分析影响通过尿液浓度计算药物口服毒性和致死剂量结果差异的因素

Alla A. Vоlkova, Roman A. Kаlekin, A. M. Orlova, Albina Z. Pavlova, Andrey L. Pavlov
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引用次数: 0

摘要

简介喹硫平属于精神药物,即神经抑制剂,是一种抗精神病药物。对于口服麻醉药、烈性药和精神药物,在怀疑有意或无意中毒的情况下,决定因素是服药者服用的剂量,从而可以假定使用了毒性或致死剂量。在这种情况下,调查当局可以利用法医化学或化学毒理学调查中获得的发现来协助调查。目的。在考虑到某些因素的情况下,制定一种方法来计算被调查者口服(每次口服)的麻醉剂、精神药物和烈性药物的剂量,并在案例研究中对上述方法进行测试。材料和方法。我们研究了药物中的活性物质喹硫平。研究的生物对象是从一名死于急性喹硫平中毒的24岁正常人尸体上提取的肝脏、股静脉血液和尿液。采用常规程序对生物物品进行了法医化学检验,旨在对奎硫平进行定性和定量鉴定。结果与讨论。考虑到某些因素,并利用在尿液中定量检测到奎硫平的案例研究,提出了一种计算患者口服麻醉剂、精神药物和烈性药物剂量的方法。对六个因素进行了分析,这些因素对计算服药理论剂量的结果产生了影响。得出结论。提出了一个计算理论剂量的公式,计算结果的相对误差不超过 28%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANALYZING THE FACTORS AFFECTING THE DIFFERENCES IN THE RESULTS OF COMPUTING THE ORAL TOXIC AND LETHAL DOSES OF DRUGS BY THEIR CONCENTRATION IN URINE
Introduction. Quetiapine belongs to psychotropic drugs, i. e., neuroleptics, and is an antipsychotic. With oral narcotic, potent, and psychotropic substances, in case of suspected intentional or unintentional poisoning, the determining factor is the dosage amount of the substance taken by the sufferer, which allows assuming the use of a toxic or lethal dose. In this case, the investigative authorities can be assisted by the findings obtained in forensic-chemical or chemical-toxicological investigations. Aim. With consideration to certain factors, developing a methodological approach to calculating the doses of narcotic, psychotropic, and potent substances that have been orally (per os) administered to the sufferer, and testing the said approach within a case study. Materials and Methods. We studied the active substance quetiapine contained in pharmaceutical drugs. Biological objects studied were the liver, femoral vein blood, and urine taken from the corpse of a 24-year-old normosthenic person died of acute quetiapine poisoning. Forensic chemical examination of biological objects aimed at identifying quetiapine qualitatively and quantitatively was performed using conventional procedures. Results and Discussion. A methodological approach is proposed to calculate the doses of narcotic, psychotropic, and potent substances administered orally to the sufferers, considering certain factors and using a case study, in which quetiapine was detected in urine quantitatively. The analysis of six factors is presented, affecting the results of calculating the theoretical dose of the drug taken. Conclusions. A formula is proposed for calculating the theoretical dose with the relative error of the results obtained, not exceeding 28%.
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