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口服氧烯洛尔在人体中的血药浓度与心血管效应之间的关系。

Relation between plasma concentrations and cardiovascular effects of oral oxprenolol in man.

作者信息

Brunner L, Imhof P, Jack D

出版信息

Eur J Clin Pharmacol. 1975;8(1):3-9. doi: 10.1007/BF00616408.

DOI:10.1007/BF00616408
PMID:786674
Abstract

Oxprenolol, 40, 80 and 160 mg, was administered orally to seven healthy volunteers. Over the following eight hours repeated measurements were made of the plasma concentrations and effects on heart rate, myocardial contractility (PEPc) and systolic and diastolic blood pressure in recumbency, in the upright position and during physical effort at a work load of 120 watts on a bicycle ergometer. The maximum plasma levels and the area beneath the plasma concentration curves increased roughly in proportion to the dosage increment. No evidence of first-pass inactivation in the liver was found. The half-life of the drug in plasma was approximately 80 minutes, irrespective of the dose administered. Oxprenolol slowed heart rate, prolonged PEPc and lowered systolic blood pressure, by comparison with values recorded after a placebo. The effects were generally least marked in the recumbent position and most marked during effort, when a clear-cut dose-response relation was found. The pharmacodynamic effects of oxprenolol were compared with its concentration in plasma. Marked beta-receptor blockade still persisted eight hours after dosing, although at this time, after doses of 40 and 80 mg, the drug could not be detected in plasma.

摘要

对7名健康志愿者口服氧烯洛尔,剂量分别为40毫克、80毫克和160毫克。在随后的8小时内,对他们在卧位、直立位以及在自行车测力计上以120瓦的工作负荷进行体力活动期间的血浆浓度以及心率、心肌收缩力(左室射血前期)和收缩压与舒张压的影响进行了重复测量。最大血浆浓度和血浆浓度曲线下面积大致随剂量增加而成比例增加。未发现该药物在肝脏存在首过灭活现象。无论给药剂量如何,该药物在血浆中的半衰期约为80分钟。与服用安慰剂后记录的值相比,氧烯洛尔可减慢心率、延长左室射血前期并降低收缩压。这些效应通常在卧位时最不明显,在体力活动期间最明显,此时可发现明确的剂量-反应关系。将氧烯洛尔的药效学效应与其血浆浓度进行了比较。给药8小时后,尽管此时在服用40毫克和80毫克剂量后血浆中已检测不到该药物,但仍存在明显的β受体阻滞作用。

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本文引用的文献

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Control of heart rate by the autonomic nervous system. Studies in man on the interrelation between baroreceptor mechanisms and exercise.自主神经系统对心率的控制。关于人体压力感受器机制与运动之间相互关系的研究。
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Haemodynamic effects, plasma concentrations and tolerance of orally administered prenalterol in man.口服普瑞特罗对人体的血流动力学影响、血浆浓度及耐受性
Eur J Clin Pharmacol. 1980 Nov;18(5):383-90. doi: 10.1007/BF00636789.
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Single-dose pharmacokinetic and pharmacodynamic comparison of polymer-matrix (Slow Trasicor) and Oros dosage forms of oxprenolol in healthy volunteers.健康志愿者中氧烯洛尔聚合物基质剂型(Slow Trasicor)和渗透泵控释剂型的单剂量药代动力学和药效学比较。
Br J Clin Pharmacol. 1985;19 Suppl 2(Suppl 2):171S-175S. doi: 10.1111/j.1365-2125.1985.tb02758.x.
8
Concentration-effect relationships for oxprenolol in patients with essential hypertension.原发性高血压患者中氧烯洛尔的浓度-效应关系。
Br J Clin Pharmacol. 1988 May;25(5):539-45. doi: 10.1111/j.1365-2125.1988.tb03343.x.
9
Pharmacokinetic-pharmacodynamic modelling of oxprenolol in man using continuous non-invasive blood pressure monitoring.使用连续无创血压监测对氧烯洛尔在人体中的药代动力学-药效学建模。
Eur J Clin Pharmacol. 1988;34(4):395-400. doi: 10.1007/BF00542442.
10
Relationship between the rate of appearance of oxprenolol in the systemic circulation and the location of an oxprenolol Oros 16/260 drug delivery system within the gastrointestinal tract as determined by scintigraphy.通过闪烁扫描法测定心得舒在体循环中的出现速率与心得舒渗透泵型16/260给药系统在胃肠道内位置之间的关系。
Br J Clin Pharmacol. 1988 Oct;26(4):435-43. doi: 10.1111/j.1365-2125.1988.tb03403.x.
普萘洛尔的处置。V. 人体长期口服给药期间的药物蓄积和稳态浓度。
Clin Pharmacol Ther. 1973 Jul-Aug;14(4):487-93. doi: 10.1002/cpt1973144part1487.
4
Metabolic studies on oxprenolol in animals and man by means of radio-tracer techniques and GLC-analysis.采用放射性示踪技术和气相色谱分析法对动物及人体中的氧烯洛尔进行代谢研究。
Postgrad Med J. 1970 Nov:Suppl:32-9.
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Effects of alpha- and beta-receptor blockade on systolic time intervals.α和β受体阻断对收缩期时间间期的影响。
Eur J Clin Pharmacol. 1974;7(1):1-10. doi: 10.1007/BF00614383.
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Pharmacodynamic studies of beta adrenergic antagonism induced in man by propranolol and practolol.心得安和美多心安对人体产生的β-肾上腺素能拮抗作用的药效学研究。
J Clin Invest. 1973 Apr;52(4):747-54. doi: 10.1172/JCI107237.