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中国人口服5-单硝酸异山梨醇酯缓释片的药动学和不良反应探讨 被引量:8

The pharmacokinetics and adverse drug reactions of isosorbide-5-mononitrate sustanied-release tablets in Chinese subjects
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摘要 目的 :研究健康中国人口服 5 单硝酸异山梨醇酯缓释片 (5 0mg)的药动学 ,并同时观察不良反应。 方法 :受试者口服单剂量 5 单硝酸异山梨醇酯缓释片 (5 0mg) ,气相色谱法测定血清中 5 单硝酸异山梨醇酯的浓度。结果 :5 单硝酸异山梨醇酯缓释片的AUC0 ∞ =(10 10 9± 16 47)ng·ml-1·h-1,Tmax=(4.7± 0 .5 )h ,Cmax=(784± 83)ng·ml-1,T1/2 =(8.4± 1.9)h ;5 单硝酸异山梨醇酯缓释片的不良反应发生率为 83.3% ,主要表现为头痛、头晕和嗜睡。结论 :中国人服用 5 单硝酸异山梨醇酯缓释片时应适当减小剂量。 OBJECTIVE:To study the pharmacokinetics and monitor the adverse drug reaction of isosorbide 5 mononitrate(5 ISMN) sustanied release tablets in 12 Chinese subjects.METHODS:The concentration of 5 ISMN in human serum was determined with gas chromatography.The pharmacokinetic study was conducted on healthy subjects after oral administration of 5 ISMN sustanied release tablets at a single dose of 50 mg.RESULTS:The pharmacokinetic parameters AUC 0 ∞ , T max , C max and T 1/2 of 5 ISMN sustanied release tablets were ( 10 109 ± 1 647 )ng·ml -1 ·h -1 ,( 4.7 ± 0.5 )h,(784±83)ng·ml -1 and ( 8.4 ± 1.9 )h respectively.The incidence of adverse drug reactions was 83.3% .The main adverse drug reactions found were headache,dizziness and drowsiness.CONCLUSIONS:The dosage of 5 ISMN sustanied release tablets should be reduced when they were administered to Chinese subjects.
出处 《中国医院药学杂志》 CSCD 北大核心 2000年第7期416-419,共4页 Chinese Journal of Hospital Pharmacy
关键词 单硝酸异山梨醇酯缓释片 气相色谱法 不良反应 isosorbide 5 mononitrate gas chromatography pharmacokinetics adverse drug reactions
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参考文献4

  • 1Jahnchen E.Plasma profile and haemodynamic tolerance to isosorbide-5-mononitrate in controlled-release form[].British Journal of Clinical Pharmacology.1992
  • 2Lofdahl P.Compliance as a factor in the development of nitrate tolerance: a patient investigation[].Journal of International Medical Research.1993
  • 3Olsson G,Allgen J.Prophylatic nitrate therapy in angina pectoris-Is there an optimal treatment regimen[].British Journal of Clinical Pharmacology.1992
  • 4Kosoglou T,Kazierad DJ,Schentag JJ,et al.Effect of food on the oral bioavailability of isosobide-5-mononitrate administered as an extended-release tablet[].Journal of Clinical Pharmacology.1995

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