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服用长效氨茶碱后的血药浓度(作者译)

[Theophylline blood levels after administration of Euphyllin retard (author's transl)].

作者信息

Ahrens J

出版信息

Dtsch Med Wochenschr. 1977 Apr 1;102(13):482-6. doi: 10.1055/s-0028-1104916.

Abstract

The plasma theophylline concentration gradually increases after oral administration of Euphyllin retard, followed by a slower fall, than is the case after Euphyllin tablets have been taken, in which case maximal theophylline levels are reached 1 1/2 hours after administration. When Euphyllin retard is given, one to two tablets (350-700 mg) eight or twelve hours apart, there is a progressive rise of theophylline plasma levels to a plateau. This plateau can be maintained and is dependent upon dosage and the half-life of theophylline, which varies amongst individuals. Patients with obstructive airway disease treated with one tablet of Euphyllin retard every twelve hours for several weeks had a mean plasma theophylline level of about 6 microng/ml. In these patients the airway resistance, measured by body-plethysmography, improved by about 30%, without any side-effects. Six and twelve hours after administration of two tablets of Euphyllin retard the mean plasma concentration was 13 and 9 microng/ml, respectively. About half the patients receiving the larger dose of two tablets every twelve hours had gastro-intestinal or CNS disturbances. Long-term administration of Euphyllin retard provides a constant blood level of the drug.

摘要

口服长效氨茶碱后,血浆茶碱浓度逐渐升高,随后下降速度比服用氨茶碱片后要慢,服用氨茶碱片时给药后1.5小时达到最大茶碱水平。服用长效氨茶碱时,每隔8或12小时服用1至2片(350 - 700毫克),茶碱血浆水平会逐渐上升至平稳状态。该平稳状态可以维持,且取决于剂量和茶碱的半衰期,而半衰期在个体之间有所不同。患有阻塞性气道疾病的患者每隔12小时服用1片长效氨茶碱数周,其血浆茶碱平均水平约为6微克/毫升。在这些患者中,通过体容积描记法测量的气道阻力改善了约30%,且无任何副作用。服用2片长效氨茶碱后6小时和12小时,血浆平均浓度分别为13微克/毫升和9微克/毫升。每12小时接受较大剂量2片药物治疗的患者中,约一半出现胃肠道或中枢神经系统紊乱。长期服用长效氨茶碱可使药物在血液中保持恒定水平。

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