Delayed Elimination of Digoxin Antidotum Determined by Radioimmunoassay
作者:
Herman Nollet,
Henri Verhaaren,
Roland Stroobandt,
Frans Belpaire,
期刊:
The Journal of Clinical Pharmacology
(WILEY Available online 1989)
卷期:
Volume 29,
issue 1
页码: 41-45
ISSN:0091-2700
年代: 1989
DOI:10.1002/j.1552-4604.1989.tb03235.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
An observation of a treatment with digitalis antibodies (Fab‐fragments) in a young child is presented. The elimination of this antidotum proved to be much slower than normally expected. In the patient's history, the disappearance of the Fab‐fragments out of the blood lasted 142 days with a half‐life of 15.6 days, whereas an elimination with a T½of 28 hours is accepted. Probably there has been intracellular penetration of the antibodies into the liver, caused by concomitant diseases (Hepatitis A and B infections). An “in vitro” experiment is reported. It demonstrates the equimolar binding of the Fab‐fragments for digoxin and shows that the elimination of the Fab‐fragments can be established by a routine radioimmunoassay of digoxin, in a
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