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血浆可乐定浓度与药理作用。

Plasma clonidine concentration and pharmacologic effect.

作者信息

Hogan M J, Wallin J D, Chu L C

出版信息

Clin Pharmacol Ther. 1981 Dec;30(6):729-34. doi: 10.1038/clpt.1981.230.

DOI:10.1038/clpt.1981.230
PMID:7307423
Abstract

Analysis of sequential plasma samples in 14 hypertensive subjects receiving their usual oral dose of clonidine (0.1 to 0.6 mg twice daily) indicated that clonidine plasma concentration increased for the first 2 hr and then decreased and stabilized over the next 12 hr. Percent fall in diastolic blood pressure, but not side effects, correlated well with plasma concentration. Our study indicates a potential role for plasma clonidine determination in the treatment of patients with hypertension. It also demonstrates that clonidine can probably be given at 12-hr intervals and be effective.

摘要

对14名接受常规口服可乐定剂量(每日两次,每次0.1至0.6毫克)的高血压患者的连续血浆样本分析表明,可乐定血浆浓度在最初2小时内升高,然后在接下来的12小时内下降并稳定。舒张压下降百分比与血浆浓度密切相关,但副作用与血浆浓度无关。我们的研究表明,测定血浆可乐定浓度在高血压患者治疗中具有潜在作用。研究还表明,可乐定可能每12小时给药一次且有效。

相似文献

1
Plasma clonidine concentration and pharmacologic effect.血浆可乐定浓度与药理作用。
Clin Pharmacol Ther. 1981 Dec;30(6):729-34. doi: 10.1038/clpt.1981.230.
2
Plasma clonidine levels in hypertension.高血压患者的血浆可乐定水平
Clin Pharmacol Ther. 1983 Sep;34(3):341-6. doi: 10.1038/clpt.1983.177.
3
Clonidine twice daily in hypertension. Effects of two dosage regimens on blood pressure, side-effects and plasma clonidine concentrations.高血压患者每日两次服用可乐定。两种给药方案对血压、副作用及血浆可乐定浓度的影响。
Acta Med Scand. 1983;214(2):111-7.
4
Pharmacokinetic and concentration-effect relationships of clonidine in essential hypertension.可乐定在原发性高血压中的药代动力学及浓度-效应关系
Eur J Clin Pharmacol. 1977 Dec 28;12(6):463-9. doi: 10.1007/BF00561067.
5
Relationship between the cardiovascular effects and steady-state kinetics of clonidine in hypertension. Demonstration of a therapeutic window in man.可乐定在高血压患者中的心血管效应与稳态动力学之间的关系。人体治疗窗的论证。
Eur J Clin Pharmacol. 1984;26(3):309-13. doi: 10.1007/BF00548760.
6
The use of transdermal clonidine in the hypertensive patient with chronic renal failure.透皮可乐定在慢性肾衰竭高血压患者中的应用。
Clin Nephrol. 1993 Jan;39(1):37-43.
7
Clonidine and guanfacine in hypertension.可乐定与胍法辛治疗高血压
Clin Pharmacol Ther. 1985 Mar;37(3):271-6. doi: 10.1038/clpt.1985.39.
8
Antihypertensive effects of clonidine.可乐定的降压作用。
Clin Pharmacol Ther. 1979 Jun;25(6):864-9. doi: 10.1002/cpt1979256864.
9
Pharmacokinetics of clonidine and its relation to the hypotensive effect in patients.可乐定在患者体内的药代动力学及其与降压效果的关系。
Br J Clin Pharmacol. 1978 Sep;6(3):227-32. doi: 10.1111/j.1365-2125.1978.tb04589.x.
10
Relationship of immunoassayable clonidine plasma levels to its pharmacologic action in clinical and experimental hypertension.
Chest. 1983 Feb;83(2 Suppl):352-4. doi: 10.1378/chest.83.2.352.

引用本文的文献

1
Optimising the dose of clonidine to achieve sedation in intensive care unit patients with population pharmacokinetics.运用群体药代动力学优化可乐定剂量以实现重症监护病房患者的镇静效果。
Br J Clin Pharmacol. 2020 Aug;86(8):1620-1631. doi: 10.1111/bcp.14273. Epub 2020 Mar 29.
2
The use of clonidine in elderly patients with delirium; pharmacokinetics and hemodynamic responses.可乐定在老年谵妄患者中的应用;药代动力学和血流动力学反应。
BMC Pharmacol Toxicol. 2018 Jun 8;19(1):29. doi: 10.1186/s40360-018-0218-1.
3
The protocol of the Oslo Study of Clonidine in Elderly Patients with Delirium; LUCID: a randomised placebo-controlled trial.
奥斯陆老年谵妄患者可乐定研究方案;LUCID:一项随机安慰剂对照试验。
BMC Geriatr. 2015 Feb 10;15:7. doi: 10.1186/s12877-015-0006-3.
4
Translating safety, efficacy and compliance into economic value for controlled release dosage forms.将控释剂型的安全性、有效性和依从性转化为经济价值。
Pharmacoeconomics. 1994 Jun;5(6):482-504. doi: 10.2165/00019053-199405060-00005.
5
Hyperadrenergic state following acute withdrawal from clonidine used at supratherapeutic doses.超治疗剂量使用可乐定后急性撤药所致的高肾上腺素能状态。
Clin Auton Res. 1996 Apr;6(2):115-7. doi: 10.1007/BF02291233.
6
The pharmacokinetics of clonidine in high dosage.可乐定高剂量时的药代动力学。
Eur J Clin Pharmacol. 1993;45(2):165-7. doi: 10.1007/BF00315500.
7
Clinical pharmacokinetics of clonidine.可乐定的临床药代动力学
Clin Pharmacokinet. 1988 May;14(5):287-310. doi: 10.2165/00003088-198814050-00002.