Nonlinear Desipramine PharmacokineticsA Case Study
作者:
JAMES DUGAS,
DUANE BISHOP,
期刊:
Journal of Clinical Psychopharmacology
(OVID Available online 1985)
卷期:
Volume 5,
issue 1
页码: 43-45
ISSN:0271-0749
年代: 1985
出版商: OVID
数据来源: OVID
摘要:
A case of nonlinear desipramine pharmacokinetics is described. During routine clinical monitoring serum desipramine concentrations appeared to change disproportionately with dose. Following a series of controlled dosage decreases, from 400 to 50 mg/day, the patient's steady state serum concentrations fit a nonlinear pharmacokinetic model. This curvilinear serum concentration-dose relationship suggests saturation of hepatic metabolism and signals the need for caution when predicting or titrating doses against serum drug concentrations. The implications of this new finding are discussed.
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