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急性酒精中毒对氯氮䓬代谢及血浆动力学的影响。

Effect of acute alcohol intoxication on the metabolism and plasma kinetics of chlordiazepoxide.

作者信息

Whiting B, Lawrence J R, Skellern G G, Meier J

出版信息

Br J Clin Pharmacol. 1979 Jan;7(1):95-100. doi: 10.1111/j.1365-2125.1979.tb00903.x.

DOI:10.1111/j.1365-2125.1979.tb00903.x
PMID:760747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1429602/
Abstract
  1. The metabolism and plasma kinetics of chlordiazepoxide have been determined in a group of volunteers and in a group of patients with acute alcohol intoxication. 2. Using the SAAM 26 non-linear least squares fitting programme, all chlordiazepoxide plasma concentration v time data following oral administration could be analysed in terms of a one-compartment open model with metabolic conversion of chlordiazepoxide to desmethylchlordiazepoxide. 3. Acutely intoxicated patients showed a prolonged elimination of chlordiazepoxide and a reduced clearance when compared with alcohol-free volunteers. The elimination of desmethylchlordiazepoxide, on the other hand, appeared to be faster in the alcoholics. 4. Alcohol exerts significant effects on the metabolism of chlordiazepoxide in acutely intoxicated patients.
摘要
  1. 已在一组志愿者和一组急性酒精中毒患者中测定了氯氮䓬的代谢和血浆动力学。2. 使用SAAM 26非线性最小二乘拟合程序,口服给药后所有氯氮䓬血浆浓度随时间的数据都可以根据具有氯氮䓬向去甲基氯氮䓬代谢转化的一室开放模型进行分析。3. 与无酒精的志愿者相比,急性中毒患者氯氮䓬的消除时间延长且清除率降低。另一方面,去甲基氯氮䓬在酗酒者中的消除似乎更快。4. 酒精对急性中毒患者氯氮䓬的代谢有显著影响。

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Effect of acute alcohol intoxication on the metabolism and plasma kinetics of chlordiazepoxide.急性酒精中毒对氯氮䓬代谢及血浆动力学的影响。
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本文引用的文献

1
THE METABOLIC FATE OF C14-LABELED CHLORDIAZEPOXIDE IN MAN, IN THE DOG, AND IN THE RAT.人、狗和大鼠体内碳14标记氯氮卓的代谢命运
J Pharmacol Exp Ther. 1965 Jun;148:399-411.
2
Determination of chlordiazepoxide (librium) and of a metabolite of lactam character in plasma of humans, dogs, and rats by a specific spectrofluorometric micro method.采用特定的荧光分光光度微量法测定人、狗和大鼠血浆中氯氮䓬(利眠宁)及其具有内酰胺特性的代谢物。
Anal Biochem. 1963 Mar;5:195-207. doi: 10.1016/0003-2697(63)90117-9.
3
Differences in the rate of ethanol metabolism in recently drinking alcoholic and nondrinking subjects.近期饮酒的酒精使用者与非饮酒者在乙醇代谢速率上的差异。
Am J Clin Nutr. 1969 Dec;22(12):1608-17. doi: 10.1093/ajcn/22.12.1608.
4
Inhibition of drug metabolism by acute ethanol intoxication. A hepatic microsomal mechanism.急性乙醇中毒对药物代谢的抑制作用。一种肝微粒体机制。
Am J Med. 1970 Dec;49(6):801-6. doi: 10.1016/s0002-9343(70)80061-4.
5
Pharmacology of the metabolites of chlordiazepoxide and diazepam.
Curr Ther Res Clin Exp. 1965 Sep;7(9):590-606.
6
Increased rate of clearance of drugs from the circulation of alcoholics.酒精中毒者体内药物从循环系统中的清除率增加。
Am J Med Sci. 1969 Jul;258(1):35-9. doi: 10.1097/00000441-196907000-00005.
7
Toxicology of ethanol.乙醇的毒理学
Annu Rev Pharmacol. 1969;9:379-92. doi: 10.1146/annurev.pa.09.040169.002115.
8
Human and animal study on elimination from plasma and metabolism of diazepam after chronic alcohol intake.长期饮酒后地西泮从血浆中的消除及代谢的人体和动物研究。
Acta Pharmacol Toxicol (Copenh). 1975 Jan;36(1):33-8. doi: 10.1111/j.1600-0773.1975.tb00769.x.
9
Reduced concentrations of plasma diazepam in chronic alcoholic patients following an oral administration of diazepam.慢性酒精中毒患者口服地西泮后血浆地西泮浓度降低。
Acta Pharmacol Toxicol (Copenh). 1975 Jan;36(1):25-32. doi: 10.1111/j.1600-0773.1975.tb00768.x.
10
Pharmacokinetic and biopharmaceutic profile of chlordiazepoxide HC1 in healthy subjects: single-dose studies by the intravenous, intramuscular, and oral routes.
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