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单剂量和多剂量贝那普利在年轻和老年受试者中的药代动力学和药效学比较。

A comparison in young and elderly subjects of the pharmacokinetics and pharmacodynamics of single and multiple doses of benazepril.

作者信息

Macdonald N J, Elliott H L, Hughes D M, Reid J L

机构信息

University Department of Medicine and Therapeutics, Western Infirmary, Gardiner Institute, Glasgow.

出版信息

Br J Clin Pharmacol. 1993 Sep;36(3):201-4. doi: 10.1111/j.1365-2125.1993.tb04217.x.

Abstract
  1. The pharmacokinetics and pharmacodynamics of single and multiple oral doses of the ACE inhibitor benazepril were investigated in young and elderly normotensive subjects. 2. Following multiple doses the trough concentrations were significantly higher in the elderly and the areas under the plasma concentration-time curves (AUC0-24) were significantly greater, by approximately 23%. 3. The fall in blood pressure tended to be greater in the elderly subjects but this is likely to be attributable to their higher initial blood pressures, although it may reflect the small differences in pharmacokinetics. 4. The age related differences in kinetics and dynamics following multiple dosing are quantitatively similar to those obtained with single doses. However, there appears to be a quantitative difference between benazepril and other ACE inhibitors in that the age related increases were of a relatively smaller magnitude.
摘要
  1. 在年轻和老年血压正常的受试者中研究了血管紧张素转换酶(ACE)抑制剂苯那普利单次及多次口服给药的药代动力学和药效学。2. 多次给药后,老年受试者的谷浓度显著更高,血浆浓度-时间曲线下面积(AUC0-24)显著更大,约大23%。3. 老年受试者的血压下降趋势更大,但这可能归因于他们较高的初始血压,尽管这也可能反映了药代动力学的微小差异。4. 多次给药后,动力学和动力学方面与年龄相关的差异在数量上与单次给药时相似。然而,苯那普利与其他ACE抑制剂之间似乎存在数量差异,即与年龄相关的增加幅度相对较小。

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