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Pharmacokinetic and pharmacodynamic drug interactions between digoxin and macrogol 4000, a laxative polymer, in healthy volunteers
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Isabelle Ragueneau Jean-Marie Poirier Nathalie Radembino Anne Buu Sao Christian Funck-Brentano & Patrice Jaillon 《British journal of clinical pharmacology》1999,48(3):453-456
AIMS: The aim of this study was to examine the bioequivalence between a single oral dose of digoxin administered alone and with a coadministration of macrogol 4000 (a laxative polymer) in 18 healthy volunteers. METHODS: This was an open, randomised, two-way cross-over study, with a single dose oral administration of 0.5 mg digoxin administered alone or in combination with macrogol 4000, 20 g day-1 during 8 days. Pharmacokinetics of digoxin, heart rate and PR ECG interval at rest were assessed. RESULTS: Macrogol 4000 coadministration was associated with a 30% decrease of digoxin AUC and a 40% decrease in its Cmax (P<0.05). Digoxin tmax and t1/2,z were not significantly altered. Heart rate and PR interval did not differ during the two therapeutic sequences, digoxin alone and digoxin in combination. CONCLUSIONS: Macrogol 4000 coadministration interacts with single-dose digoxin pharmacokinetics. This is most likely due to a reduction of the intestinal absorption of digoxin. However, there was no consequence of this interaction on heart rate and AV conduction. 相似文献
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为观察复方聚乙二醇电解质散与番泻叶联合应用在结肠镜检查前肠道准备的临床效果,将复方聚乙二醇电解质散与番泻叶联合应用为观察组和单用复方聚乙二醇电解质散为对照组,观察术前的排便次数和粪便性状、术中的肠道清洁满意度。结果显示.观察组排便结束时间明显短于对照组(P〈0.05)。肠道清洁满意度观察组为80.6%(162/201),对照组为69.6%(133/191)(P〈0.05)。结果表明,复方聚乙二醇电解质散与番泻叶联合应用在结肠镜检查前肠道准备的效果比单用复方聚乙二醇电解质散效果好。 相似文献
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We reported an anaphylaxis after oral intake and contact urticaria due to polyethylene glycols. 相似文献
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Kato Yasuhisa Matsushita Takeji Yokoyama Tomomasa Mohri Kiminori 《Pharmaceutical research》1992,9(5):697-699
Pharmaceutical Research - 相似文献
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目的探讨聚乙二醇4000联合比沙可啶对帕金森病患者便秘症状及相关生活质量的影响。方法将98例明确诊断为帕金森病便秘的患者随机分为试验组49例和对照组49例,其中对照组予以聚乙二醇4000口服,治疗组在对照组方案基础上联合比沙可啶肠溶片口服,疗程均为2周,观察比较两组患者的大便频率、形状等便秘相关症状及其相关生活质量的变化。结果完成本研究试验者共87例,其中对照组44例,治疗后排便频率和粪便性状均有明显改善(P<0.05),治疗组43例患者在排便频率、粪便性状及费力程度等相关症状方面均较治疗前显著改善(P<0.05),组间比较:治疗组优于对照组(P<0.05);两组患者治疗后生活质量评分均有降低(P<0.05),且组间比较治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论聚乙二醇4000联合比沙可啶对有效改善帕金森病患者便秘相关症状、提高其生活质量具有重要作用。 相似文献
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The melting method was investigated as a possible method for producing drug–cyclodextrin (CD) inclusion compounds in a carrier. Various solid dispersions of -, β- and γ-CD in polyethylene glycol (PEG) 6000 with and without the addition of 5% w/w indomethacin or griseofulvin were prepared using the original components. Characterisations of the samples included X-ray powder diffraction, modulated-temperature differential scanning calorimetry and dissolution tests by the paddle method according to USP XXI standard. Evidence of a complex between indomethacin and β-CD in PEG 6000 was found. An indomethacin–γ-CD complex formed a well defined phase in the PEG carrier, with tetragonal structure and unit cell parameters a=23.885(35) Å and c=23.181(64) Å. No complexation of indomethacin with -CD, or with griseofulvin and β-CD could be detected. It is suggested that competition between PEG and the drug for the binding to different CDs along with varying patterns of water loss from the CDs influence the inclusion reaction. The formation of complexes was accompanied by a decrease in the relative crystallinity of the dispersions. Dissolution tests showed that the CDs have a delaying effect on the release of indomethacin from PEG 6000 in the order -CD<γ-CD≤β-CD. 相似文献