KMID : 0359919930120010027
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Korean Journal of Nephrology 1993 Volume.12 No. 1 p.27 ~ p.35
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Effect of Hemodialysis and Continuous Ambulatory Peritoneal Dialysis on Pharmacokinetics of Carumonam
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ÀÓµ¿¼®
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Abstract
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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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