Influence of Renal Function on the Pharmacokinetics and Cardiovascular Effects of Nisoldipine After Single and Multiple Dosing

作者: J. van Harten , J. Burggraaf , P. van Brummelen , D.D. Breimer

DOI: 10.2165/00003088-198916010-00004

关键词:

摘要: The pharmacokinetics and cardiovascular effects of the calcium entry blocker nisoldipine (10mg twice daily) were studied in 6 patients with renal failure (creatinine clearance 23 ± 9 ml/min) healthy control subjects after a single dose 1 week oral administration. No significant differences elimination half-life, area under concentration/time curve, peak plasma drug concentration time to reach that observed between subjects, single-dose short term decrease systolic blood pressure increase heart rate similar both groups, but diastolic was more pronounced patients. This can be explained by increased haemodynamic sensitivity for nisoldipine. Adverse mainly restricted first day

参考文章(36)
D. Scherling, G. Ahr, W. Karl, Biotransformation of Nisoldipine in Man Springer, Berlin, Heidelberg. pp. 85- 88 ,(1987) , 10.1007/978-3-642-73010-8_10
G. Ahr, W. Wingender, J. Kuhlmann, Pharmacokinetics of Nisoldipine Springer, Berlin, Heidelberg. pp. 59- 66 ,(1987) , 10.1007/978-3-642-73010-8_6
William J. Jusko, William E. Evans, Jerome J. Schentag, Applied pharmacokinetics : principles of therapeutic drug monitoring Applied Therapeutics. ,(1992)
Donald W. Cockcroft, Henry Gault, Prediction of Creatinine Clearance from Serum Creatinine Nephron. ,vol. 16, pp. 31- 41 ,(1976) , 10.1159/000180580
M. C. Andresen, L. A. Torres, Diana L Kunze, Do calcium antagonists act directly on calcium channels to alter baroreceptor function Journal of Pharmacology and Experimental Therapeutics. ,vol. 239, pp. 303- 310 ,(1986)
G Levy, M Danhof, M Hisaoka, Kinetics of drug action in disease states. II. Effect of experimental renal dysfunction on phenobarbital concentrations in rats at onset of loss of righting reflect. Journal of Pharmacology and Experimental Therapeutics. ,vol. 230, pp. 627- 631 ,(1984)
Jacob D. Peuler, Garland A. Johnson, Simultaneous single isotope radioenzymatic assay of plasma norepinephrine, epinephrine and dopamine Life Sciences. ,vol. 21, pp. 625- 636 ,(1977) , 10.1016/0024-3205(77)90070-4
J. Boelaert, Y. Valcke, H. Dammekens, G. De Vriese, G. Ahr, M. Schurgers, R. Daneels, M. G. Bogaert, Pharmacokinetics of nisoldipine in renal dysfunction. European Journal of Clinical Pharmacology. ,vol. 34, pp. 207- 209 ,(1988) , 10.1007/BF00614560
Renato L. Galeazzi, Matthias Gugger, Peter Weidmann, Beta blockade with pindolol: Differential cardiac and renal effects despite similar plasma kinetics in normal and uremic man Kidney International. ,vol. 15, pp. 661- 668 ,(1979) , 10.1038/KI.1979.86
P C Chang, J A van der Krogt, P Vermeij, P van Brummelen, Norepinephrine removal and release in the forearm of healthy subjects. Hypertension. ,vol. 8, pp. 801- 809 ,(1986) , 10.1161/01.HYP.8.9.801