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利培酮在精神分裂症患者中的血清药物浓度/剂量比影响因素研究

卢浩扬 江晓佳 尚德为 倪晓佳 王占璋 张明 李健 温预关

中国临床药理学杂志2018,Vol.34Issue(2):117-119,3.
中国临床药理学杂志2018,Vol.34Issue(2):117-119,3.DOI:10.13699/j.cnki.1001-6821.2018.02.007

利培酮在精神分裂症患者中的血清药物浓度/剂量比影响因素研究

Influential factors of serum concentration/dosage ratio for schizophrenia patients after oral administration of risperidone

卢浩扬 1江晓佳 2尚德为 1倪晓佳 1王占璋 1张明 1李健 3温预关1

作者信息

  • 1. 广州医科大学附属脑科医院、广州市惠爱医院药学部,广州510370
  • 2. 深圳市宝安中医院(集团)药学部,广东深圳518133
  • 3. 广州军区广州总医院药学部,广州510010
  • 折叠

摘要

Abstract

Objective To investigate the influential factors of serum drug concentration/dosage ratio (C/D) for schizophrenia patients after oral administration of risperidone.Methods Medical records of inpatients who received oral administration of risperidone in Guangzhou Huiai Hospital during 2016 were consulted and the C/Ds were calculated.Effects of age,gender,dosage form,combined medication,comorbidity and serum concentration ratio of 9-OH risperidone and risperidone were evaluated.Results C/D in patients aged 60 or older was (10.06 ± 6.61) ng · mL-1 · mg-1 · d.It was significantly larger than those under 60 years old,which were (7.82 ± 3.31) and (8.02 ±4.05) ng · mL-1 · mg-1 · d for 40-59 and under 40 years old,respectively.In addition,C/D was decreased with the increase of 9-OH risperidone/ risperidone ratio.The C/D were(10.96 ±6.46),(8.71 ±4.45)and (6.30 ± 2.99) ng · mL-1 · mg-1 · d for 9-OH risperidone/risperidone ratio < 1,1-10 and > 10,respectively.Gender,dosage form andthe major combined medications and comorbidities in the recruited patients hardly affected the C/D of oral risperidone.Conclusion The dose of risperidone that administered to the aged should be reduced properly.Serum concentration ratio of 9-OH risperidone and risperidonehas a potential to be used as an indirect index of the activity of metabolic enzymes.

关键词

利培酮/浓度/剂量比/影响因素

Key words

risperidone/concentration/dosage ratio/influential factor

分类

医药卫生

引用本文复制引用

卢浩扬,江晓佳,尚德为,倪晓佳,王占璋,张明,李健,温预关..利培酮在精神分裂症患者中的血清药物浓度/剂量比影响因素研究[J].中国临床药理学杂志,2018,34(2):117-119,3.

基金项目

广州市科技计划基金资助项目(201509010012) (201509010012)

广州市医学重点学科基金资助项目(2017年至2019年) (2017年至2019年)

中国临床药理学杂志

OA北大核心CSCDCSTPCD

1001-6821

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