首页   按字顺浏览 期刊浏览 卷期浏览 Human Scalp Hair as Evidence of Individual Dosage History of HaloperidolProspective Stu...
Human Scalp Hair as Evidence of Individual Dosage History of HaloperidolProspective Study

 

作者: Reiko Sato,   Toshihiko Uematsu,   Ryuichi Sato,   Shin Yamaguchi,   Mitsuyoshi Nakashima,  

 

期刊: Therapeutic Drug Monitoring  (OVID Available online 1989)
卷期: Volume 11, issue 6  

页码: 686-691

 

ISSN:0163-4356

 

年代: 1989

 

出版商: OVID

 

关键词: New method for therapeutic drug monitoring;Scalp hair;Haloperidol;Dosage history;Exposure to drug.

 

数据来源: OVID

 

摘要:

The concentration of haloperidol in hair was measured by radioimmunoassay after hairs were dissolved in 2.5 N NaOH solution and the drug was extracted. In patients to whom haloperidol had been administered at fixed daily doses for more than 1 month, and in whom therapy had been just discontinued (group A, n = 5) or the doses cut to half (group B, n = 3), hairs were collected when the dose was changed and at 1 and 2 or 3 months thereafter. A few strands of hair collected on each occasion were cut into 1-cm-long portions from the roots, and the haloperidol concentration was measured in each portion. When hairs were assumed to grow at a rate of 1–1.5 cm/month, the portion of hair that reflected the change of dose was observed to move upward along the hair length in all patients of group A. However, these phenomena were less obvious in group B. These results indicate that at the least, hair could serve as an indicator of individual exposure or nonexposure to haloperidol and could yield retrospective information. In rats whose hairs had been removed by plucking from an area on the back, either saline or 1 mg/kg of haloperidol (i.p., b.i.d.) was administered for 2 weeks (first period), followed by 0, 0.5, 1, or 2 mg/kg b.i.d. for the subsequent 2 weeks (second period). At the end of each period, hairs that had grown in the plucked area were collected. Within-groups, haloperidol levels in hairs collected at the end of each period corresponded to the doses given. The distribution of drug levels in the upper and lower halves of hairs collected only at the end of the second period corresponded in general to the doses given. These results support the potential usefulness of hair in therapeutic drug monitoring.

 

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