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维生素C对普萘洛尔吸收及首过代谢的影响。

Influence of vitamin C on the absorption and first pass metabolism of propranolol.

作者信息

Gonzalez J P, Valdivieso A, Calvo R, Rodríguez-Sasiaín J M, Jimenez R, Aguirre C, du Souich P

机构信息

Department of Pharmacology, Faculty of Medicine, University of the Basque Country, Vizcaya, Spain.

出版信息

Eur J Clin Pharmacol. 1995;48(3-4):295-7. doi: 10.1007/BF00198315.

DOI:10.1007/BF00198315
PMID:7589058
Abstract

The effect of ascorbic acid on the availability of propranolol has been examined. After oral administration of propranolol 80 mg with or without ascorbic acid pretreatment (2 g), the plasma concentrations and urinary excretion of propranolol and its metabolites, 4-hydroxy-propranolol and propranolol-conjugated, were determined by HPLC. Compared to controls, vitamin C decreased the maximum concentration of propranolol from 463 to 334 nmol.l-1, and the area under the propranolol concentration-time curve (from 0 to 24 hours) from 3.13 to 1.96 mumol.l-1.h. The time to reach maximum propranolol concentration was increased from 1.9 to 2.7. The total amount of drug recovered in urine has also significantly diminished (from 12.6 to 4.29 mg). No change in elimination rate was observed, indicating that ascorbic acid had affected both the absorption process and the first pass metabolism. The heart-rate decreased less when propranolol was administered with ascorbic acid in comparison to control subjects, although this interaction has little biological importance.

摘要

已研究了抗坏血酸对普萘洛尔生物利用度的影响。口服80毫克普萘洛尔,同时给予或不给予抗坏血酸预处理(2克),通过高效液相色谱法测定普萘洛尔及其代谢产物4-羟基普萘洛尔和普萘洛尔结合物的血浆浓度及尿排泄量。与对照组相比,维生素C使普萘洛尔的最大浓度从463纳摩尔/升降至334纳摩尔/升,普萘洛尔浓度-时间曲线下面积(0至24小时)从3.13微摩尔/升·小时降至1.96微摩尔/升·小时。达到普萘洛尔最大浓度的时间从1.9小时增加到2.7小时。尿中回收的药物总量也显著减少(从12.6毫克降至4.29毫克)。未观察到消除率的变化,表明抗坏血酸对吸收过程和首过代谢均有影响。与对照组相比,普萘洛尔与抗坏血酸合用时心率下降幅度较小,尽管这种相互作用的生物学意义不大。

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本文引用的文献

1
Effect of grapefruit juice and naringin on nisoldipine pharmacokinetics.葡萄柚汁和柚皮苷对尼索地平药代动力学的影响。
Clin Pharmacol Ther. 1993 Dec;54(6):589-94. doi: 10.1038/clpt.1993.195.
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(+) and (-) terbutaline are sulphated at a higher rate in human intestine than in liver.在人体肠道中,(+)和(-)特布他林的硫酸化速率高于肝脏。
Eur J Clin Pharmacol. 1993;45(5):483-7. doi: 10.1007/BF00315522.
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Grapefruit juice inhibits 7-hydroxylation of coumarin in healthy volunteers.葡萄柚汁可抑制健康志愿者体内香豆素的7-羟基化反应。
儿童中潜在的维生素与药物相互作用:在一家儿科急诊科
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Increased clearance of propranolol and theophylline by high-protein compared with high-carbohydrate diet.与高碳水化合物饮食相比,高蛋白饮食使普萘洛尔和茶碱的清除率增加。
Clin Pharmacol Ther. 1987 Apr;41(4):402-6. doi: 10.1038/clpt.1987.48.
6
Food effects on propranolol systemic and oral clearance: support for a blood flow hypothesis.食物对普萘洛尔全身清除率和口服清除率的影响:对血流假说的支持。
Clin Pharmacol Ther. 1986 Oct;40(4):408-14. doi: 10.1038/clpt.1986.198.
7
Concomitant food intake can increase the bioavailability of propranolol by transient inhibition of its presystemic primary conjugation.同时进食可通过暂时抑制普萘洛尔的首过代谢初级结合反应来提高其生物利用度。
Clin Pharmacol Ther. 1986 Jul;40(1):29-36. doi: 10.1038/clpt.1986.135.
8
Intestinal metabolism of ethinyloestradiol and paracetamol in vitro: studies using Ussing chambers.乙炔雌二醇和对乙酰氨基酚的体外肠道代谢:使用尤斯灌流小室的研究
Br J Clin Pharmacol. 1987 Jun;23(6):727-34. doi: 10.1111/j.1365-2125.1987.tb03108.x.
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Liquid chromatographic assay and disposition of carvedilol in healthy volunteers.健康志愿者中卡维地洛的液相色谱测定及处置
J Pharm Sci. 1986 Dec;75(12):1195-7. doi: 10.1002/jps.2600751218.
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Paracetamol interaction with oral contraceptive steroids: increased plasma concentrations of ethinyloestradiol.对乙酰氨基酚与口服避孕药类固醇的相互作用:乙炔雌二醇的血浆浓度升高。
Br J Clin Pharmacol. 1987 Jun;23(6):721-5. doi: 10.1111/j.1365-2125.1987.tb03107.x.