Multiple dose pharmacokinetics of risperidone and 9-hydroxyrisperidone in Chinese female patients wi

来源 :Acta Pharmacologica Sinica | 被引量 : 0次 | 上传用户:hanqianggege
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Aim:To study the multiple dose clinical pharmacokinetics of risperidone and itsmain active metabolite,9-hydroxyrisperidone,in Chinese female patients withschizophrenia.Methods:The subjects were 23 Chinese female inpatients aged18-65 years who met the CCMD-Ⅲ(third revision of the Chinese Criteria of Men-tal Disorders)criteria for schizophrenia.Subjects were tested after 17 d of treat-ment with 2 mg risperidone twice dally.Plasma concentrations of risperidone and9-hydroxy-risperidone were assayed by using validated high performance liquidchromatography-mass spectrometry(HPLC-MS)methods.Results:Risperidonewas rapidly absorbed(T_(max) was 1.6 h)and its T_(1/2) in plasma was short(3.2 h).9-hydroxy-risperidone was quickly metabolized from the parent drug with a meanT_(max) of 2.5 h.It had a long half-life of 24.7 h.The C_(av)~(ss) of risperidone and 9-hydroxy-risperidone were 36.9±33.1 and 110.6±30.5 μg·h·L~(-1),respectively,and the AUC_(0-12)~(ss)were 443.2+397.4 and 1327.2±402.3 μg·h·L~(-1),respectively.CL/F and V/F ofrisperidone were 8.7±6.2 L/h and 34.1±24.3 L,respectively.Interindividual varia-tions for pharmacokinetic parameters were quite large for risperidone.All 23 sub-jects experienced high prolactin levels when treated with risperidone.Howeverthere was no correlation between prolactin level and the concentration ofrisperidone,9-hydroxy-risperidone,or the active moiety.Conclusion:Risperidoneshowed large interindividual variations in pharmacokinetics.Administration ofrisperidone resulted in high serum prolactin levels.The results indicate that sys-temic exposure to risperidone and 9-hydroxy-risperidone in female Chinese schizo-phrenic patients is higher relative to published data for white Caucasian patients.Larger studies regarding the PK/PD relationship may be required to develop areasonable clinical dosage regimen for Chinese female patients. Aim: To study the multiple dose clinical pharmacokinetics of risperidone and its main active metabolite, 9-hydroxyrisperidone, in Chinese female patients with schizophrenia. Methods: The subjects were 23 Chinese female inpatients aged 18-65 years who met the CCMD-III (third revision of the Chinese Criteria of Men-tal Disorders) criteria for schizophrenia. Subjects were tested after 17 d of treat-ment with 2 mg risperidone twice dally. Plasma concentrations of risperidone and 9-hydroxy-risperidone were assayed by using validated high performance liquid chromatography-mass spectrometry ( HPLC-MS) .Results: Risperidonewas rapidly absorbed (T_ (max) was 1.6 h) and its T_ (1/2) in plasma was short (3.2 h) .9-hydroxy-risperidone was quickly metabolized from the parent drug with a meanT max of 2.5 h.It had a long half-life of 24.7 h.The C_ (av) ~ (ss) of risperidone and 9-hydroxy-risperidone were 36.9 ± 33.1 and 110.6 ± 30.5 μg.h ~ (-1), respectively, and the AUC_ (0-12) ~ (ss) were 443.2 + 397.4 and 1327.2 ± 402.3 μ g · h · L -1, respectively.CL / F and V / F ofrisperidone were 8.7 ± 6.2 L / h and 34.1 ± 24.3 L, respectively.Interindividual varia- tions for pharmacokinetic parameters were quite large for risperidone. All 23 sub-jects experienced high prolactin levels when treated with risperidone. Howevehere was no correlation between prolactin level and the concentration ofrisperidone, 9-hydroxy-risperidone, or the active moiety. Conflux: Risperidoneshowed large interindividual variations in pharmacokinetics. Administration ofrisperidone resulted in high serum prolactin levels. The results indicate that sys-temic exposure to risperidone and 9-hydroxy-risperidone in female Chinese schizo-phrenic patients is higher relative to published data for white Caucasian patients. Larger studies regarding the PK / PD relationship may be required to develop areasonable clinical dosage regimen for Chinese female patients.
其他文献
古语说:不忘初心,方得始终。《老同志之友》杂志创刊于1983年,我们的初心是满足老同志的精神需求。30余年,世界在变,我们不改初心!《老同志之友》是有灵魂的,只有我们的读者
1IntroductionRecentlyMOCVDandchlorideVPEtechniquesarewidelyusedingrownsuperlaticeInGaAsP/InPquantumwel(QW)material.Thelaserma...
期刊
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
怎样应对入世挑战,抓住机遇,变被动为主动,加速发展自己,是各地都要回答的问题。据了解锦州市在这方面抓的较早、较好。最近,记者就这个话题访问了中共锦州市委书记褚光宇。
让人喜欢驾驭的汽车,不一定非要有动辄几百马力的动力,也不一定非要有几个毫米的离地间隙。雪铁龙C2这样的AO级轿车,已经将运动风潮普及到了千家万户。以标致206和雪铁龙C2为
小儿皮肤蝇蛆病致心脏损害1例牛秀珍,汤陈里,吉先才让,李承宁,才项青海省黄南州人民医院(811300)患儿,女,7岁,1月前曾多次被牛皮蝇叮咬,1月来不规则发热、多汗、颜面浮肿、四肢关节游走性痛。头痛
一对男女结为夫妻,相依相伴走过74个年头,至今依然形影不离。他的语言表达已经模糊不清,唯有她能听懂丈夫的心声。她身体健康,语言表达流畅,说起夫妻的钻石婚故事,还不时发出
在武术健身操《旭日东升》的练习中,学生除了容易出现在一些常规的手型、步型、方向、路线等错误外,也容易出现相关的技术性错误。对此,为使该套操能够得到行之有效的推广,笔
专业汽车改装公司B&B这一次又将改造之手伸向了新款的奥迪S3,经过改造之后的版本更加强劲,并且借鉴一些来自运动车“Zuffenhausen”的要素。这次改装的原型车是原厂的奥迪S3