在住院的泰国患者中,静脉注射的烯酸的人口药理动力学和负载剂量优化
Sirima Sitaruno1, Tusavadee Chumin1, Yada Ngamkitpamot1
1Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Journal of clinical pharmacology
|July 29, 2024
概括
这项研究开发了泰国患者静脉注射的酸的种群药理动力学模型. 对于住院患者来说,确定了1000-1200毫克的最佳加载剂量.
科学领域:
- 药理动力学 药理动力学
- 临床药理学 临床药理学
- 药物的剂量 药物的剂量
背景情况:
- 瓦尔酸是广泛使用的,但需要谨慎的剂量.
- 对住院患者来说,优化静脉注射的酸剂量至关重要,特别是在像泰国患者这样的特定人群中.
研究的目的:
- 在住院的泰国患者中开发静脉注射瓦尔酸的人口药理动力学 (PK) 模型.
- 为了确定这个人群的最佳负载剂量 (LD) 和指导维持剂量 (MD) 启动.
主要方法:
- 从住院的泰国患者收集血清氨酸度的回顾性数据.
- 非线性混合效应建模以估计PK参数和识别共变量.
- 蒙特卡洛模拟以确定最佳的下降点.
主要成果:
- 以年龄作为清除 (CL) 的共变量的一种线性单间模型被确定为最佳.
- 典型的CL为0.77L/h,分布体积为14.56L.
- 1000-1200毫克静脉注射的LD被发现是一个务实的选择,建议在LD后4-8小时启动MD.
结论:
- 在住院的泰国患者中建立了一个人群PK模型和静脉注射氨酸的最佳LD.
- 这些发现为实证剂量策略提供了基础.
- 建议在老年患者中考虑延迟MD启动.
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