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对双氯芬酸一种新型胃保护药物剂型在健康志愿者身上进行的药代动力学研究。

Pharmacokinetic studies in healthy volunteers on a new gastroprotective pharmaceutic form of diclofenac.

作者信息

De Bernardi di Valserra M, Feletti F, Tripodi A S, Contos S, Carabelli A, Maggi L, Germogli R

机构信息

Institute of Pharmacology II, University of Pavia, Italy.

出版信息

Arzneimittelforschung. 1993 Mar;43(3):373-7.

PMID:8489569
Abstract

The pharmacokinetic properties of a new gastroprotective pharmaceutical formulation of diclofenac (CAS 15307-79-6) were investigated in twelve healthy volunteers. In this new form the diclofenac is the nucleus of sequential sucralfate-covered tablets. The experimental design was an open, random, two period balanced cross-over study. All the subjects received a single oral dose of 50 mg diclofenac contained in the new formulation or in the reference enteric-coated tablets. Plasma concentrations of diclofenac were determined at 0.5, 1, 2, 4, 6, and 8 h after drug administration using HPLC method. After administration of a diclofenac-sucralfate association diclofenac was quickly absorbed and the peak plasma concentration (0.773 +/- 0.08 microgram/ml) was achieved in about 1 h. AUC(0-infinity) value was about 1.8 micrograms/ml/h and the mean elimination half-life was 1.20 +/- 0.12 h. The pharmacokinetic profile of diclofenac-sucralfate association is similar to the values reported in previous papers for enteric-coated forms; anyway an early occurrence of the peak plasma concentration was observed for the new formulation. The new diclofenac-sucralfate association shows a different rate of absorption (namely an early and greater peak plasma concentration of diclofenac) and a similar extent of absorption (AUC(0-infinity) being not statistically different) as compared to the reference enteric-coated tablets of 50 mg diclofenac. These results could be related to the delaying and protective effect of sucralfate whose action is different from the one carried by the coat of the enteric-coated tablets.

摘要

在12名健康志愿者中研究了双氯芬酸(CAS 15307-79-6)一种新型胃保护药物制剂的药代动力学特性。在这种新剂型中,双氯芬酸是连续的硫糖铝包衣片的核心成分。实验设计为开放、随机、两阶段平衡交叉研究。所有受试者口服单剂量50mg双氯芬酸,其包含在新制剂或参比肠溶衣片中。给药后0.5、1、2、4、6和8小时,采用高效液相色谱法测定双氯芬酸的血浆浓度。给予双氯芬酸-硫糖铝组合后,双氯芬酸迅速吸收,约1小时达到血浆峰浓度(0.773±0.08μg/ml)。AUC(0-∞)值约为1.8μg/ml/h,平均消除半衰期为1.20±0.12小时。双氯芬酸-硫糖铝组合的药代动力学特征与先前报道的肠溶衣剂型的值相似;无论如何,新制剂观察到血浆峰浓度出现较早。与参比50mg双氯芬酸肠溶衣片相比,新型双氯芬酸-硫糖铝组合显示出不同的吸收速率(即双氯芬酸血浆峰浓度出现更早且更高)和相似的吸收程度(AUC(0-∞)无统计学差异)。这些结果可能与硫糖铝的延迟和保护作用有关,其作用不同于肠溶衣片包衣的作用。

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