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首页> 外文期刊>Clinical Pharmacology and Therapeutics >Effect of ranitidine on the pharmacokinetics of triazolam and alpha-hydroxytriazolam in both young (19-60 years) and older (61-78 years) people.
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Effect of ranitidine on the pharmacokinetics of triazolam and alpha-hydroxytriazolam in both young (19-60 years) and older (61-78 years) people.

机译:雷尼替丁对年轻人(19-60岁)和老年人(61-78岁)中三唑仑和α-羟基三唑仑药代动力学的影响。

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OBJECTIVE: This study evaluated the effect of oral ranitidine (75 mg and 150 mg) on the pharmacokinetics of triazolam (0.25 mg) and its major metabolite, alpha-hydroxytriazolam, in both young and older people. Metabolite data were used to distinguish the mechanism of this interaction. METHOD: This was a randomized, open-label, 3-way crossover study. Eighteen young (19-60 years) and 12 older (61-78 years) men and women were randomly assigned to receive evening doses of triazolam 0.25 mg (1) alone, (2) on the third day of dosing ranitidine 75 mg twice daily for 4 days, and (3) on the third day of dosing ranitidine 150 mg twice daily for 4 days. RESULTS: In the young group, mean triazolam area under the concentration-time curve from time zero to infinity [AUC(0-infinity)] was 10% and 28% higher after treatment with 75 mg and 150 mg ranitidine, respectively. In the older group, mean triazolam AUC(0-infinity) was 31% and 28% higher after treatment with 75 mg and 150 mg ranitidine, respectively. There was no change in the alpha-hydroxytriazolam/triazolam AUC(0-infinity) ratio in either age group, indicating that neither formation nor elimination of alpha-hydroxytriazolam was affected by ranitidine. There were no changes in the half-life of triazolam or alpha-hydroxytriazolam. CONCLUSION: Ranitidine increases oral absorption of triazolam in both young and older people. This effect is likely caused by elevation of gastrointestinal pH, allowing for greater absorption of acid-labile triazolam. The difference in this effect between age groups at the lower 75-mg dose of ranitidine suggests that older people may be more sensitive to the antisecretory effect of ranitidine.
机译:目的:本研究评估了口服雷尼替丁(75毫克和150毫克)对三唑仑(0.25毫克)及其主要代谢产物α-羟基三唑仑在年轻人和老年人中的药代动力学的影响。代谢物数据用于区分这种相互作用的机制。方法:这是一项随机,开放标签,三向交叉研究。随机分配18名年轻人(19-60岁)和12名年龄较大(61-78岁)的男性和女性,他们分别接受晚上两次剂量的雷尼替丁75 mg的第三天晚上服用0.25 mg三唑仑(1),(2)持续4天,以及(3)在第3天每天服用雷尼替丁150 mg两次,持续4天。结果:在年轻组中,用75 mg和150 mg雷尼替丁治疗后,从时间零到无穷[AUC(0-infinity)]的浓度-时间曲线下的平均三唑仑面积分别增加了10%和28%。在老年组中,用75 mg和150 mg雷尼替丁治疗后,平均三唑仑AUC(0-无穷大)分别高31%和28%。任一年龄组的α-羟基三唑仑/三唑仑AUC(0-无穷大)比率均无变化,表明雷尼替丁既不影响α-羟基三唑仑的形成也不消除。三唑仑或α-羟基三唑仑的半衰期没有变化。结论:雷尼替丁可增加年轻人和老年人口服三唑仑的吸收。这种作用很可能是由于胃肠道pH升高引起的,从而使对酸不稳定的三唑仑的吸收更大。在较低剂量的雷尼替丁75毫克剂量下,不同年龄组之间的这种作用差异表明,老年人可能对雷尼替丁的抗分泌作用更为敏感。

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