: methodological aspects and time effect curve.单剂量酒石酸麦角胺对偏头痛患者外周动脉的影响:方法学方面及时间效应曲线
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Clin Pharmacokinet. 1985 Jul-Aug;10(4):334-52. doi: 10.2165/00003088-198510040-00004.
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9-10-dihydroergotamine: production of antibodies and radioimmunoassay.9-10-二氢麦角胺:抗体的产生及放射免疫测定
Experientia. 1976 Feb 15;32(2):234-6. doi: 10.1007/BF01937784.
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Methylergometrine (methylergonovine) concentrations in the human plasma and urine.
Int J Clin Pharmacol Biopharm. 1978 Jun;16(6):254-7.
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Systemic availability of ergotamine tartrate after three successive doses and during continuous medication.连续三次给药及持续用药期间酒石酸麦角胺的全身可用性。
Eur J Clin Pharmacol. 1979 Nov;16(5):355-60. doi: 10.1007/BF00605636.
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Specific radioimmunoassay of ergot peptide alkaloids in plasma.
Clin Chem. 1979 Nov;25(11):1928-33.
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Systemic availability of ergotamine tartrate after oral, rectal and intramuscular administration.口服、直肠给药和肌肉注射后酒石酸麦角胺的全身可用性。
Eur J Clin Pharmacol. 1979 Feb 19;15(1):51-5. doi: 10.1007/BF00563557.