腹膜透析相关腹膜炎患者的腹膜内注射万科米辛:人口药理动力学和剂量影响
Jan Miroslav Hartinger1, Danica Michaličková1, Eliška Dvořáčková1
1Department of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital in Prague, 128 00 Prague, Czech Republic.
Pharmaceutics
|May 27, 2023
概括
目前用于腹腔透析的万科米辛剂量可能会使患者剂量不足. 一个新的药理动力学模型建议改进剂量策略,以确保有效的治疗和预防毒性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 腹膜炎是腹膜透析 (PD) 的严重并发症.
- 腹腔内素是PD相关腹腔炎的常见治疗方法.
- 现有的万科米辛剂量建议显示患者暴露的显著变化.
研究的目的:
- 开发第一个人群药理动力学 (PK) 模型,用于腹腔内万科米辛.
- 用当前的剂量表来评估腹膜内和血中的万科米辛暴露.
- 建议优化剂量策略,以提高疗效和安全性.
主要方法:
- 使用的治疗药物监测数据.
- 开发了一个人群PK模型,用于腹腔内给药的万科米辛.
- 基于国际腹腔透析协会 (ISPD) 建议的模拟范素暴露.
主要成果:
- 目前的ISPD剂量方案可能导致大量PD患者的剂量不足.
- 间歇性腹腔内范科米辛的使用与低于最佳的暴露有关.
- 连续服用20 mg/kg和50 mg/L的加重剂量和维持剂量的连续服用方案显示了改善的腹腔内暴露.
结论:
- 优化万科米辛的剂量对于PD患者有效治疗腹膜炎至关重要.
- 连续剂量方案比间歇性给予更好.
- 建议对治疗药物进行监测和剂量调整,以防止低剂量和过量剂量.
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