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目的:观察正常人口服泛昔洛韦片剂的剂量耐受性、药动学和生物利用度,提出安全的临床治疗剂量。方法:4 组( 每组6 人)健康人分别口服0-125g 、0-25g 、0-5g 、0-75g 泛昔洛韦片剂,进行剂量耐受性试验。用HPLC 法测定9 人分别口服国产和进口的泛昔洛韦(fa mciclovir) 片各0-25g 后血和尿的喷昔洛韦(penciclovir) 浓度。结果:口服0-125g ~0-75 g 泛昔洛韦片剂呈现良好的耐受性。口服0-25g 泛昔洛韦国产片除了与进口片有生物等效性外,药- 时曲线呈二房室开放模型,约1h 前达峰,Cm ax 2-20 m g/ L,T1/2α(1-01 ±1-51)h ,T1/2β(2-93 ±0-83)h ,V/F(55-1 ±27-8) L,24h 尿喷昔洛韦累积率为(66-3 ±15-3) % 。结论:国产泛昔洛韦片口服后具有吸收较快、喷昔洛韦在体内分布迅速而广泛、大部分经肾排泄的特点。单剂量口服泛昔洛韦良好的耐受性和药动学特点的事实,推荐口服泛昔洛韦0-125g ~0-75g 、1 日3 次的给药方案用于临床可能是安全的。
OBJECTIVE: To observe the dose tolerance, pharmacokinetics and bioavailability of famciclovir tablet in normal population and to propose a safe clinical dose. Methods: Four groups (6 in each group) of healthy individuals were orally given 0-125g, 0-25g, 0-5g and 0-75g of famciclovir tablets for dose tolerance test. The concentrations of penciclovir in blood and urine of 0-25 g each of domestic and imported fa mciclovir tablets were determined by HPLC. Results: Oral 0-125g ~ 0-75 g of famciclovir tablets showed good tolerance. In addition to oral administration of 0-25g famciclovir domestic tablets in addition to imported tablets with bioequivalence, the drug-time curve was two-bedroom open model, peaked about 1h, Cm ax 2-20 m g / L, T1 / 2α (1- 01 ± 1-51) h, T1 / 2β (2-93 ± 0-83) h, V / F (55-1 ± 27-8) L, and the cumulative urine penciclovir cumulative rate was (66-3 ± 15-3)%. Conclusion: Domestic famciclovir tablets have the characteristics of rapid absorption after oral administration, rapid and extensive distribution of penciclovir in the body and most of excretion by the kidneys. For single-dose oral famciclovir good tolerability and pharmacokinetic characteristics of the fact that recommended oral famciclovir 0-125g ~ 0-75g, 3 times a day for the clinical administration of the program may be safe.