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Development of a Simple and Rapid Method to Measure Free Fraction of Valproic Acid in Plasma Using Ultrafiltration and Ultra High Performance Liquid Chromatography-Mass Spectroscopy: Application to Therapeutic Drug Monitoring

机译:通过超滤和超高效液相色谱 - 质谱:对治疗药物监测的血浆中血浆中丙戊酸自由分数的简单且快速的方法。

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摘要

Background: Valproic acid (VPA) is widely used as an antiepileptic drug in children, and it is usually coadministered with other antiepileptic drugs. Because of its narrow therapeutic range and large variations in pharmacokinetic/pharmacodynamic behavior in different individuals, therapeutic drug monitoring of the trough total VPA concentration is commonly used to guide dosing. However, as only the free fraction of VPA that exerts pharmacological and toxic effects, it may be more meaningful to determine the unbound VPA concentration in plasma.
机译:背景:丙戊酸(VPA)广泛用作儿童的抗癫痫药物,通常与其他抗癫痫药物共同辅以共同用。 由于其具有狭窄的治疗范围和不同个体药代动力学/药物动力学行为的大变化,谷类总VPA浓度的治疗药物监测通常用于指导给药。 然而,仅仅施加药理学和毒性作用的VPA的自由分数,确定血浆中的未结合VPA浓度可能更有意义。

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