PHARMACOKINETICS OF FAZADINIUM IN PATIENTS WITH RENAL-FAILURE

被引:17
作者
DUVALDESTIN, P [1 ]
BERTRAND, JC [1 ]
CONCINA, D [1 ]
HENZEL, D [1 ]
LARENG, L [1 ]
DESMONTS, JM [1 ]
机构
[1] HOP PURPAN,DEPT ANAESTHESIA,F-31052 TOULOUSE,FRANCE
关键词
D O I
10.1093/bja/51.10.943
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The serum concentrations of fazadinium and its metabolites were measured in 14 surgical patients with end-stage renal failure and in 11 patients free from kidney disease undergoing abdominal surgery. A two-compartment open model was used in the pharmacokinetic analysis of the data. The elimination half-life (T2-Janβ) was prolonged by 60% in patients with renal failure (from 85 to 140 min) and corresponded to a 30% decrease of the plasma clearance. The plasma concentration of the metabolites never exceeded 7% of the unchanged fazadinium. These results suggest that the duration of action will be less prolonged for fazadinium than for other non-depolarizing neuromuscular blocking drugs in patients with renal failure. A supplementary biliary pathway appears to be a possible explanation for the rapid elimination of fazadinium, even in patients with renal failure. © 1979 Macmillan Journals Ltd.
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收藏
页码:943 / 947
页数:5
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