Colestimide对大鼠血浆中Sodium Valproate, Phenobarbital和Carvedilol浓度的影响

惟夫 外間, 準男 芳原, 将之 酒井, 浩昌 亀谷, 進 大城, 又郎 坂梨
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摘要

Colestimide是由2-甲基咪唑和环氧氯丙烷合成的一种新型阴离子交换树脂,在生理阴离子中对胆汁酸具有特异性亲和力。研究了colestimide与丙戊酸钠、苯巴比妥和卡维地洛在雄性大鼠胃肠道吸收中的相互作用。口服丙戊酸钠100 mg/kg加1.05 g/kg的丙戊酸钠治疗组15 min-1 h血浆丙戊酸浓度显著低于对照组,药代动力学参数Cmax和AUC0-∞分别降低40和25%。30min - 1hr时,苯巴比妥血浆浓度显著低于对照组,80mg /kg苯巴比妥与1.05 g/kg colestimide联合口服后tmax延迟3.0倍。另一方面,20 mg/kg卡维地洛与1.05 g/kg colemide的联合用药没有改变卡维地洛血药浓度和药代动力学参数的时间依赖性。上述结果表明,共给药可降低丙戊酸钠的吸收,延缓苯巴比妥的吸收,但对卡维地洛的生物利用度无明显影响。
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Sodium Valproate, PhenobarbitalとCarvedilolのラット血漿中濃度に及ぼすColestimideの影響
Colestimide is a new anion exchange resin synthesized from 2-metyl imidazole and epichlorohydrin, and shows a specific affinity to bile acids among physiological anions. The drug interaction of colestimide with sodium valproate, phenobarbital and carvedilol in the gastrointestinal absorption in male rats was examined.The plasma valproate concentrations in the treatment with colestimide were significantly lower than those in the control at 15 min-1 hr, and the drug pharmacokinetic parameters, Cmax and AUC0-∞ were 40 and 25% decreased after oral administration of 100 mg/kg sodium valproate with 1.05 g/kg colestimide. The plasma phenobarbital concentrations were significantly lower than the control at 30 min-1 hr, and tmax was 3.0 times delayed after oral administration of 80 mg/kg phenobarbital with 1.05 g/kg colestimide. On the other hand, the administration of 20 mg/kg carvedilol with 1.05 g/kg colemide did not change the time dependent profiles of the plasma concentration and pharmacokinetic parameters of carvedilol.These result suggested that the absorption of sodium valproate was decreased and the absorption of phenobarbital was delayed by the coadministrated colestimide, but no significant effect on the bioavailability of carvedilol was observed.
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