Bruguerolle B, Grignon S
Laboratoire de Pharmacologie Médicale et Clinique, Faculté de Médecine de Marseille, France.
Pathol Biol (Paris). 1996 Jun;44(6):547-54.
Chronopharmacology studies the influence of time of administration of drugs. Numerous studies have report on the influence of time of administration on acute toxicity of drugs. Qualitative and quantitative responses of the organism to drugs have been described in different areas such as anaesthesiology, cardiology, oncology, endocrinology, gastroenterology, obstetrics, neurology, pneumology, psychiatry, rheumatology... in animals and in men. Underlying mechanisms of such variations involve temporal variations of the mode of action of the drug i.e. at the receptor level or temporal modifications of the kinetics of the drug. Absorption, distribution and drug protein binding, metabolism and elimination vary according to the moment of administration of the drug. Chronotherapy consists on the choice of the moment of administration of a drug in order to minimise its side effects and/or to emphasize its therapeutic effects.
时辰药理学研究药物给药时间的影响。大量研究报告了给药时间对药物急性毒性的影响。在动物和人类中,生物体对药物的定性和定量反应已在麻醉学、心脏病学、肿瘤学、内分泌学、胃肠病学、产科学、神经病学、肺病学、精神病学、风湿病学等不同领域得到描述。这种变化的潜在机制涉及药物作用方式的时间变化,即在受体水平上,或药物动力学的时间改变。药物的吸收、分布、药物与蛋白质结合、代谢和消除会因给药时间的不同而有所变化。时辰治疗法是指选择药物的给药时间,以尽量减少其副作用和/或增强其治疗效果。