Population pharmacokinetic investigation of phenobarbital by mixed effect modelling using routine clinical pharmacokinetic data in Japanese neonates and infants.

The population pharmacokinetics of phenobarbital was evaluated using 69 serum concentration measurements obtained from the routine phenobarbital monitoring of 35 neonates and infants. The data were analysed using the nonlinear mixed effects model. A one-compartment open pharmacokinetic model with fi...

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Publicado en:Journal of Clinical Pharmacy & Therapeutics Vol. 30; no. 2; pp. 159 - 164
Autores principales: Yukawa E, Suematsu F, Yukawa M, Minemoto M
Formato: research Journal Article
Publicado: Wiley-Blackwell Apr2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2005
      vid: 30
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1365-2710.2005.00619.x
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        atl: Population pharmacokinetic investigation of phenobarbital by mixed effect modelling using routine clinical pharmacokinetic data in Japanese neonates and infants.
      aug:
        au:
          Yukawa E
          Suematsu F
          Yukawa M
          Minemoto M
      sug:
        subj:
          Clinical Trials Methods
          Phenobarbital Pharmacokinetics
          Administration, Rectal
          Aging
          Aging Drug Effects
          Biological Availability
          Body Weight Drug Effects
          Body Weight Physiology
          Female
          Infant, Newborn
          Japan Ethnology
          Male
          Metabolic Clearance Rate Drug Effects
          Metabolic Clearance Rate Physiology
          Phenobarbital Administration and Dosage
          Phenobarbital Blood
          Retrospective Design
          Suppositories
          Suppositories Administration and Dosage
          Suppositories Pharmacokinetics
          Human
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: The population pharmacokinetics of phenobarbital was evaluated using 69 serum concentration measurements obtained from the routine phenobarbital monitoring of 35 neonates and infants. The data were analysed using the nonlinear mixed effects model. A one-compartment open pharmacokinetic model with first-order elimination was used. Covariates screened were current bodyweight (TBW), gestational age, postnatal age (PNA), postconceptional age and gender. The final pharmacokinetic parameters were CL/F(mL/h) = 3·41·TBW (kg) + 1·64. PNA (weeks),Vd/F(L) = 1·09 TBW. (kg), andF = 0·406 for oral administration andF = 1 for suppository. Application of the findings in this study to patient care may permit selection of an appropriate initial maintenance dosage to achieve target phenobarbital concentrations, thus enabling the clinician to achieve the desired therapeutic effect in neonates and infants.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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