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A method to determine pharmacokinetic parameters based on andante constant-rate intravenous infusion

On account of the disturbance from the distribution phase, the concentration-time curve of drugs cannot fully reflect the characteristics of elimination, and thus, it is difficult for present methods to obtain ideal pharmacokinetic parameters. This paper presents a method to determine pharmacokineti...

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Detalles Bibliográficos
Autores principales: Yu, Rui-hong, Cao, Yong-xiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643313/
https://www.ncbi.nlm.nih.gov/pubmed/29038495
http://dx.doi.org/10.1038/s41598-017-13437-6
Descripción
Sumario:On account of the disturbance from the distribution phase, the concentration-time curve of drugs cannot fully reflect the characteristics of elimination, and thus, it is difficult for present methods to obtain ideal pharmacokinetic parameters. This paper presents a method to determine pharmacokinetic parameters based on an andante constant-rate intravenous infusion. A mathematical model of the constant-rate intravenous infusion combined with the elimination of first-order kinetics was established. During infusion, the accumulation tendency of drugs was deduced as [Formula: see text] using the principle of calculus. Then, the method to determine the pharmacokinetic parameters was summed up. After collecting the blood drug concentration (C (t)) -time (t) data from a constant-rate (v) infusion period, an exponential regression analysis was conducted to obtain the elimination rate constant (K) and plateau concentration (C (ss)). Then, the half-life (t (1/2)), apparent volume of distribution (V (d)) and clearance rate (CL) were calculated based on the equations, t (1/2) = 0.693/K, V (d) = (v/K)/C (ss) and CL = v/C (ss), respectively. In addition, an application example of cimetidine in a beagle dog was used to demonstrate the implementation process of the method.