在人类志愿者中,吗啡和吗啡的药理动力学:基于人群的个人间和阿片类药物相关变异性的基于人群的建模
Konrad Meissner1, Erik Olofsen2, Albert Dahan2
1Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Göttingen, Germany; Department of Anaesthesiology, Leiden University Medical Center, Leiden, The Netherlands.
吗啡和水合吗啡显示了类似的个人间药理动力学变异性. 这表明,个人如何处理这些阿片类药物的差异不是在它们之间选择时的关键因素.
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
- 药物新陈代谢 药物新陈代谢
背景情况:
- 吗啡和水墨具有不同的药理动力学和药理动力学特征.
- 在阿片类药物药理动力学的个体间的变化可能会影响合理的药物选择.
- 与平行组设计相比,交叉研究提供了关于个体间变异性的可靠数据.
研究的目的:
- 为了比较吗啡和水力吗啡的个人间的药理动力学变异性.
- 为了确定药理动力学变异性是否会影响这两种强效阿片类药物之间的选择.
主要方法:
- 利用了来自51名健康志愿者随机交叉研究的数据.
- 输入静脉注射的吗啡或水力吗啡.
- 分析了阿片类药物和代谢物度,使用三分区人口模型 (NONMEM).
主要成果:
- 无论是吗啡还是摩,药物动力学参数的个体间变化都相当 (%CV 9-31%).
- 在这两种阿片类药物之间,残留误差的变异性也相似.
- 种群建模证实,药物动力学变异性没有显著差异.
结论:
- 吗啡和水合吗啡在其个人间的药理动力学变异性上没有显著差异.
- 药物动力学变异性不太可能在选择吗啡和摩之间时成为主要考虑因素.
- 临床决策应侧重于其他差异化因素,如发病,持续时间和副作用概况.
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