1、利培酮及其活性代谢产物的药动学研究周志凌1,李新3,谢永标4,李焕德h,张毕奎2,彭文兴2,苏芬丽2,王峰2,余细勇1,杨敏1(1广东省人民医院医学研究中心广州510080;2中南大学湘雅二医院临床药学研究室,长沙4100ll;3中南大学湘雅二医院血管外科,长沙410011;4广东省精神卫生研究所,广州510080)摘要:目的研究利培酮(一sperdal)及其活性代谢产物9羟基利培酮(9-0HrisperdaI)在中国女性精神分裂症患者的临床药动学,方法单周期实验,20倒女性患者经过17 d的利培酮治疗,收集系列标本,高效液相色谱质谱联用(HPLCMS)测定血浆中的药物浓度。结果利培酮吸收迅速
2、,其z。和2分别为16和33 h。9一羟利培酮的一和l。2分别为26和251 h。利培酮和9一羟基利培酮的p:分别为305和1368斗gL一,AuC器12分别为4824和1 7443斗ghL-。利培酮的C,和,分别为84 Lh“和332 L。结论利培酮和9一羟基利培酮的血药浓度,尤其是利培酮,存在着巨大的个体差异。结果表明,治疗药物浓度监测对维思通的合理用药有重要意义。关键词:利培酮;9一羟基利培酮;药动学中图分类号:R9691 文献标识码:A 文章编号:10012494(2008)151174一03CHnical Pharmacokinetics of砌sperdal and Its Act
3、ve Metabolite in Clline鼬Femak PatieIlts丽th schizo-phrelliaZHOU Zhi1in91,U xin3,XIE Yong-bia04,U Huande,ZHANG Bikui2,PENG Wenxin92,SU Fen1i2,WANG Fen2,YU Xiyongh,YANG Minl(1鼢e口rcce儿衙D,肘副幻以据,女ce,l础,w胁i聊iafDp如7s舶sp如“,ng施伽5l0080,mi抛;2嬲n如“讹r,船cy鼢e口rc加砒抛,艇o,蚴,0以舶sp妇Z,巳n打倒s0以危魄沁rs扛y,C地嶝施4looll,饥i眦;3c越胁S趾rg
4、吖却a砌始眦,舭馏弦LI X;LI K Y Simultaneous determination of clozapine,olanzapine,risperidone and quetiapinein plasma by high-performance liquid chormatography-electrospray ionization mass spectrometry2004(02)3.FAN X M;ZHANG Y H Analysis of clinic uses of antipsychotics in our hospital during past five years
5、期刊论文-天津药学 2003(05)4.BALANT G A;GEX F M;GENET C Therapeutic drug monitoringing of rispefidone using a new,rapid HPLCmethod:Reappraisal of interindividual variability factors外文期刊 1999(01)5.ZHANG Q S;WANG C C Analysis of clinic uses of antipsychotics期刊论文-西部医学 2006(04)6.ZHAO Y;QU F L Analysis of clinic
6、uses of antipsychotics in our hospital during 19992002期刊论文-中国药师 2004(03)7.BYERLY M J;DEVANE C L Pharmacokinetics of clozapine and risperidone:a review of recent literature1995(02)8.HEYKANTS J;HUANG M L;MANNENS G The pharmacokinetics of risperidone in humans:a summary 1994(zk)9.FANG J;BOURIN M;BAKER G B Metabolism of risperidone to 9-hydroxyrisperidone by human cytochmmesP450 2D6 and 3 A4外文期刊 1999(02)本文链接:http:/