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达罗地平50 - 200毫克缓释片急性口服给药的药代动力学及脑电图效应:健康志愿者的剂量探索研究

Pharmacokinetics and electroencephalographic effects of darodipine 50-200 mg modified release (MR) acute oral administration: dose-finding study in healthy volunteers.

作者信息

Sannita W G, Busico S, Di Bon G, Ferrari A, Riela S

机构信息

Department of Motor Sciences--Neurophysiopathology, University of Genoa, Italy.

出版信息

Int J Clin Pharmacol Res. 1993;13(5):281-91.

PMID:8200723
Abstract

Pharmacokinetics and electroencephalographic [EEG; power spectral analysis] effects of the acute oral Ca-antagonist darodipine (50 mg MR, 100 mg MR, and 200 mg MR) were investigated in a cross-over, placebo-controlled study on healthy male volunteers (age 23-28 yrs). No effects on heart rate, blood pressure or behaviour were observed with these doses at average Cmax levels ranging between 4.74 and 33.53 ng/ml and with a Tmax ranging from 2 to 6 h depending on the dose. No significant differences in drug kinetics were observed between the 100-mg and the 200-mg dose. A significant increase of EEG total power and a decrease of relative power in the 14.5-32.0 Hz frequency interval were observed at the 100-mg and 200-mg doses. These effects were greater and more consistent across subjects at 100 mg than at 200 mg, and were correlated with darodipine plasma concentrations, with indications of an active concentration threshold at approximately 4-5 ng/ml. The 50-mg dose proved ineffective on the EEG signal.

摘要

在一项针对健康男性志愿者(年龄23 - 28岁)的交叉、安慰剂对照研究中,研究了急性口服钙拮抗剂达罗地平(50毫克缓释片、100毫克缓释片和200毫克缓释片)的药代动力学及脑电图[EEG;功率谱分析]效应。在平均Cmax水平介于4.74至33.53纳克/毫升之间、Tmax根据剂量在2至6小时不等的情况下,这些剂量对心率、血压或行为均未观察到影响。100毫克剂量和200毫克剂量之间在药物动力学方面未观察到显著差异。在100毫克和200毫克剂量时,观察到EEG总功率显著增加,且在14.5 - 32.0赫兹频率区间相对功率降低。这些效应在100毫克时比200毫克时在受试者中更显著且更一致,并且与达罗地平血浆浓度相关,表明活性浓度阈值约为4 - 5纳克/毫升。50毫克剂量被证明对EEG信号无效。

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