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氯米帕明和去甲氯米帕明在犬体内的药代动力学:单次口服氯米帕明及连续28日每日口服氯米帕明后的参数估计

The pharmacokinetics of clomipramine and desmethylclomipramine in dogs: parameter estimates following a single oral dose and 28 consecutive daily oral doses of clomipramine.

作者信息

Hewson C J, Conlon P D, Luescher U A, Ball R O

机构信息

Department of Animal and Poultry Science, University of Guelph, Ontario, Canada.

出版信息

J Vet Pharmacol Ther. 1998 Jun;21(3):214-22. doi: 10.1046/j.1365-2885.1998.00138.x.

Abstract

Clomipramine is a tricyclic antidepressant that has been recommended for the treatment of canine compulsive disorder. The pharmacokinetics of clomipramine in dogs have not been reported. This study describes the pharmacokinetics of clomipramine and its active metabolite, desmethylclomipramine, in six male dogs. Serial blood samples were collected following both a single oral dose of clomipramine (3 mg/kg) and 28 consecutive daily oral doses (3 mg/kg q 24 h). In addition, 'peak' and 'trough' samples were taken throughout the 28-day dosing period. Plasma was assayed for total (free and protein-bound) clomipramine and desmethylclomipramine, using gas-chromatography with mass spectrometric detection. Various pharmacokinetic parameters were then determined. Following a single dose of clomipramine, time of maximum plasma concentration (tmax) of clomipramine was 0.75-3.1 h, maximum plasma concentration (Cmax) was 16-310 ng/mL and elimination half-life (t1/2el) was 1.2-16 h; tmax of desmethylclomipramine was 1.4-8.8 h, Cmax was 21-134 ng/ mL and t1/2el was 1.2-2.3 h. Following multiple dosing, there was a numeric increase in these parameters; tmax of clomipramine was 3-8 h, Cmax was 43-222 ng/mL and t1/2el was 1.2-16 h; tmax of desmethylclomipramine was 1.4-8.8 h, Cmax was 21-134 ng/mL and t1/2el was 1.2-2.3 h. Clinically significant differences between dogs and humans in the pharmacokinetics of oral clomipramine are discussed.

摘要

氯米帕明是一种三环类抗抑郁药,已被推荐用于治疗犬类强迫症。尚未有关于氯米帕明在犬体内药代动力学的报道。本研究描述了氯米帕明及其活性代谢物去甲氯米帕明在6只雄性犬体内的药代动力学。单次口服氯米帕明(3mg/kg)以及连续28日每日口服(每24小时3mg/kg)后采集系列血样。此外,在28天给药期内采集“峰”和“谷”样本。使用气相色谱-质谱检测法测定血浆中总(游离和蛋白结合)氯米帕明和去甲氯米帕明。然后确定各种药代动力学参数。单次服用氯米帕明后,氯米帕明的血浆浓度达峰时间(tmax)为0.75 - 3.1小时,最大血浆浓度(Cmax)为16 - 310ng/mL,消除半衰期(t1/2el)为1.2 - 16小时;去甲氯米帕明的tmax为1.4 - 8.8小时,Cmax为21 - 134ng/mL,t1/2el为1.2 - 2.3小时。多次给药后,这些参数有数值上的增加;氯米帕明的tmax为3 - 8小时,Cmax为43 - 222ng/mL,t1/2el为1.2 - 16小时;去甲氯米帕明的tmax为1.4 - 8.8小时,Cmax为21 - 134ng/mL,t1/2el为1.2 - 2.3小时。讨论了犬和人在口服氯米帕明药代动力学方面临床上的显著差异。

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