Population pharmacokinetics of intravenous valproic acid in Korean patients.

OBJECTIVE: To determine population-based pharmacokinetic parameters for intravenous valproic acid, and the factors influencing these parameters, in Korean adults. METHODS: Valproic acid concentrations were obtained using a peak and trough sampling scheme for 102 Korean epileptic patients who were no...

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Publicado en:Journal of Clinical Pharmacy & Therapeutics Vol. 27; no. 6; pp. 419 - 426
Autores principales: Park H, Kang S, Lee Y, Shin D, Kim O, Lee S, Yim D
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2002
      vid: 27
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        2003121531
        10.1046/j.1365-2710.2002.00440.x
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        atl: Population pharmacokinetics of intravenous valproic acid in Korean patients.
      aug:
        au:
          Park H
          Kang S
          Lee Y
          Shin D
          Kim O
          Lee S
          Yim D
        affil: Department of Neurology, Ghil Medical Center, Gachon Medical School, Seoul, Korea
      sug:
        subj:
          Epilepsy Drug Therapy
          Valproic Acid Pharmacokinetics
          Valproic Acid Therapeutic Use
          Administration, Intravenous
          Adolescence
          Aged, 80 and Over
          Body Weight
          Female
          South Korea
          Male
          Middle Age
          Pearson's Correlation Coefficient
          Population
          Prospective Studies
          Valproic Acid Administration and Dosage
          Human
          Adolescent: 13-18 years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: To determine population-based pharmacokinetic parameters for intravenous valproic acid, and the factors influencing these parameters, in Korean adults. METHODS: Valproic acid concentrations were obtained using a peak and trough sampling scheme for 102 Korean epileptic patients who were not taking concurrent antiepileptic medication. Three hundred and fifty-four serum concentrations were analysed according to a one-compartment model with a mixed effect modelling method (NONMEM Ver 5.0). The influence of body-weight (kg), height, daily valproic acid dose (mg/day), body mass index (kg/m2), sex, and age on volume of distribution (Vd) and clearance (CL) was assessed in the course of analysis. RESULTS: Vd and CL of valproic acid increased with body-weight. No significant influence of the other screened covariates was observed. The final regression model was: [equation: see text]. Interindividual variabilities (coefficient of variation) for CL and Vd were 32 and 18%, respectively. Residual error including intraindividual variability was 26.7%. CONCLUSION: The current results may be used as a basic reference to optimize drug therapy with intravenous valproic acid. Further research on the paediatric population is necessary to confirm the non-linearity of the relation between body-weight and Vd.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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