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KMID : 0359919930120010027
Korean Journal of Nephrology
1993 Volume.12 No. 1 p.27 ~ p.35
Effect of Hemodialysis and Continuous Ambulatory Peritoneal Dialysis on Pharmacokinetics of Carumonam
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Abstract
To evaluate the influence of hemodialysis and continuous ambulatory peritoneal dialysis (CAPD0 on the elimination of carumonam, pharmacokinetic studies were performed in 14 CRF patients undergoing intermittent hemodialysis or CAPD after a single
intravenous dose of 1 g. Carumonam concentrations in biological fluid were measured by reverse phase high perfomance liquid chromatography.
In patients undergoing intermittent hemodialysis, carumonam plasma half-life of 14.36¡¾5.18 hr was shortened to 2.25¡¾0.54 hr during hemodialysis. Hemodialysis increased the total body clearance of carumonam from 14 0 to 82.0 ml/min, and the
amount
of
carumonam recovered into dialysate over 4 or 5 hr ranged from 363 to 895 mg (average: 520.6¡¾163.9 mg). In patients undergoing CAPD, the volume of distribution and plasma half-life of carumonam were 0.26¡¾0.091/kg and 10.5¡¾4.36 hr, respectively.
The
time-averaged net clearance of peritoneal dialysis was negligible (3.6¡¾1.7 ml/min) compared with hemodialysis clearance. Patient undergoing hemodialysis should receive a supplemental dose equal to half of their maintenance dose immediately after
each
dialysis session.
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