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A nomogram for prediction of absorption rate coefficient

摘要Background Previous studies have suggested that nomogram can simplize complicated calculations of several varibles. A simple nomogram was constructed to estimate absorption rate coefficient (ka) by using the peak time (tpeak) and the elimination rate coefficient (ke) of drugs administered orally. Methods The nomogram was based on the plasma concentration-time (C-T) curve equation and the function relation between tpeak, ka and ke. A mathematical analysis was presented for the construction of single chart nomogram. To check the degree of accuracy of the developed nomogram, we used it to analyze retrospective profiles of 46 drugs and compared the ka values obtained graphically and those calculated by numerically solving the descriptive equation. In addition, we measured the carbocisteine concentration of 18 healthy volunteers by HPLC with fluorescence detection. To analyze performance error, the measured carbocisteine concentrations were compared with predicted concentrations by the ka obtained from the nomograms along with the other pharmacokinetic parameters. Results The estimated of ka values from nomograms were in very close proximity with the numerical values. The performance error was as follows: median performance error (MDPE) and median absolute performance error (MDAPE) were 1.32% and 18.15%, respectively. Conclusions The developed nomogram is accurate and reliable. The size of performance error meets the demand of clinical pharmacokinetics. Therefore, the nomograms can offer another convenient and easy method for rational individualized dosage regimens.

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作者 李玉红 [1] 赵欣 [2] 嵇晴 [2] 徐建国 [2] 孙瑞元 [3] 学术成果认领
作者单位 Department of Anesthesiology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China [1] Department of Anesthesiology, Jinling Hospital, Nanjing 210002, China [2] Institute of Clinical Pharmacology, Yijishan Hospital, Wannan Medical College, Wuhu 241001, China [3]
分类号 R3
栏目名称 ORIGINAL ARTICLES
发布时间 2004-08-18
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中华医学杂志(英文版)

中华医学杂志(英文版)

2004年117卷5期

689-694页

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