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雷氯必利缓释胶囊在精神科患者中药代动力学和耐受性的开放性研究。

An open study of the pharmacokinetics and the tolerability of raclopride extended release capsules in psychiatric patients.

作者信息

McEvoy J P, Movin-Osswald G, Uppfeldt G, Williams T, Dutcher S, Apperson J

机构信息

John Umstead State Hospital, Butner, NC 27509.

出版信息

Psychopharmacology (Berl). 1993;112(2-3):371-4. doi: 10.1007/BF02244935.

Abstract

Following a 4-7 day drug-free washout period, eight male inpatients took an extended-release (ER) formulation of raclopride. After the initial 8 mg dose on day 1 of the study, repeated plasma samples were collected over the ensuing 36 h. Subsequently, patients received raclopride 8 mg b.i.d. through day 7, 12 mg b.i.d. through day 14, and, if tolerated, 16 mg b.i.d. through day 21. On days 7, 14, and 21, repeated plasma samples were drawn over the 12 h following the morning dose. Relative to the previously studied immediate release form of raclopride, the ER formulation delayed and extended the absorption of raclopride, and produced lower maximum raclopride concentrations. Linear kinetics were preserved across the dose range studied. Two patients could not tolerate the highest raclopride dose because of extrapyramidal side effects.

摘要

在为期4 - 7天的药物洗脱期后,8名男性住院患者服用了雷氯必利缓释制剂。在研究第1天给予初始8毫克剂量后,在随后的36小时内多次采集血浆样本。随后,患者在第7天前每日两次服用8毫克雷氯必利,在第14天前每日两次服用12毫克,若耐受,则在第21天前每日两次服用16毫克。在第7天、14天和21天,在早晨给药后的12小时内多次采集血浆样本。相对于先前研究的雷氯必利速释剂型,缓释制剂延迟并延长了雷氯必利的吸收,并产生了较低的雷氯必利最大浓度。在所研究的剂量范围内保持了线性动力学。两名患者因锥体外系副作用无法耐受最高剂量的雷氯必利。

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