小児におけるフェノバルビタール血中濃度 S/D比と年齢の関係及び併用薬の影響

栄二 湯川, Yukawa Eiji, Higuchi Shun, 駿 樋口, Ieiri Ichiro, 一郎 家入, Teshima Daisuke, 大輔 手嶋, Nakao Yasushi, 泰史 中尾, 敏信 青山, Aoyama Toshinobu
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Abstract

The effects of age and concurrent administration of antiepileptic drugs on phenobarbital serum concentration/dosage ratio in children were studied. The ratio of serum concentration/dosage for phenobarbital both without and with the concurrent administration of antiepileptic drugs was significantly correlated with the age of patients, and the ratio increased with the increase in the age of children. The ratio of patients who had taken valproate sodium and/or more than two kinds of anti-epileptics with phenobarbital washigher than that of patients had taken phenobarbital alone.Therefore, the patients who are taking valproate sodium and/or more than two kinds of anti-epileptics with phenobarbital is needed careful monitoring of phenobarbital serum concentrations because of their drug interaction.
儿童苯巴比妥血液浓度S/D比与年龄的关系以及联合用药的影响
研究年龄和同时使用抗癫痫药物对儿童苯巴比妥血药浓度/剂量比的影响。不同时使用抗癫痫药物和同时使用抗癫痫药物时,苯巴比妥的血清浓度/剂量比与患者年龄显著相关,且随儿童年龄的增加而增加。同时服用丙戊酸钠和(或)两种以上抗癫痫药物的患者比例高于单独服用苯巴比妥的患者。因此,在服用丙戊酸钠和/或两种以上抗癫痫药物的同时服用苯巴比妥的患者,由于药物相互作用,需要仔细监测苯巴比妥的血清浓度。
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