Zhou M, Notari R E
Department of Pharmaceutical Sciences, College of Pharmacy, Medical University of South Carolina, Charleston 29425, USA.
J Pharm Sci. 1996 Aug;85(8):791-5. doi: 10.1021/js960130z.
It is sometimes possible to maintain plasma concentrations between desired maximum and minimum limits by repetitively administering a drug in an oral prolonged-release formulation when this goal cannot be achieved with a rapid-release formulation. However, this approach does not work with all drugs. The biological half-life value of the drug can be one cause for failure of this approach. Although it is recognized that a half-life may be too long or too short, neither the criteria for determining these values nor the consequences of failing to meet them have been established. The best half-life values for prolonged-release candidates were found by simulating once-a-day and twice-a-day administration of formulations and examining the capacity of these formulations to maintain steady-state plasma concentrations between various selected limits. These observations were used to establish criteria to judge the acceptability of half-lives. Half-life values were considered too long if drugs were self-sustaining and simulations of their rapid-release formulations were also successful. Half-life values were considered too short if minor variability in prolonged-release rates resulted in plasma concentrations above and/or below the selected limits. The actual half-life values that were considered too long or too short depended on the dosing interval and the selected maximum and minimum plasma concentrations. A nomogram was constructed to assess the acceptability of the biological half-life of a candidate for once-a-day or twice-a-day prolonged-release formulations. The nomogram employs the user-selected limits for the desired plasma concentrations to predict whether the half-life of a candidate is (1) too long, (2) too short, or (3) acceptable (i.e., between 1 and 2).
当速释制剂无法实现将血浆浓度维持在期望的最大和最小限度之间这一目标时,有时通过重复给予口服缓释制剂可以达成这一目标。然而,这种方法并非对所有药物都有效。药物的生物半衰期值可能是该方法失败的一个原因。尽管人们认识到半衰期可能过长或过短,但确定这些值的标准以及未达标准的后果均未明确。通过模拟制剂的每日一次和每日两次给药,并考察这些制剂将稳态血浆浓度维持在选定限度之间的能力,找到了缓释候选药物的最佳半衰期值。这些观察结果被用于建立判断半衰期可接受性的标准。如果药物具有自维持性且其速释制剂模拟也成功,则认为半衰期值过长。如果缓释速率的微小变化导致血浆浓度高于和/或低于选定限度,则认为半衰期值过短。实际被认为过长或过短的半衰期值取决于给药间隔以及选定的最大和最小血浆浓度。构建了一个列线图来评估每日一次或每日两次缓释制剂候选药物生物半衰期的可接受性。该列线图利用用户选定的期望血浆浓度限度来预测候选药物的半衰期是(1)过长,(2)过短,还是(3)可接受的(即介于1和2之间)。