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Evidence of a specialized transport mechanism for the intestinal absorption of baclofen

机译:肠道吸收巴氯芬的特殊转运机制的证据

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AbstractAbsorption of the spasmolytic drug baclofen in three selected intestinal segments of living anaesthetized rats insitu, is shown to be a specialized transport mechanism obeying Michaelis‐Menten kinetics. Equation parameters were calculated through different procedures, whose features are discussed. A computer method based on the integrated form of Michaelis‐Menten equation which reproduces the entire time course of drug absorption from the data found in three intestinal perfusion series at different initial concentrations, yieldedVmandKmvalues of 12·0mgh−1and 8·0mg, respectively, in the mean segment of the small intestine, a rather selective absorption site for baclofen. Lesser but comparable absorption rates were found in the proximal and distal segments of the small intestine, whereas in colon, drug absorption was negligible. Baclofen transport was significantly reduced in the presence of the enzymatic inhibitor sodium azide. If these results were extrapolated to humans, they would explain the excellent bioavailability profiles reported for baclofen at normal doses in spite of its physicochemical properties, which do not favour passive diffusion. Based on the same principle, the administration of usual doses at shorter time intervals could be recommended, instead of high, when higher plasma levels at steady‐state are needed. On the other hand, more than 8‐h sustainedrelease preparations of baclofen should, probably,
机译:摘要 解痉药巴氯芬在原位活体麻醉大鼠的三个选定肠道段中的吸收被证明是一种服从Michaelis-Menten动力学的特殊转运机制。通过不同的程序计算方程参数,并讨论了其特征。一种基于Michaelis-Menten方程积分形式的计算机方法,该方法从三个不同初始浓度的肠灌注系列中发现的数据中再现了药物吸收的整个时间过程,在小肠的平均段中分别产生了12·0mgh−1和8·0mg的VmandKm值,这是巴氯芬的一个相当选择性的吸收部位。在小肠的近端和远端段发现较小但相当的吸收率,而在结肠中,药物吸收可以忽略不计。在酶抑制剂叠氮化钠存在下,巴氯芬转运显着降低。如果将这些结果外推到人类身上,它们将解释正常剂量的巴氯芬在正常剂量下报告的优异生物利用度特征,尽管其物理化学特性不利于被动扩散。基于相同的原理,当需要在稳态下需要较高的血浆水平时,可以建议以较短的时间间隔给予常规剂量,而不是高剂量。另一方面,超过 8 小时的巴氯芬缓释制剂应该可能

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