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丙戊酸:可逆作用药物?

Valproic acid: reversibly acting drug?

作者信息

Lockard J S, Levy R H

出版信息

Epilepsia. 1976 Dec;17(4):477-9. doi: 10.1111/j.1528-1157.1976.tb04459.x.

DOI:10.1111/j.1528-1157.1976.tb04459.x
PMID:826396
Abstract

Valproic acid [dipropylacetic acid (DPA)] was evaluated in an alumina-gel monkey model (N = 12) by constant-rate intravenous infusion. The data indicated: (a) a statistically significant decrease in seizure frequency the first 2 days of drug Step I (45-55 mug/ml) and drug Step II (90-110 mug/ml) which was temporary, lasting 2 days only; (b) a later, more permanent decrease in siezure frequency which was not apparent until drug Setp III (130-170 mug/ml); and a delayed return of the seizure frequency to predrug levels for 2 weeks after drug administration was discontinued, with no DPA detectable in plasma after the initial postdrug day. Whether DPA will behave as a reversibly acting drug was discussed.

摘要

通过恒速静脉输注,在氧化铝凝胶猴模型(N = 12)中评估了丙戊酸[二丙基乙酸(DPA)]。数据表明:(a)在药物步骤I(45 - 55微克/毫升)和药物步骤II(90 - 110微克/毫升)的头2天,癫痫发作频率有统计学意义的显著下降,但这是暂时的,仅持续2天;(b)后来癫痫发作频率有更持久的下降,直到药物步骤III(130 - 170微克/毫升)才明显;并且在停药后癫痫发作频率延迟2周恢复到给药前水平,给药后最初几天过后血浆中未检测到DPA。讨论了DPA是否会表现为一种可逆作用的药物。

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3
Intra-dose variation in plasma protein binding of sodium valproate in epileptic patients.
癫痫患者中丙戊酸钠血浆蛋白结合的剂量内变异
Br J Clin Pharmacol. 1982 Sep;14(3):399-404. doi: 10.1111/j.1365-2125.1982.tb01998.x.
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Studies on distribution and metabolism of valproate in rat brain, liver, and kidney.
Neurochem Res. 1980 Dec;5(12):1231-42. doi: 10.1007/BF00964959.
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Inactivation of beef brain alpha-ketoglutarate dehydrogenase complex by valproic acid and valproic acid metabolites. Possible mechanism of anticonvulsant and toxic actions.
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