Bioavailability of dexmedetomidine after intranasal administration

作者: Timo Iirola , Sanna Vilo , Tuula Manner , Riku Aantaa , Maria Lahtinen

DOI: 10.1007/S00228-011-1002-Y

关键词:

摘要: The aim of this proof-of-concept study was to characterize the pharmacokinetics and pharmacodynamics intranasal dexmedetomidine compared with its intravenous administration in a small number healthy volunteers. Single doses 84 μg were given once intravenously intranasally seven men. Plasma concentrations measured for 10 h, pharmacokinetic variables calculated standard noncompartmental methods. Heart rate, blood pressure, adrenaline noradrenaline plasma, central nervous system drug effects (with Maddox wing, Bispectral Index, three visual analog scales) monitored assess pharmacological dexmedetomidine. Six individuals included analyses. Following administration, peak plasma reached 38 (15–60) min absolute bioavailability 65% (35–93%) (medians ranges). Pharmacological similar both routes but their onset more rapid after administration. Dexmedetomidine is rather rapidly efficiently absorbed Compared may be feasible alternative patients requiring light sedation.

参考文章(11)
V. M. Yuen, Theresa W. Hui, M. G. Irwin, T.-J. Yao, G. L. Wong, M. K. Yuen, ORIGINAL ARTICLE: Optimal timing for the administration of intranasal dexmedetomidine for premedication in children Anaesthesia. ,vol. 65, pp. 922- 929 ,(2010) , 10.1111/J.1365-2044.2010.06453.X
Markku Anttila, Jani Penttilä, Antti Helminen, Lauri Vuorilehto, Harry Scheinin, Bioavailability of dexmedetomidine after extravascular doses in healthy subjects. British Journal of Clinical Pharmacology. ,vol. 56, pp. 691- 693 ,(2003) , 10.1046/J.1365-2125.2003.01944.X
Vivian M. Yuen, Theresa W. Hui, Michael G. Irwin, Man K. Yuen, A Comparison of Intranasal Dexmedetomidine and Oral Midazolam for Premedication in Pediatric Anesthesia: A Double-Blinded Randomized Controlled Trial Anesthesia & Analgesia. ,vol. 106, pp. 1715- 1721 ,(2008) , 10.1213/ANE.0B013E31816C8929
A. TAKALA, V. KAASALAINEN, T. SEPPÄLÄ, E. KALSO, K. T. OLKKOLA, Pharmacokinetic comparison of intravenous and intranasal administration of oxycodone Acta Anaesthesiologica Scandinavica. ,vol. 41, pp. 309- 312 ,(1997) , 10.1111/J.1399-6576.1997.TB04684.X
Qin C. Ji, Julie Y. Zhou, R. John Gonzales, Eric M. Gage, Tawakol A. El-Shourbagy, Simultaneous quantitation of dexmedetomidine and glucuronide metabolites (G-Dex-1 and G-Dex-2) in human plasma utilizing liquid chromatography with tandem mass spectrometric detection. Rapid Communications in Mass Spectrometry. ,vol. 18, pp. 1753- 1760 ,(2004) , 10.1002/RCM.1548
ALYSON BOND, MALCOLM LADER, The use of analogue scales in rating subjective feelings British Journal of Medical Psychology. ,vol. 47, pp. 211- 218 ,(1974) , 10.1111/J.2044-8341.1974.TB02285.X
Jeffrey C. Sigl, Nassib G. Chamoun, An introduction to bispectral analysis for the electroencephalogram Journal of Clinical Monitoring and Computing. ,vol. 10, pp. 392- 404 ,(1994) , 10.1007/BF01618421
Vivian M. Yuen, Michael G. Irwin, Theresa W. Hui, Man K. Yuen, Libby H. Y. Lee, A double-blind, crossover assessment of the sedative and analgesic effects of intranasal dexmedetomidine. Anesthesia & Analgesia. ,vol. 105, pp. 374- 380 ,(2007) , 10.1213/01.ANE.0000269488.06546.7C