塞夫多克西姆的临床药理动力学:一个系统的审查
Ayesha Farooq1, Ammara Zamir1, Imran Imran2
1Department of Pharmacy Practice, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan.
Expert opinion on drug metabolism & toxicology
|August 9, 2024
概括
本综述总结了人体中塞夫多克西姆的药理动力学 (PK) 和药理动力学 (PD). 在血液透析患者和儿科患者中,塞夫多克西姆的暴露率较低,其度超过常见皮肤病原体的MIC.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 微生物学 微生物学
背景情况:
- 塞法洛斯波林的第三代抗生素Cefpodoxime是一种用于呼吸道感染的宽谱抗生素.
- 了解其药理动力学 (PK) 和药理动力学 (PD) 对于有效治疗至关重要.
研究的目的:
- 系统地审查和呈现可用的人类PK数据为 cefpodoxime.
- 将PK参数与PD目标相关联,包括最小抑制度 (MIC).
主要方法:
- 在PubMed,谷歌学者,科克兰图书馆和科学直营的系统文献搜索.
- 包含26篇文章,报告了不同人群中塞福多西姆的PK数据.
主要成果:
- 在血液透析患者中,Cefpodoxime的暴露率比健康人群低50%.
- 与成人相比,儿科患者的清量减少了27%.
- 对于关键的皮肤病原体 (Streptococcus,Staphylococcus物种),血度超过了MIC.
结论:
- 在不同的人群 (血液透析,儿科) 中,Cefpodoxime PK 具有显著的差异.
- 该药物根据MIC值证明了对常见皮肤病原体的有效性.
- 这一综述有助于临床医生开发 cefpodoxime PK 模型并优化治疗.
相关概念视频
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
108
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
108
Factors Influencing Drug Absorption: Presystemic Elimination
199
The pharmacokinetic journey of oral drugs begins with a crucial first pass through the hepatic portal system, called the first-pass effect. This first pass significantly impacts bioavailability — the proportion of a drug that enters systemic circulation and is available for therapeutic action. The primary route sees the drug absorbed by intestinal membranes and then shunted to the liver via the hepatic portal vein. Here, pre-systemic elimination occurs as drugs face metabolism or biliary...
199
Chronopharmacokinetics: Time-Dependent Pharmacokinetics
112
Chronopharmacokinetics studies the temporal change in drug absorption and elimination. These changes can be cyclical or non-cyclical. Cyclical changes occur over a regular interval, while non-cyclical changes occur over a longer, irregular period.
Time-dependent pharmacokinetics refers to non-cyclical changes in drug rate processes over a period of time. It can lead to nonlinear pharmacokinetics, where the relationship between drug concentration and time is not proportional. Non-cyclical...
Time-dependent pharmacokinetics refers to non-cyclical changes in drug rate processes over a period of time. It can lead to nonlinear pharmacokinetics, where the relationship between drug concentration and time is not proportional. Non-cyclical...
112
Factors Affecting Drug Response: Overview
1.9K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.9K
Factors Influencing Drug Absorption: Drug Dissolution
443
The pharmacokinetic journey of drugs from solid oral dosage forms into systemic circulation is multifaceted. It begins with disintegration, a prerequisite ensuring a solid dosage form's subdivision into minute particles. Dissolution occurs next as these granulated entities solubilize in gastrointestinal fluids. This solubilization is crucial for the succeeding stage, permeation, which describes the traversal of the drug across the intestinal membrane and its subsequent entry into the blood...
443
Pharmacokinetics: Overview
6.1K
Pharmacokinetics is a scientific discipline that focuses on the journey of a drug within the body, encompassing four key stages: absorption, distribution, metabolism, and elimination. The first stage, absorption, involves the drug's transfer into the bloodstream. Several factors dictate the extent and speed of this process. For example, the liver often metabolizes oral drugs before they reach systemic circulation, leading to only partial absorption. In contrast, intravenous (IV)...
6.1K


