在与里芬素联合治疗期间,应通过连续输注给克林达米辛的剂量是多少? 一个前性人群药理动力学研究
Léo Mimram1, Sophie Magréault1,2, Younes Kerroumi3
1Unité Fonctionelle de Pharmacologie, GHU Paris Seine Saint-Denis, Assistance Publique-Hôpitaux de Paris (APHP), Université Sorbonne Paris Nord, Bondy, France.
为了在与里芬素联合治疗期间达到有效的克林达米辛度,建议持续输注4200毫克/24小时. 这种高剂量疗法需要治疗药物监测以调整剂量.
科学领域:
- 药理动力学和药理动力学
- 传染病 传染病 传染病
- 药物相互作用 药物相互作用
背景情况:
- 结合克林达米辛/里法辛治疗对于骨和关节感染至关重要.
- 克林达米辛和利芬素之间的药物相互作用需要谨慎的剂量.
- 持续输注里芬素的最佳克林达米辛剂量仍未确定.
研究的目的:
- 为了确定最佳的每日克林达米辛剂量,用于连续输液,当与里法皮辛结合时.
- 为了在患有骨关节感染的患者中达到有效的血克林达米辛度.
主要方法:
- 在124名患者的血克林达米辛度的前性确定.
- 使用NONMEM 7.5.5. 开发一个群体药理动力学模型.
- 蒙特卡洛模拟以确定有效的剂量方案.
主要成果:
- 一个线性单间模型准确地描述了克林达米辛的药理动力学.
- 里芬素 (33.6升/小时) 的平均克林达米辛清除值明显高于没有 (10.9升/小时).
- 连续输注的每日4200毫克/24小时的克林达米辛剂量在与里芬素结合时,在90%以上的患者中达到目标度 (>3毫克/升).
结论:
- 连续输注4200毫克/24小时的克林达米辛在与利芬皮辛结合时得到支持.
- 这种高剂量疗法需要治疗药物监测以进行个性化剂量调整.
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