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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 49 (1971), S. 604-607 
    ISSN: 1432-1440
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Anhand zweier pharmakokinetischer Modelle wurde bei bei gesunden Probanden eine vergleichende Analyse des Konzentrationsablaufs von3H-β-Methyldigoxin imSerum nach oraler und intravenöser Gabe (Infusion) vorgenommen. Die mit den verwendeten Auswertungsmethoden berechnete Halbwertszeit von 22 min für die Überführung3H-β-Methyldigoxin in den Organismus entspricht einer ungewöhnlich raschen Glykosidinvasion nach oraler Gabe. Aus den fast identischenc 0-Werten in beiden Kompartimenten nach oraler und intravenöser Gabe geht eine nahezu vollständige Resorption hervor. Die Halbwertszeit von etwa 20 h für die Elimination aus Kompartiment II läßt einen raschen Glykosidschwund aus dem Organismus erkennen.
    Notes: Summary Serum concentrations of3H-β-methyldigoxin after oral and intravenous administration (infusion) were compared in normal individuals by the application of two pharmacokinetic models. The half-life of 22 minutes for the enteral absorption obtained by the applied statistical methods reflect an unusually rapid entry of the glycoside into the organism. The intestinal absorption of3H-β-methyldigoxin is almost complete, as evidenced by nearly identicalc 0-values in both compartments after oral and intravenous administration. The half-life of approximately 20 hr for the elimination from compartment II indicates rapid excretion of the glycoside.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 41 (1963), S. 961-967 
    ISSN: 1432-1440
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Bei Hypertonikern in höherem Lebensalter, die auf eine Rauwolfiaalkaloid-Saluretikum-Kombination nur mit einer mäßigen Blutdrucksenkung reagierten, war durch zusätzliche Gabe von Triameterene bei 7 von 8 Fällen kein sicherer depressorischer Effekt auf den Blutdruck zu erzielen. Die anschließende Verabfolgung von Spironolactone führte dagegen zu einer klaren Senkung des Blutdrucks. Der Befund wird auf unterschiedliche Wirkungsmechanismen der beiden genannten, natriuretisch wirkenden Substanzen zurückgeführt. Abschließend werden einige klinisch-pharmakologische Angaben über das Verhalten des Blutdrucks bei Verabfolgung mineralwirksamer Pharmaka gemacht.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 14 (1978), S. 153-161 
    ISSN: 1432-1041
    Keywords: Saluretics ; Ple 1053 ; furosemide ; Azosemid ; clinico-pharmacological investigation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Ple 1053 (Azosemid) is a diuretic which resembles furosemide chemically and in its mode of action. When administered intravenously, Ple 1053 was approximately 5 times more potent on a weight basis than furosemide, its dose-response relationship was closer and the slope was steeper. After oral administration Ple 1053 and furosemide were approximately equal in potency. However, the effect of Azosemid in healthy subjects was relatively prolonged and abrupt peaks did not occur.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 27 (1985), S. 637-644 
    ISSN: 1432-1041
    Keywords: isosorbide-dinitrate ; pharmacokinetics ; analytical method ; bioavailability ; drug metabolism
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary The bioavailabilities of a conventional and two slow release 20 mg isosorbide dinitrate (ISDN) formulations were compared after oral administration in a three way cross-over study in 8 male volunteers. In a further group of 6 male volunteers the pharmacokinetics and metabolism of ISDN were investigated after intravenous infusion of a median dose of 14.1 mg for 2.5 h. A new analytical procedure was developed for the determination of isosorbide-5-mononitrate-2-glucuronide (IS-5-MN-2-Glu) and of isosorbide (IS). Kinetic data analysis on a molar basis was performed by the program package KINPAK providing model independent parameters. The median elimination half-lives of ISDN, IS-5-MN, IS-2-MN and IS-5-MN-2-Glu were 0.7, 5.1, 3.2 and 2.5 h, respectively. The systemic clearance of ISDN was 3.7 l/min and the distribution volume 2521 (3.1 l/kg). Apart from IS-5-MN-2-Glu, with a renal clearance of 5.9 l/min which suggested substantial glucuronidation in the kidney, the renal clearances of ISDN, IS-5-MN, IS-2-MN and the corresponding amounts excreted were negligible. 27.8% of the administered ISDN was excreted as IS-5-MN-2-Glu (8.7%) and IS (19.1%). Calculations based on the two mononitrate metabolites formed from ISDN showed an incomplete recovery of 84.1%, leading to the assumption that a simultaneous denitration to IS must have occurred. The rate of denitration at each nitro group in ISDN was almost twice as high as for the same position in the corresponding mononitrate. The bioavailability of the conventional ISDN formulation was 19%, although complete absorption was indicated by comparison of the percentages of mononitrate metabolites formed after the different routes of administration. On the same basis the absorption of the two sustained release formulations was found to be poor.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 18 (1980), S. 237-244 
    ISSN: 1432-1041
    Keywords: isosorbide dinitrate ; 2-isosorbide mononitrate ; 5-isosorbide mononitrate ; digital plethysmography ; hypotension ; bradycardia ; pharmacokinetics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary 18 subjects were given isosorbide dinitrate (ISDN) 5 mg sublingually and serum concentrations of ISDN, 2-isosorbide mononitrate (2-ISMN) and 5-isosorbide mononitrate (5-ISMN) were measured, as well as changes in digital plethysmographic amplitude, heart rate, ECG, blood pressure and Schellong's test. ISDN was rapidly absorbed and metabolized, having an elimination half-life of 29 min. Its metabolites 2-ISMN and 5-ISMN had longer half-lives of 1.75 and 7.6 h respectively. The amplitude of the α-wave of the digital plethysmograph did not change significantly either in the predrug period or after placebo administration. It increased within 4 min of administration of ISDN, and reached a maximum after 14 min; the effect lasted for about 2 h. ISDN lowers blood pressure and increases heart rate in most volunteers, but in 3 of the 18 subjects severe hypotension occurred, accompanied by severe, reversible bradycardia, which was probably due to vagal reflexes initiated by the markedly diminished ventricular enddiastolic volume (LVEDV) and pressure (LVEDP). No correlation could be demonstrated between the serum concentration of ISDN and/or its vasoactive metabolites and changes in plethysmographic amplitude.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 20 (1981), S. 269-275 
    ISSN: 1432-1041
    Keywords: isosorbide-5-mononitrate ; pharmacokinetics ; absorption ; first-pass-effect ; distribution ; elimination
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary The pharmacokinetics of isosorbide-5-mononitrate (IS-5-MN) has been studied in two groups of healthy volunteers after oral (n=20) and intravenous (n=11) administration of 20 mg, which had previously been proved to be as effective as 20 mg sustained-release isosorbide dinitrate (ISDN). IS-5-MN in serum was measured by gas chromatography using capillary columns. The kinetic calculations were carried out with a newly developed model, which assumes a virtual volume of distribution dependent on time. IS-5-MN is rapidly (invasion half-life 4.1 min) and completely absorbed from the gastro-intestinal tract without any first pass metabolism. The maximum concentration of 480 µg/l was reached 1.2 h after oral administration of 20 mg. The substance was distributed throughout the total body water (distribution coefficient: 0.62), and was eliminated with a terminal t1/2 of 4.1 and 4.6 h after oral and intravenous administration, respectively. Total body clearance was 115 ml/min. Thus, IS-5-MN is unlike ISDN with respect to the absence of first-pass metabolism and an 8-times longer half-life. The consequences for therapy are discussed.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 22 (1982), S. 265-272 
    ISSN: 1432-1041
    Keywords: pharmacokinetics ; variation of absorption ratios ; bioavailability ; dissection of variation due to absorption and intermediate processes ; oral drug application
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Differences in the plasma concentrations of drugs after oral administration are caused by two main factors: variation in absorption ratios and in the distribution processes in the body. A new method for the dissection of both types of factors is discussed. The method uses a reference regression of the AUC-values to the corresponding values after intravenous infusion of graded doses. The reference regression is estimated from an appropriate trial. Deviation of the determined AUC-values from the regression curve afford an estimate of the residual variance due to varying distribution volumes or similar random biological effects. For the estimation of absorption ratios after oral administration the drug is given orally to another sample of subjects and their AUC-values are calculated. The deviation of these AUC values due to the above mentioned random effects are simulated using the residual variance of the reference regression, and are subtracted from the observed AUC-values. Then, the differences in the corresponding absorbed doses are transformed by inverting the reference regression. From these doses the empirical distribution function and statistical parameters (e.g. quantiles) are determined. The method has the advantage that no restrictive assumptions are required, such as first order processes, dose linearity, homogeneity of variance or normal distribution of absorption ratios. Its applicability to substances with qualitative differences in their pharmacokinetics is demonstrated by appropriate examples.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 21 (1982), S. 293-301 
    ISSN: 1432-1041
    Keywords: metipranolol ; deacetyl metipranolol ; pharmacokinetics ; bioavailability ; healthy volunteers
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary The pharmacokinetic parameters of deacetyl metipranolol were determined after i.v. infusion of increasing doses (6–25 mg) in 17 normal volunteers. In a second cross-over trial, deacetyl metipranolol 10 and 20 mg were infused in a further 10 subjects, and in a third trial another 20 volunteers received metipranolol 40 mg orally. Metipranolol is very rapidly and completely deacetylated in man, so all pharmacokinetic data refer to deacetyl metipranolol, which was assayed by gas chromatography-mass spectrometry. The pharmacokinetic analysis was performed using a recently developed model, using a volume of distribution which is variable with time. The following data were obtained after oral administration: (mean values); lag-time 7.3 min; tmax 50 min, invasion half-life 6.3 min; elimination half-life 3 h; urinary excretion of unchanged drug approximately 4% of the dose. The experiments with infusion of increasing doses, as well as the cross-over study with 10 and 20 mg i.v., showed dose-linearity of the kinetics. The respective mean half-lives of elimination were 2.6, 2.9 and 2.8 h. The mean total, renal and extra-renal clearances amounted to 1237 ml/min, 149 ml/min and 1068 ml/min, respectively. The distribution coefficient was 3.5 l/kg, and protein binding amounted to 70% within the range of therapeutic concentrations. Absolute bioavailability was found to be approximately 50% by several different evaluation procedures. Thus, the pharmacokinetic profile of metipranolol shares features of both the lipophilic and the hydrophilic groups of β-blocking agents.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Clinica Chimica Acta 19 (1968), S. 391-395 
    ISSN: 0009-8981
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Clinical and experimental medicine 116 (1950), S. 216-236 
    ISSN: 1591-9528
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung 1. Es wird die Erregbarkeit des Atemzentrums bei Gesunden und Herzkranken verglichen. Als Maß der Erregbarkeit dient das Verhältnis von Zuwachs von Atemvolumen zu Zuwachs an alveolarer CO2-Spannung bei Einatmung von verschieden konzentrierten CO2-Luftgemischen bei konstantem O2-Gehalt. Die alveolaren CO2-Spannungen werden durch automatische Gewinnung der exspiratorischen Alveolarluft bestimmt. 2. Zum rechnerischen Vergleich der zentralen Atmungsregulation bei Gesunden und Herzkranken werden die Begriffe: „mittlere Volumenspannungskurve“ und „mittlere Erregbarkeitskurve“ bei Gesunden und Herzkranken, sowie „mittlerer Gradient“ des Einzelfalles definiert. 3. Die statistische Auswertung bei 22 Versuchen an Normalpersonen und 12 Versuchen an leicht dekompensierten Herzkranken ergibt folgende Schlußfolgerungen: a) Die mittlere Erregbarkeit des Atemzentrums bei Herzkranken ist vermindert gegenüber der der Gesunden (statistisch gesichert). b) Die mittleren Erregbarkeitskurven sind gerade Linien. Lediglich in ihrem oberen Teil ist eine leichte, wahrscheinlich reelle, aber nicht signifikante Abknickung nach rechts festzustellen (narkotische Wirkung hoher CO2-Konzentrationen). c) Es bestehen keine Beziehungen zwischen Erregbarkeit des Atemzentrums und Lage der CO2-Bindungskurve im Vergleich von Gesunden und Herzkranken. d) Die O2-Aufnahme und CO2-Abgabe unter CO2-Atmung ist bei Herzkranken und Gesunden nicht verschieden. 4. Die Herabsetzung der Erregbarkeit des Atemzentrums bei Herzkranken wird als Anpassung und Gewöhnung gedeutet.
    Type of Medium: Electronic Resource
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