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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of pharmacokinetics and pharmacodynamics 5 (1977), S. 377-390 
    ISSN: 1573-8744
    Keywords: clorazepate ; gastricpH ; desmethyldiazepam ; diazepam ; benzodiazepine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract The in vivorate of biodegradation of dipotassium clorazepate to N-desmethyldiazepam in humans was shown to decrease with an increase in gastric pH. When gastric pH was maintained above 6 for 2 hr with sodium bicarbonate, the bioavailability of intact clorazepate, as determined by evaluating its conversion and absorption as N-desmethyldiazepam, was reduced from 5% to 75% when compared in the same subject with gastric pH less than 3. The corresponding N-desmethyldiazepam blood level maxima occurred later in time and were only 14–46% of the levels achieved from an acidic stomach. These findings indicate that the pH of the stomach can influence the absorption of dipotassium clorazepate.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1573-8744
    Keywords: diazepam ; multiple-dose pharmacokinetics ; two-compartment model ; benzodiazepine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract Six healthy subjects between the ages of 21 and 31 years received diazepam tablets orally at a dose of 5 mg t.i.d. atO, 5, and 10hr on days 1–13. On day 14, the dose was 5 mg at 0 and 5 hr and 15 mg at 10 hr. Subsequently, the dose was 15 mg once daily on days 15–24. Numerous plasma samples were obtained during the multiple-dose regimen, and appropriate equations were fitted to all the multiple-dose data. Diazepam absorption was satisfactorily described by a first-order process, with disposition characterized by a linear two-compartment open model. The harmonic mean absorption half-life was 32 min, and the harmonic mean terminal exponential half-life was 57hr. The mean apparent oral total drug plasma clearance was 22.7ml/hr/kg. Steady-state plasma levels of the primary metabolite, desmethyldiazepam, were reached after 5–8 days of dosing. Steady-state diazepam plasma concentration-time profiles suggested that once daily administration of the total daily dose at bedtime might be a satisfactory dosing regimen.
    Type of Medium: Electronic Resource
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