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[健康志愿者中莫雷西嗪及莫雷西嗪亚砜的药代动力学]

[Pharmacokinetics of moracizine and moracizine sulfoxide in healthy volunteers].

作者信息

Guo W Y, Zhu J R, Li Z S, Jiang W D, Yang J M

机构信息

Laboratory of Clinical Pharmacology, Zhong Shan Hospital, Shanghai Medical University, China.

出版信息

Zhongguo Yao Li Xue Bao. 1993 Sep;14(5):433-6.

PMID:8010035
Abstract

The pharmacokinetics of moracizine (Mor) and moracizine sulfoxide (Mor-SO) determined by reversed phase HPLC was reported. The data in 6 volunteers after a single oral dose (600 mg) showed an one-compartment open model. The peak concentration in plasma (2.1 +/- 0.4 micrograms.ml-1) of Mor reached within 1-2 h. The Mor-SO concentration in plasma was much lower (0.19 +/- 0.06 micrograms.ml-1) than that of Mor, but its elimination T1/2 (2.3 +/- 1.0 h) was similar to that of Mor (1.5 +/- 1.0 h). The recoveries of Mor, Mor-SO, moracizine sulfone (Mor-SO2) in urine within 48 h were 0.07%, 0.25%, and 0.06% of the total dose, respectively. The Mor and Mor-SO concentration ranges in plasma for 9 arrhythmic patients after 2-wk therapeutic trial were 0.09 +/- 0.07 to 0.9 +/- 0.5 microgram.ml-1 and 0.040 +/- 0.023 to 0.15 +/- 0.06 micrograms.ml-1, respectively. These results suggested that cumulative doses would not result in accumulation of the drug and the anti-arrhythmic effect of Mor-SO might not be realized.

摘要

报道了采用反相高效液相色谱法测定的莫雷西嗪(Mor)和莫雷西嗪亚砜(Mor-SO)的药代动力学。6名志愿者单次口服剂量(600mg)后的数据显示为一室开放模型。Mor的血浆峰浓度(2.1±0.4μg.ml-1)在1-2小时内达到。血浆中Mor-SO的浓度(0.19±0.06μg.ml-1)远低于Mor,但其消除半衰期(2.3±1.0小时)与Mor(1.5±1.0小时)相似。48小时内尿液中Mor、Mor-SO、莫雷西嗪砜(Mor-SO2)的回收率分别为总剂量的0.07%、0.25%和0.06%。9名心律失常患者经过2周治疗试验后血浆中Mor和Mor-SO的浓度范围分别为0.09±0.07至0.9±0.5μg.ml-1和0.040±0.023至0.15±0.06μg.ml-1。这些结果表明,累积剂量不会导致药物蓄积,且Mor-SO的抗心律失常作用可能无法实现。

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