THE PHARMACOKINETICS OF FLUCONAZOLE DURING HEMODIALYSIS IN UREMIC PATIENTS

被引:0
作者
OONO, S [1 ]
TABEI, K [1 ]
TETSUKA, T [1 ]
ASANO, Y [1 ]
机构
[1] JICHI MED SCH,DEPT MED,DIV NEPHROL,3311-1 MINAMIKAWACHI MACHI,MINAMI KAWACHI,TOCHIGI 32904,JAPAN
关键词
FLUCONAZOLE; HEMODIALYSIS; FUNGAL INFECTION; UREMIA PHARMACOKINETICS;
D O I
暂无
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
We have studied the pharmacokinetics of fluconazole in five patients on long-term haemodialysis. The single-pass extraction rate of the dialyzer was 59 (3.5)% (n = 4), and the serum concentration was reduced by haemodialysis for 3 or 4 h by 26 (3.2)% (n = 5) and 39 (2.2)% (n = 9) respectively. The estimated amount extracted by a dialysis of 4 h was 33 (3.2)% (n = 4) of the dose. During repeated administration the serum fluconazole concentration increased, reaching a plateau at about 4 times the peak concentration after the first dose. After discontinuing administration the serum fluconazole concentration fell by 25% in every 3 h dialysis session. We conclude that fluconazole should be given in the usual dose of 100 or 200 mg at the end of every haemodialysis session.
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收藏
页码:667 / 670
页数:4
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