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Pharmacokinetics of pyrazinamide and its metabolites in patients with hepatic cirrhotic insufficiency.

Identifieur interne : 001576 ( France/Analysis ); précédent : 001575; suivant : 001577

Pharmacokinetics of pyrazinamide and its metabolites in patients with hepatic cirrhotic insufficiency.

Auteurs : C. Lacroix [France] ; J L Tranvouez ; T. Phan Hoang ; H. Duwoos ; O. Lafont

Source :

RBID : pubmed:2340003

English descriptors

Abstract

The pharmacokinetics of pyrazinamide (Pirilène) and its metabolites are evaluated in ten subjects with hepatic insufficiency, after an oral dose of 19.3 +/- 0.6 mg.kg-1 and the results are compared to those of a group of nine healthy subjects (control group). The results exhibit a marked reduction of the pyrazinamide total clearance (0.48 vs 0.84 ml.min-1.kg-1) and an increase in half-life from 9.19 h to 15.07 h in the patients group. The area under the curve of pyrazinoic acid (the main metabolite) is increased from 97 to 280 mg.h.l-1 with a half-life twice as much as that of the control group. The hepatic insufficiency entails a marked reduction of the common posology as well as a closer survey of the biologic hepatic parameters and of uric acid the renal elimination of which is inhibited by pyrazinoic acid.

PubMed: 2340003


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pubmed:2340003

Le document en format XML

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<title xml:lang="en">Pharmacokinetics of pyrazinamide and its metabolites in patients with hepatic cirrhotic insufficiency.</title>
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<name sortKey="Lacroix, C" sort="Lacroix, C" uniqKey="Lacroix C" first="C" last="Lacroix">C. Lacroix</name>
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<nlm:affiliation>Unité de Pharmacocinétique, Centre Hospitalier Général, Le Havre, France.</nlm:affiliation>
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<name sortKey="Tranvouez, J L" sort="Tranvouez, J L" uniqKey="Tranvouez J" first="J L" last="Tranvouez">J L Tranvouez</name>
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<name sortKey="Phan Hoang, T" sort="Phan Hoang, T" uniqKey="Phan Hoang T" first="T" last="Phan Hoang">T. Phan Hoang</name>
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<name sortKey="Duwoos, H" sort="Duwoos, H" uniqKey="Duwoos H" first="H" last="Duwoos">H. Duwoos</name>
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<title level="j">Arzneimittel-Forschung</title>
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<term>Liver Cirrhosis (metabolism)</term>
<term>Liver Function Tests</term>
<term>Male</term>
<term>Pyrazinamide (analogs & derivatives)</term>
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<term>Pyrazinamide (pharmacokinetics)</term>
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<div type="abstract" xml:lang="en">The pharmacokinetics of pyrazinamide (Pirilène) and its metabolites are evaluated in ten subjects with hepatic insufficiency, after an oral dose of 19.3 +/- 0.6 mg.kg-1 and the results are compared to those of a group of nine healthy subjects (control group). The results exhibit a marked reduction of the pyrazinamide total clearance (0.48 vs 0.84 ml.min-1.kg-1) and an increase in half-life from 9.19 h to 15.07 h in the patients group. The area under the curve of pyrazinoic acid (the main metabolite) is increased from 97 to 280 mg.h.l-1 with a half-life twice as much as that of the control group. The hepatic insufficiency entails a marked reduction of the common posology as well as a closer survey of the biologic hepatic parameters and of uric acid the renal elimination of which is inhibited by pyrazinoic acid.</div>
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   |étape=   Analysis
   |type=    RBID
   |clé=     pubmed:2340003
   |texte=   Pharmacokinetics of pyrazinamide and its metabolites in patients with hepatic cirrhotic insufficiency.
}}

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