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卡马西平与苯妥因钠、丙戊酸钠及安定相互作用的实验研究
An Experimental Study on Interaction Between Carbamazepin, Phenytoin, Valproic acid , and Diazepam
【摘要】 本文用家兔就苯妥因钠、丙戊酸钠及安定对卡马西平药代动力学的影响进行了实验研究。采用高效液相色谱法测定卡马西平血清浓度,结果表明,服用苯妥因后,卡马西平代谢明显加快,消除速率常数K由0.326h—1升高到0.528h—1;半衰期T1/2由2.14h减少到1.33h;清除率CL由1.81L/kg·h升高到7.74L/kg·h,经t检验,均有显著性差异(P<0.05),口服丙戊酸钠后,卡马西平的药动学参数K及T1/2无显著变化(P>0.05)。但CL由1.40L/h·kg升高到2.04L/h·kg。表现分布容积Vd由5.08L/kg增加到8.37L/kg,经t检验,有显著性差异(P<0.05)。服用安定后,卡马西平药动学参数K由0.305h—1减少到0.187h—1,CL由2.19L/kg·h降低到1.38L/kg·h。经t检验,有显著性差异(P<0.05),而T1/2及Vd无显著性差异(P>0.05)。
【Abstract】 This paper deals with the effects of Phcnytoin (PHT), Valproic acid (VPA), Diazepam on pharmacokinetic to Carbamazcpin (CBZ) in rabbits. The concentrations of CBZ in serum were determined by high-performance liquid chromatography. The results indicated that after the oral administration of PHT , CBZ was metabolized faster than before. The elimination rate consant (K ) increased from 0. 326h-1 to 0.528h-1, the elimination half-lift (t0.5) decreased from 2. 14h to 1. 33h, and the clearance (CD increased from 1. 18L/kg. h to 7. 74L/kg. h. There were significant differences (t test, P <0. 05). After the oral administration of VPA, the pharmacokinetic parameters K and t0.5 of CBZ have no significant difference (t test, P<0. 05), but CL increased from 1. 40L/h. kg to 2. 04L/h. kg , and the apparent volume of distribution (Vd) increased from 5. 08L/kg to 8. 37L/kg. There were significant differences (t test, P<0. 05). After the oral administration of diazepam, the pharmacokinetic parameters K of CBZ decreased from 0.305 h-1 to 0. 187h-1 and CL from 2. 19L/kg. hr to 1. 38L/kg. h, respectively. There were significant differences (t test, P<0.05), but t0.5 and Vd have no significant difference (t test, P<0.05).
【Key words】 Pharmacokinetic; Carbamazcpin; Phenytoin; Valproic acid; Diazepam; HPLC;
- 【文献出处】 江苏药学与临床研究 ,Jiangsu Pharmaceutical and Clinical Research , 编辑部邮箱 ,1996年01期
- 【分类号】R96
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