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The pharmacokinetics of nifurtimox in chronic renal failure
Authors:G. González-Martin  S. Thambo  C. Paulos  I. Vásquez  J. Paredes
Affiliation:(1) Department of Pharmacy, Pontifical Catholic University of Chile, Santiago, Chile;(2) Department of Medicine, Faculty of Medicine, University of Chile, Santiago, Chile;(3) Faculty of Chemistry and Pharmaceutical Sciences, University of Chile, Santiago, Chile;(4) Asignatura de Farmacia Clínica Departamento de Farmacia Facultad de Química, Pontificia Universidad Católica de Chile, Casilla 306 Correo 22, Santiago, Chile
Abstract:Summary The pharmacokinetics of nifurtimox, a drug used in the treatment of Trypanosoma cruzi infections, has been studied in seven patients with chronic renal failure undergoing haemodialysis, and in seven healthy subjects.Each subject took nifurtimox 15 mg·kg–1 orally and blood samples were obtained for 10 h after administration. Nifurtimox in serum was analyzed by HPLC.The patients with chronic renal failure had a higher Cmax than the control subjects due to a change in systemic availability. An alternative explanation would be that both the distribution volume and the clearance had changed.The mean half-life in the patients with chronic renal failure was similar to that in the healthy subjects.
Keywords:Nifurtimox  Changas' disease  renal failure  pharmacokinetics
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