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静脉注射茶碱的动力学

Kinetics of intravenous theophylline.

作者信息

Chrzanowski F A, Niebergall P J, Mayock R L, Taubin J M, Sugita E T

出版信息

Clin Pharmacol Ther. 1977 Aug;22(2):188-95. doi: 10.1002/cpt1977222188.

DOI:10.1002/cpt1977222188
PMID:884920
Abstract

The pharmacokinetics of theophylline was studied in 6 normal, nonsmoking, adult male volunteers. A constant-rate intravenous infusion of 3.84 to 4.98 mg/kg of theophylline (as the ethylenediamine salt, aminophylline) was administered over 40 min. Serum theophylline concentrations were measured for 24 hr by means of a gas chromatographic method specific for theophylline. Within 30 min of an average intravenous dose of 4.4 mg/kg of theophylline, serum levels reached 10 microgram/ml. The highest serum level at the end of the infusion was 17 microgram/ml. The serum concentration-time data were fitted to a two-compartment open model and yielded a mean serum half-life (t1/2) of 11.02 hr, a value longer than those previously reported. Our results indicated that after the original loading dose of 4.4 mg/kg was infused for 40min, an immediate infusion rate of 1.40 mg/kg/hr (1.65 mg/kg/hr aminophylline) would be necessary to maintain a serum level of 10 microgram/ml.

摘要

在6名正常、不吸烟的成年男性志愿者中研究了茶碱的药代动力学。以3.84至4.98毫克/千克的茶碱(以乙二胺盐,即氨茶碱形式)进行40分钟的恒速静脉输注。通过一种针对茶碱的气相色谱法测量血清茶碱浓度达24小时。在平均静脉注射剂量为4.4毫克/千克茶碱后的30分钟内,血清水平达到10微克/毫升。输注结束时的最高血清水平为17微克/毫升。血清浓度 - 时间数据拟合为二室开放模型,得出平均血清半衰期(t1/2)为11.02小时,该值比先前报道的要长。我们的结果表明,在最初40分钟输注4.4毫克/千克的负荷剂量后,需要立即以1.40毫克/千克/小时(1.65毫克/千克/小时氨茶碱)的输注速率来维持10微克/毫升的血清水平。

相似文献

1
Kinetics of intravenous theophylline.静脉注射茶碱的动力学
Clin Pharmacol Ther. 1977 Aug;22(2):188-95. doi: 10.1002/cpt1977222188.
2
Comparative pharmacokinetics of theophylline and aminophylline in man.茶碱和氨茶碱在人体中的比较药代动力学
Br J Clin Pharmacol. 1981 Mar;11(3):269-73. doi: 10.1111/j.1365-2125.1981.tb00533.x.
3
Theophylline: constant-rate infusion predictions.茶碱:恒速输注预测
Ther Drug Monit. 1984;6(2):157-63.
4
Kinetics of theophylline; variability and effect of arterial pH in chronic obstructive lung disease.茶碱的动力学;慢性阻塞性肺疾病中动脉血pH值的变异性及影响
Chest. 1979 Jul;76(1):11-6. doi: 10.1378/chest.76.1.11.
5
Theophylline elimination in the pregnant and fetal rabbit.茶碱在妊娠兔和胎兔体内的消除。
J Lab Clin Med. 1982 Jul;100(1):15-25.
6
Reliability of theophylline clearance in determining chronic oral dosage regimens.茶碱清除率在确定慢性口服给药方案中的可靠性。
Am J Hosp Pharm. 1979 Jan;36(1):66-8.
7
Rapid estimation of total body clearance of theophylline in patients receiving intravenous aminophylline infusion.接受静脉注射氨茶碱输注患者的茶碱全身清除率的快速估算
Int J Clin Pharmacol Ther Toxicol. 1986 Jan;24(1):12-5.
8
Pharmacokinetics of intravenous theophylline in pregnant patients at term.足月妊娠患者静脉注射茶碱的药代动力学
Am J Perinatol. 1983 Oct;1(1):31-5. doi: 10.1055/s-2007-1000048.
9
Conversion from intravenous aminophylline to sustained-release theophylline: computer simulation versus in vivo results.从静脉注射氨茶碱转换为缓释茶碱:计算机模拟与体内结果对比。
Clin Pharm. 1983 Jul-Aug;2(4):347-52.
10
Enhancement of theophylline clearance by oral activated charcoal.口服活性炭对茶碱清除率的提高作用。
Clin Pharmacol Ther. 1983 Mar;33(3):351-4. doi: 10.1038/clpt.1983.44.

引用本文的文献

1
Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies.茶碱:旧药新用,通过计算研究在 COVID-19 中的应用。
Int J Mol Sci. 2022 Apr 9;23(8):4167. doi: 10.3390/ijms23084167.
2
Evaluation of a generic physiologically based pharmacokinetic model for lineshape analysis.用于线形分析的通用生理药代动力学模型评估。
Clin Pharmacokinet. 2008;47(4):261-75. doi: 10.2165/00003088-200847040-00004.
3
Dose dependent pharmacokinetics of theophylline: Michaelis-Menten parameters for its major metabolic pathways.
茶碱的剂量依赖性药代动力学:其主要代谢途径的米氏参数。
Eur J Drug Metab Pharmacokinet. 2001 Jan-Jun;26(1-2):77-83. doi: 10.1007/BF03190380.
4
A hand-held calculator program for individualized dosage adjustment of intravenous theophylline in acute asthma.一种用于急性哮喘患者静脉注射茶碱个体化剂量调整的手持式计算器程序。
Eur J Clin Pharmacol. 1980 May;17(5):393-9. doi: 10.1007/BF00558454.
5
Urine flow-dependence of theophylline renal clearance in man.人体中茶碱肾清除率的尿流依赖性
J Pharmacokinet Biopharm. 1982 Aug;10(4):351-64. doi: 10.1007/BF01065168.
6
Pharmacokinetics of theophylline: a dose-range study.茶碱的药代动力学:一项剂量范围研究。
Br J Clin Pharmacol. 1982 Dec;14(6):769-78. doi: 10.1111/j.1365-2125.1982.tb02035.x.
7
Individualized aminophylline therapy in patients with obstructive airway disease: oral dosage prediction from an intravenous test dose.阻塞性气道疾病患者的个体化氨茶碱治疗:根据静脉试验剂量预测口服剂量
Eur J Clin Pharmacol. 1982;23(2):111-21. doi: 10.1007/BF00545964.
8
Pharmacokinetics of theophylline in patients following short-term intravenous infusion.短期静脉输注后患者体内茶碱的药代动力学
Eur J Clin Pharmacol. 1982;22(5):417-22. doi: 10.1007/BF00542546.
9
Theophylline poisoning. Pharmacological considerations and clinical management.茶碱中毒。药理学考量与临床处理
Med Toxicol. 1986 May-Jun;1(3):169-91. doi: 10.1007/BF03259836.
10
Pharmacokinetics of a single oral dose of hydroflumethiazide in health and in cardiac failure.-.单次口服氢氟噻嗪在健康人群和心力衰竭患者中的药代动力学。-
Eur J Clin Pharmacol. 1978 Nov 9;14(1):29-37. doi: 10.1007/BF00560255.