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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 272 (1972), S. 32-45 
    ISSN: 1432-1912
    Keywords: Cardioglycoside ; Labelled Compound ; Absorption ; Cardiac Output ; Guinea-Pig
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Glycosides were injected into a ligated loop of the small intestine of guinea-pigs under urethane anaesthesia. From the residual radioactivity in the intestinal loop at various times after the injection the amount absorbed was determined and from that the rate of absorption, assuming exponential absorption. β-Methyl-digoxin was absorbed more rapidly than digoxin and its derivatives β-acetyl-digoxin and lanatoside C but slower than digitoxin. β-Methyl-digoxin was much better absorbed from a suspension than from a solution; this caused the difference from digitoxin to disappear to a large extent. The high rate of absorption of β-methyl-digoxin in humans is probably explicable in this way. The rate of absorption of β-methyl-digoxin was independent of the dose until the appearance of arrhythmias; it decreased with progressing intoxication. Absorption was delayed when cardiac output was decreased by barbital anaesthesia. The amount absorbed at the onset of arrhythmias can be calculated from the injected dose, the rate of absorption and the time. For β-methyl-digoxin and digoxin it corresponded to the effective doses determined by intravenous infusion and to the cardiotoxicity after intraduodenal injection. The cardiotoxicity of β-acetyl-digoxin and digitoxin was less than that expected from the amounts absorbed suggesting metabolic inactivation during absorption. The relative enteral activity is not only determined by the absorption but also by the rate of elimination. The rate at which the material should leave the intestine in order to maintain arrhythmia was calculated. It was considerably greater for digitoxin than for β-methyl-digoxin or digoxin.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 279 (1973), S. 211-226 
    ISSN: 1432-1912
    Keywords: Cardiac Glycosides ; Brain ; Behaviour ; Distribution ; Protein Binding
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Rats and mice were injected with 3H-labelled β-methyldigoxin, digoxin or digitoxin i.p. Four hours later, the concentrations of radioactivity were measured in the plasma and in skeletal muscle or in the brain. Protein binding in the plasma was determined and the concentration of radioactivity in the plasma water was calculated. By dividing the injected dose or the concentration in the tissue by that in the plasma water, distribution coefficients (DCs) were calculated for the whole body, skeletal muscle and brain. Some extra-cardiac effects of the three glycosides were quantified and the concentrations that may be expected in plasma water, skeletal muscle and brain after the administration of equiactive doses were calculated. 1. The DC of the injected dose was lower for β-methyl-digoxin than for digoxin and digitoxin. This difference cannot be explained by a slow elimination of β-methyl-digoxin suggesting that it has a low distribution volume in these species. 2. In rats, the DC between skeletal muscle and plasma water decreased in the order digitoxin 〉 digoxin ≫ β-methyl-digoxin. 3. In mice and rats, the DC between brain and plasma water decreased in the order digitoxin ≫ β-methyl-digoxin 〉 digoxin. 4. Protein binding decreased in the order digitoxin ≫ digoxin 〉 β-methyldigoxin. 5. In rats, the doses producing an equal increase in potassium excretion decreased in the order digitoxin 〉 digoxin 〉 β-methyl-digoxin. On the other hand, the concentrations of radioactivity in the plasma water correlated with these doses decreased in the order β-methyl-digoxin 〉 digitoxin ≫ digoxin. There was no significant difference between the intracellular concentrations of digoxin and β-methyl-digoxin in skeletal muscle. 6. In mice, there was no clear correlation between inhibition of spontaneous motility or righting reflexes on the rotating rod and the concentrations of radioactivity in the plasma water or in the brain. β-Methyl-digoxin is moee lipophilic than digoxin but it penetrates less into skeletal muscle. It is as lipophilic as digitoxin, but it penetrates less into the brain of rats and mice. This shows that penetration of the cell membrane by cardiac glycosides does not solely depend on lipid solubility.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 272 (1972), S. 46-64 
    ISSN: 1432-1912
    Keywords: Cardioglycoside ; Labelled Compound ; Drug Metabolism ; Pharmacokinetics ; Absorption
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary β-Methyl-digoxin was much more resistant to enzymatic degradation than digoxin, β-acetyl-digoxin and digitoxin. Only in the bile was an appreciable percentage of the radioactivity attributable to a hydrophilic metabolite. The distribution volume of β-methyl-digoxin increased with time, but was independent of the dose and of the mode of administration. The blood levels during i. v. infusion and after i. d. injection can be used for calculating the speed of absorption during the first 20 min only. The correlations between blood levels and pharmacodynamic activity were investigated by varying the dose injected intraduodenally or the speed of i. v. infusion. Although the effective doses were constant, the blood levels expected at the onset of arrhythmias decreased with decreasing speed of administration. Signs of acute tolerance were observed when the experiment lasted for more than 30 min. In the heart, the equilibrium between blood and tissue levels of radioactivity was reached sooner than in the rest of the body. Whereas maximal blood levels were observed about 30 min after oral administration in man, they continued to rise for at least 60 min after i.d. injection in guineapigs. This confirms earlier observations that β-methyl-digoxin is absorbed more rapidly in man than in guinea-pigs.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 302 (1978), S. 87-90 
    ISSN: 1432-1912
    Keywords: Cats ; Cardiac glycosides ; Brain ; Distribution ; Side-effects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The tissue/plasma ratio of β-methyl-digoxin for cardiac muscle in cats was about the same 24 h after a single dose of 30 μg/kg as after a loading dose of 30 μg/kg followed by 3 maintenance doses of 7.5 μg/kg at 24 h intervals. The ratio for the brain increased 2-fold during that time. After the i.v. injection of a toxic loading dose of 70 μg/kg β-methyl-digoxin or digoxin, maintenance doses of as little as 15 μg/kg at 48 h intervals sufficed to maintain the minimum plasma glycoside concentrations determined by RIA at about 3 ng/ml. There was no difference in the plasma concentrations or in the severity of intoxication produced by both glycosides. Cats vomited within 3 h after i.v. injection of 100 μg/kg β-methyl-digoxin, whereas a loading dose of 30 μg/kg followed by 3 injections of 7.5 μg/kg at 24 h intervals were well tolerated. The concentration of radioactivity in the brain 3 h after 100 μg/kg was less than 24 h after the last injection of 7.5 μg/kg in the experiments with repeated dosage. Cerebral side-effects such as vomiting, loss of appetite and weight were better correlated with the glycoside concentrations in the plasma than with those in the brain.
    Type of Medium: Electronic Resource
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