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在充血性心力衰竭和慢性肝病中坎利酮的消除。

Elimination of canrenone in congestive heart failure and chronic liver disease.

作者信息

Jackson L, Branch R, Levine D, Ramsay L

出版信息

Eur J Clin Pharmacol. 1977 Mar 11;11(3):177-9. doi: 10.1007/BF00606407.

DOI:10.1007/BF00606407
PMID:852495
Abstract

The elimination half-life (T1/2) of canrenone, the principal unconjugated metabolite of spironolactone, was 59 h (range 32-105 h) in 5 patients with chronic liver disease and 37 h (range 19-48 h ) in 7 patients withcongestive heart failure. In comparison the T1/2 in normal subjects was 13.5-24 h in previous reports and 20.5 h in the present study, However there was no evidence of greater cumulation of canrenone in the plasma of those patients with a prolonged T1/2.

摘要

安体舒通的主要非结合代谢产物坎利酮在5例慢性肝病患者中的消除半衰期(T1/2)为59小时(范围32 - 105小时),在7例充血性心力衰竭患者中为37小时(范围19 - 48小时)。相比之下,先前报道中正常受试者的T1/2为13.5 - 24小时,本研究中为20.5小时。然而,没有证据表明T1/2延长的患者血浆中坎利酮有更大程度的蓄积。

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1
Elimination of canrenone in congestive heart failure and chronic liver disease.在充血性心力衰竭和慢性肝病中坎利酮的消除。
Eur J Clin Pharmacol. 1977 Mar 11;11(3):177-9. doi: 10.1007/BF00606407.
2
Influence of spironolactone and its metabolite canrenone on serum digoxin assays.
Ther Drug Monit. 1990 Jan;12(1):82-4. doi: 10.1097/00007691-199001000-00015.
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Spironolactone. III. Canrenone--maximum and minimum steady-state plasma levels.螺内酯。III. 坎利酮——最大和最小稳态血浆水平。
Clin Pharmacol Ther. 1976 Feb;19(2):177-82. doi: 10.1002/cpt1976192177.
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Quantitation of spironolactone and its metabolite, canrenone, in human serum by thin-layer spectrofluorimetry.用薄层荧光分光光度法测定人血清中螺内酯及其代谢物坎利酮的含量。
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Pharmacokinetics and Safety of Single-Dose Esaxerenone in Japanese Subjects with Mild to Moderate Hepatic Impairment.单次给予 esaxerenone 在日本有轻至中度肝功能损害受试者中的药代动力学和安全性。
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本文引用的文献

1
A fluorimetric method for the determination of a major spironolactone (Aldactone) metabolite in human plasma.一种用于测定人血浆中主要螺内酯(安体舒通)代谢物的荧光测定法。
J Pharmacol Exp Ther. 1962 Mar;135:312-6.
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The influence of spironolactone on its own biotransformation.
Steroids. 1970 Sep;16(3):263-75. doi: 10.1016/s0039-128x(70)80112-x.
3
Multiple dose kinetics of spironolactone and canrenoate-potassium in cardiac and hepatic failure.螺内酯和坎利酸钾在心脏和肝脏衰竭中的多剂量动力学
慢性心力衰竭患者中的醛固酮及醛固酮受体拮抗剂
Vasc Health Risk Manag. 2011;7:353-63. doi: 10.2147/VHRM.S13779. Epub 2011 Jun 8.
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Clinical pharmacokinetics of diuretics.利尿剂的临床药代动力学
Clin Pharmacokinet. 1980 May-Jun;5(3):221-45. doi: 10.2165/00003088-198005030-00003.
5
Metabolites of antihypertensive drugs. An updated review of their clinical pharmacokinetic and therapeutic implications.抗高血压药物的代谢产物。其临床药代动力学及治疗意义的最新综述。
Clin Pharmacokinet. 1991 Nov;21(5):331-43. doi: 10.2165/00003088-199121050-00002.
Eur J Clin Pharmacol. 1974;7(3):195-200. doi: 10.1007/BF00560381.
4
Pharmacokinetics of spironolactone, canrenone and canrenoate-K in humans.
J Pharmacol Exp Ther. 1973 Jun;185(3):686-95.
5
Antagonism of endogenous mineralocorticoids in normal subjects by prorenoate potassium and spironolactone.原肾酸盐钾和螺内酯对正常受试者内源性盐皮质激素的拮抗作用。
Eur J Clin Pharmacol. 1976 Mar 22;09(5-6):381-6. doi: 10.1007/BF00606552.