Studies With Stable Isotopes II: Phenobarbital Pharmacokinetics During Monotherapy
作者:
Thomas R. Browne,
James E. Evans,
George K. Szabo,
Barbara A. Evans,
David J. Greenblatt,
期刊:
The Journal of Clinical Pharmacology
(WILEY Available online 1985)
卷期:
Volume 25,
issue 1
页码: 51-58
ISSN:0091-2700
年代: 1985
DOI:10.1002/j.1552-4604.1985.tb02800.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
Six healthy adults receiving no other medications were given tracer doses of 90 mg of stable isotope‐labeled phenobarbital (PB) intravenously before, and four weeks after, and 12 weeks after beginning therapy. Serum samples were collected for 96 hours after each injection, and the concentration of stable isotope‐labeled PB in each sample was determined by gas chromatographic mass spectrometry. The volume of distribution, elimination half‐life, and total clearance of PB did not differ significantly on any of the three occasions measured. Phenobarbital clearance did not correlate significantly with total PB serum concentration. Clearances determined from single‐dose studies before beginning PB therapy accurately predicted steady‐state PB serum concentrations. Therefore, it is not necessary to adjust PB dosage for time‐dependent or dose‐dependent changes in clearance during monotherapy. In addition, clearance or serum concentration determined at one dosing rate directly predicts serum concentration at anothe
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