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目的:研究西伐他汀对环孢素药物动力学的影响.方法:男性汉族健康志愿者7人随机交叉口服单剂量环孢素100mg和同时口服西伐他汀10mg后,采用特异性荧光偏振免疫法测定环孢素全血药物浓度.结果:血药浓度—时间曲线拟合表明该药体内过程符合二室开放模型,合用西伐他汀前后环孢素的主要药代动力学参数:Cmax(646±94)和(698±340)μg·L-1;Tmax(112±013)和(113±021)h;AUC(23±04)和(26±12)mg·h·L-1;T12β(12±6)和(23±8)h(P<005).结论:环孢素与西伐他汀同时应用时,后者可延迟环孢素的代谢
Objective: To study the effect of simvastatin on the pharmacokinetics of cyclosporine. Methods: Seven randomized healthy volunteers of Han nationality were randomized to receive a single dose of cyclosporine 100 mg and simvastatin 10 mg at the same time. Cyclosporine whole blood concentration was determined by specific fluorescence polarization immunoassay. Results: The plasma concentration-time curve fitting showed that the in vivo process of the drug conformed to the two-compartment open model. The main pharmacokinetic parameters of ciclosporin before and after the combination of simvastatin: Cmax (646 ± 94) and (698 ± 340) μg · L-1; Tmax (112 ± 013) and (113 ± 021) h; AUC (23 ± 04) and (26 ± 12) mg · h · L-1; T12β (12 ± 6) and (23 ± 8) h (P <005). Conclusion: When cyclosporine and simvastatin are used in combination, the latter can delay cyclosporine metabolism